261
Training851596012886132194233304343412483
algorithmic13685960128120159229298345384423492602639702
task:2105596012896159212283321
dispensary24625960128126165220289352421476539586656
observation31515960128128197252315361431494532570641710
of38975960128126173
a41055960128119
patient42595960128127189228267329400438
with47325960128159196236305
arterial50735960128119166204267313351414452
hypertension851839012870141209272319358421490545583653723
Petrova8511080012878140179227296366428
Maria131610800128125187233272335
Sergeevna16871080012878140187256319381450521582
(date23051080012848117180219281
of26211080012871118
birth27741080012871111158196266
09.05.1973),30751080012871142177246316352421491561630678713
the38231080012839110172
next40301080012871134204242
dispensary43081080012871109164234297366421484530601
visit49421080012872111166204244
(after52201080012849111158196259304
changing8511321012862133195265335374443514
the14001321012843113175
place16101321012875114176238301
of19461321012873120
residence)21001321012853116170210279342411474536583
31.10.2025.27181321012874144180249318354424493564634669
According342613210128102163226296343412452521591
to40531321012843113
the42011321012843113176
patient,44121321012875136175215277347385421
she48681321012859128191
has50941321012875137191
had53201321012875137206
hypertension8511563012870141209272319358421490545583653723
since16101563012881120190252314
201819591563012897167237307
(Perindopril+Indapamide230215630128731522142592993684395085786256637037828298989681029110011631272130813791442
10+2.537791563012897167247316351421
mg).423515630128137205252287
Type455715630128113184252315
249071563012897
diabetes50401563012897136199268330368431484
since851180501285594164226289
202211741805012898168238308
(Metformin15181805012874198261299346416462570607678
100022311805012899169239310
mg).257518050128138206253288
At289818050128129168
the31011805012868137200
appointment,33361805012891160230300339408448557617688727763
the41341805012866136199
blood43671805012897137206276347
pressure47491805012898145206261315385431494
was527818050128130191245
140/908512046012870141210249320389
mmHg.127620460128109217317386422
When85122870128133201264334
measuring122122870128131191254308379426465535604
blood18612287012891131200270341
pressure22362287012893140201256310379427489
at27602287012885125
home,29202287012892161271331366
it33222287012861100
was345722870128124186241
usually37322287012893147216279317356427
130-135/80-8541922287012893163233283352422492530601671718787858
mmHg,508422870128132240340410445
and8512529012862133202
it1089252901284585
increased12092529012845116177224287349403465534
to17792529012846115
150/9519302529012877146216256325395
mmHg236725290128109217317387
when279625290128102171234304
the31362529012846116178
patient's33492529012877140179217280349389414468
condition38522529012869138209279317357395466535
worsened442925290128101171218272335404467536
(no50012529012853123193
more523625290128109177224287
than8512771012839110172241
once11282771012884154217279
a14422771012878
month).157027710128109177248287357404439
The204427710128100169232
patient23112771012885147186225287356396
does27422771012885154217272
not30492771012884154193
smoke32772771012870179247318381
and36932771012877147217
works394627710128116186232302356
as43382771012877131
a45032771012878
college46162771012877148186225287357420
teacher.50702771012854117178241311373420455
BMI8513012012894218265
28.411513012012871140175246
kg/m2143030120128711411802891718298308245
,17633012012835
WtC183430120128132170264
8221333012012870141
cm.23093012012862172204
Objective85132540128101171210272335374412483545
status:1432325401285392154193263317356
The8513495012886155218
condition11043495012880151220291329368407477547
is16863495012857112
satisfactory.18333495012871134173212266313375438476546592663696
Height256434950128120182221291361400
15430003495012888157227
cm,32623495012879190222
weight352034950128119181220291361400
6939553495012888158
kg,41483495012888158193
BMI437634950128111236283
–46943495012892
28.448223495012888157193263
kg/m2,51203495012887158196306373409
waist85137370128101163202257296
circumference11823737012866104151213282392436499545608678741803
(WtC)20203737012850182220315361
–24163737012874
8225263737012873143
cm.27043737012866175208
Skin,29503737012878148187257293
peripheral32783737012871134181219290359422469530569
