5 Variant (is the Sharp gastric ulcer) Short information for a student at the station

Become familiar with a clinical task and answer the put questions.

Sick Prohorov of I., 45 produces complaints about brief pains in an epigastrium, dizziness, sonitus. The day before there was twice indistinct black chair.

Task for a student at the station

Sick Prohorov of I., 45 produces complaints about brief pains in an epigastrium, dizziness, sonitus. The day before there was twice indistinct black chair.

Task:

1. Poll patient (PII)

- Conduct working out in detail of complaints;

- Take the history of disease;

- will Define the problem of patient.

2.Conduct questioning about complaints, take the history of disease - will define the problem of patient (II)

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

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

5. Name and show on a picture basic radial symptoms (direct signs) corresponding to this pathology (VD).

• ……….

• ……….

• ……….

6. Name the syntopy of stomach and show at the preparation (Anatomy)

7. Enumerate parts of stomach (Anatomy)

8. Name and show the fixing stomach devices at the preparation

9. Name the skeletopy of stomach and show at the preparation

10. Name and show of the stomach it’s blood supply and innervations

Information for an examiner

1. Please, watch a student estimate (PII)

• Communicative skills and skills of taking the anamnesis;

• use of unverbal signs of attention;

• working out in detail of complaints of patient;

• taking the history of disease.

2. Choosed from offer pictures research results at a gastric ulcer (picture №1).

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

4. Named basic radial symptoms (direct signs) characteristic for a gastric ulcer and showed them on pictures;

• it is a niche,

• it is an inflammatory billow,

• it is convergence of folds.

5. Name the syntopy of stomach (Anatomy)and show at the preparation

• at the front is the left lobe of liver;

• behind, on the left, from above is a spleen;

• behind is a pancreas;

• from below are loops of thin bowel.

6. Enumerate parts of stomach (Anatomy)

7. Name and show the fixing stomach devices at the preparation

8. Name the skeletopy of stomach and show at the preparation

9. Name and show of the stomach it’s blood supply and innervations

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

Iskakov Bolat

You are 35.

Pains are localized in an epigastric area.

Pains carry pressing character.

Pains of moderate intensity.

Pains not irradiate.

Pains not the permanent mainly arise up in 2-3 hours after eating, sometimes at night.

An appetite is stored, but restrain temper from dread of appearance of pain.

Periodically there is heartburn.

Illness at 1 year.

Mark worsening after an error in a diet. Often feed on open sandwich

Vomiting appeared "coffee-grounds" first

Periodically accept "Almagel" for the removal of pains.

Mark worsening of the state in a cold season.

To present tense for medicare did not apply.

Evaluation sheet of the station (5 variant)

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

S.N.P. ___________________________________________________________

Number of student ____________________________________________________

Group___________________________________________________________

Speciality _____________________________________________________

Variant of task _5_________________________________________________

№	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
Taking the history is complaints
3	Specified localization of pain (in an epigastric area)	PII	5
4.	Specified character of pain and duration	PII	5
5	Specified time of appearance of pains and possibility of reasons	PII	5
6	Specified intensity of pain	PII	5
7	Specified the irradiation of pain	PII	5
8	Specified factors strengthening or taking off the pain feeling, additional complaints	PII	10
Taking the history - anamnesis morbi
9	Specified time of beginning of disease, reason of the worsening of the state	PII	5
10	Specified periodicity of intensifying (connection in course of time years, eating)	PII	5
11	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)	PII	5
12	Choosed from offer pictures research results at a gastric (picture №1) ulcer	VD	5
13	Named basic radial symptoms (direct signs) characteristic for a gastric ulcer and showed them on pictures: niche, inflammatory billow, convergence of folds.	VD	10
14	Named the syntopy of stomach	Anatomy 2	5
15	Enumerate parts of stomach (Anatomy)	Anatomy 2	5
16	Name and show the fixing stomach devices at the preparation	Anatomy 2	5
17	Name the skeletopy of stomach	Anatomy 2	5
18	Name of the stomach it’s blood supply , innervations	Anatomy 2	5

Examiner ______________________________

«___» ________20__y.