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eng - план разработка 17 2020
eng - план разработка 17 2020
«Disscussed» - «Recommended by » -
in meeting of the department «CD 2» Academic councilor in the department «CD2»
prot.№___from_____2019, Zh. T. Mamytova
head of department, ______________
c.m.s.,assoc.prof.,
M. M. Bugubaeva________
TOPIC № 33: Semiotics of violations defined by auscultation (changing tones and murmursof the heart).
TOPIC №34:Measurement technique and assessment of blood pressure in children
Оsh, 2020.
TOPIC № 33: Semiotics of violations defined by auscultation (changing tones and murmurs of the heart).
TOPIC №34:Measurement technique and assessment of blood pressure in children
To study the semiotics of disorders determined by auscultation. To study the value of blood PRESSURE on the hands by age, its ratio with the
indicators of pressure on the legs, the value of the shock volume and the minute volume of blood circulation in the age aspect
Learning outcomes (LO) and competencies formulated in the process of studying the discipline " Child diseases (propaedeutic)" in the process of
mastering the discipline, the student will achieve the following learning outcomes (LO) and will have the appropriate competencies:
Code of LO in GEP and its Competencies Code of LO of the discipline (LOd) and its Learning outcome of the topic
wording of GEP wording
LO-5 - Able to assess AC-3 - isable and ready to assess LOd-5: capable and ready to evaluate Able to explain the syndromes
morphofunctional, morphological and functional and morphofunctional and physiological auscultation of the heart:respiratory
physiological conditions and physiological states and pathological physical conditions and is able to
processes in the human body, taking into interpret the survey, physical arrhythmia, the presence of tone
pathological processes and III, accent and splitting of tone II on
account their age and sex groups for solving examination, clinical examination,
apply research methods for professional problems; write a medical record of outpatient the pulmonary artery, and is able to
sick adults and children to and inpatient characterize heart murmurs in
solve professional problems sick adult and child and is ready to
conduct pathophysiological analysis children: the frequency of
of clinical syndromes; functional noises, differences
between functional and organic
noises, noises of "small" anomalies
of the heart and blood vessels.
3 Motivation for new Enhance students' mental discussion Freely discussion Focusing students on the issues , Zoom 5 min
topic activity, develop critical participate in participating in team discussions,
thinking the discussion, freely express their opinions
the ability to
work in a team
4 Foundation of new determination and analysis shows students looks and Demonstrate A theoretical base of knowledge Zoom , 15 min
topic of the assimilation of the method of repeats,gives the method and skills for use in practical tonometer,
measuring question for of measuring exercises. stethoscop
passed material
blood teacher blood e,the layout
pressure. pressure. of the child.
with the layout
of the child
5 Conclusion of new Definition and analysisof the Question for Writing Question- Independently use the knowledge Question- 10 min
topic and summing material covered, making students question and its Answer gained on the topic, formation of Answer
up changes to its content answer competence
The asynchronous part (all tasks are sent over the Internet)
6 Homework next The main questions of the next Explain how to Writind down Show in PPT Prepare answers for specific Zoom, ppt 10 min
classes topic topic prepare the assignment questions
in notebooks
7 Associate To analyze the education of Send the Send the WhatsApp replenishment Application 20 min
students question for answers №2
students
8 Checking the students Teach students to self-esteem Correction Answer each Questioning Getting information about how Examples & 10 min
and their knowledge other to specific and checking much students understood the new questions
questions asked. each other topic.
Application №1
1. .Demonstrate and comment on the technique of performing an external examination of a child with circulatory disease .
2. Show how to detect heart and apical tremors in children. Evaluate the significance of their localization.
3. Remember and write the normal boundaries of the heart in children by age characteristics.
4. Features of auscultation of the heart and blood vessels in children.
Application №2
1. What is a child's blood pressure supposed to be?
2. How do you explain high blood pressure to a child?
3. What does it mean when a child's blood pressure is low?
4. How do you take pediatric blood pressure?
5. What is normal BP for teenage girl?
6. What drink is best for high blood pressure?
Sphygmomanometers
• There are three different types of sphygmomanometers: mercury, aneroid, and digital.
