ABSTRACT
A short historic retrospective aspect of family doctor is given. A difference between the family doctor and the doctor of common practice is retraced. Criteria of experience in family doctors' education in different countries are given. Perspectives of the development healthcare system in connection with family medicine orientation are analyzed in the article.
Subject(s)
Family Practice/history , Physicians, Family/supply & distribution , Family Practice/legislation & jurisprudence , Family Practice/organization & administration , Family Practice/trends , Government Regulation , History, 20th Century , History, 21st Century , Physicians, Family/history , Ukraine , WorkforceSubject(s)
Internal Medicine/education , Teaching/methods , Curriculum , Internship and Residency , UkraineABSTRACT
Data are available on the studies into the significance of case history, clinical and paraclinical examinations for a valid diagnosis of internal diseases. Clinical cases are presented where neglect of the disease history and detailed clinical examination brought about misdiagnosis. The role of paraclinical methods in diagnostic investigations is considered. It is emphasized that students should be better trained in patients' interviewing and clinical examination.
Subject(s)
Diagnosis , Internal Medicine/methods , Adult , Diagnostic Errors , Female , Humans , Internal Medicine/education , Male , Medical History Taking/methods , Middle Aged , USSRABSTRACT
The authors describe a rare clinical case of associated acute leukemia and congenital ectodermal dysplasia inherited by the autosomal dominant type. Review a problem of disease prediction in patients suffering from such an association.
Subject(s)
Ectodermal Dysplasia/diagnosis , Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis , Adolescent , Ectodermal Dysplasia/pathology , Female , Humans , Keratoderma, Palmoplantar/diagnosis , Keratoderma, Palmoplantar/pathology , Precursor Cell Lymphoblastic Leukemia-Lymphoma/pathologySubject(s)
Agranulocytosis/complications , Thyrotoxicosis/complications , Acute Disease , Adult , Female , HumansSubject(s)
Diabetes Insipidus/genetics , Adult , Aged , Diabetes Insipidus/diagnosis , Female , Humans , Middle AgedSubject(s)
Lung Diseases, Obstructive/etiology , Respiration , Smoking , Adult , Female , Humans , Male , Middle Aged , Respiratory Function TestsSubject(s)
Colitis, Ulcerative/therapy , Adult , Colitis, Ulcerative/diagnosis , Drug Therapy, Combination , Feces/analysis , Female , Humans , Male , Middle Aged , RecurrenceSubject(s)
Leukemia, Hairy Cell/diagnosis , Female , Humans , Leukemia, Hairy Cell/blood , Middle AgedABSTRACT
The examination was conducted in 67 patients with Stage II essential hypertension, aged 29 to 60 years (13 males and 54 females). Cortisol metabolism was assessed on the basis of a study of daily urine excretions of tetrahydrocortisol, tetrahydrocortisone, cortisol, cortisone, 17-oxy-11-desoxycortisol and of their ratio. It is found that in patients with Stage II essential hypertension, beyond the period of exacerbation, cortisol metabolism and the glucocorticoid function of the adrenal cortex are unchanged. During crises the gluococorticoid function of the adrenal cortex is activated, and some changes develop in cortisol metabolism. The severity of the crisis does not affect cortisol metabolism, but results in a growing total secretory activity of the adrenal cortex.
