Бланк истории болезни. Казанская государственная академия ветеринарной медицины имени Н. Э. Баумана
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1 2 _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Диагноз (первоначальный)______________________________________________________ __________________________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ЗАКЛЮЧЕНИЕ о состоянии животного и характере патологического процесса________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Подпись врача (куратора)____________________________________________
Диагноз (уточненный, заключительный)___________________________________________ __________________________________________________________________________________________________________________________________________________________ а) основной___________________________________________________________________ _____________________________________________________________________________ б) сопутствующие заболевания___________________________________________________ __________________________________________________________________________________________________________________________________________________________ в) осложнения_________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ IV. ЭПИКРИЗ (общее заключение по курируемому животному и лечению)
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Дата “___”____________ _____г. Подпись врача__________________________ Далее следует приложение: температурный листок, заполненные бланки лабораторных анализов, гемограммы, рентгенограммы, фотоснимки пациента до и после лечения, протоколы вскрытия и др. График колебания температуры тела График колебания частоты сердечных сокращений График колебания частоты дыхания 1 2 |