185
Training851596012886132194233304343412483
algorithmic13685960128106143214284331369408478588624687
task:2090596012882145198268307
dispensary24325960128113151206276339408462525571642
observation31075960128113183238300346416479517556626696
of38385960128112159
a40315960128105
patient41715960128112175213252314384424
with46295960128145183222292
bronchial49565960128111159229299361430469532569
asthma851839012862117157226336396
At85111800128101140
a10261180012893
therapist's11551180012869139202249311380419474512538592
appointment,17831180012892162232301341411450560620690729765
patient25831180012899162201240302371410
Anna302811800128133202272335
Vasilyevna339811800128132194248287325396456527597660
Markova409311800128156218264334404474536
(date46641180012878148210249312
of501111800128100147
birth:519311800128104144190229299337
12.07.2000).8511422012870141176245316351420489560630677712
Height159814220128143204244313383422
170205514220128112182252
cm,234214220128104213246
weight262314220128143205244314385423
58308214220128112181
kg.329914220128112181217
BMI355114220128135260306
=389214220128120
20.1404714220128112181217287
kg/m².436914220128111182220330370405
The480914220128127196259
patient510314220128112175214252314383422
complains8511663012862133242310350412451521576
of14631663012884131
episodes16291663012877147186240310380443497
of21611663012885133
difficult23291663012884123171216255318387426465
breathing,28301663012884131193255294364403472543578
dry34431663012884131202
paroxysmal36781663012885148195265335406458569629668
cough43821663012877147217288357
upon47751663012885155225295
contact51061663012877146216255318379417
with85119050128101140179249
strong11351905012873111158228298368
odors15381905012888158227274329
and19031905012878149218
animals.21571905012880150188298358397452487
Daytime268019050128118180250288327438498
asthma32131905012880135174244353413
attacks36621905012880119158221283352407
occur41051905012886149210281328
1-344671905012888140210
times4712190501285695205265319
a50671905012880
week,518219050128119181243313348
she8512146012855125188
notes10732146012892162201263317
limitations14252146012862100210246286349388426497568622
in20822146012861131
physical22482146012892162233286325388449488
activity27722146012883145184223293332371441
(sports32462146012869124195264312349404
activities36852146012885147185224294332372410473527
-42472146012873
swimming,43552146012876177215325433470541612647
running,50372146012869138209278317388457493
tennis),8512387012839102172242280335382417
nighttime15652387012870109179249287327365475536
attacks23982387012862101140203265334388
occur30842387012870132193263311
1-236912387012870120189
times4176238701283978188248303
a47772387012862
month.513723870128109177248287357392
She8512630012878148211
takes109726300128141204273335389
salbutamol152126300128157219257328397436499607675714
to227126300128140211
relieve251726300128149211250289351421484
asthma303626300128164218257327437497
attacks,356826300128164203242305367438492527
1-3413026300128172223292
times445726300128140180290349404
a489726300128164
week.509626300128203265327397433
Medical85128710128125187257296359421459
history:13452871012899138192232302349419456
since18372871012884122192254316
childhood,21882871012892161201239310380449520589625
contact28482871012892161230270333394432
with331528710128131170208279
animals36282871012892161201310370409464
has41282871012898161215
caused43782871012891153224278340410
lacrimation,48232871012869130193240278387447486531601671707
runny8513112012847117188257328
nose,12133112012870141195258293
and15413112012863132201
dry17783112012871117187
cough.19993112012863133204273343378
Similar24133112012878117227263303366412
episodes28603112012863133171226296366428482
of33773112012871117
difficult35303112012871109156203241304373412451
breathing40163112012870117179242280350389459529
started4580311201285594157203241304373
occurring49893112012870132194264311358396466536
over8513353012870141203249
the11353353012845115177
last13483353012843106159199
215823353012875
years,16923353012876137199246300336
3-420633353012874124194
times2293335301284381191251306
a26343353012868
year27373353012876137199246
after30183353012868115154217263
visiting33153353012876116170209248286357426
the37773353012843114177
countryside39893353012866137206276315363433486524595658
or46823353012874121
forest.48383353012853122169231285323359
Used523733530128102156218287
inhalers8513596012839110179242280343389443
(Salbutamol).47633596012847125187226296366405468577645684731766
Life8513837012886124171234
history:13213837012870109163202272319389427
allergy19843837012862101141204249319390
to26093837012839110
animal29553837012862131170280341380
dander35713837012870133203273336382
and41883837012862133202
plant46263837012870110171242280
pollen.51433837012870140178218280350384
Non-smoker.85140780128101171242289343452520591653700735
Objective85143190128101171210272335374412483545
examination:14324319012880149211321357428491530568638707747
condition22144319012880149220290328368406477546
satisfactory.27964319012872134173211266313375437476546593663696
Respiratory352843190128111173227298338385446485555602672
rate42334319012865127166229
1644974319012888159
per46914319012888151196
min.494143190128109146217252
Over522843190128119189251297
the8514562012839110172
lungs,10594562012842112182252307342
there14364562012843113176221284
is1755456201284397
a18884562012867
pulmonary19904562012874144183293361432494541611
sound26354562012859129200269339
on30104562012874144
percussion,31894562012875137183246316370425464533604639
harsh38644562012873135182236306
vesicular42064562012873136191229291361401462509
breathing47504562012875122183246285354393463533
and53194562012866135205
wheezing85148030128101171234296358396467537
are14234803012883129192
auscultated.16504803012881151205268337377415477516579648683
Heart236848030128121183245292331
rate27354803012867128167230
10030004803012889158229
bpm,32644803012889160270302
heart36024803012889152215261300
sounds39384803012873144214283354408
clear43814803012883121182245292
and47084803012882152222
rhythmic.49654803012867136207244315424461524559
Spirometry8515044012878148188234304414474513560630
data:15155044012879142181244283
FEV118335044012886172273342
79%,22115044012879149266301
bronchodilator25475044012879126195265327397467537576615677715786833
test34155044012847110164203
(12%36535044012855126195313
improvement),40005044012847157225272342413475585645715755802837
FEV1/FVC48725044012887173273343382460561653
–8515285012870
0.88.9575285012870105174245280