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The textbook focuses on diagnostic methods of internal organs pathology. The basic aim of this textbook is to describe the various skills involved in taking a history, performing a physical examination: inspection, palpation, percussion and auscultation. Semiological meaning of symptoms is represented. Laboratory and instrumental methods of examination are also described. The textbook is intended for medical students, interndoctors, and doctors of general practice.
Підручник присвячено методам діагностики патології внутрішніх органів. Основна мета даного підручника надати опис практичних навичок, що необхідні при опитуванні хворого, виконання фізикального обстеження: огляду, пальпації, перкусії та аускультації. Надано семіологічне значення симптомів. Описано також лабораторні та інструментальні методи дослідження.
Підручник призначено для студентів вищих навчальних закладів, лікарів-інтернів та лікарів загальної практики.
CONTENTS
GENERAL PART
Chapter 1. Internal Medicine..........7
General Concepts.........................................7
Basis of Clinical Diagnostics........................9
Deontology...........................................................11
Chapter 2. Clinical Examination Methods..................................... 15
Subjective Examination .................................15
Inquiry .............................................................15
Present Complaints..................................15
Anamnesis Morbi .............................16
Anamnesis Vitae..............................17
Objective Examination...........................18
General Inspection............................19
Palpation................................57
Percussion...................................58
Auscultation ...............................59
SPECIAL PART
Chapter 3. Respiratory System........................... 60
Functional and Clinical Anatomy .............60
Methods of Examination..........................................70
Inquiry .....................................70
Inspection of the Chest............................76
Palpation of the Chest ....................................86
Percussion of the Lungs .................................89
Auscultation of the Lungs.............................103
Instrumental and Laboratory Methods...............................119
Chapter 4. Cardiovascular System............................................. 138
Functional and Clinical Anatomy ............................................138
Methods of Examination...........................................................142
Inquiry .............................................143
General Inspection.......................................161
Inspection of the Heart Region....................166
Palpation of the Heart Region .....................167
Percussion of the Heart .......................174
Auscultation of the Heart ...................................................185
Study of Arterial Pulse .......................................................208
Study of Venous Pulse........................................................216
Blood Pressure Measurement.............................................220
Instrumental methods.........................................................227
Chapter 5. Digestive System ...................................................... 307
Functional and Clinical Anatomy ............................................307
Methods of Examination...........................................................309
Inquiry ................................................................................309
Inspection of the Abdomen ................................................328
Palpation of the Abdomen ..................................................332
Instrumental and Laboratory Methods...............................347
Chapter 6. Urinary System ......................................................... 368
Functional and Clinical Anatomy............................................368
Methods of Examination...........................................................371
Inquiry ................................................................................371
General Inspection..............................................................383
Palpation.............................................................................385
Percussion...........................................................................388
Laboratory Methods...........................................................390
Instrumental Methods.........................................................401
Chapter 7. Examination of the Blood.......................................... 407
Clinical Blood Analysis.............................................................407