- •Тульский государственный университет кафедра пропедевтики внутренних болезней
- •История болезни _____________________________________________________________________________
- •Паспортные данные
- •Субъективное исследование
- •Распрос по системам органов
- •Обследование дыхательной системы
- •Обследование кровеносной системы
- •Выписной эпикриз
Обследование кровеносной системы
Осмотр: _____________________________________________________________________
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Пальпация: __________________________________________________________________
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Перкуссия
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Абсолютная тупость сердца: ___________________________________________________
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границы абсолютной тупости сердца |
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Аускультация: _______________________________________________________________
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Исследование сосудов: ________________________________________________________
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ПРЕДВАРИТЕЛЬНЫЙ ДИАГНОЗ И ЕГО ОБОСНОВАНИЕ
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ПЛАН ОБСЛЕДОВАНИЯ
НЕОБХОДИМЫЕ ИССЛЕДОВАНИЯ И ОЖИДАЕМЫЕ РЕЗУЛЬТАТЫ
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ДАННЫЕ ИНСТРУМЕНТАЛЬНЫХ И ЛАБОРАТОРНЫХ ИССЛЕДОВАНИЙ
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КЛИНИЧЕСКИЙ ДИАГНОЗ И ЕГО ОБОСНОВАНИЕ:
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ПЛАН ЛЕЧЕНИЯ
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ДНЕВНИКИ
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