243
2.671596012870106
What8515990126140218289336
main12345990126117185225303
pathogenicity1572599012691160207285354424486563602665704750820
factor2427599012660130191238307370
of2832599012682129
the2996599012660137199
causative3230599012674144223279349397435504567
agentdetermines38325990126821522142923394206596012870133172234279390426497560614
the4855596012852121184
severity5073596012868130199262308347385456
of851839012870117
the1003839012875145208
patient's12468390128104167206245307376416442495
condition1776839012898167238308347385425495564
and2376839012898168237
the2649839012875144207
development28918390128105167236299337407477587647717757
of36838390128105152
complications?3870839012898168278346385425487549587626696767821882
Describe47898390128137198252315361399470533
its5357839012873113167
mechanism85110800128109170233303366436474529639
of15231080012870117
action16751080012862125164202273342
on20511080012871141
the22281080012837108170
cells24331080012862124163202256
of27241080012871117
the28761080012838109171
macroorganism.308210800128109169232279349419466536598668707761870903
3.6711321012870106
What85113240126140218289336
specific12221324012660139201263301348386449
treatment17061324012654116177248295411471549596
must234513240126117194248295
be26751324012685148
prescribedto2858132401268514720926332538742650456764535401321012838108
the36841321012844114177
patient38961321012876138178216279348387
immediately,43191321012844153262322392432495534597634705738
without509913210128101140179250320390429
waiting85115630128101163202242280351420
for13071563012847115163
laboratory15051563012839101170240287350387458504573
results?21131563012847109164234273312366428
Justify25771563012854125179219257304374
the29851563012839109172
tactics.31921563012839101163202241303358394
4.6711805012870106
What85118070126140218289336
laboratory12221807012675144223293355425471541604673
tests19311807012683144198245300
must226518070126154230285332
be263218070126115177
performedto28451807012611417723828535541753259367135531805012839109
confirm36981805012899169239286324371480
the42111805012876147209
diagnosis?445418050128107147209279348418473512567628
Which511718050128170238278340410
method85120460128109170209280351420
is1307204601283992
considered14352046012862131202256294365428473536606
the20762046012838109171
"gold22822046012856126197235305
standard"2623204601285393155224294357403473530
and31882046012863132202
how34242046012871141243
to37022046012837108
properly38442046012870117186257319365404475
collect43522046012862133172211273335373
the47612046012839108171
material?496720460128109169208271318357419457519
5.6712287012870106
Assess85122900126101155210273327382
the12672290012689167229
patient's153022900126120190236276338416462501555
vaccination212022900126111182243306345423492539577647725
status.28812290012694142212258336389425
What334322870128133201264303
management368122870128151211281344414477587646717756
tactics44722287012880143206243282345399
should49062287012896166235306344414
be535522870128111174
recommended8512529012847109171242351459519590660723793
for16792529012874144191
the19042529012866136198
patient21372529012897160198236299368408
after25802529012888135174236283
recovery28982529012874136197268337399446516
to34472529012867137
create36202529012889136197259298360
reliable40152529012874137175214276346384447
immunity44962529012866176284352422462501572
against51012529012890160223261331385424
diphtheria?8512771012870110179249288358421468505568629
Answer85132580126101179233334398459
Standards:13453258012679125196274351421484561615662
1.8513499012670106
Clinical99134990126102140180258296359428467
diagnosis14943499012678115185255334403457496550
and20793499012670148226
its2340349901263986140
justification:25153499012647125178226265312350412481529567637716761
671376509146
Diagnosis:85137390126101140210280359429483521576623
Toxic15103737012886154225263326
form18713737012893162209319
of222337370128116163
oropharyngeal242137370128117164235304374437483554622693755819857
diphtheria,331337370128117155226295334404466513552615650
grade399837370128115162225294357
II,43903737012892138173
combined459937370128108178288356395466529598
with523237370128148187225296
diphtheria8513978012870110179249288358421468505568
croup.14543978012863109178249319354
671425009146
