2 Variant (ulcerous illness of duodenum) Short information for a student at the station

Become familiar with a clinical task and answer the put questions. The patient of Ivanov С.В., 45 entered induction centre with complaints about pain in an epigastrium, periodic vomiting, losing weight, swelling of stomach.

Task for a student at the station

Sick Ivanov of С.В., 45 entered induction centre with complaints about pain in an epigastrium, periodic vomiting, losing weight, swelling of stomach.\

Task:

1. Poll patient

• Conduct working out in detail of complaints;

• Take the history of disease;

• will Define the problem of patient

(PII)

2. Find the results of radial research among offer pictures. (VD)

3. Set the picture on the X-ray viewer. (VD)

4. Name and show on a picture basic radial symptoms (direct signs) corresponding to this pathology(V.D).

• ……….

• ………

5. Named the golotopy of duodenum (Anatomy)

6. Enumerate parts of duodenum (Anatomy)

7. Name skeletotopy duodenum (Anatomy)

8. Named the syntopy of duodenum

9. Name and show at the preparation how the duodenum is covered by peritoneum.

Information for an examiner

1. Please, watch a student estimate (PII)

• communicative skills and skills of taking the history;

• the use of unverbal signs of attention;

• working out in detail of complaints of patient;

• it is taking the history of disease.

• named the supposed diagnosis (UI duodenum, pylorostenosis)

2. Choоse from offer pictures research results at the ulcer of duodenum .

3. Named basic radial symptoms (direct signs) are characteristic for the ulcer of duodenum and showed them on pictures;

• it is a niche,

• it is an inflammatory billow,

• it is convergence of folds.

3. Named the golotopy of duodenum (Anatomy)

4. Enumerated parts of duodenum

Overhead part

• Descending part

• Horizontal part

• Ascending part

5. Specified sceletotopy of duodenum:

• Overhead part corresponds to the body of a 1 lumbar vertebra

• Descending part is situated at the level of 2-3 lumbar vertebrae

• Lower part corresponds 3 sometimes 4-5 to the lumbar vertebra

6. Named the syntopy of duodenum

7. Name and show at the preparation how the duodenum is covered by peritoneum.

Fill the evaluation sheet of student to arrival of next student.

Note: please, do not set further inquiries or comments, when a student answers.

Instruction for the standardized patient

Ivanov Sergey Vladimirovich.

You are 45.

Pains are localized in an epigastric area.

Pains carry pressing, burning character.

Pains of the expressed intensity

Pains of irradiate to the right.

Pains not the permanent mainly arise up at night on a hungry stomach or in 3-4 hours after eating,

An appetite is stored.

Periodically there is nausea, heartburn.

Vomiting by food eaten the day before, disturbs sour in the flow of month, brings a facilitation.

you consider itself a patient during a year.

Mark worsening after an error in a diet (salted, sharp food) you feed not regularly.

Periodically accept "Аlmagel" for the removal of pains.

Mark worsening of the state in a spring-autumn period of year.

To present tense for medicare did not apply.

Evaluation sheet of the station (2 variant)

Diagnostics of pathology of organs of the digestive system. Communicative skills.

Evaluation sheet of the station(Вариант2)

S.N.P. ___________________________________________________________

Number of student ____________________________________________________

Group___________________________________________________________

Speciality _____________________________________________________

Variant of task __2__________________________________________________

№	Criteria of implementation	Discipline	Coefficient	Points
				Did not execute	Executed not in full	Executed in full
				0	1	2
1	Greeted with a patient. Introduced oneself to the patient	PII	5
2	Disposed a patient to itself, created a comfort condition to him. Politely and tactfully specified the last name, name and age of patient	PII	5
3	Set forth the questions accessible for a patient	PII	5
Taking the history is complaints
4	Specified localization of pain (in an epigastric area)	PII	5
5.	Specified character of pain and duration	PII	5
6	Specified time of appearance of pains and possibility of reasons	PII	5
7	Specified intensity of pain	PII	5
8	Specified the irradiation of pain	PII	5
9	Specified factors strengthening or taking off the pain feeling, additional complaints	PII	5
Taking the history - anamnesis morbi
10	Specified time of beginning of disease, reason of the настоящеего worsening of the state	PII	5
11	Specified periodicity of intensifying (connection in course of time years, eating)	PII	5
12	Specified, whether an inspection is conducted before. Specified, whether treatment and what treatment are conducted before accepted or accepts now (efficiency of the conducted therapy). Named the supposed diagnosis	PII	5
13	Choose from offer pictures research results at a gastric ulcer	VD	5
14	Named basic radial symptoms (direct signs) characteristic for the ulcer of duodenum and showed them on pictures: niche, inflammatory billow, convergence of folds.	VD	10
15	Named the golotopy of duodenum	Anatomy 2	5
16	Enumerated parts of duodenum	Anatomy 2	5
17	Name skeletotopy duodenum (Anatomy)	Anatomy 2	5
18	Named the syntopy of duodenum	Anatomy 2	5
19	Name and show at the preparation how the duodenum is covered by peritoneum.		5

Examiner ___________________________

«___»_______20 ___ y.