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State educational institution secondary professional education Chusovoy Medical CollegeTraining Case HistoryStudent: Sadykova JuliaCourse 3-fDate: 02.03.2015 Identification data:Full Name: Ivanova Olga Viktorovna Sex: female Age: 32Home address: street Sivkov 21, apartment 39Date/time of addition of: 21.02.2015, 1740Education: higher education Occupation: economistDirected by: ambulanceInitial diagnosis: acute gastritisBasic diagnosis: acute pancreatitis Complaints:The patient complains of girdle pain .epigastric pain, repeated vomiting, thirst. History of present illness:During the day the patient has noted girdle pain epigastric pain…….. Life history: In childhood she was healthy. The food is satisfactory. Living conditions -satisfactory. Bad habits -none. Allergy history- none. Family history:The presense of Bodkin's disease, veneral disease, tuberculosis, cancer a other none. Patient`s characteristics:General condition: satisfactoryWeight: 67Pulse: 70The height of a patient: 165Blood pressure: 120/80Physique: normastenicSkin: pale pink, dryThe colour of the skin: pathological changes, pigmentation, acne, spider veins, peeling, bleeding is not found Respiratory organs:Breathing through the noseThe number of respiratory movements: 17Palpation: chest is painless. Vocal vibration is noneAuscultation: within normal limits The digestive organs:Tongue: dry and coatedStomach-pancreas: the abdominal is soft,available palpation, pain is in the epigastriumLiver: is not enlargedSpleen: is not palpated Laboratory findings: Treatment:Bed regimen. Table number 0Sol. Ringer 1200,0 mlSol. Papaverini hydrochloridi 2%- 4,0 Sol. Cefazolini 1,0 ml v/m- 3 times a dayTab. Omeprazoli 0,02- 1 tablet once a dayTab. Enalaprili 0,005 to 1 tablet once a day Epicrisis:The patient Ivanova Olga Viktorovna, 1982 g. r, hospitalized to the surgical department on21/02/2015, complaining of girdle pain epigastric pain, repeated vomiting, thirst.Regarding this disease she has not previously been addressed. Using laboratory and special methods of research the disease was diagnosed.Gets the treatment. Noted a positive trend. The patient remains in the hospital. The treatment must be continued. Doctor`s recommendations:Recommended CTTherapeutic diet, table number 5Drink mineral water Essentuki 4Consultation of the therapeutist