curs 2 asistenta medicala
DESCRIPTION
Semiologie medicalaTRANSCRIPT
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SEMIOLOGIE MEDICALA
CURS I
TERMINOLOGIERELATIA CADRU MEDICAL-BOLNAVECHIPA MEDICALA
SEF LUCR. DR. CAMELIA SCARNECIU
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DE LA LABORATORUL MEDICAL
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TERMINOLOGIE
ETIMOLOGIE SEMEION(GR) = SEMN, MARCA #, @, &, $ LOGOS(GR) = STIINTA, DISCURS x, /, +, -, √, ∑
NOTIUNI SPECIFICE 1.SEMNUL SIGNUM (LAT) = SEMN, INSEMNARE, MARCA TIP - GENERALE - LOCALE SEMN PATOGNOMONIC 2.SIMPTOMUL SIMPTOMA (GR) = CEEA CE SE PRODUCE, SE INTAMPLA
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SEMN, SEMN PATOGNOMONIC
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SIMPTOMUL
ATRIBUTE
- TIP (CE ESTE, CU CE SEAMANA) - LOCALIZARE (UNDE, IRADIERE) - SEVERITATEA (CAT DE RAU E) - ORARUL (CAND INCEPE, CAT DUREAZA, CAT DE
DES) - CIRCUMSTANTE DE APARITIE - FACTORI DE AMELIORARE SI DE AGRAVARE - MANIFESTARI ASOCIATE
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TERMINOLOGIE
SCOPUL = STABILIREA UNUI DIAGNOSTIC
METODA = CONSULTUL MEDICAL
1. CULEGERE DATE 2. PRELUCRARE DATE -
ANALIZA - SINTEZA 3. REZULTAT = DIAGNOSTIC
CLINIC DIAGNOSTIC DEFINITIV(+/-) –
INVESTIGATII SUPLIMENTARE
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ECHIPAMENT
OFTALMOSCOP OTOSCOPSPECUL NAZALLANTERNAAPASATOR DE LIMBABANDA CENTIMETRICATERMOMETRUCEAS CU SECUNDARTENSIOMETRU PORTABILSTETOSCOP MANUSI DE UNICA FOLOSINTALUBRIFIANT CIOCAN DE REFLEXEDIAPAZON (128 HZ, 512 HZ)PENSE MEDICALEVATAHARTIE SI PIX
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TERMINOLOGIE
DIAGNOSTIC
1. SINDROM (icteric, anemic)
2. BOALA (litiaza biliara, ciroza hepatica, anemie hemolitica, anemie feripriva, leucemie acuta limfocitara, IRC…..)
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TERMINOLOGIE
DEFINITIA SANATATII – OMS 1948 Sanatatea este reprezentata de acea buna stare fizica,
mintala si sociala si nu inseamna numai lipsa bolii sau a infirmitatii
“FIECARE OM ESTE …CA TOTI OAMENII, …CA SI ALTI OAMENI …CA NICI UN ALT OM.”
KLUCKHOHN C, MURRAY HA: PERSONALITY IN NATURE, NY, 1948
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SEMIOLOGIA MEDICALA
(INSTRUMENT, LEGATURA)
STUDENT PACIENT
? !
DIAGNOSTIC
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ACTUL MEDICALCOMPONENTE
DIAGNOSTICUL ce? DIAGNOSTIKEO (GR) = A CUNOASTE, A DISTINGE
PROGNOSTICUL cum? PROGNOSIS (GR) = A PREVEDEA
TRATAMENTUL cu ce?
