A 23-year-old man consulted a doctor with complaints of swelling of the face, eyelids. extremities, a decrease in the amount of urine, severe weakness, fatigue, headache in the occipital and temporal regions and inspiratory dyspnea. He is known to suffer from chronic tonsillitis. His health deteriorated in the last two weeks after the worsening of tonsillitis, when the symptoms described above appeared. On examination: the patient's condition is moderate, the skin is pale, dry. Swelling of the face, arms, legs, and abdomen. NPV 24 / min, pulse 102/ min, BP 165/95 mm Hg, t- 37.1.C. On auscultation of the lungs: weakened vesicular breathing is heard in the lower left sections, below the angle of the scapula and in the axillary region, In the same parts of the lungs, dullness is determined percussion. Pasternatsky's symptom is weakly positive on both sides, 1. What syndromes can be diagnosed in this patient? 2. What laboratory and instrumental studies

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A 23-year-old man consulted a doctor with
complaints of swelling of the face, eyelids.
extremities, a decrease in the amount of urine,
severe weakness, fatigue, headache in the
occipital and temporal regions and inspiratory
dyspnea. He is known to suffer from chronic
tonsillitis. His health deteriorated in the last two
weeks after the worsening of tonsillitis, when
the symptoms described above appeared. On
examination: the patient's condition is
moderate,
the skin is pale, dry. Swelling of the face, arms,
legs, and abdomen. NPV 24 / min, pulse 102/
min, BP 165/95 mm Hg, t- 37.1. C. On
auscultation of the lungs: weakened vesicular
breathing
is heard in the lower left sections, below the
angle of the scapula and in the axillary region,
In the
same parts of the lungs, dullness is determined
percussion. Pasternatsky's symptom is weakly
positive on both sides,
1. What syndromes can be diagnosed in this
patient?
2. What laboratory and instrumental studies
should be assigned?
3. Explain the pathogenetic mechanisms of
edema formation in this patient.
4. Formulate the diagnosis according to the
classification.
Transcribed Image Text:A 23-year-old man consulted a doctor with complaints of swelling of the face, eyelids. extremities, a decrease in the amount of urine, severe weakness, fatigue, headache in the occipital and temporal regions and inspiratory dyspnea. He is known to suffer from chronic tonsillitis. His health deteriorated in the last two weeks after the worsening of tonsillitis, when the symptoms described above appeared. On examination: the patient's condition is moderate, the skin is pale, dry. Swelling of the face, arms, legs, and abdomen. NPV 24 / min, pulse 102/ min, BP 165/95 mm Hg, t- 37.1. C. On auscultation of the lungs: weakened vesicular breathing is heard in the lower left sections, below the angle of the scapula and in the axillary region, In the same parts of the lungs, dullness is determined percussion. Pasternatsky's symptom is weakly positive on both sides, 1. What syndromes can be diagnosed in this patient? 2. What laboratory and instrumental studies should be assigned? 3. Explain the pathogenetic mechanisms of edema formation in this patient. 4. Formulate the diagnosis according to the classification.
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