Method for differential diagnostics of clinical form of chronic tonsillitis, based on ultrasound investigation of regional lymph nodes

FIELD: medicine.

SUBSTANCE: for differential diagnosis of toxic-allergic and simple forms of chronic tonsillitis, ultrasonic visualization of regional upper lobular cervical lymph nodes is performed. In the presence of multiple lymph nodes and their longitudinal diameter values from 22.5 mm and more, toxic-allergic form of chronic tonsillitis is diagnosed. With single lymph nodes and their longitudinal diameter values in the range of 17.8-19.0 mm, simple form of chronic tonsillitis is diagnosed.

EFFECT: method allows to quickly and efficiently differentiate clinical forms of chronic tonsillitis.

2 dwg

 



 

Same patents:

FIELD: medicine.

SUBSTANCE: invention relates to means for carrying out visualisation-guided medical procedures. Method of processing X-ray image contains stages, at which: 2D X-ray image of anatomical area, which includes ultrasound probe, is received, ultrasound probe s detected on it, ultrasound probe is superposed with reference coordinate system, with taking into account evaluation of position and orientation of ultrasound probe relative to reference coordinate system. Superposition stage additionally contains stage, at which presented in digital form projection of 3D model of ultrasound probe is correlated with ultrasound probe detected on X-ray image, with obtaining evaluation of ultrasound probe position and orientation from correlated 3D model. Computer-readable carrier contains stored in it sets of instructions for system-processing unit for combination of ultrasound and X-ray images, which contains X-ray system of 2D X-ray image, ultrasound system, including ultrasound probe, processing unit and monitor for combined image presentation.

EFFECT: application of invention makes it possible to increase accuracy of position determination.

9 cl, 4 dwg

FIELD: medicine.

SUBSTANCE: nephrosonography is performed to determine a kidney volume (V pk, mm3). Child's height and age are specified and used to determine a reference kidney volume (V rk, mm3), to calculate a kidney volume coefficient (Kkv) by formula: , wherein Kkv is the kidney volume coefficient; V pk is the patient's kidney volume, mm3, and V rk is the reference kidney volume, mm3. In the unilateral ureteral obstruction, a healthy kidney volume coefficient (Khkv) and a obstruction kidney volume coefficient (Kokv) are calculated. If K hkv is more than 1.0, the absence of compensatory hypertrophy and hyperfunction is diagnosed; the morphofunctional kidney condition from the side of an obstructed ureter occurs to be noninvolved; the conservative treatment of the obstruction is preferred. If K hkv is more than 1.0 and less than 1.8, K okv is more than 1.0, compensatory hypertrophy and hyperfunction of the healthy kidney; the morphofunctional kidney condition from the side of the obstruction is depressed; a preserving surgery is chosen. Khkv between 1.8 or 2.0 and Kokv less than 1.0 enable diagnosing manifested compensatory hypertrophy and hyperfunction of the healthy kidney; kidney downsizing, functional depression are diagnosed from the side of the obstruction, and a nephrectomy is preferred.

EFFECT: method enables choosing the therapeutic approach to the ureteral obstruction in the children by detecting the clinical manifestations of the urinary outflow obstruction.

4 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to ultrasonic diagnostics, neurosurgery, vascular surgery and neurology. Colour duplex scanning in horizontal and vertical position of patient is performed. Pathological tortuosity is diagnosed in case of presence of deformation of main neck arteries with angle of tortuosity less than 60° in horizontal and vertical positions, turbulence of blood flow in area of tortuosity, more than 50% acceleration of systolic blood flow in area of deformation in comparison with proximal part of artery, reduction of blood flow rate more distally than tortuosity in comparison with proximal part of artery to tortuosity more than 20%.

EFFECT: method makes it possible to increase diagnostics accuracy due to change of hemodynamics under impact of change of patient's body position.

4 ex

FIELD: medicine.

