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DISPENSARY SURVEILLANCE

"D" registration with a pediatric hematologist and pediatrician with acquired forms 5 years before persistent remission and with hereditary anemia - up to 15 years of age or are removed from "D" registration with a hematologist 2 years after splenectomy;

• monthly examination by a pediatrician, once every 3 months - by a hematologist;

• preventive vaccinations are contraindicated for the entire “D” period, with the exception of epidemiological indications;

• blood test with determination of reticulocytes and a biochemical blood test (bilirubin, SJ, ALAT, ASAT. Alkaline phosphatase, LDH) once every 3 months;

• Ultrasound of the abdominal cavity once every 6 months;

• medications that have a toxic effect on metabolic processes in the red blood cell are contraindicated: chloramphenicol, tetracyclines, ampicillin, furagin, furadonin, furazolidone, 5 NOCs, nevigramone. sulfonamides and their derivatives (norsulfazole, streptocid, ethazole, biseptol, sulfadimethoxine), antimalarials (primaquine, quinidine, acrychin), anti-TB drugs (tubazide, phtivazide, PASK), amidopyrine and its derivatives, high doses of aspirin and vitamin C, vitamins C doxorubicin;

• with hemolytic anemia associated with a deficiency of glucose-6-phosphate dehydrogenase, the use of products that promote hemolysis ("horse beans", blueberries, blueberries) is contraindicated;

• rehabilitation and treatment of foci of chronic infection;

• herbal medicine - collecting herbs: calendula officinalis 10 g, garden dill (seeds) 10 g, white birch (leaves) - 10 g, juniper ordinary (fruits) - 10 g, chamomile (flowers) - 20 g, wild strawberries (berries) , leaves) - 20 g, immortelle sandy (flowers) - 40 g, field horsetail (shoots) - 30 g, corn stigmas - 30 g; preparation - 1 table.
collection spoon for 250 ml of boiling water, insist in a thermos for 2 hours, take 50-100 ml 2-3 times a day before meals, 1 month;

• treatment of complications similar to therapy during remission;

• special group for physical education, exercise therapy, massage;

• conducting genetic counseling in connection with family planning;

• rehabilitation in specialized sanatoriums;

• preventive vaccinations are indicated outside the crisis.
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DISPENSARY SURVEILLANCE