lymph38823737012841112221289359
nodes,42773737012873143213275330365
visible46783737012873111165205274314375
mucous509237370128109177240310380435
membranes,85139780128109170281348396458528591646681
thyroid15673978012890161232276347386456
gland205739780128123162224294364
b/o.245739780128121160230266
The275839780128138207270
chest306339780128114184246300340
is34383978012890144
of361839780128123170
regular38223978012899161230301339402449
shape,430639780128106175238307370405
symmetrical,474639780128107178286394454493540579642705744779
participates8514220012870133180218257320358427490529591646
in15314220012854124
the16904220012853124186
act19114220012877140178
of21244220012884131
breathing,22914220012884131193256294363405475546581
FEV29064220012893179279
(in32204220012860100170
min)344042200128109146216264
–37394220012887
1638604220012886156
in40514220012853123
min.422442200128110146217252
SaO245114220012893156257327
=48734220012895
98%.50024220012885155272307
On535942200128101169
auscultation8514461012862133188249320358397459498537607677
of15644461012878125
the17244461012847117180
lungs,19394461012847117187258312347
breathing23214461012878125188250288359397467537
is28944461012847101
vesicular,30314461012879141195234296366405467514549
wheezing362444610128101171234295357396466536
is41954461012848102
not.43334461012878148186222
On459944610128101171
auscultation,48054461012872141195258328366405467507545615685721
the8514702012839110172
rhythm10574702012864134205242312422
of15124702012886134
cardiac16814702012878141187257295358419
activity21354702012879141180219288328366437
is26054702012856111
correct,27514702012879148195242303366405440
the32264702012854125188
heart34484702012886148210257295
rate37794702012863125163226
(in40404702012863101171
min)426347020128109146216263
–45614702012891
6646874702012886156
in48794702012854124
min.505547020128109146216252
BP534247020128109188
142/888514945012870141210249320389
mm127649450128133240
Hg.154949450128126196231
The181649450128109178241
abdomen20924945012886156226297406466536
is26644945012863117
soft,28164945012878148195233269
painless.31204945012893155193264302365418476512
There366749450128109178240287349
are40524945012886131194
no42814945012892163
peripheral44794945012893156202240311381443490551590
edema.51054945012886155218327387422
Physiological8515186012878148219272311382420490560599662724762
departures16485186012871133202265311350419466528583
are22665186012863109172
normal.24715186012870140187296356395431
Over85154270128101171234281
the11675427012896166228
past143054270128127189243282
time,17485427012895134244304339
when212254270128158228291361
the25195427012895165227
patient278154270128128190228267330399438
applied325454270128119189259298337400469
to37585427012896166
the39605427012896165228
clinic,422354270128119158196266305368403
the46615427012895165227
following492354270128104174213251322424461532601
examinations8515668012862133195305341412475514552622692747
were163356680128126188235297
carried19655668012887149195242281344413
out:24145668012895164203242
general26925668012893156226288335397435
blood31635668012895133204273343
test35425668012863126180219
and37975668012890159230
general40635668012894157226289336398436
urine45345668012895142180251313
testwithout48825668012864127180219321358398468538608646
pathology.8515911012870133172242311351420490561594
Parameters9056257012878140187249359419458520567622
Values203962570128101163202273336389
Biochemical9056504012894133203265335397506543606668707
blood9056745012870110179249320
test:12606745012838100155193232
Creatinine20396504012894140203265304343412452521584
8826586504012881151
micromol/L,285665040128110146209256326435503542582668702
AST360565040128101178264
4239046504012881152
U/L,410365040128101140226261
ALT441065040128101187272
3847166504012882153
U/L,491665040128101139226260
total52116504012851121160222260
cholesterol20396745012862133202242304358396459506575614
6.0268967450128143178249
mmol/L,297367450128183291360400438524559
HDL356767450128175276361
1.0396267450128145180250
mmol/L,424767450128184292360399439525559
LDL484267450128159260345
2.5522267450128144179249
mmol/L,203969860128109218286326365451486
venous25596986012871133203273343398
plasma29916986012870109172226334395
glucose34226986012870109180243312366428
6.038866986012870105174
mmol/L409569860128110217285325365452