SUBSTANCE: invention relates to medical equipment, namely to diagnostic ultrasound systems. Curved converter of high-intensity focused ultrasound (HIFU) contains curved piezoelectric matrix, which has opposite convex and concave surfaces, with concave surface being transmitting surface, and multitude of zones of acoustic transmission. Multitude of electrodes is located on surfaces of curved piezoelectric matrix. Curved adjustment layer, formed in monolithic, continuous way, is formed with required curvature of curves matrix of converters, and is attached to transmitting surface. Printed circuit board and back plate are located on side of matrix, opposite to adjustment layer, with back plate limiting air channel between printed circuit board and plate, and printed circuit board limits air channel between printed circuit board and matrix.

EFFECT: application of invention makes it possible to facilitate giving required shape to converter.

15 cl, 13 dwg

FIELD: medicine.

SUBSTANCE: neurovisualisation examination of brain is carried out, Cirs comorbidity index and Kaplan-Feinstein comorbidity index are determined, cochleovestibular syndrome, eye-moving impairments, type of diabetes mellitus are identified. Value of discriminate function (D) is calculated. If D value is higher than zero, diagnosed are consequences of ischemic brain stroke (IBS) with hyperhomocysteinemia (HH), if D is lower than zero, consequences of IBS without HH are diagnosed.

EFFECT: method makes it possible to increase reliability of diagnostics of IBS consequences, which is achieved due to complex analysis of said parameters.

2 ex

FIELD: medicine.

SUBSTANCE: inner angle (α) between back surfaces of an episternum and a mesosternum is preoperatively ultrasonically measured in a patient. A spiral oesophagomyotomy is performed. Tendons of the sternum legs of sternocleidomastoid muscles are dissected away from the episternum. A retrosternal tunnel is created. If α<165°, the episternum is dissected away at the level of a lower edge of the second rib. If α>165°, the episternum is dissected away at the level of a lower edge of the first rib. A colonic graft is delivered onto the neck through the retrosternal tunnel. An end-to-end anastomosis is applied between a cervical segment of the oesophagus and the colonic graft.

EFFECT: reducing invasiveness and postoperative complications by an individual approach to determining the episternum resection extent.

2 ex

FIELD: medicine.

SUBSTANCE: direct size between the most distant points of a presenting segment of the foetus head at the level of the sagittal plane, large transverse size of the foetus head between the most distant points of the parietal tubers, transverse size of the shoulders between the most distant points of the acromial processes and the anteroposterior size of the foetus chest at the level of VII thoracic vertebra and the base of the xiphoid process are determined. A probability coefficient of the foetus shoulder dystocia is calculated by a mathematic formula. Development of the foetus shoulder dystocia is made on the basis of the obtained coefficient value.

EFFECT: method makes it possible to predict the development of the foetus shoulder dystocia due to the evaluation of the significant ultrasonic indices in the foetus.

1 tbl, 4 ex

FIELD: medicine.

SUBSTANCE: ultrasonic examination of brachial artery is realised. During ultrasound examination lumen of brachial artery in systole and diastole is determined, reactive hyperaemia test and test with nitroglycerinum intake are performed. After that, values of lumen, obtained before performing test and after them, are compared. Presence of endothelial dysfunction is identified on the basis of degree of obtained data change. If value of brachial artery diameter after reactive hyperaemia test is less than 12% in systole and less than 13% in diastole, as well as after intake of nitroglycerinum, if value of brachial artery diameter in systole is less than 20% and less than 21% in diastole, endothelium dysfunction is diagnosed.

EFFECT: method provides detection of affection of vessel wall in said category of patients at the earliest stages.

2 ex

FIELD: medicine.

SUBSTANCE: predicting neonatal hypoglycaemia in an infant born by a woman suffering diabetes mellitus in the stages of at least 36 weeks of pregnancy is ensured by foetal ultrasonic scanning. A pancreatic gland (PG) is visualised in a cross-section of the foetal abdomen. Its maximum anterior-posterior dimension is measured at the body level, and if its dimension is more than 1.55 cm, the neonatal hypoglycaemia is predicted. In a particular case, the PG is visualised better if displaying the cross-section of the foetal abdomen at the level of a stomach and an intra-abdominal segment of an umbilical vein is followed by rocking and rotating an ultrasonic probe.

EFFECT: method enables improving the early postnatal adaptation, preventing the postnatal complications, incidence of disease and death caused by the hypoglycaemic conditions in the newborns born by the women suffering diabetes mellitus by correcting them timely due to the accurate prediction of developing neonatal hypoglycaemia starting from the stage of 36th week of pregnancy.

