Thursday, July 19, 2007
Research Of The Local Status Includes Survey, ,
Research of the local status includes survey, , and special receptions. The patient examine in a - standing position and in horizontal position; thus it is necessary to bare a stomach and the top third of both hips. Survey in a standing position gives the chance to define sometimes imperceptible asymmetry - in areas and under sheaves. At - and cough define insignificant , earlier imperceptible, and at the big hernias establish their greatest size. At hernial it is listened a sound at presence in a hernial bag of the gut - containing gas, and when contents of a hernial bag is the big epiploon or the body which is not containing gas. At define a consistence of contents of a hernia (sensation consistences are given by an intestinal loop, the lobular structure of a soft consistence has the big epiploon). In horizontal position of the patient define a hernial bag. At the moment of reposition of the big - hernia it is possible to hear characteristic rumbling in intestines. The hernia can be , partially and .
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