Justification:8514224012670149203249288336373436505552592661740786
o671449708060
The8514461012886155218
diagnosis11044461012880118181250321390444484538
is16774461012849103
based18154461012878141196257327
on21774461012879149
the23624461012848117180
characteristic25774461012871141204249312374412475522561615653693754
clinical33664461012872111150220259321384422
picture:38234461012879118181219289335398437
acute42954461012871133202242304
onset46344461012879148203265304
with498344610128101140178248
high52664461012880118188258
fever8514702012847109179242289
and11754702012862131201
severe14114702012855117187250296358
intoxication,18044702012839108147217287326389450489528597668703
severe25434702012854115186247294356
sore29354702012854124171233
throat.32034702012838108155225287326361
o671498108060
The8514945012886155218
presence110449450128136183246299362431494556
of169549450128135182
a191249450128128
pathognomonic207449450128136198237307378447517588697765836874937
symptom304649450128120191298366405476587
–366649450128139
dense,384149450128136199269323386421
dirty-gray429749450128136174221260331377447494556627
fibrinous495749450128112151222269307378447517572
membranes85151860128109170281348396458528591646
extending15325186012882151190253322392431501570
beyond21385186012889152222290361431
the26045186012858128190
tonsils28295186012858128198253292330385
(onto32485186012866136207245316
the35995186012858128190
arches38255186012881127189259322375
and42365186012881151221
uvula),44925186012889159230268331378413
which494051860128120189228290361
are53365186012882128189
removed8515427012847109218286357420490
with137654270128102140178249
difficulty16595427012870110157202241304373412450521
and22135427012862133203
leave24525427012839101164233296
a27835427012862
bleeding28795427012870109171233302342411481
surface.33965427012854123171217280342403439
o671570408060
The8515668012886155218
key11045668012881144214
sign13515668012865105175245
of16315668012881128
the17945668012850119182
toxic20115668012850119190228291
form23375668012857128174283
–26545668012883
swelling27735668012865167229268307346415486
of32935668012881128
the34565668012850120183
subcutaneous36745668012865135204267336378440509572641711766
tissue4475566801284988142197267330
of48405668012880126
the50025668012849120181
neck,52185668012881144206275311
grade8515911012870117180249312
II1198591101284693
(down13265911012847116186288356
to17185911012839108
the18625911012839108171
collarbones).20685911012861131171209272319388457528590644692727
o671618808060
The8516152012886155218
presence11046152012883130193246309378441503
of16426152012883131
signs18076152012868107176247301
of21436152012883131
laryngeal23096152012851114161231300370433494533
stenosis28776152012868107170239309363402456
(noisy33686152012861130200239293364
breathing,37656152012884131194256294365403473543579
difficult43786152012884122168215254317386426464
inspiration,48786152012851121176246285331394433471541611647
hoarseness)8516393012870141203249304367436499552606653
indicates15406393012839108179217280342380443496
the20726393012837108171
development22766393012871133202265303374443553613683723
of30346393012870117
diphtheria31856393012870110179250289358421468506568
croup.37886393012863110178249319354
o671667108060
Unfavorable85166350128101171218281351420468530599638700
premorbid158666350128122169231341408456526565635
background225766350128121184246315385432501572641711
–300366350128124
lack31636635012890152214285
of348266350128123170
information36866635012891161208277324435495534573644713
about443466350128115185254324363
vaccination483266350128123185247309347417480518557627697
(probable8516877012847117164233304367436474537
lack14236877012839101163233
of16906877012871118
immunity).18436877012837147255323393433472543588623
2.8517123012670106
Main99171230126133202242319
pathogenicity13457123012679148196274343412475553591653693739809
factor21907123012646117178225295357
and25827123012670148226
mechanism284371230126117178240318388466505560677
of35547123012670117
action:37067123012670133179218287366413
671738809146
The8517359012886155218
main110473590128110169208279
pathogenicity14187359012871133172242311382444514553615653692762
factor22147359012846109171210281328
isdiphtheria257773590128399327067362012678116194272319397460522560629
exotoxin33717362012662132202249318388427506
.38787359012835