2 cl, 3 ex

FIELD: medicine.

SUBSTANCE: patient's serum asparagine aminotransferase (AST) is measured. That is combined with duplex scanning to measure a splenic vein diameter (SVD) and a body weight. The measured AST, SVD and body weight are used to calculate a fibrosis index by formula: FI=-6.31+0.19*AST-1.02*SVD+0.24*BW, wherein FI is the fibrosis index, -6.31 is a constant, 0.19-1.02 and 0.24 are the coefficients, AST is blood serum asparagine aminotransferase (Unit/l), SVD is the splenic vein diameter (mm), and BW is the patient's body weight (kg). The constant and coefficients in the presented formula are calculated by multiple regression method; a dependent variable is a liver density value according to ultrasonic elastography findings. If the derived fibrosis index is less than 6.3, the absence of fibrosis (stage F0) is stated. If the fibrosis falls within the range of 6.3 to 8.3, the first stage of fibrosis (F1) is diagnosed. The fibrosis index of 8.4 to 10.8 corresponds to the second stage of fibrosis (F2). The fibrosis index of 10.9 to 13.9 corresponds to the third stage of fibrosis (F3). If the fibrosis index is more than 13.9, hepatic cirrhosis (stage F4) is diagnosed.

EFFECT: technique provides the adequate differentiation of the fibrosis stages in the patients with chronic viral hepatitis by the complex assessment of biochemical, ultrasonic and antropometric parameters.

5 ex

FIELD: medicine.

SUBSTANCE: method is implemented by measuring the patient's weight on admission to hospital and on the day the liquid overload is detected. A percentage of the cumulative liquid overload (CLO) is calculated by formula: CLO= (M1-M2)/M2 x 100%. Herewith: CLO is the cumulative liquid overload; M1 is the patient's weight on the day the liquid overload is detected, kg; M2 is the patient's weight on admission to hospital, kg.

EFFECT: simplifying and reducing labour intensity the method possesses high sensitivity and specificity and increases the detection accuracy.

2 ex

FIELD: medicine.

SUBSTANCE: invention relates to method and device for providing assistance in selection of device size in case of medical intervention. Method consists in obtaining X-ray image of vessel, introduction of wire guide, possessing radiopaque tip, into vessel, obtaining X-ray image of wire tip, division of wire tip into segments when it passes through vessel and presentation of information about vessel dimensions basing on wire tip size. In order to present information about dimensions virtual ruler, extending parallel to wire, is applied on image, with ruler being graduated in portions of wire tip and representing a curve, parallel to wire tip, with curve containing graduation, calculated on the basis of tip length, observed in current projection. X-ray visualising system contains means for obtaining information about dimensions, is made with possibility of method realisation and also contains calculating means for calculation of virtual ruler and superposition of virtual ruler, extending parallel to wire, on image, to provide information about dimensions.

EFFECT: application of invention makes it possible to increase accuracy of selecting size of devices for medical intervention.

12 cl, 3 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medical equipment, namely to instruments for measuring length of cervix of uterus in vaginal vault and cervix of uterus dilation. Device for measuring cervix of uterus length contains elongated measuring unit, hollow unit, flange, handle and lock mechanism. Elongated measuring unit extends along longitudinal axis and includes measuring scale located on it. Hollow unit is coaxial with elongated measuring unit and is located above it. Flange is displaced from longitudinal axis and is fixed to distal end of hollow unit. Handle is fixed to proximal end of measuring unit. Lock mechanism is made on handle. Lock mechanism is made with possibility to fix hollow unit relative to measuring unit in case of blocking, and in case of de-blocking to provide possibility for hollow unit to slide along measuring unit and to rotate around longitudinal axis in such a way as to place flange in required position of rotation without moving measuring scale. Proximal end of hollow unit is made with possibility of sliding in handle.

EFFECT: invention provides simplicity, ease and accuracy of performing measurements.

11 cl, 8 dwg

FIELD: medicine.

SUBSTANCE: sexual status of a male with the sexual libido is assessed according to the findings of the male antropometric parameter, namely a trochanter index The trochanter index is inserted into an equation; its value is calculated and provides a basis to consider the sexual state of the male with the sexual libido - norm, or below norm.

