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1
00:00:01,180 --> 00:00:05,160
ุจุณู
ุงููู ุงูุฑุญู
ู ุงูุฑุญูู
ุฃููุง ูุณููุง ุจูู
ูู course
2
00:00:05,160 --> 00:00:08,500
ู
ูุฏู
ุฉ ุงูู
ูุงุฑุงุช ูู ุงู bridging course ู ุฃุชู
ูู ููู
3
00:00:08,500 --> 00:00:12,540
ุฃููุงุช ุทูุจุฉ ู ุฃู ุชุญุตููุง ุนูู ุงูุญุฏ ุงูุฃุฏูู ู
ู
4
00:00:12,540 --> 00:00:17,800
ุงูุงุณุชูุงุฏุฉ ู ุงูู
ุนููู
ุงุช ุงูุชู ุณุชููุฏูู
ุงู ุดุงุก ุงููู ูู
5
00:00:17,800 --> 00:00:23,780
ุงูู
ุณุชูุจู ู ูู ู
ุฌู
ู ุญูุงุชูู
ุงูุนู
ููุฉ ุจุฅุฐู ุงูููุงูููู
6
00:00:23,780 --> 00:00:30,500
ู
ุญุงุถุฑุชูุง ูู ู
ุฏุฎู ู
ูู
ููุชุนููู
ุงูุณุฑูุฑู ููู ุงูู
ุญุงุถุฑุฉ
7
00:00:30,500 --> 00:00:35,580
ุงูุฃุณุงุณ ุงูุชู ูุนุชู
ุฏ ุนูููุง ุฃู ุงูุชู ูุนูู ูุจุฏุฃ ูู
8
00:00:35,580 --> 00:00:41,020
ุชุฏุฑูุณูุง ูุทูุจุฉ ุงูู
ุฑุญูุฉ ุงูุณุฑูุฑูุฉ ููู ููู ูุชูุงุตููู ู
ุน
9
00:00:41,020 --> 00:00:46,540
ุงูู
ุฑุถู ููุฃุฎุฐูุง ู
ููู
ุงูู
ุนููู
ุงุช ุงูุทุจูุฉ ุงููุงุฒู
ุฉุทุจุนุง
10
00:00:46,540 --> 00:00:50,300
ุงู history taking in surgery ุฒู ุงู history taking
11
00:00:50,300 --> 00:00:53,760
in medicine in general ูุฅู ูุงู ูู ุจุนุถ ุงูุฎุตูุตูุงุช
12
00:00:53,760 --> 00:00:56,380
ุฃุญูุงูุง ุจุชูุฑุถ ููุณูุง ุจุงูุฐุงุช ูู ุงู emergency
13
00:00:56,380 --> 00:01:00,340
conditions ููู ุนู
ูู
ุง ูู ุงู history taking ุจูุฎุถุน
14
00:01:00,340 --> 00:01:03,780
ูููุณ ุงูููุงุนุฏ ู ุจูุฎุถุน ูููุณ ุงูู
ุจุงุฏุฆ ู ุจูุฎุถุน ูููุณ
15
00:01:03,780 --> 00:01:10,620
ุงูุฎุทูุงุช ุงูู
ุนููุฏุฉ ูู ูู ุงูู
ุฌุงูุงุช ุงูุชุงููุฉุงู history
16
00:01:10,620 --> 00:01:14,320
taking ู
ูู
ุฌุฏุง ูุฃูู ูู ุงูุฎุทูุฉ ุงูุฃููู ูู ุชุญุตูู
17
00:01:14,320 --> 00:01:21,020
ุงูู
ุนููู
ุฉ ู ูู ุงูุฎุทูุฉ ุงูุฃููู ูู ุจูุงุก ุงูุชุดุฎูุต
18
00:01:21,020 --> 00:01:24,240
ุงูุณุฑูุฑู ููู
ุฑูุถ ู ุงุญูุง ุจูุนุฑู ุงูู ู
ุงุจููุฏุฑ ูุนุงูุฌ
19
00:01:24,240 --> 00:01:28,380
ุงูู
ุฑูุถ ุบูุฑ ูู
ุง ูุจูู ุชุดุฎูุต ุณุฑูุฑู ุณููู
ูุจุงูุชุงูู ุงู
20
00:01:28,380 --> 00:01:32,380
history taking ููุง ุจููุนุจ ุฏูุฑ ู
ุญูุฑููู ุงู history
21
00:01:32,380 --> 00:01:36,540
taking ุนุจุงุฑุฉ ุนู skill ููุง ูู ุนุจุงุฑุฉ ุนู knowledgeุ
22
