Tatyana, E mail: thum @list.ru
19.05.2004, 15:41
Furich N. has addressed with complaints to the expressed delicacy in legs or foots, the arms or hand, arisen 31.05.03, pains in humeral joints at a raising of arms or hand above a horizontal level, a pain in pojasnichno-kresttsovom a department of a backbone. Temperature N, F/About without features.
From the anamnesis: about 30 years suffers an osteochondrosis it was treated it is out-patient NPVS. In the beginning of April a sting in stop (primary processing of a wound).
Objectively: the general or common status udovletvoritelenoe, integuments of usual painting, normal humidity of a turgor of an elastance, visible edemas is not present. Atrophies of muscles are not present. Rises and has a seat with a leg on arms or hand. The volume of active movements is unlimited, passive is limited in humeral joints, in legs or foots. In dynamics or changes the patient does not rise from bed, cannot tear off a head from a pillow, is not transportable. Suhozhilnye reflexes: are lowered knee, ahilovy. In the rest without features. The swallowing is not complicated. Meningialnyh signs on signs does not come to light or is not taped.
At inspection: an ESR 27, the formula without features. OAM-lejk. 1 2, ER-10, B-0, 033, cylinders hyaline 1 2.
Likvar without features.
In B/X rising ALT, nuclear heating plant, KFK in 10 times.
RO a backbone listes pojasnkrest sochlinenija, at KT hernias it is not revealed.
US the moderate hepatomegalia (+ 2) nodal education of the left share shchitzhelezy 1, 5 see
3, 4-N, ATkMAO 1 : 100, ATk to simple herpes 1 : 1000, ATk to a vernal encephalitis are not revealed.
FGS without features, ginekolog-it is healthy. The ECHO kardio grafija without a pathology.
The diagnosis is obscure. The request to help or assist in the nearest term.
Efekta from LFK, NPVS, GK is not present.
From the anamnesis: about 30 years suffers an osteochondrosis it was treated it is out-patient NPVS. In the beginning of April a sting in stop (primary processing of a wound).
Objectively: the general or common status udovletvoritelenoe, integuments of usual painting, normal humidity of a turgor of an elastance, visible edemas is not present. Atrophies of muscles are not present. Rises and has a seat with a leg on arms or hand. The volume of active movements is unlimited, passive is limited in humeral joints, in legs or foots. In dynamics or changes the patient does not rise from bed, cannot tear off a head from a pillow, is not transportable. Suhozhilnye reflexes: are lowered knee, ahilovy. In the rest without features. The swallowing is not complicated. Meningialnyh signs on signs does not come to light or is not taped.
At inspection: an ESR 27, the formula without features. OAM-lejk. 1 2, ER-10, B-0, 033, cylinders hyaline 1 2.
Likvar without features.
In B/X rising ALT, nuclear heating plant, KFK in 10 times.
RO a backbone listes pojasnkrest sochlinenija, at KT hernias it is not revealed.
US the moderate hepatomegalia (+ 2) nodal education of the left share shchitzhelezy 1, 5 see
3, 4-N, ATkMAO 1 : 100, ATk to simple herpes 1 : 1000, ATk to a vernal encephalitis are not revealed.
FGS without features, ginekolog-it is healthy. The ECHO kardio grafija without a pathology.
The diagnosis is obscure. The request to help or assist in the nearest term.
Efekta from LFK, NPVS, GK is not present.