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Лечащий врач Зав. отделением(фамилия, подпись) (фамилия, подпись)
Основные синдромы: 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Предварительный диагноз: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Круг заболеваний для дифференциального диагноза: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ План лабораторных и инструментальных методов исследований больного: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 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КЛИНИЧЕСКИЕ Общий анализ крови
Общий анализ мочи
БИОХИМИЧЕСКИЕ
ИНСТРУМЕНТАЛЬНЫЕ ЭКГ: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Rtg: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Дифференциальный диагноз (с использованием полученных данных): 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Обоснование и формулировка окончательного диагноза: 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__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ План лечения 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Особенности клинического случая ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Прогноз. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Список использованной литературы: 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Дата Подпись куратора Дата добавления: 2015-09-27 | Просмотры: 425 | Нарушение авторских прав 12 |