жалобы со слов пациента на боли в о

жалобы со слов пациента на боли в области глаза справа с захватом периорбиталбной и височной области со слезотечением (глаз краснеет и слегка закрывается ) и ринореей Он заболевания ЧМТ отрицает приступы болей беспокоят около 10-12 лет. Имеют сезонность ( весна и осень ). Приступы обычно начинаются с резкими изменениями погодных условий и нарушений режима (голод ‚ стрессы) в определённое время суток ( обычно в 10-11 часов утра). После приступа боли состояние сонливости и разбитости. Общее состояние относительно удовлетворительное. Сознание ясное. АД 11070.
Перенесённые заболевания.
Неврологический статус.
Перкуссия черепа painless. Затылочные и паравертебральные точки painless. Симптом данциг-кунакова отрицательный. Точка Валле painless
ЧМН без патологий.
Мышечный тонус конечностей не изменён. Фибриллярных и фасцикулярных подёргиваний нет. Объем активных и пассивных движений рук и ног в полном объёме
Сухожильные рефлексы вызываются BR-D=S ,TR-D=S , PR-D=S ,AR-D=S
Парезов и параличей в конечностях нет
Координатных нарушений нет. В позе ромберга устойчив.
Чувствительных нарушений нет.
Патологические рефлексы пирамидных и псевдобульбарных знаков нет.
Нарушений функции тазовых органов нет.
менингальных знаков нет.
Диагноз: кластерная цефалгия справа
Лечение:
Попробовать при приступе дифметре развести 1 таблетку в 1 стакане кипячённой охлаждённой воды.
Верапамил 80 мг по 1 2 tab 2 раза в день под контролем АД, месяц.
Радофен по 1 таблетке 2 раза в день строго поле еды 10 дней
Феварин 50 мг по 1 2 таблетки 1 раз в 21 часов в течении 2x месяцев

Результаты (английский) 1:

complaints from the words of the patient's pain in the right eye with the capture of periorbitalbnoj and temporal region with lacrimation (eye turns red and slightly closes) and He rinoreej illness denies pain attacks CCT bother about 10-12 years. Have a season (spring and fall). Seizures usually begin with sudden changes in weather conditions and violations (hunger ' stresses) at a certain time of day (usually 10-11 a.m.). After a bout of pain condition of sleepiness and weakness. Overall condition is relatively satisfactory. Consciousness clear. AD 110 70.Experienced the disease.Neurological status.Percussion skull painless. Occipital and paravertebral point painless. Symptom of Danzig-kunakova negative. Point Valle painlessFSK without pathologies.Muscle tone of the limbs is not changed. Fibrillârnyh and fascikulârnyh no twitching. Active and passive movements of the arms and legs in fullTendon reflexes are called BR-D = S, TR-D = S, PR-D = S, AR D = SParesis and paralysis in the limbs notCoordinate no violations. In Romberg's posture stable.Sensitive no violations.Pathological reflexes pyramid and psevdobul′barnyh characters are not.Pelvic dysfunction No.meningal′nyh characters are not.Diagnosis: cluster cefalgiâ on the rightTreatment:Try in a fit of difmetre diluted 1 tablet in 1 glass of chilled water kipâčënnoj.Verapamil 80 mg 1 tab 2 2 times a day under the supervision of ad, a month.Radofen on 1 tablet 2 times a day strictly food box 10 daysLuvox 50 mg 1 tablet 2 times 1 in 9:00 pm within 2 x months

Результаты (английский) 2:

the words of the patient's complaints of pain in the right eye with the capture periorbitalbnoy and temporal region with watery eyes (red eyes and a slightly closed) and rhinorrhea disease head injury he denies attacks of pain are concerned about 10-12 years. Are seasonal (spring and fall). Seizures usually begin with sudden changes of weather conditions and violations of the (hunger, stress) at a certain time (usually 10-11 am). After an attack of pain drowsiness and weakness. The general condition is relatively satisfactory. Consciousness is clear. AD 110 70.
Transferred disease.
Neurological status.
Percussion skull painless. Occipital and paravertebral point painless. Symptom Danzig-Kunakova negative. Point Valle painless
FSK without pathologies.
Muscle tone is certainly not changed. Fascicular twitchings and fibrillar not. The volume of active and passive movements of the arms and legs in full
tendon reflexes are called BR-D = S, TR-D = S, PR-D = S, AR-D = S
paresis and paralysis of the limbs is not
coordinate violations there. In the Romberg position is stable.
Sensitive no violations.
Pathological reflexes pyramidal and pseudobulbar signs there.
Dysfunction of the pelvic organs there.
Meningalnyh signs there.
The diagnosis: Cluster cephalalgia Right
Treatment:
Attempt at an attack difmetre dissolve 1 tablet in 1 glass of boiled cooled water.
Verapamil 80 mg to 1 2 2 tab twice a day under the control of blood pressure, a month.
Radofen 1 tablet 2 times a day strictly food field 10 days
Luvox 50 mg to 1 2 1 tablet every 21 hours during the months of 2x

Результаты (английский) 3:

complaints with the words the patient in pain in the area of the eyes to the right of периорбиталбной and temporal areas with слезотечением (eye red and slightly rose) and ринореей he of tbi has bouts of painabout 10 to 12 years.have the seasonality (spring and autumn). seizures usually begin with sudden changes in weather conditions and violations of the regime (hunger in stress) in a certain time (usually 10 - 11 a.m.).after the attack, the pain condition of sleepiness and that. the general condition of relatively satisfactory. consciousness is clear. ad 110 / 70.
transhipped diseases neurological status.
.
percussion skull painless.occipital and паравертебральные point painless. the symptom of danzig - кунакова is negative. the valle painless
чмн without abnormalities.
muscle tone and not deformed. фибриллярных and фасцикулярных подёргиваний no.the amount of active and passive movements of the hands and feet in its entirety
tendon reflexes caused by br - d = s, tr - d = s, pr d = s, r - d = s
парезов and параличей in limbs no
grid violations. in the position ромберга stable.
sensitive violations.
pathological reflexes pyramid and псевдобульбарных signs.
of the pelvic organs. менингальных characters
.
the diagnosis: a cluster цефалгия right

treatment.try to get a дифметре 1 pill 1 glass of water кипячённой охлаждённой 80 mg verapamil.
1 2 tab 2 times a day, under the control of hell, a
радофен one tablet twice a day is the food 10 days.феварин 50 mg to 1 2 pills 1 times in 21 hours at a 2x months