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Diagnosis of diseases of a respiratory organs at children

DISEASES OF THE RESPIRATORY ORGANS

Disease

Symptom complex

76 Agenesia of a lung, its share

Lag in physical development
Asthma
Narrowing and flattening of a thorax on the party of defect
Mediastinum shift towards defect
Cyanosis
Shortening of a pulmonary sound on the party of defect

Absence or sharp weakening of respiratory noise on the party of defect
Radiological — reduction of volume of a thorax, homogeneous blackout (a symptom of opaque glass), a bad differentiation of a dome of a diaphragm on the party of defect

77 Atelectasis

Asthma
Retraction of intercostal spaces on the party of an atelectasis
Shortening of a percussion sound
over the place of an atelectasis
The weakened breath with a bronchial shade listened in the place of an atelectasis in the absence of rattles
Shift of limits of relative cordial dullness in the struck party
Radiological:
a) the intensive blackout of the struck pulmonary field merging with a heart shadow;
b) high standing of a diaphragm
on the party of an atelectasis;
c) Goltsknekht-Jacobson's symptom (mediastinum shift towards an atelectasis)

78 The bronchiolitis is acute

Arises usually at children of the first half of the year of life
The expressed respiratory insufficiency with an expiratory component
Intoksikatsionny syndrome insignificant
Wet cough
Perkutorno — a bandbox shade of a pulmonary sound
Auskultativno — small-bubbling wet rattles over all surface of lungs
Radiological — emfizematoz

79 Bronchitis is obstructive

The dry cough remaining a long time
Expiratory asthma
Bandbox shade of a pulmonary sound
The scattered dry, whistling, large and srednepuzyrchaty rattles in lungs
Radiological — emphysema of lungs

80 Acute bronchitis

Dry cough at the beginning of a disease with its fast transformation in wet
The scattered dry, and also large and srednepuzyrchaty wet rattles against rigid breath changing in the expressiveness after cough
Lack of an intoksikatsionny syndrome
Radiological — symmetric strengthening of pulmonary drawing in radical zones

81 Inborn share emphysema

Emergence of clinical symptomatology in the first months of life
Asphyxia attacks
Respiratory insufficiency
Inspiratory asthma
Cyanosis
Bandbox sound over patholologically the changed share
Auskultativno — the weakened breath
X-ray analysis — the increased "light" share, mediastinum shift aside, opposite to the struck share

82 Gialinomembranoz

Arises at premature and, often, newborns whose mothers suffer from a diabetes mellitus
The progressing respiratory insufficiency
Lowering of arterial pressure
Sharp respiratory and metabolic acidosis
Hyperpotassemia

83 Lung hypoplasia

Asthma
Narrowing and flattening of a thorax on the party of defeat
Mediastinum shift towards a gipoplazirovanny lung
Cyanosis
Shortening of a pulmonary sound, weakening of breath on the party of defeat
Recurrent bronchopulmonary infection
Radiological — reduction of volume of the pulmonary field
Bronchography — filling of large bronchial tubes in the absence of small bronchial branchings

84 Pneumonia is intersticial

 

Cough
Intoksikatsionny syndrome
Respiratory insufficiency
Tympanites
Auskultativno — rigid breath
Radiological:
a) veretenoobrazno the rough or gently outlined strips proceeding from an expanded root;
b) mesh drawing in a defeat zone with razlichny in size a yacheistost;

c) small petlistost (atelectasis sites)

85 Lung fever

Acute beginning of a disease
Temperature increase to febrile and gektichesky figures
Intoksikatsionny syndrome
Pain, in the right ileal area or about a navel at localization of process in the lower share of the right lung
Asthma with participation of auxiliary muscles
Herpetic rashes on lips and wings of a nose
Lag of the struck half of a thorax in the act of breath
Deeper supraclavicular pole, shift of a shoulder of a kpereda and medially on the party of defeat
Puffiness of skin, weakening of voice trembling, the strengthened bronchophony, the shortened tympanites over the defeat center
10 Auskultativno — sharply weakened breath over an inflammation site, crepitant rattles
11 Radiological — sharp decrease in transparency of the struck lung lobe

86 Focal acute pneumonia

Intoksikatsionny syndrome
Cough (in the beginning dry, then wet)
Respiratory insufficiency
Bandbox shade of a pulmonary sound
The small-bubbling rattles which are locally listened at auscultation of lungs
Radiological — sites of decrease in transparency of pulmonary fabric

