Text A. Lobular PneumoniaPatient Sm

Text A. Lobular Pneumonia

Patient Smirnov aged 48 was admitted to the hospital with the diagnosis of lobular pneumonia. He had been developing lobular pneumonia gradually. A week before the admission to the hospital he had had bronchitis after which his condition did not improve.

Fever had an irregular course and the temperature changes were caused by the appearance of the new foci of inflammation in the pulmonary tissue. Fever had been persisting for two weeks and had been decreasing gradually.

The patient’s breathing was rapid with 30-40 respirations per minute. There was breathlessness and cyanosis of the face associated with the accompanying bronchitis, decrease in the respiratory surface and occlusion of numerous bronchioles and alveoli.

The patient complained of the pain in the chest particularly on deep breathing in and cough with purulent sputum. The pulse rate was accelerated and the arterial pressure was reduced.

On physical examination dullness in the left lung, abnormal respiration, numerous rales and crepitation were revealed. Dry rales caused by diffuse bronchitis were heard all over the lungs. The liver and spleen were not enlarged. The examination of the organs of the alimentary tract failed to reveal any abnormal signs but the tongue was coated.

The blood analysis revealed leucocytosis in the range of 12,000 to 15,000 per cu mm of blood and an accelerated erythrocyte sedimentation rate (ESR).

The urine contained a small amount of protein and erythrocytes. The X-ray examination of the lungs revealed numerous foci of inflammation of various size, irregular form and different intensity. Shadowing was particularly marked at the root of the left lung due to the enlargement of the lymphatic glands.

It was a severe form of lobular pneumonia which was difficult to differentiate from pulmonary tuberculosis and pleurisy. Yet the physician made a correct diagnosis.

Результаты (русский) 1:

Text A. Lobular 2Patient is Smith, aged 48 was admitted to the hospital with the diagnosis of lobular usefulness. He had been developing lobular 2 gradually. A week before the admission to the hospital he had had bronchitis after which his condition did not improve.Fever had an irregular course and the temperature changes were caused by the appearance of the new foci of inflammation in the pulmonary tissue. Fever had been persisting for two weeks and had been decreasing gradually.The patient's breathing was rapid with 30-40 respirations per minute. There was breathlessness and cyanosis of the face associated with the accompanying bronchitis, decrease in the surface and several occlusion of numerous bronchioles and alveoli.The patient complained of the pain in the chest on deep breathing particularly in and cough with purulent sputum. The pulse rate was accelerated and the arterial pressure was reduced.On physical examination dullness in the left lung, abnormal respiration, numerous rales and crepitation were revealed. Dry rales caused by diffuse bronchitis were heard all over the lungs. The liver and spleen were not enlarged. The examination of the organs of the alimentary tract failed to reveal any abnormal signs but the tongue was coated.The blood analysis revealed leucocytosis in the range of 12.000 to 15.000 per cu mm of blood and an erythrocyte sedimentation rate accelerated (ESR).The urine contained a small amount of protein and erythrocytes. The x-ray examination of the lungs revealed numerous foci of inflammation of various size, irregular form and different intensity. Shadowing was particularly marked at the root of the left lung due to the enlargement of the lymphatic glands.It was a severe form of lobular 2 which was difficult to differentiate from pulmonary tuberculosis and pleurisy. Yet the physician made a correct diagnosis.

Результаты (русский) 2:

A. The Lobular Pneumonia the Text the Patient Smirnov's aged 48 was admitted to the hospital with the diagnosis of lobular pneumonia. He had been developing lobular pneumonia gradually. Week the before the A admission to the hospital A he HAD HAD bronchitis the after the which a His condition DID not Improve. Fever HAD an irregular course the temperature and the changes Were Caused by the appearance of the new foci of inflammation in the pulmonary tissue. HAD Been persisting Fever to two two weeks and for HAD Been Gradually decreasing. Of The the patient's breathing WAS 30-40 with rapid respirations, The per minute. WAS and breathlessness There cyanosis of the face with the associated Accompanying the bronchitis, Decrease in the respiratory surface and occlusion of the alveoli and bronchioles Numerous. Of The the patient complained of pain in the chest more particularly on the deep-breathing in and a cough with purulent sputum. The pulse rate The WAS of The accelerated and the arterial pressure WAS reduced A. The On Physical Examination dullness in the left lung, abnormal respiration, rales and crepitation Numerous Were Revealed. Dry rales caused by diffuse bronchitis were heard all over the lungs. The liver and spleen were not enlarged. Of The Examination of the Organs of the Alimentary tract failed The to Reveal the any abnormal signs But the tongue WAS coated. Of The blood analysis Revealed leucocytosis in the range of 12,000 to 15,000 The per the cu mm of blood and an accelerated of erythrocyte sedimentation rate The (the ESR). Of The urine contained a small amount of protein and erythrocytes . The X-ray examination of the lungs revealed numerous foci of inflammation of various size, irregular form and different intensity. WAS particularly a marked-Shadowing AT the root of the left lung of due to the enlargement of the lymphatic glands. It WAS a Severe The form of lobular pneumonia the which WAS Difficult to Differentiate from pulmonary tuberculosis and pleurisy. Yet the physician made ​​a correct diagnosis.

Результаты (русский) 3:

text a Lobular Pneumonia.a patient aged 48 kerry was admitted to the hospital with the diagnosis of lobular pneumonia. he had been developing lobular pneumonia gradually. a week before admission to the hospital he had had bronchitis after which his condition did not improve.fever had an irregular course and the temperature changes were caused by the appearance of the new foci of for in the pulmonary tissue. fever had been persisting for two weeks and had been over gradually.the patient"s breathing was rapid with 30 - 40 respirations per minute. there was breathlessness and cyanosis of the face associated with the accompanying bronchitis, decrease in the respiratory surface and occlusion of numerous bronchioles and alveoli.as the patient of the pain in the chest but on deep breathing in and cough with purulent sputum. the pulse rate was accelerated and the arterial pressure was reduced.on physical examination dullness in the left lung, abnormal respiration, numerous rales and crepitation had been. dry rales caused by diffuse bronchitis were heard all over the lungs. the liver and spleen were not enlarged. the examination of the organs of the alimentary tract failed to reveal any abnormal signs but the tongue was coated.the blood analysis been leucocytosis in the range of 12000 to 15000 per cu mm of blood and an accelerated erythrocyte sedimentation rate (ESR).the urine contained a small amount of protein and erythrocytes. the x - ray examination of the lungs been numerous foci of for of various size, irregular form and different intensity. Shadowing was particularly marked at the root of the left lung due to the enlargement of the lymphatic glands.it was a developed form of lobular pneumonia which was difficult to differentiate from pulmonary tuberculosis and pleurisy. yet the physician made a correct diagnosis.