Examination and palpation of the cardiac area. Convexity of the heart area (heart hump). The apex thrust, its localization, strength and extent, if there is a description of the cardiac thrust, diastolic and systolic tremor in the pre-cardiac area, epigastric and retrosternal pulsations. Percussion of the boundaries of relative and absolute cardiac dullness (intercostal). Percussion of the vascular bundle at the 1st and 2nd intercostal space on both sides of the sternum. Auscultation at all five listening points of the heart. Strength, character, rhythm, splitting and splitting of tones, accents. Noises: their character (systolic, presystolic, diastolic), localization, strength, timbre, conduction of noises. Change of noises after physical exertion and at change of a body position. Pericardial friction murmur. In addition to the verbal description, draw a "phonocardiogram" defined over all listening points of the heart in the medical history.Read More »
Shape of the thorax, deformity or asymmetry. Condition of intercostal ribs, depression of some parts of the thorax. Type of breathing. State of breathing (uniformity of motion of thorax during breathing, lag of one or another half). Depth, rhythm, frequency of breathing per minute. Dyspnea and its character. Touching ribs, sternum, intercostal ribs (swelling, deformity, painfulness). Vocal trembling on the anterior, lateral and posterior surface (symmetry or amplification on one side). Topographic percussion of the lungs: Percussion definition of the lower border of the pulmonary sound on the left and right along the identification lines.
Who Benefits from Finasteride Therapy?
Alopecia (baldness) is a destruction of the hair follicle, which occurs due to the influence of the biologically active form of the male sex hormone dihydrotestosterone. Propecia has a mild effect on the body: finasteride inhibits the reactions of the hormone synthesis by blocking its action. Gradually the process of hair loss slows down. Full restoration of the hair follicle is possible. Propecia works quickly and effectively: hair begins to grow throughout the head, starting from the parietal part and ending with deep bald spots. Strong and healthy hair grows in place of the weakened and fallen out branches. During regular pill taking, testosterone is slowly converted into a more active substance in the human body. It nourishes, activates and completely restores the external and internal condition of the hair follicles. Note that the drug does not affect the production of all enzymes, but only temporarily stops their effects.
Meet our Propecia pills Certified Doctors
Cheap Propecia pills
Digestive and abdominal system. Examination of the oral cavity and pharynx (tongue, teeth, gums, palate). Abdomen - participation in the act of breathing, shape, symmetry, features of the abdominal skin, bulging of the abdominal wall in certain areas, bloating, hernias, divergence of the rectus muscles, the condition of the navel. Visible peristalsis.
From the primary focus of inflammation with the flow of lymph, the virus enters the regional lymph nodes, causing hyperplasia of the lymphoid tissue. As a result, the patient develops mesenteric adenitis and lymphadenopathy.
Superficial palpation of the abdomen: in the hypogastric region, in the subcostals, in the lateral, peritoneal and iliac regions, above the pubis. Determination of soreness, as well as areas of increased sensitivity. Deep palpation of the intestines and stomach (palpation area, shape, mobility, compaction, splashing, rumbling). Palpation of neoplasms indicates their localization, size painfulness. Determination by percussion of the presence of free fluid in the abdominal cavity in different positions of the patient, phenomenon of fluctuation.
Adenoviruses are fixed by macrophages in the cells of the liver and spleen. This process is clinically manifested by the formation of hepatolienal syndrome (an increase in the liver and spleen occurs).
Percussion determination of the size of the liver by Kurlov. Palpation of the liver and determination of the degree of its protrusion from under the rib arch, consistency, painfulness, and nature of the edge. Presence of pulsation of the liver. Palpation of the gallbladder. Murphy's and Ortner's symptoms.
In the study of the pancreas, deep palpation in the choledocho-pancreatic-duodenal zone and in the area between the umbilicus and the left subcostal area (according to Grott) is performed. Painfulness and increased size are indicated. Spleen. Palpation of the spleen (protrusion of the lower pole from under the rib arch, density, painfulness, nature of the edge). Percussion definition of its borders according to Kurlov.