  1. Dispensary observation
    Clinical supervision is carried out for children from the high-risk group and patients with iron deficiency anemia. Clinical observation of children with a risk of developing iron deficiency anemia The risk group for developing iron deficiency anemia is composed of children: • with an unfavorable antenatal history (iron deficiency in a pregnant woman, chronic fetoplacental
  2. Dispensary observation
    Patients with tissue helminthiases are subject to clinical observation by an infectious disease specialist at the place of residence. Patients operated on for echinococcosis and cysticercosis are monitored by a surgeon, neurosurgeon, or ophthalmologist at the site of the operation. With toxocariasis, after completion of etiopathogenetic therapy, control clinical blood tests and ELISA with antigens are performed
  3. Clinical observation of patients
    {foto6} Clinical examination is the organization of medical activity, which is based on constant, active monitoring of people's health, the detection of diseases in the early stages, the study and elimination of the causes of their occurrence, the targeted conduct of social, medical, sanitary, hygienic and economic activities aimed at improving
  4. DISPENSARY DYNAMIC OBSERVATION OF PATIENTS WITH OTORINOLARYNOLOGICAL PROFILE AND SANATORIORAL TREATMENT
    When organizing a dynamic follow-up clinic, the physician should be strictly guided by the relevant orders and instructions on the aircraft. The most common diseases of the ear, throat, nose among the military are chronic tonsillitis, acute and chronic rhinitis, sinusitis and otitis media. Primary prevention of these diseases includes: - implementation of measures to
  5. ORGANIZATION OF WORK OF WOMEN'S COUNSELING DISPENSARY MONITORING OF PREGNANT WOMEN
    Women's consultation (LC) is a subdivision of a polyclinic, medical center or maternity hospital, which provides outpatient treatment, prophylactic, obstetric and gynecological care to the population. The main tasks of the antenatal clinic are: providing qualified obstetric and gynecological care to the population of the attached territory; conducting preventive measures,
  6. ORGANIZATION OF WORK OF WOMEN'S COUNSELING DISPENSARY MONITORING OF PREGNANT WOMEN
    Women's consultation (LC) is a subdivision of a polyclinic, medical center or maternity hospital, which provides outpatient treatment, prophylactic, obstetric and gynecological care to the population. The main tasks of the antenatal clinic are: providing qualified obstetric and gynecological care to the population of the attached territory; conducting preventive measures,
  7. Clinical observation of children with diseases of the urinary system and digestive tract. Protection of medical history
    Questions for repetition: 1. Rules for collecting urine. 2. The physiological role of bile. Control questions: 1. Rehabilitation of children in outpatient settings with: gastritis, gastroduodenitis, peptic ulcer of the stomach and 12 duodenal ulcer, diseases of the biliary tract, chronic eating disorders. 2. The frequency of observation by a pediatrician and narrow specialists. 3. Anti-relapse treatment
  8. Observation
    The observation method is one of the most objective and reliable methods of psychology. It is a purposeful and systematic study of actions, deeds, behavior in general, attitudes towards service and various phenomena of the surrounding reality in order to detect, register and analyze those facts that can characterize the orientation, character, abilities and other personal
  9. Observation method
    The observation method is one of the main methods of psychological study of the activities of military specialists. It consists in the direct perception of the studied object on the basis of registration of selected units (indicators, signs) that characterize the characteristics of the studied activity, the behavior of the individual, the team, individual acts, mental reactions, speech actions, operations activities. Total
  10. Observation method
    As a scientific, objective, observation method involves a systematic and purposeful fixation of psychological facts in the natural conditions of everyday life. Observation as a scientific method of research should not be reduced to a simple registration of facts, its main purpose is a scientific explanation of the causes of a phenomenon. Necessary conditions for scientific observation: goal setting;
  11. Military Behavior Monitoring
    (Appendix No. 5). Observation should be aimed at identifying persons who are inclined to isolation, solitude, shy, indecisive, timid, tearful, or, conversely, conflicting, wrangling, refusing to carry out orders, violating the routine, unleashed in behavior. Information on persons with articulation deficiencies (tongue-tied, lisping) is noteworthy,
  12. Dynamic observation
    Achieving and maintaining target blood pressure levels requires long-term medical follow-up with regular monitoring of patient compliance with recommendations on lifestyle changes and adherence to the prescribed antihypertensive drugs, as well as treatment correction depending on the effectiveness, safety and tolerability of treatment.
  13. Part 6. Providing regular medical supervision
    Children with AD and their families need regular medical supervision and support. Constant monitoring of the patient's condition will allow us to evaluate the effectiveness of the measures taken. If asthma is under control, the patient should be examined regularly and continuously at intervals of 1 to 6 months. During the examination, a condition assessment, a review of the treatment plan should be carried out
  14. Observation diary (course of the disease)
    This section of the medical history is in the form of a diary. The existing form contains four headings: date, body temperature, the actual text of the diary (course of the disease) and the purpose. Diary entries - medical art. The diary should not be missed the essential of what happened to the patient over the past period of time. Doctor's notes should reflect the dynamics of the disease and opinion
  15. Relationship Observation
    The nature of the relationship in the team can be assessed by observing the content and forms of communication of soldiers among themselves. The nature of the conversations conducted by officers, warrant officers (warrant officers), foremen and sailors (sergeants and soldiers), you can determine how they relate to each other. The friendly tone of the conversations, the willingness to render feasible help to a comrade, empathy for those problems that concern
  16. Dynamic observation
    - Clinical study. - Study of blood circulation parameters: blood pressure, pulse, central venous pressure. - Hemoconcentration indicators: hematocrit, hemoglobin, total protein concentration. - Ionogram.a serum. - Parameters of acid-pulmonary balance. - Renal function: diuresis, residual nitrogen. (see also
  17. Dynamic observation
    - Circulatory system: first, blood pressure measurement after 15 minutes, then hourly monitoring of heart rate, central venous pressure. Determination of peripheral circulation. (With a central venous pressure of 12-15 cm of water. Art. Infusions stop!) - Diuresis: control hourly (permanent catheter). At least 50-100 ml of urine and sometimes more should be allocated per hour
  18. Antenatal Pregnancy Monitoring Program
    The algorithm for examining pregnant women, in addition to the generally accepted routine screening, includes a 3-fold ultrasound examination in the dynamics of pregnancy (order of the Ministry of Health of the Russian Federation No. 457), preparation of a gravidogram in the antenatal period, in which the main results of clinical and laboratory examinations are recorded, a test of fetal movements from 28 weeks before delivery , 3-fold screening for women in groups
  19. Dynamic observation and rehabilitation in the clinic of children with respiratory and circulatory diseases
    Questions to repeat: 1. Functional tests used to evaluate the respiratory system. 2. Functional tests used to determine the state of the cardiovascular system. Test questions: 1. The problem of children often suffering from respiratory diseases in a polyclinic. Prevention of acute pneumonia in young children. 2. Features of the treatment of bronchitis and acute
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