Акты, справки
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ИСТОРИЯ БОЛЕЗНИ
На__________________ ______________________________________________________________________ __________________________________________________
(регистрация больного животного) Диагноз заболевания_________________________________________________ ________
Куратор____________________________________________________________ ________
Время курирования __________________________________________________________
(длительность лечения)
Заключение ________________________________________________________________
(какой исход лечения)
Анамнез_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
II. Статус презенс
Общее исследование
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2. Исследование состояния системы организма:
- нервной системы
______________________________________________________________________________________________________________________________________________________
- сердечно-сосудистой _____________________________________________________________________________________________________________________________________________________
- органов дыхания ______________________________________________________________________________________________________________________________________________________
- органов пищеварения ______________________________________________________________________________________________________________________________________________________
- мочевыделнтельных органов
______________________________________________________________________________________________________________________________________________________
Лабораторные исследования___________________________________________________________________________
Диагностические исследования ______________________________________________________________________________________________________________________________________________________
Предварительный диагноз ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ДНЕВНИК ИСТОРИИ БОЛЕЗНИ
Дата
| Т
| П
| Д
| Течение болезни, изменения
состояния организма больного
на каждый день
| Лечение
| Содержание больного животного и совет ухаживающему персоналу
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ОКОНЧАТЕЛЬНЫЙ ДИАГНОЗ
Заключение
(при гибели больного животного приложить к истории болезни протокол вскрытия)
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ЭПИКРИЗ
Определение болезни
Этиология
Патогенез
Клиника заболевания
Лечение и его обоснование
Профилактика заболевания
Используемая литература
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________\_______________ «___» ____________20__ г.
Роспись куратора и дата окончания истории болезни
Просветительная работа
(проведение бесед с работниками животноводства и владельцами животных)
Дата добавления: 2015-10-19 | Просмотры: 399 | Нарушение авторских прав
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