EFFECT: method enables assessing the sexual state of the males with the sexual libido for several minutes.

2 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to endocrinology, cardiology, psychotherapy and can be used for the treatment of patients with metabolic syndrome. Diet therapy of a reduced caloric content with the restriction of carbohydrate-containing products and fats, with the determination of a glycemic index with the inclusion into the diet of carbohydrate-containing products with the glycemic index lower than 40. When the initial body weight decreases by 5% and stabilisation of the weight takes place for 3 months, the caloric content of food is increased to a calculated value, determined for the patient by formula for the calculation of the daily caloric content. Carbohydrate-containing products with the glycemic index of 40-69 are introduced into the diet until the weight decreases to a specified level. Screening survey is performed, disorders of an affective spectrum are diagnosed and in case of their presence testing the patients of the identified group by Zung scale is carried out. A session from Assagioli psychosynthesis - "Temple of Silence", Coue self-hypnosis are carried out, with the multiple repetition of the same formula "I feel silence and quiet around me, I am enveloped by sunlight, I easily follow the doctors' recommendations, I am in a good mood and have good working capacity" before falling asleep and on waking up.

EFFECT: method makes it possible to achieve the stable and long-term reduction of insulin-resistance, abdominal obesity, correction of metabolic disorders, increase compliancy, improvement of the mood, increase of a self-assessment level, as well as increase the self-confidence, change the "internal picture of the disease" towards the positive side, improve psychic and somatic condition due to the complex application of diagnostics and psychotherapeutic methods.

3 tbl, 1 ex

FIELD: medicine.

SUBSTANCE: patients are assessed individually to establish the fact of chronic cardiac insufficiency (CCI) suffered by detecting: age, height, weight, Quetelet index, Brock constant, systolic blood pressure, diastolic blood pressure, triglycerides, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, low-density lipoprotein cholesterol to total cholesterol ratio, very low-density lipoprotein cholesterol, high-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio, sum of the very low-density lipoprotein cholesterol and high-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratio, atherogenic index, alanine aminotransferase, aspartate aminotransferase, aspartate aminotransferase to alanine aminotransferase ratio, lactate dehydrogenase, glucose, α-amylase, total protein, albumin, uric acid, carbamide, creatinine, creatinine kinase, alkaline phosphatase, total bilirubin, conjugated bilirubin, ADP-induced thrombocyte aggregation, thrombocyte count, mean thrombocyte volume, erythrocyte count, mean erythrocyte volume, erythrocyte volume distribution, haematocrit, haemoglobin, mean corpuscular haemoglobin, mean corpuscular haemoglobin concentration, leukocyte count, segmented neutrophil percentage, eosinophil percentage, basophile percentage, lymphocyte percentage, monocyte percentage and displacement constant. The derived discriminator functions are used to establish the fact of the absence of CCI, the first stage of CCI, or the second stage of CCI.

EFFECT: method enables assessing the patients to establish the fact of CCI by determining the significant parameters.

3 dwg, 2 tbl, 1 ex

FIELD: medicine.

SUBSTANCE: method involves performing anthropometric measurements, cm: body length (BL), leg length (LL), shoulder diameter (SD), pelvic diameter (PD) and hip circumference (HC). That is followed by calculating a somatotype index (SI) in male adolescents by equation SI={[2.13×(LL-SD)-BL]/[PD+0.003×HC]}+2.95. If SI is more than 0.6, a male somatotype is diagnosed, whereas SI of 0.6 or less shows an eunuchoid somatotype in male adolescents.

EFFECT: method enables detecting the eunuchoid somatotype in male adolescents in medical examinations and periodic screenings.

3 ex

FIELD: medicine.

SUBSTANCE: body weight index and atherogenic index are calculated. The derived parameters are used to assess a probability (y) of low mineral bone density (MBD) in the females suffering from secondary amenorrhea by an original formula. If y>0, the probability of MBD makes more than 50% - high. If y<-1.0, the probability makes less than 25%, and the risk of low MBD is low. Observing -1.0≤y≤0 enables stating the probability from 25% to 50% that is the moderate risk of low MBD.

