Instruction for the standardized patient
Ivanov Sergey Vladimirovich.
You are 45.
Pains are localized in an epigastric area.
Pains carry pressing, burning character.
Pains of the expressed intensity
Pains of irradiate to the right.
Pains not the permanent mainly arise up at night on a hungry stomach or in 3-4 hours after eating,
An appetite is stored.
Periodically there is nausea, heartburn.
Vomiting by food eaten the day before, disturbs sour in the flow of month, brings a facilitation.
you consider itself a patient during a year.
Mark worsening after an error in a diet (salted, sharp food) you feed not regularly.
Periodically accept "Аlmagel" for the removal of pains.
Mark worsening of the state in a spring-autumn period of year.
To present tense for medicare did not apply.
Evaluation sheet of the station ( 2 variant)
Diagnostics of pathology of organs of the digestive system. Communicative skills.
Evaluation sheet of the station(Вариант2)
S.N.P. ___________________________________________________________
Number of student ____________________________________________________
Group___________________________________________________________
Speciality _____________________________________________________
Variant of task __2__________________________________________________
№
| Criteria of implementation
| Discipline
| Coefficient
| Points
| Did not execute
| Executed not in full
| Executed in full
|
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| Greeted with a patient. Introduced oneself to the patient
| PII
|
|
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| Disposed a patient to itself, created a comfort condition to him. Politely and tactfully specified the last name, name and age of patient
| PII
|
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| Set forth the questions accessible for a patient
| PII
|
|
|
|
| Taking the history is complaints
|
| Specified localization of pain (in an epigastric area)
| PII
|
|
|
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| 5.
| Specified character of pain and duration
| PII
|
|
|
|
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| Specified time of appearance of pains and possibility of reasons
| PII
|
|
|
|
|
| Specified intensity of pain
| PII
|
|
|
|
|
| Specified the irradiation of pain
| PII
|
|
|
|
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| Specified factors strengthening or taking off the pain feeling, additional complaints
| PII
|
|
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|
| Taking the history - anamnesis morbi
|
| Specified time of beginning of disease, reason of the настоящеего worsening of the state
| PII
|
|
|
|
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| Specified periodicity of intensifying (connection in course of time years, eating)
| PII
|
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| 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). Named the supposed diagnosis
| PII
|
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|
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| Choose from offer pictures research results at a gastric ulcer
| VD
|
|
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|
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| Named basic radial symptoms (direct signs) characteristic for the ulcer of duodenum and showed them on pictures: niche, inflammatory billow, convergence of folds.
| VD
|
|
|
|
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| Named the golotopy of duodenum
| Anatomy 2
|
|
|
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| Enumerated parts of duodenum
| Anatomy 2
|
|
|
|
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| Name skeletotopy duodenum (Anatomy)
| Anatomy 2
|
|
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| Named the syntopy of duodenum
| Anatomy 2
|
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| Name and show at the preparation how the duodenum is covered by peritoneum.
|
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Examiner ___________________________
«___»_______20 ___ y.
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