http://rdf.ncbi.nlm.nih.gov/pubchem/patent/UA-128139-U
Outgoing Links
Predicate | Object |
---|---|
classificationIPCInventive | http://rdf.ncbi.nlm.nih.gov/pubchem/patentipc/A61B5-00 http://rdf.ncbi.nlm.nih.gov/pubchem/patentipc/G01N33-48 http://rdf.ncbi.nlm.nih.gov/pubchem/patentipc/A61B6-03 http://rdf.ncbi.nlm.nih.gov/pubchem/patentipc/A61B8-00 |
filingDate | 2018-02-12-04:00^^<http://www.w3.org/2001/XMLSchema#date> |
publicationDate | 2018-09-10-04:00^^<http://www.w3.org/2001/XMLSchema#date> |
publicationNumber | UA-128139-U |
titleOfInvention | METHOD OF DIAGNOSIS OF COMBINED SURGICAL PATHOLOGY AND CHOICE OF OPERATIONAL INTERVENTION TACTICS IN PATIENTS WITH ENDOCRINE DISEASES |
abstract | The method of diagnosis of combined surgical pathology and the choice of tactics of surgery in patients with diseases of the endocrine system involves the study of history, age, blood pressure, pulse, palpation, hormonal examination, ultrasound (thyroid ultrasound) diagnosis. In doing so, they use a sequential patient examination algorithm, which consists of four steps. In the first stage, all patients collect complaints and anamnesis with a focus on the detection of endocrine and combined surgical pathology, assessment of consciousness on the "Glasgow Coma Scale", objective examination (examination and palpation of the anterior surface of the neck, soft tissues of the trunk and extremities , the abdominal wall, veins of the lower extremities), ultrasound of the neck (thyroid and thyroid glands), ultrasound of the abdominal cavity and retroperitoneal space, women are additionally examined by a gynecologist. In patients with varicose veins, ultrasound Doppler ultrasound (USG) of the lower extremities is performed in the second stage; patients with thyroid pathology are hormone-tested and fine-needle aspiration puncture biopsy (TAPB), thyroid gland - parathyroid hormone, calcium and phosphorus, scintigraphy. When the pathology of the adrenal glands is detected, computed tomography (CT) of the abdominal organs and retroperitoneal space with intravenous contrast and analysis of the level of hormones of the adrenal glands are performed in women with uterine fibroids and / or cystic changes of the ovaries of the malignant organs. Patients with confirmed pathology in stage two, as well as those who during the examination in the first stage revealed hernias, soft tissue and gallstone disease (and housing) and / or polyposis of the gallbladder, in the third stage perform general analysis of blood (ZAC) and urine (ZAS), biochemical examination of blood (urea, potassium, sodium), coagulogram, determination of blood group, electrocardiography (ECG), spirometry, radiography of chest organs, consultations of related specialists (cardiologist, neurologist, neurologist) endocrinologist). Based on the results of a comprehensive study of patients, in step four, using the P-POSSUM functional status scale, they assess the severity of the pathology, summarize the points obtained, and decide on the performance of simultaneous or isolated surgery: at a score of ≤20 on the physiological subscale and ≤ 17 points on the surgical subscale recommend simultaneous surgery, with a sum of> 20 points on the physiological subscale and> 17 points on the surgical subscale - isolated perazim. |
priorityDate | 2018-02-12-04:00^^<http://www.w3.org/2001/XMLSchema#date> |
type | http://data.epo.org/linked-data/def/patent/Publication |
Incoming Links
Total number of triples: 37.