87 Pneumonia is chronic

Often postponed heavy long pneumonia at early age
Unsharply expressed intoksikatsionny syndrome
Cough
Site of shortening of a percussion pulmonary sound over the place of defeat
The small-bubbling rattles listened in a defeat site
Existence of "pulmonary heart"
Radiological — a pneumosclerosis site, emfizematoz
Bronchography — bronchiectasias

88 Pleurisy dry

Intoksikatsionny syndrome
Pain, at a deep breath
Dry painful cough
Auskultativno — a pleural rub
Patients prefer to lie on the sick party

89 Pleurisy is exudative

Intoksikatsionny syndrome
Lag in the act of breath of the struck half of a thorax
Smoothness of mezhreberiya
Thickening of a skin fold on the party of defeat
Obtusion of a pulmonary sound at percussion over the half of a thorax corresponding to an exudate
Auskultativno — sharply weakened breath with a bronchial shade
Patients prefer to lie on the sick party

90 Polycystosis of lungs

Recurrent pneumonia
Asthma at rest or at a small exercise stress, mainly expiratory character
Oral crepitation
Wet cough with an otkhozhdeniye of a purulent phlegm
Lag in physical development
Deformation of a thorax
Auskultativno — amphoric nature of breath, sonorous mixed wet rattles
Radiological — cellular educations in lungs
Bronchography — the numerous roundish cavities reminding grape clusters

91 Wilson-Mikiti's syndrome (intersticial mononuclear focal fibroziruyushchy pneumonia)

Emergence of symptoms of a disease in the period of a neonatality
Dispnoe
Constant dry cough
Cyanosis
Bandbox shade of a pulmonary sound
Auskultativno — rigid breath
Priglushennost of cardiac sounds
Emphasis of the II tone on a pulmonary artery
Radiological — emfizematoz, strengthening of pulmonary drawing in the field of roots, a nodose and reticular network, increase in the sizes of heart at the expense of the right departments

92 Williams-Kempbela's syndrome

Display of a disease since the first months of life
Dry unproductive cough
Expiratory asthma

Deformation of a thorax
Emphysematous swelling of lungs
The bronchography and bronkhoskopiya — spindle-shaped is expanded bronchial tubes

 

93 Gudpascher's syndrome

Emergence of clinical displays of a disease at school age
Cough
Gemoptoe
Dispnoe
Hypostases
Hypertensia
Hamaturia, proteinuria
The roentgenogram — multiple blackouts of pulmonary fabric
Detection of siderophages in a phlegm
Identification of the circulating antibodies to a basal membrane of kidneys and lungs

94 Kartagener's syndrome

Partial or full return arrangement of internals
Etmoidoantrit
Agenesia or hypoplasia of frontal sine
Bronchietasia
Polydactylia

95 Piper's syndrome

Lag in physical development
Cough with expectoration
Dispnoe
Pallor
Nails in the form of "hour glasses"
Polyadenia
Local shortening of a pulmonary sound
In the place of shortening rigid breath, dry and mixed wet rattles
Priglushennost of cardiac sounds

Emphasis of the II tone on a pulmonary artery
Astigmatism
Bronchoscopic — bronchiectasias
ECG — myocardial dystrophy signs

 

96 Hammena-Rich's syndrome

The progressing asthma
Dry cough
Scattered bitter rattles
Radiological — diffusion fibrosis, strengthening and deformation of pulmonary drawing, its petlistost, various size focal shadows on all space of lungs

97 Chandra-Ketarpal's syndrome

It is observed more often at girls
Bilateral bronchiectasias
Chronic antritis
Aplasia of frontal sine
Heart shift to the left

98 Tracheobronchomegaly (Munye-Kuhn's syndrome)

Recurrent tracheobronchitis with bitonalny cough and the complicated expectoration
The expressed respiratory insufficiency
Bronkhoskopiya — expansion of a gleam of a trachea or bronchial tubes, walls weak are also fallen down at a deep exhalation, up to full closing of a gleam. Contours of walls of a trachea have a pitchfork of "saw teeth" in the beginning, the diverticulum often is found

99 Tracheosesophageal fistula

Poperkhivaniye when feeding
Fits of coughing and cyanosis
Emergence of rattles in lungs at the time of feeding or at once after it
Detection of tracheosesophageal fistula at contrast research of a gullet

According to Ostropolets S. S., V. N. Beet, Diagnostic syndromes of diseases of children's age.

 
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