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Просмотр полной версии : Hello, the doctor! Excuse, that is long. To our boy on reception in mes...



Tatyana
10.06.2004, 20:53
Hello, the doctor! Excuse, that is long. To our boy on reception in a month have put diagnoses: a bilirubinemia of an obscure etiology, PPTSNS, GGS, VZHK? And at once have appointed or nominated Fenobarbitalum. Was born cesarean section 8/9 on Abkar. An occasion for PPTSNS was " the Muscle tone it is lowered, badly keeps a head. " Checked, lifting it or him for handles from a prone position. Though, laying on a stomach or belly the child lifts and keeps a head. Still he always closely or attentively looks, when to it or him talk and sometimes smiles. 750 has added Cries seldom, sleeps and sucks well. At a birth weight 3500, About. A goal. 35, about. gr. 34. R. 2, 52, 5. On reception volume of a head did not measure, GGS have put iz-for a seam 3 and a fontanel 11. On the previous survey one week before It would be written down. R. 4, 54, 5. Also have written down " Belchs, yawns ". Though he belchs seldom and not much. Houses we have checked up the sizes, about. gr. 38, about. A goal. 38. Have appointed or nominated to hand over a blood only on a bilirubin. Result 150 mkmol/l. (On survey have found augmentation of a liver + 0, 5 1, 0). Very much we are afraid to give Fenobarbitalum. Have passed or have taken place US, result:
Bol. The tank 4, mezhpolusharnaja a cleft or rima 3, 8, SKSH 3, a stria of a liquid on konveksialnoj surfaces 3, lateral stomaches: left 4, right 5, III 3. Silviev waterpipe N. Vascular plexuses of lateral stomaches with a nodulose contour. On the right in temporal part TKV of 2 cystic educations D 3, 3x4, 1 and 3, 74, 4. Visually S = D.
On consultation at the neuropathologist in 1 month 10. Have received the conclusion: " Periodically belchs, the tremor of a chin (the Boy cried), a dream is not broken or disturbed. A skull symmetric. r. 2, 52, 5, it is opened or open santilnyj (?) a seam, okr. Heads 39. SMN without patalogii. The tonus of muscles is raised or increased in sgibateljah. A stalemate. Reflexes and a hyperkinesia not obn. Reflexes PSA on age. Zakl.:, GGS, VZHK I-II. Diacarbum and asparkan, massage, gymnastics is appointed or nominated. Please
Tell or Say, we can hope, what at us vse-taki are not present GGS and what to us to wait from VZHK? With uvazhenem, Tatyana.

Malmberg S.A.
11.06.2004, 21:20
Address on internal consultation, record on ph. 324 71 52 or 324 33 66. Sergey aleksandrovich (after September, 03rd). Therapy by Fenobarbitalum in the early period at a hyperbilirubinemia is quite justified.