management of surgical patient has three phases : 1.diagnosis - clinical and paraclinical...
TRANSCRIPT
Management of surgical patient has three phases :
1. Diagnosis - clinical and paraclinical examinations
Diferential diagnosis, indication and therapeutical/preoperative prcedures.
2. Treatment ( conservative, interventional or operative therapy „ state of art“
3. Planing short and longtime controling of patients.
( rehabilitation, dispensarisation )
Management of diagnostic phase :
1. Anamnesis – interview 2. Status praesens – actual state of
patient health 3. Paraclinical examinations -
laboratory, imagination methods and other
4. Diferential diagnosis5. Confirmation of diagnosis
1. Physic examinations - by organs of sense view, touch, hear ,
- instruments analysing physic efects2.Chemical and biochemical examinations - smell, taste
- chemical analysis of fluids of body organs or tissues ( static )
- dynamic examinations of metabolism 3. Specific biological examinations .
Microbiology, hematology, patology, histopatology, imunology and other.
Imagination methods :1. Transmission methods - X ray ( Rtg )
- native or with contrast liquid CT, angiography, DSA,
2.Emission methods - radioisotop scintigraphy.
3. Ultrasonography 4. Endoscopic examinations 5. MRI –magnetic nuclear resonance
imagination
Classification of diagnostic methods – from the view of risk of patients :
biological risk (estimating of the mutagenity and carcinogenity efect )
invasivity risk ( pain, iatrogenic trauma, safety and possibility of repeating )
Angiography
DSA Digital subtraction angiography
CT Computer tomography
USG - Ultrasonography 2D- dimensional
USG Ultrasonography 3-D threedimensional
Doppler –sonography
Scintigraphy
MRI – magnetic resonance imagination
PET positron emission tomography
Endoscopy - gastroscopy, ERCP examination.
Colonoskopy