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George and his fellow student Nick, who had recently recovered from his illness, came to the therapeutic department of the clinic in Svoboda Street to attend the first practical studies in Therapy.
During the first practical studies the students acquainted themselves with the work of the reception ward.Yhere a nurse on duty was receiving those patients who had to be hospitalized. They had already received the direction from the polyclinic.The nurse on duty was filling in patients case histories. There she was recording the folliwing data:their name,age,place of employment,occupation,address and the initial diagnosis made by a district doctor.
That day the first patient admitted to the in-patient departament was Comrade Belov.He was a railway worker,52 years of age,with a bad heart attack.The onset of the disease had been sudden and severe.He had already been confined to bed for three days.He was very pale and weak.It was clear that he was suffering from some serious heart impairment.
The students saw the patient be undressed and laid diwn on a stretcher.The students also saw other patients with different diseases of inner organs.The doctor onduty examined them and gave his instructions to which wards the patients had to be directed.
The students and the assistant doctor went to the in-patient department after their work in the reception ward.Here they acquainted themselves with the daily regime of the clinic.They were shown the wards,the X-ray rooms,the laboratories and the procedure room.
They could see the work of the nurses on duty,who were taking the patient's temperature,giving the injections,cupping them,applying mustrad plasters and giving medicine.
The same day the students acquainted themselves with the mail rules of carrying on a phusical examination and making a family history by questioning a patiet thoroughly.
In the following practical class students learned the methods of examining a patient.Those methods were:questioning a patient,external examination,percussion,auscultation,palpation,taking blood pressure,laboratory examination,taking electrocardiograms,etc.
During their practical stubies the students saw the doctors make their daily rounds, exemine the patients, who were in the hospital and presctibe them differend medicines.
The students learned that doctors in charge made their daily rounds of the wards in the morning .Besides doctors on duty made the daily rounds of the wards in the evening. The head of the chail and the clinic ,a professor ,made the rounds of the wards together with other doctors on definite days.
During their work at the clinic the students remembered well patient Kasakov. His condition was very poor . The students were allowed to examine this patient ,as they had already acquainted themsel ves with the methond of examina tion. They questioned the patient and found out that he had a severe pain in the heart and substernal area . The pain rabiated to the left arm and shoulder . The patient was pale, and his lips were cyanotic . He suffered from breathlessness . The pain and breathlessness increased on the slightest physical exertion . The student determined that the borders of his heart were dilated , heart sounds were dull , the pulse was irregular at times . They also examined other inner organs and found out that it was necessary to tace the electrocardiogram , to make the analyses of blood and urine . Having got all the sudjective and objectave findinds the srudents made the subjective and odjective findings the students made the initail diagnosis of angina pectoris by themselves . The assistant doctor confirmed their diagnosis.
During their work at the clinic the students remembered well patient Kasakov. His condition was very poor . The students were allowed to examine this patient ,as they had already acquainted themsel ves with the methond of examina tion. They questioned the patient and found out that he had a severe pain in the heart and substernal area . The pain rabiated to the left arm and shoulder . The patient was pale, and his lips were cyanotic . He suffered from breathlessness . The pain and breathlessness increased on the slightest physical exertion . The student determined that the borders of his heart were dilated , heart sounds were dull , the pulse was irregular at times . They also examined other inner organs and found out that it was necessary to tace the electrocardiogram , to make the analyses of blood and urine . Having got all the sudjective and objectave findinds the srudents made the subjective and odjective findings the students made the initail diagnosis of angina pectoris by themselves . The assistant doctor confirmed their diagnosis