- •Table of contents.
- •1 Variant (Ulcerous illness of stomach) Short information for a student at the station
- •Task for a student at the station
- •Information for an examiner
- •Fill the evaluation sheet of student to arrival of next student.
- •Instruction for the standardized patient
- •2 Variant (ulcerous illness of duodenum) Short information for a student at the station
- •Task for a student at the station
- •Information for an examiner
- •Fill the evaluation sheet of student to arrival of next student.
- •Instruction for the standardized patient
- •3 Variant Short information for a student at the station
- •Task for a student at the station
- •Information for an examiner
- •Fill the evaluation sheet of student to arrival of next student.
- •Instruction for the standardized patient
- •Evaluation sheet of the station (3 variant) Diagnostics of pathology of organs of the digestive system. Communicative skills
- •4 Variant (cholecystitis, pyloristenosis) Short information for a student at the station
- •Task for a student at the station
- •Information for an examiner
- •Fill the evaluation sheet of student to arrival of next student.
- •Instruction for the standardized patient
- •Evaluation sheet of the station (4 variant) Diagnostics of pathology of organs of the digestive system. Communicative skills
- •5 Variant (is the Sharp gastric ulcer) Short information for a student at the station
- •Task for a student at the station
- •Information for an examiner
- •Instruction for the standardized patient
4 Variant (cholecystitis, pyloristenosis) Short information for a student at the station
Become familiar with a clinical task and answer the put questions.
Sick Iskakova М.Т., 60, acted with complaints about pain in right hypochondric, general weakness, ochrodermia of sclera, irritability, flatulence.
Task for a student at the station
Sick Iskakova М.Т., 60, acted with complaints about pain in right hypochondric, general weakness, ochrodermia of sclers, irritability, flatulence.
1. Conduct questioning of patient about 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. Name and show on a picture basic radial symptoms corresponding to this pathology (VD).
……….
……….
……….
……….
4. Named the golotopy of gall-bladder (Anatomy)
5. Name the skeletopy of gall-bladder.
6. Name the syntopy of gall-bladder
7. Name and show the gall-bladder it’s blood supply and innervations at the preparation .
8. Name and show sphincters of a gall bladder at the preparation.
Information for an examiner
1. Please watch a student estimate (PII)
communicative skills and skills of taking the history;
- use of unverbal signs of attention;
- working out in detail complaints of patient;
- collection anamnesis of disease.
Chose from offer pictures research (ULTRASONIC) results are at a cholecystitis (picture №3 is an echogram)
3. Named basic ultrasonic signs characteristic for a cholecystitis and showed them on an echogram;
-it is a bulge and infiltration of walls of gall-bladder,
-it is expansion of cavity of gall-bladder,
-it is heterogeneity of bile,
-are concrements.
4. Specified and named skeletotopy of bottom of gall-bladder (Anatomy 2)
-projection on a front abdominal wall at the level of confluence of cartilages of right IХ - X of ribs
5. Specified and named the syntopy of gall-bladder
-from above is a liver
-on the right is a right hepatic bend of rim bowel and initial department of duodenum
-on the left is a pyloric department of stomach
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
Iskakova М.Т.
you are 60.
Pains are localized in right hypochondric and epigastrium.
Pains carry pressing aching character.
Pains of moderate intensity, paroxysmal
Pains of irradiate in a back and right shoulder-blade, right half of neck.
Pains not the permanent mainly arise up after the reception of fat, sharp food, stresses
An appetite is stored.
Periodically there is heartburn, by bitter taste in to the mouth.
you consider itself a patient during 10.
Mark worsening after an error in a diet.
Nausea, indomitable vomiting with bitter taste in the period of intensifying
Periodically accept bile-expelling preparations.
Mark worsening of the state after errors in a diet, physical activities
you are observed at gastroenterology. Not always adhere to recommendations of doctor.