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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 №20

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 aged 39, battery attendant. Admitted to the surgical hospital with complaints on sharp contractious cramping pains in abdomen, stable constipations. In anamnesys: ulcerous disease, but during last 2 years there was no exacerbations. Objectively: BP – 170/100 mm Hg., inverted abdomen, painfulness at palpation, mostly around umbilicus. Symptoms of peritoneum irritation are negative.

Head of the department of internal medicine,

professor O.I. Fediv

Head of subject-methodical commission on

therapeutic disciplines, professor V.K. Taschuk

Ministry of Health Protection of Ukraine

Bukovinian State Medical University

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