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RELATIE CADRU MEDICAL-PACIENT
INITIERE = DE CATRE PACIENT (SOLICITARE AJUTOR)
= DE CATRE MEDIC (EVALUARE)
SCOP = RESTABIIREA STARII DE SANATATE
TIP = RELATIE TEHNICA (ACT MEDICAL)
= RELATIE PSIHOLOGICA- INTERPERSONALA
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RELATIE CADRU MEDICAL-PACIENT
CLIMAT – DE INCREDERE
CADRU MEDICAL: INALT PROFESIONALISM
ATITUDINE (TACT, CONDESCENDENTA)
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RELATIE CADRU MEDICAL-PACIENT
INTRE 2 PERSOANE CU STARE DIFERITA DE SANATATE
PACIENT - COMPLEX DE INFERIORITATE - DEPERSONALIZAT - DESRADACINAT
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RELATIE CADRU MEDICAL-PACIENT
CADRU MEDICAL – ATITUDINE DA CONDESCENDENT FERM DEMN – PRIN ACT SI TINUTA POLITICOS DEVOTAT – TRATAMENT EGAL CONSTIINCIOS RESPONSABIL MORAL – SECRET PROFESIONAL IN SLUJBA BOLNAVULUI CREAREA UNUI SENTIMENT DE SECURITATE SI
CONFORT (PROFESIONALISM, TACT, PERSEVERENTA)NU AROGANTA ATITUDINE FAMILIARA
IMPORTANTA PRIMULUI CONTACT
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ECHIPA MEDICALA
INGRIJIRE BOLNAV= MUNCA DE ECHIPA
☻☻☻☻………………………
MEDIC = EXAMEN MEDICAL
= DIAGNOSTIC
= PROGNOSTIC
= DECIZIE TRATAMENT
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ECHIPA MEDICALA
CADRU MEDIU
- PARTICIPA LA EXAMINAREA BOLNAVULUI- ASIGURA INGRIJIRILE SI TRATAMENTELE
PRESCRISE- PRELEVA PRODUSE BIOLOGICE- PREGATESTE BOLNAVUL PENTRU INVESTIGATII- URMARESTE SI SUPRAVEGHEAZA BOLNAVUL- SEMNALEAZA TOATE MODIFICARILE APARUTE
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ATRIBUTII CADRU MEDIU
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ECHIPA MEDICALA
CADRUL MEDIU
DA STABILITATE SI CONTINUITATE
☻ ۩ ☺→
LEGATURII MEDIC - PACIENT
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FOAIA DE OBSERVATIE CLINICA (FO)
DOCUMENT - CLINIC FO - STIINTIFIC FO - MEDICO-LEGAL
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FOAIA DE OBSERVATIE CLINICA (FO)
CAPITOLE
1. DATE INFORMATIVE2. DATE ANAMNESTICE3. EXAMENUL CLINIC4. EXPLORARI PARACLINICE5. EVOLUTIA BOLII, REGIMUL
ALIMENTAR6. TRATAMENTE APLICATE SI
EFICIENTA ACESTORA7. EPICRIZA = SINTEZA
CAZULUI
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FO – DATE INFORMATIVE
a. NUME, PRENUME – nationalitate
b. VARSTA NN – malformatii congenitale, suprainfectii, plagi ombilicale
SUGAR – manifestari digestive
COPIL MIC – boli infecto-contagioase (rujeola, scarlatina, varicela)
ADOLESCENT – RAA, GNA, TBC
ADULT – boli c-v, digestive, respiratorii, diabet zaharat
VARSTNICI – ATS, neoplazii, reumatism degenerativ
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FO – DATE INFORMATIVE
c. SEXUL BOLI SPECIFICE SEXULUI ♀,♂
FEMEI: vaginite, anexite
BARBATI: adenom de prostata
BOLI MAI FRECVENTE LA UN SEX FEMEI: infectia urinara, neoplasm mamar
BARBATI: BPCO, CPC, guta, neoplasm bronhopulmonar
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FO – DATE INFORMATIVE
d. LOCUL NASTERII SI DOMICILIUL
BOLI MAI FRECVENTE IN ANUMITE ZONE GEOGRAFICE
- nefropatia endemica de Balcani
- gusa endemica
- talasemia
- malaria
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FO – DATE INFORMATIVE
e. SITUATIA SOCIALA, PROFESIA - pregatire profesionala, remunerare - meseria – cauza bolii (ex. Silicoza = expuneri la dioxid de siliciu,
Saturnismul = expunere la plumb) - incidenta crescuta a unor boli in functie de profesie tipografi, vopsitori – saturnism forjori, turnatori – silicoza ospatari – ulcere, hepatite, ciroze, varice industria sticlei – EP industria chimica – boli hepatocelulare veterinari, macelari – bruceloza, antrax mineri – pneumoconioza meserii ce implica raspundere – boli neuropsihice, HTA, BCI, DZ, obezitate medici – ACI, AVC acut, HTA, ulcere gastrice si duodenale
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FO – DATE INFORMATIVE
f. DATA INTERNARII IMPORTANTA - MEDICALA - MEDICO-LEGALA g. CALITATEA DE ASIGURATh. MODALITATE PREZENTARE - proprie initiativa - trimis de catre medicul de familie - adus de salvare