Plan of conducting of training

1. 2. 3. 4. 5. 6.

Initial control and its analysis. Demonstration and explanation of method of clinical examination of patient with pathology of respiratory system. Distributing of patients for independent work of students Independent work of students with healthy and sick children. Round of children, which students worked with. Demonstration by the students of method of examination of the respiratory system. Control of eventual level of knowledge. Results, tasks for independent preparation to a next training.

15 min. 30 min. 5 min. 50min. 45 min. 15 min. Total: 160 min.

List of theoretical questions:

1. Anatomic and physiologic features of organs of breathing in children.

2. Method of clinical examination of patient with pathology of respiratory system

a) questioning;

b) features of inspection: cyanosis, laboring of nasal breath, participation of auxiliary respiratory musculature, form and symmetry of thorax;

c) breathing description: character, depth, rhythm; frequency of breathing;

d) features of palpation: sickness and elasticity of thorax, vocal tremor;

e) features of percussion: topographical and comparative;

f) features of auscultation: determination of character of breathing, moist and dry rales, crepitation and pleural rub;

g) determination of bronchophony (vocal resonance).

3. Semiotics of defeats of organs of breathing:

a) cyanosis;

b) types of cough;

c) types of shortness of breath;

2) Pathological syndromes:

a) bronchoobstructive

b) consolidation of pulmonary tissue

c) respiratory falure

2). Syndromes of basic diseases of respiratory system:

a) innate stridor;

b) acute stenotic laryngitis;

c) bronchitis;

d) pneumonia;

e) bronchial asthma;

f) pleurisy

Method of conducting of practical training:

1) After verification of presents and announcement of theme of training with pointing on its actuality a teacher conducts the writing initial control of knowledge.

2) Analysis of the executed tests and consideration of errors.

3) In the ward of department a teacher demonstrates and explains the method of clinical examination of patient with pathology of organs of breathing.

4) A teacher distributes and assigns patients for independent work of students.

№

Task

Pointing of teacher to the students

Note

To collect anamnesis in patient with pathology of respiratory system

Algorithm of collection of anamnesis

1. Anamnesis of disease:

a) beginning of disease;

b) first clinical symptoms;

c) whether treatment was conducted, by what preparations?

d) dynamics of disease

e) complaints of patient in present moment

2. Anamnesis of life:

a) current of pregnancy in mother;

b) current of delivery;

c) state of health of child in neonatal period and during breast age

d) morbidity of the child;

e) presence of allergic reactions;

f) heredity of patient

It is necessary to put a question, that are up to respiratory system

It is necessary to expose

risk factors of disease of respiratory system.

Algorithm of practical work of student

To conduct objective examination of respiratory system

To conduct examination of patient with account of age features of children

1) External inspection of patient:

а) cyanosis;

б) laboring nasal breath;

в) form and symmetry of thorax;

г) participation of auxiliary respiratory

musculature;

д) determination of type of shortness of breath.

2) Inspection of pharynx, description of tonsils.

3) Frequency of breathing.

4) Palpation of thorax:

а) sickness;

б) elasticity of thorax;

в) determination vocal

traemor.

5) Topographical percussion of lungs:

determination of upper and lower

borders.

6) Comparative percussion:

determination of character of percutory

sound, its symmetry

7) Auscultation of lungs:

а) determination of character of breathing;

б) rales and their description

(localization, amount, kind,

communication with the phase of breathing);

в) crepitation;

г) pleural rub;

д) determination of bronchophony.

To make the conclusion about the state of respiratory system.

Algorithm of practical work of student. To define the pathological changes (symptoms) in a state of respiratory system.

To give estimation exposed changes with account of age features.

5) After conducting of examination of the respiratory system by the students teacher conducts the control (students demonstrate methodic)

6) A teacher works out the final of training, gives estimation of knowledge and abilities of students, assigns for independent preparation to a next training.

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