Bonchitis

-temperature about 38C

-a short painful dry cough associated with rapid respiration
-the pain in the throat ans behind the breastbone
-dry moist rales hearted in the lungs
-respiratory rate increased
-discomfort in the chest
The amount of the discharge from the bronchial mucous membrane was lare.
It accumulated in the bronchial tubes and made the patient cough.Passing
through this fluid in the bronchial tubes the air which was breathed in and
out produced moist and dry rales.
Treatment-bed regimen and light diet. Recommend to drink either warm milk
or have warm applications on his chest. Patient has to take two tablets of
tetracyclin to be taken orally and a cough mixture to be taken three times a day.

Tracheites
-cough, usually dry at first,but in a doy or two it becomed productive
-pain in the substernal area, in the throat
-general condition becames worse
-a bad headache may develop
-in the adult the temperature may not be high,but in the children
it may be as high as 39
Is the disease in wich the mucous membrane of the trachea is impared.In
such conditions the microorganism such as pneumococci staphylococci ans
streptococci multiply rapidly and produce the inflammation of the mucouc membrane.
Treatment-patient must be in a warm room,well aired. Wil be administrated
aspirin or codein which gives relief. Recommended to have warm milk with soda several times a day.

Lobular Pneumonia
-fever persistin for two weeks (caused by the appearance of the new foci of inflammatipon
in the pulmonary tussue.
-rapid breathing
-breathlessness and cyanosis
-decrease in the respiratory syrface and occlusion of numerous bronchioles and alveoli
-paint in the chest
-cough with purulent sputum
-accelerated pulse rate
-arterial pressure reduced
-dullness
-abnormal respiration
-numerous rales and crepitation
-increased number of leucocytosis and an accelerated erythrocyte sedimentation rate
-numerous foci of inflammation in the lungs
enlargement of the lymphatic glands
Treatment the first day of the dsease the patient was administered a 2gr dose of nursulphazol
which was followed by a 1 gr dose every four hours during that day.In addition to nursulphazol
the patient had been receiving streptomycin in doses of 500 000 units twice daily during
8 days. To improve patient sleep he had been taken bromide and luminal during whole course.
Cough tans chest pain were relieved by the administration of codein, cough mixture xups and
other necessary procedures. When the body temperature come to normal he was allowed to walk a little.

Pulmonary Tuberculosis
-general malaise,fatigue,loss of appetite and weight
-cough with sputum dischare
-blood in sputum
-fever
-cold profuse perspiration at night
Pulmonary tuberculosis is caused by mycobacterium tuberculosis. This disease
may also affect other organs;bones, joints, lymphatic glands.

Rheumatic Endocarditis
-general malaise, early fatiue on exertion,
-cardiac discomfort and palpitation
-fever
-irregular pulse rate
-heart is slightly enlarged
-soft systolic murmur is heard at the heart apex
-diastole murmur is heard at the apex and base of the heart
-organic changes in the mitral aortic and tricuspid valves
Treatment- is administrated antibiotic therapy to eliminate the primary focus of infection.
Adonis preparations to control cardiovascular insufficiency. The patient took aspirin in
the dosage of 1 gr four times a day. Diet should be nourishing with many vitamins but limited
in salt. The patient was allowed only a limited amount of fluid.