00:01:36,540 --> 00:01:40,140
ูู ูู ุงูุญูููุฉ ุนุจุงุฑุฉ ุนู combination between skill
23
00:01:40,140 --> 00:01:42,820
and knowledge ูุงุฒู
ูููู ูู ุนูุฏูุง ุงูู
ุนููู
ุงุช
24
00:01:42,820 --> 00:01:47,140
ุงูุถุฑูุฑูุฉ ู ูู ููุณ ุงูููุช ูุงุฒู
ูุนุฑู ููู ููุธู ูุฐู
25
00:01:47,140 --> 00:01:51,080
ุงูู
ุนููู
ุงุช ูู ุงูุญุตูู ุนูู ุงูุฃุดูุงุก ุงูุถุฑูุฑูุฉ ุฃู
26
00:01:51,080 --> 00:01:57,280
ุงูู
ุนููู
ุฉ ุงูุถุฑูุฑูุฉ ุงููู ุจุชุณุงูู
ูู ุชุดุฎูุต ุงูู
ุฑูุถ
27
00:01:57,630 --> 00:02:01,550
ูุจุงูุชุงูู ุงู history taking ูู ู
ุฒูุฌ ู
ู ูุฐู ู ุชูู
28
00:02:01,550 --> 00:02:04,890
ุทุจุนุง ุฒู ู
ุง ุงุญูุง ุนุงุฑููู ุงู history taking ุจุนุชู
ุฏ ุนูู
29
00:02:04,890 --> 00:02:08,790
ุงูุณุคุงู ุงูู
ุฑูุถ ู ุงู communication ู
ุน ุงูู
ุฑูุถ both by
30
00:02:08,790 --> 00:02:12,350
verbal communication ุนู ุทุฑูู ุงูููุงู
ู ูู ููุณ ุงููุฌุฏ
31
00:02:12,350 --> 00:02:15,690
ุนู ุทุฑูู ุงู body language ูุฃู ุจุฑุถู ุงู body language
32
00:02:15,690 --> 00:02:19,710
ุจุชุณุงุนุฏูุง ุงู ููุณุฑ ููู
ุฑูุถ ุงู ุงูู
ุฑูุถ ููุณุฑูุง ุงูุด ูู
33
00:02:19,710 --> 00:02:22,750
ุงููู ุจูุดู ู
ูู ุทุจุนุง ุงู body language ู
ูู
ุฌุฏุง ุน ุณุจูู
34
00:02:22,750 --> 00:02:25,630
ุงูู
ุซุงู ูู ูุงู ุงูู
ุฑูุถ looking ill ุงู looking well
35
00:02:26,030 --> 00:02:29,610
looking in pain ุฃู looking sad ุฃู looking in good
36
00:02:29,610 --> 00:02:36,590
mood ูู ูุฐุง ุจูุณุงูู
ูู ุจูุงุก ุฃู ุจูุณุงูู
ูู ุงููุงุฆุฏู
37
00:02:36,590 --> 00:02:41,410
ุนูู ุฅูุด ู
ู
ูู ุงูู
ุฑูุถ ูููู ูุนุงูู ู
ูู ุทุจุนุง ุงู history
38
00:02:41,410 --> 00:02:46,010
taking ูู ุนุจุงุฑุฉ ุนู ุฃุฎุฐ ุงูู
ุนููู
ุงุช ุงูุถุฑูุฑูุฉ ู
ู
39
00:02:46,010 --> 00:02:50,250
ุงูู
ุฑูุถ ุงู relevant questions ุฃู ุงู relevant dataู
ุด
40
00:02:50,250 --> 00:02:53,170
ูู ุญุงุฌุฉ ุจูุญูููุง ุงูู
ุฑูุถ ุชุนุชุจุฑ relevant ูุจุงูุชุงูู
41
00:02:53,170 --> 00:02:57,430
ุงุญูุง ุจูุญุงูู ุฏุงูู
ุง ููุฌู ุงูู
ุฑูุถ ูู relevant data ุญุชู
42
00:02:57,430 --> 00:03:02,150
ูู ูู ูู ููุงู
ู ุฎุฑุฌ ุนู ุณูุงู ุงูู
ูุถูุน ุงูุถุฑูุฑู ุงุญูุง we
43
00:03:02,150 --> 00:03:06,610
have to lead the conversation ูุนูู ูุงุฒู
ุงุญูุง ูููู
44
