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PNEUMONIA IN INFANTS

1. In the early stage it is often difficult to make the diagnosis of pneumonia by examination of the child. The rapid, shallow respirations with the associated movements of the alae nasi and the sudden onset of high fever are strongly suggestive of a pneumonic infection. The physical findings of the bronchopneumonic variety depend upon the number and extent of the individual pneumonic areas. When there are only a few small isolated areas, they may not be detected.

2. Cough is generaly present. In the early stage it is usually dry and often associated with pleuritic pain, so that the patient makes an effort to suppress it. In the stage of resolution the cough may become looser and productive.

3. Vomiting at the onset is a common symptom, but is seldom continued after the first day unless feeding is forced. Initially there may also be a loose stool or two, but persistence of diarrhea is uncommon. The appetite is greatly diminished although thirst may obscure this fact in infants, since they may continue to take the usual amount of milk. Abdominal distention in tympanites of a severe degree is a serious complication.

4. Convulsions are relatively common at the onset in infants. Headache is a fairly common complaint of older children. Infants may be extremely restless, and there may be a marked degree of apathy and somnolence. Delirium may occur, especially in association with extremely high fever. Herpes of the lips, face or other regions of the body is not uncommon about the third or fourth day of the disease.

79. ПРОЧИТАЙТЕ ТЕКСТ И ОТВЕТЬТЕ НA ВONPOC:

WHAT MAY OBSCURE THE DIMINISHED APPETITE IN INFANTS?

1) cough

2) sleep

3) thirst

4) pain in the stomach

80. ЗАВЕРШИТЕ ПРЕДЛОЖЕНИЕ В СООТВЕТСТВИИ С ОСНОВНОЙ ТЕМОЙ АБЗАЦА: THE 1 PASSAGE IS ABOUT

1) general complaints of child

2) the peculiarities of examination of an infant

3) feeding of an infant

4) the onset of a disease

81. ОПРЕДЕЛИТЕ В КАКОМ АБЗАЦЕ СООБЩАЕТСЯ ОБ ИЗМЕНЕНИЯХ СО СТОРОНЫ НЕРВНОЙ СИСТЕМЫ

1)

2)

3)

4)

82. ВЫБЕРИТЕ ПРЕДЛОЖЕНИЕ, СООТВЕТСТВУЮЩЕЕ СОДЕРЖАНИЮ ТЕКСТА:

1) It is not difficult to diagnose pneumonia

2) X-ray examination revealed shadowing

3) Proper treatment and bed regime help in this case

4) The onset of the disease is characterised by a cough with pains
in the chest

83. ВЫБЕРИТЕ ВАРИАНТ ЗАВЕРШЕНИЯ ПРЕДЛОЖЕНИЯ, СООТВЕТСТВУЮЩИЙ СОДЕРЖАНИЮ ТЕКСТА:

EXTREMELY HIGH FEVER MAY CAUSE__________

1) consolidation in the lungs

2) moist rales

3) breathlessness

4) delirium

Соотнесите данные утверждающие с соответствующим абзацами из текста:

84. VOMITING OCCURS DURING THE COURSE OF THE DISEASE.

1)

2)

3)

4)

85. DIARRHEA OCCURS VERY SELDOM

1)

2)

3)

4)

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