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Formulation of the final clinical diagnosis and its rationale All rationales for the final diagnosis must be given according to the following scheme: Based on: the patient's complaints of: ......; - Based on medical history: ......; -life history : ......; -data of objective examination: ......; - based on the results of laboratory and instrumental examinations (describe only those changes in the tests and examination data that confirm the diagnosis); - based on clinical observation data: ......; a definitive diagnosis can be made: Underlying disease.
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Differential diagnosis (for academic medical history only) Not only complaints, history and objective data, but also the results of laboratory and instrumental studies should be analyzed and synthesized. One of the leading symptoms of the diagnosed disease is taken as the basis, and then the diseases in which this symptom occurs are sequentially compared (at least two diseases). As a result of comparing the diseases, a conclusion about the patient's diagnosis is made.
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Based on complaints of intense pain in the epigastric region occurring after a meal, relieved by taking maalox or omeprazole, belching of air; medical history: Such pains first appeared 5 years ago and recurred every year, every autumn. Life history: Irregular diet, psycho-emotional overload at work, father died of a perforated peptic ulcer at age 60; objective findings: On palpation, there is local tension of the anterior abdominal wall muscles and pain in the epigastric region; Results of laboratory and instrumental examinations: FGDS revealed a gastric body ulcer 1.5 cm in diameter. Helycobacter pylori positive. A biopsy taken from the edge of the ulcer showed signs of progressive ulcer. H.p. (+).
 
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Nov. 8, 2021

Iron supplements are usually prescribed by a doctor when the cause of anemia in an individual is known and can be addressed with an iron supplement. Iron therapy is usually combined with lifestyle changes to help address the problem. This therapy is sometimes combined with daily diet modifications that improve iron absorption in the blood, such as the consumption of foods rich in iron-rich foods and the avoidance of certain foods and drinks that are high in iron, such as red meats, shellfish, and milk.

Nov. 8, 2021

Because anemia can occur at any time in a person's life, it can be diagnosed in a number of ways, depending on the seriousness of the condition. Blood tests and a physical examination are typically performed to determine the cause of anemia and the extent of the damage that is taking place to the body's ability to function properly.

Nov. 8, 2021

Epigastric pain is the leading symptom in the clinical picture of the disease. Similar complaints may occur in the abdominal form of myocardial infarction. Myocardial infarction pain is most often associated with physical exertion or psycho-emotional stress, is not associated with food intake, is poorly controlled by nitrates and does not go away after taking antacids, proton pump blockers or H2-histamine blockers. Such pains may occur for the first time, or they may be preceded by episodes of pain associated with physical exertion or psycho-emotional tension and relieved by nitroglycerin.

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Patients have epigastric pains after meals, not associated with physical exertion, relieved by antacids or proton pump blockers. The patient had a history of seasonal exacerbations in the fall. ECG in the acute stage of myocardial infarction reveals S-T segment elevation more than 2 mm above the isoline, abnormal Q wave. The patient has S-T segment on the isoline. CPK-MB, troponin, myoglobin may increase in biochemical blood test. These indexes in the biochemical blood test are within the normal range in a patient. In myocardial infarction, ECHO-CG reveals areas of myocardial dyskinesia.

Etiology and pathogenesis of the disease (only for academic medical history). Description of this section is to describe the causes that caused the emergence and development of the disease. Current views (taking into account the materials of lectures and practical classes) on the etiology of the underlying disease are indicated. When describing the pathogenesis the generally accepted theory of pathogenesis of the described disease is given.
Pathological anatomical changes in organs (only for academic case history). This section describes supposed morphological changes of internal organs, the picture of which can be imagined by clinical symptoms and data of instrumental and laboratory investigations.
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