EFFECT: method enables optimising the diagnosis of low bone mineral density in the females suffering from secondary amenorrhea by the use of pathogenically caused indicators.

2 dwg, 3 ex

FIELD: medicine.

SUBSTANCE: patient's serum asparagine aminotransferase (AST) is measured. That is combined with duplex scanning to measure a splenic vein diameter (SVD) and a body weight. The measured AST, SVD and body weight are used to calculate a fibrosis index by formula: FI=-6.31+0.19*AST-1.02*SVD+0.24*BW, wherein FI is the fibrosis index, -6.31 is a constant, 0.19-1.02 and 0.24 are the coefficients, AST is blood serum asparagine aminotransferase (Unit/l), SVD is the splenic vein diameter (mm), and BW is the patient's body weight (kg). The constant and coefficients in the presented formula are calculated by multiple regression method; a dependent variable is a liver density value according to ultrasonic elastography findings. If the derived fibrosis index is less than 6.3, the absence of fibrosis (stage F0) is stated. If the fibrosis falls within the range of 6.3 to 8.3, the first stage of fibrosis (F1) is diagnosed. The fibrosis index of 8.4 to 10.8 corresponds to the second stage of fibrosis (F2). The fibrosis index of 10.9 to 13.9 corresponds to the third stage of fibrosis (F3). If the fibrosis index is more than 13.9, hepatic cirrhosis (stage F4) is diagnosed.

EFFECT: technique provides the adequate differentiation of the fibrosis stages in the patients with chronic viral hepatitis by the complex assessment of biochemical, ultrasonic and antropometric parameters.

5 ex

FIELD: medicine.

SUBSTANCE: device comprises a probe in the form of a hollow shaped cannula 1 with mark notches on an outer surface. On a distal end of the cannula 1, there is an active electrode 3 configured as an oblique truncated hollow tip. The active electrode 3 comprises a temperature-sensing element 2. The temperature-sensing element 2 and active electrode 3 are connected together by current conductors 9 integrated into the cannula 1, reinforced by an input holder 4, and provided with an analogue-to-digital converter 5 and a DC transducer 6 respectively, with a passive electrode 7 being also connected. Outputs of the DC transducer 6 and the analogue-to-digital converter 5 are connected to a personal computer 8. The cannula 1 is made of a medical sterilised polymer; the holder 4 is made of rubber, while the temperature-sensing element 2 is made insulated.

EFFECT: using the invention enables the non-invasive method using no additional equipment for measuring the nasal mucosal temperature, pain sensitivity level even in difficult to access areas of the nasal cavity, and also a muco-ciliary clearance rate that ensures increasing the diagnostic accuracy and providing daily monitoring of the functional state of the nasal mucosal examined dynamically.

4 cl, 1 dwg, 1 tbl

FIELD: medicine, cardiology, endocrinology, gynecology.

SUBSTANCE: one should detect informational-valuable signs of patient's state, such as either the presence or absence of hypertonic disease and uterine extirpation together with adnexa, the value of body weight index, predominance of disorders according to modified menopausal index (MMI)such as autonomic, metabolic-endocrine or psycho-emotional ones, the type of metabolic structures of blood serum, moreover, it is necessary to echocardiographically detect stroke volume, cardiac index and systemic vascular resistance (SVR), at ultrasound testing one should detect maximal linear rate of circulation (LRC max) by medial cerebral artery and thyroid alterations, rheovasographically one should detect specific circulation (SC) of shins, at testing laser doppler flowmetry one should detect microcirculation index, biochemically it is necessary to detect the value of beta-adrenoreactivity, cholesterol level and that of B-lipoproteides, crystallographically - the presence of serotonin and dopamine crystals, due to immunoenzymatic assay on should detect the values by Table 1 and then after obtaining the values of diagnostic coefficients of every parameter it is necessary to summarize them and obtain diagnostic index (DI), at its value being below 10 one should state no alteration, at its value 10-10 - undetermined state, at its value being 21-30 - the 2nd severity degree of disorders, and at DI value being above 31 one should state the 3d severity degree of disorders available.

EFFECT: higher accuracy of evaluation.

5 ex, 2 tbl

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