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Internal, occupational and infectious diseases

Ministry of Health Protection of Ukraine

Bukovinian State Medical University

Medical Faculty №3

“Approved”

Central guidance committee of Bukovinian State Medical University

“14” March 2013 year (protocol №6) Head of the central guidance committee, Vice-Rector for scientific-pedagogic work Associate professor ________I.V. Gerush

Clinical Task №1

for practical-oriented state exam on

internal, occupational and infectious diseases

for 6^th year students of medical faculty №3

Occupational skill “Algorithm of diagnosis, emergency treatment and rehabilitative measures at occupational pathology”

1. What is preliminary diagnosis?

2. Suggest treating and rehabilitative measures for the patient.

Patient D., 52 years old, is occupied as a miner at coal mine with increased level of free silicium oxide in the air of working zone. While periodical medical inspection he complains of dry cough, moderate dyspnea at physical exertion, needle-like pain under the shoulder blades.

Objectively: chest of ordinary shape, box percussion sound in lower-lateral parts of lungs, firm vesicular sound is heard. X-ray: lung picture is intensified, the roots are expanded, solitary nodular shadows 1-2 mm in size are visualized in middle-lower regions of both lungs.

Head of the department of internal medicine,

professor O.I. Fediv

Head of subject-methodical commission on

therapeutic disciplines, professor V.K. Taschuk

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