• Measuring blood pressure by auscultation is considered the gold standard by the Heart, Lung and Blood Institute of the NIH.
•
Heart Murmur
What is a heart murmur?
A heart murmur is the sound of blood flow turbulence in the heart. Some heart murmurs are innocent while others may require referral for additional
medical tests. This video provides an animated view of a heart murmur. While playing the animation, notice the heart valves and blood flow.
Our lessons often describe heart murmur timing within a cardiac cycle. Systolic murmurs occur between the first heart sound (S1) and the second heart
sound (S2). Diastolic murmurs occur between S2 and S1. In addition, timing is used to describe when murmurs occur within systole or diastole. For
example, early systolic, mid-systolic or late systolic.
See our courses on systolic and diastolic murmurs for more information including audio recordings, waveforms and animations:
Systolic Murmur
Diastolic Murmur
Duration
Heart murmur duration refers to the portion of systole or diastole that the murmur occupies. Terms used include short and long. Murmurs lasting
throughout systole are referred to as holosystolic or pansystolic.
Pitch
Evaluation of the heart murmur's pitch should be made by classifying the pitch (frequency) as low, medium or high. The stethoscope's bell can be
helpful with low pitched sounds while the diaphragm is used for medium or high pitched sounds.
Shape
A heart murmur can described by the sound's shape. Common classifications include crescendo (increasing intensity), decrescendo (decreasing intensity),
crescendo-decrescendo (increasing then immediate decreasing intensity). Crescendo-decrescendo is also called diamond shaped. Rectangular, also termed
plateau indicates a heart murmur of constant intensity.
Most of our lessons include a waveform with a moving cursor synchronized to the murmur audio. Many users find that the visual depiction of the murmur
sounds is a useful educational tool.
Tonal Quality
Listen for additional aspects of the murmur's sounds. Heart murmurs may have qualities that can be noted as musical, harsh, blowing, booming, sharp or
dull.
• Chest pain
• Fainting or dizziness
• Bluish color on the fingertips, lips or skin
• Chronic coughing
• Sudden weight gain
• Enlarged neck blood vessels
• Shortness of breath
• Excessive sweating even with minimal or no exertion
• Enlarged liver
• Infants may eat poorly or have
• Infant failure to thrive
.
List of recommended literature
Main literature
1. Propaedeutics childhood diseases childcare: Textbook / Ed. TV Captain. - M.: MEDpress - Inform, 2006 -704 p.
2. Propaedeutics childhood diseases: Textbook / Ed. RR Kildiyarovoy, VI Makarova. - M.: GEOTAR Media, 2012. - 680 p.
3. Propaedeutics childhood diseases: Textbook / Ed. NA Geppe, NS Podchernyaeva - M: GEOTAR Media, 2009. - 464 p.
4 .Mazurin AV Propaedeutics childhood diseases / AV Mazurin, IM Vorontsov - SPb .: Tome, 2001.- 928 p.
Additional literature
5.Poliklinicheskaya pediatrics: medical examination of children: ucheb method. Manual / Under the general editorship. IN Gaymolenko, OA Tihonenko - Chita: IPC
GOU VPO Chelyabinsk State Medical Academy, 2010. - 106 p.
6.Shabalov NP Childhood diseases. - SpetsLit: Saint-Petersburg. - 2007 - 628
7.Kildiyarova RR Pediatrician for every day: a handbook / RR Kildiyarova. - 6 th ed., Rev. and add. - M.: GEOTAR Media, 2009. - 160 p.
8. Children's illnesses. The textbook for doctors - pediatricians / ed. VAShcherbak. - ChitaExpress - publishing, 2008. - 800 p.