The Patient
Against the background of the general phenomena of intoxication develop local symptoms, depending on the catarrh of the mucous membrane of respiratory tract infections. The defeat of the respiratory caused by the multiplication of the virus that causes degeneration and desquamation of the columnar epithelium with subsequent penetration of the virus in a slimy layer, and then into the blood. Patients worried about congestion, serous (a later purulent) discharge from the nose, in some cases, nosebleeds, sore throat and slight pain on swallowing, short (staccato), dry cough, accompanied by chest pain, mild hoarseness, "stuffy" for sternum. Some patients have watery eyes and photophobia. Temperature reaction lasts 3-5 days. The maximum temperature increase is observed in rounds the end of the first or early second day. Approximately 25% of cases there are two feverish wave (two-humped temperature curve). Duration of fever for 5-6 days more evidence, as a rule, acceded to or cause complications to take into question the diagnosis of influenza.
At objective examination of the patient can detect congestion, at least – pale face, in severe cases – acrocyanosis, inject sclera and watery, often cold sores on the face and mucous membranes of lips, high sweating, difficulty in nasal breathing, nasal discharge, congestion throat. Sometimes a grain of follicular unit rear wall of the pharynx and soft palate, vascular net in the mucosa of the soft palate. Changes in the cardiovascular system are characterized by relative bradycardia, hypotension, muffled tones of the heart. The lungs are breathing hard and listen diffuse dry rales. central nervous system, in addition to the above-described general phenomena of intoxication, there is a sleep disorder, if severe – meningeal syndrome, pain at the output branches of the trigeminal and occipital nerves. Change Found abnormal grain in neutrophils. In the first 1-2 days are not so seldom mild leukocytosis. Accurate diagnosis of influenza requires erased virological confirmation.
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