Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
3_percussion.doc
Скачиваний:
0
Добавлен:
06.02.2020
Размер:
146.94 Кб
Скачать

11

UKRAINIAN MINISTRY OF PUBLIC HEALTH

Vinnytsya National Medical University n.A. M.I. Pyrogov

«APPROVED»

At the methodological meeting of the internal medicine propedeutics department

Chief of the department

____________ prof. Mostovoy Y.M.

«______»_______________ 200 ___ y.

Guidelines for Third-year Students of the Medical Department

Subgect

Propedeutics of the internal medicine

Module №

1

Enclosure module №

1

Topic

Percussion as an objective method of patient examination. Comparative and topographic percussion of the chest

Course

3

Faculty

Medical № 1

Methodical recommendations are made in accordance with educationally-qualifying descriptions and educationally-professional programs of preparation of the specialists ratified by Order MES of Ukraine from 16.05 2003 years № 239 and experimentally - curriculum, that is developed on principles of the European credit-transfer system (ECTS) and Ukraine ratified by the order of MPH of Ukraine from 31.01.2005 year № 52.

Vinnytsya- 2007

  1. Importance of the topic

Percussion of the chest is one of the basic, informative methods of examination of the respiratory patients. It allows revealing diagnostic signs of the respiratory diseases without modern additional investigations. Today, when doctor has a lot of additional diagnostic devices importance of percussion is less then before. But if doctor uses percussion during patient examination his diagnostic research becomes more efficient and fruitful. This method is very useful when doctor could not perform modern investigation and in an emergency situation. It is very important part of the diagnostic process.

2. Concrete aims:

  • Master principles, types and rules of percussion of the chest

  • Learn physical grounds of percussion

  • Perceive clear lung sound and it changes: dull and tympanic, their characteristics.

  • Performing and assessing comparative percussion of the chest

  • Know chest points and lines used for topographic percussion of the lung

  • Performing and assessing topographic percussion of the lung

3. Basic training level

Previous subject

Obtained skill

Normal anatomy

Anatomy of the airways and lungs, their blood supply and innervation

Normal physiology

Mechanics of breathing, gas exchange in the lung and tissues of system organs

Histology

Ontogenesis of the respiratory tract, histological structure of the respiratory tract and alveoli

4. Task for self-depending preparation to practical training

4.1. List of the main terms that should know student preparing practical training

Term

Definition

Clear lung sound

heard on percussion of the chest areas over an unchanged lung tissue

Dull sound

heard over the solid tissue without air like dense parenchymatous organs

Tympanic sound

heard over the tissue containing a lot of air

Passive excursion of lung

Moving lower lung border when patient changes his position from stand to lying

Active excursion of lung

Moving lower lung border due to deep inhaler and exhaler

Соседние файлы в предмете [НЕСОРТИРОВАННОЕ]