Febrile states: possibility of early diagnosis at policlinics — hospital emergency department — clinics
A.V. PERTSEV, V.I. GRECHKIN, A.V. BUDNEVSKY, E.Yu. MALYSH
Voronezh State Medical University named after N.N. Burdenko, 10 Studencheskaya Str., Voronezh, Russian Federation, 394036
Pertsev A.V. ― postgraduate student of the Department of Faculty Therapy, tel. +7-952-555-58-47, e-mail: pertsev.vrn@yandex.ru
Grechkin V.I. ― Cand. Med. Sc., Associate Professor of the Department of Faculty Therapy, tel. (473) 263-81-30, e-mail: k.f.ter@yandex.ru
Budnevsky A.V. ― D. Med. Sc., Professor, Head of the Department of Faculty Therapy, Vice-Rector on Research, tel. (473) 263-81-30, e-mail: k.f.ter@yandex.ru
Malysh E.Yu. ― Cand. Med. Sc., Assistant of the Department of Faculty Therapy, tel. (473) 263-81-30, e-mail: k.f.ter@yandex.ru
The article presents an analysis of 167 cases of fever in patients at the stage policlinics-hospital emergency department ― clinics for the purpose of studying the structure of febrile syndrome. Of the 167 febrile patients, pneumonia was found in 49, infective endocarditis ― 39, chronic alcoholic hepatitis ― in 23, rheumatoid arthritis (pseudoseptic) ― in 2, systemic lupus erythematosus ― in 1, polymyositis ― in 2, acute pyelonephritis (or aggravation of the chronic one) ― in 16, tumors of various localization ― in 35 patients. The information was analyzed of some of blood parameters at acute phase, X-ray and ultrasonic research in the early diagnosis of infective endocarditis and pneumonia.
Key words: febrile states, radiographic and ultrasonic methods, pneumonia, infective endocarditis.
REFERENCES
- Grechkin V.I. Nekotorye aspekty v diagnostike infektsionnogo endokardita na etape poliklinika-priemnoe otdelenie-statsionar [Some aspects in the diagnosis of infective endocarditis at the stage of a polyclinic-inpatient department-hospital]. Fokus na pervichnoe zveno zdravookhraneniya: sovremennye klinicheskie rekomendatsii po profilaktike i lecheniyu zabolevaniy v ambulatorno-poliklinicheskoy praktike. Kh Yubileynaya konferentsiya vrachey obshchey praktiki (semeynykh vrachey) Yuga Rossii, 2015. Pp. 73-74.
- Nikonov V.V. Infectious endocarditis. Meditsina neotlozhnykh sostoyaniy, 2007, no. 5 (12), pp. 44-47 (in Russ.).
- Tatochenko V.K., Bakradze M.D. Fever without a visible foci of infection. Meditsina neotlozhnykh sostoyaniy, 2010, no. 6 (31), pp. 103-107 (in Russ.).
- Nikonov V.V., Nikonova V.V. Feverish states. Meditsina neotlozhnykh sostoyaniy, 2006, no. 1 (2), pp. 116-118 (in Russ.).
- Dyadyk A.I. Nodular polyarteritis. Zdorov’ya Ukraїni, 2013, no. 1 (26), pp. 19-53 (in Russ.).