Forms and methods of self-control
Tests and situation tasks for the control:
1. What morphological element of skin does not belong to the secondary?
A. scale
B. fissure
C. ecchymomas
D. pigmentations
E. ulcer
2. What function of skin is developed in children worse, than in adults?
A. Protective
B. Respiratory
C. Resorbtion
D. Metabolic
E. Sensor
3. At the inspection of mouth cavity of child a doctor exposed 8 chisels. To what age does this formula answer?
A. 8 months
B. 10 months
C. 12 months
D. 16 months
E. 20 months
4. In what age replacement of baby teeth on permanent one begins?
A. from 3-4 year of life
B. from 4-5 year of life
C. from 5-6 year of life
D. from 6-7 year of life
E. from 7-8 year of life
5. In what age does hypertone of lower extremities disappear in healthy children?
A. 2-3 months
B. 1-2 months
C. 6-8 months
D. 3-4 months
E. 5-6 months
Standards of answers:
1. С
2. A
3. С
4. С
5. D
Clinical situation tasks of final control.
1. 3 months old child was born from a 1st pregnancy with the weight 3200 g. From the first month he is on the artificial feeding by the cow’s milk. From 1,5 months a greasy yellow crust on parietal part of head appeared in child, in 3 months erythematic rush and shelling on cheeks appeared.
What pathology of skin is observed in a child?
2. 4 months child was born in term with weight 3200 g. Receives mixed feeding. During first 3 months added in weight 1200 g. Now child has weight 5100 g. Thickness of hypodermic fat on the stomach 0,5 cm., turgor of soft tissue reduced.
What pathology is observed in a child?
3. 7 days old premature child was born in 36 weeks with weight of body of 2100 g. At inspection doctor exposed the local condensation and edema of hypodermic fat on buttocks and thighs, a skin is not taking in a pleat, pale, cold, at pressure by finger is deepening.
What pathology you can think in this case about?
Standards of answers:
Task 1.
A child has ecssudative-catarrhal (allergic) diathesis.
Task 2.
A child has hypotrophy. For clarification of degree of hypotrophy it’s necessary to define the deficit of weight of body in %. Proper weight of body = 3200 + 800∙4 = 6400. Deficit of weight of the body 6400 - 5100 = 1300: 6400 100% = 20,8%, that answers the ІІ degree of hypotrophy. About hypotrophy thinning of hypodermic fat on a stomach and of decreased turgor of soft tissue testifies also.
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Task 3.
Sckleredema is in this child.
Hardwares and material providing of training:
1) Tables:
a) “Primary morphological elements of skin”;
b) ”Secondary morphological elements of skin”.
c) „Terms of appearance of points of ossification in children”.
2). Methodical developments:
a) “Method of examination of skin, subcutaneous fat tissue and skeletal system”
b) „Care of children with pathology of skin, subcutaneous fat tissue and bone system”.
Sources of information:
А) Basic:
1. Kapitan T. Propedeutics of children’s diseases and nursing of the child. – Vinnitsa, 2006. – P. 159-195
B) Additional:
1. Мазурин А.В., Воронцов И.М. Пропедевтика детских болезней. М: Медицина, 1985.- С. 71-83, 101-129.
Program of self-preparation of students to the theme:
1. To study basic and additional information sources according to the theme of training.
2. To be able to conduct the method of examination of skin, subcutaneous fat tissue, skeletal system”
3. To be able to take a care of children with the pathology of skin, subcutaneous fat tissue and skeletal system”
4. To pay attention and learn the basic pathological syndromes of defeats of skin, subcutaneous fat tissue, skeletal system”
Semantic module 6. Respiratory system in children
Concrete aims:
• To collect anamnesis at a patient with the disease of organs of breathing.
• To conduct the objective examination of respiratory system taking into account the age features of children .
• To interpret got findings.
Theme 4. Anatomic and physiologic features of respiratory system in children .
Theme 5. Method of examination of respiratory system in children.
Theme of practical training:Method of clinical examination of respiratory system in children.
Place:an educational room in the pulmonologic department.
Professional orientation of students:Growth of respiratory pathology of child's age, especially chronic and allergic diseases is marked in recent years.The respiratory system of child has the row of morphological and functional features which doctor should take into account while make physical examination. In work of pediatrician knowledge of semiotics of the respiratory system is necessary.
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Base level of knowledge and abilities:
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