00:03:06,610 --> 00:03:09,870
ุจูููู ุงู conversation ุงู ุงูู
ุญุงุฏุซุฉ ููุฑุฌุน ุงูู
ุฑูุถ
45
00:03:09,870 --> 00:03:15,120
ููุณูุงู ุชุจุน ุงูู
ุญุงุฏุซุฉ ูู ุงูููุช ุงูุถุฑูุฑูููู ูุจูู
46
00:03:15,120 --> 00:03:18,540
diagnosisุ ุทุจุนุง ุงู diagnosis ุนุจุงุฑุฉ ุนู ุฎุทูุงุช
47
00:03:18,540 --> 00:03:22,160
ู
ุชุนุฏุฏุฉุ ุจุนุถ ุงู diagnosis ูุฏ ูุชู
ุจูุงุฆูุง ุจูุงุก ุนูู ุงู
48
00:03:22,160 --> 00:03:24,760
history ู ุงู physical examination ููุญุฏูู
ุ ูุนูู
49
00:03:24,760 --> 00:03:27,380
ุจูุงุก ุจุณ ุนูู ุงูู
ุนููู
ุงุช ุงููู ุจูุงุฎุฏูุง ู
ู ุงู patient
50
00:03:27,380 --> 00:03:32,450
ุฃู ู
ู ุงู patient environmentุงูุจูุฆุฉ ุงูู
ุญูุทุฉ ุจุงูู
ุฑูุถ
51
00:03:32,450 --> 00:03:35,690
ู
ู
ูู ุงูู
ุฑูุถ ูููู ุทูู ู
ู
ูู ูููู ู
ุฑูุถ ูููู ุจุญููุด
52
00:03:35,690 --> 00:03:39,150
ู
ู
ูู ูููู ุงูู
ุฑูุถ ูููู mentally retarded ูุจุงูุชุงูู
53
00:03:39,150 --> 00:03:42,610
ูู ูุฐู ุงูุฃุดูุงุก ุจุชุนูู ุฃูู ูุงุฎุฏ ู
ู ุงู patient ู
ู
ูู
54
00:03:42,610 --> 00:03:46,130
ุงูู
ุฑูุถ ูููู ูู
ุงู ุจุญููุด ุงู language ุชุจุนุชูุง ูุฐู
55
00:03:46,130 --> 00:03:49,130
ุงูุฃุดูุงุก ุจุชุนูู ุฃูู ูุงุฎุฏ data ู
ูู ู
ุจุงุดุฑุฉ ูุจุงูุชุงูู
56
00:03:49,130 --> 00:03:52,790
ู
ู
ูู ูุงุฎุฏ ู
ู ุงู surrounding environmental ููู
ุฑูุถ
57
00:03:52,790 --> 00:04:01,190
ูุฏ ุฃุญูุงูุง ููุฌุฃูู ุงู diagnosis ูุฅูู ูุงุฎุฏ history ู
58
00:04:01,190 --> 00:04:03,850
ูุนู
ู physical examination ู ูู ููุณ ุงูููุช ูุนู
ู
59
00:04:03,850 --> 00:04:07,890
investigations investigations ุทุจุนุง ุจุชุดู
ู ู
ุฎุชุจุฑ ู
60
00:04:07,890 --> 00:04:12,550
ุจุชุดู
ู imaging ู ุจุชุดู
ู other things ุงููู ูุฏ ุชููู
61
00:04:12,550 --> 00:04:16,470
ุถุฑูุฑูุฉ ู ูุฏ ุชููู more advanced ูู ุณูุงู ุงู
62
00:04:16,470 --> 00:04:19,830
diagnosis ุงููู ุงุญูุง ุจุฏูุง ูุญุทู ุทุจุนุง ุงู history
63
00:04:19,830 --> 00:04:26,780
takingุจุญุชู ุงูู
ุฑุชุจ ุงูุฃููู ู ุจุญุชู ุฃูู
ุญุงุฌุฉ ูู ุงู
64
00:04:26,780 --> 00:04:30,160
diagnostic work up ุงููู ุจูุนู
ูู ููู
ุฑูุถ ูุฅูู ุจุฏูู
65
00:04:30,160 --> 00:04:33,680
history ุจุฏูู data ุงุญูุง ุจูุญุตููุง ู
ู ุงู patient
66
00:04:33,680 --> 00:04:40,100
ุจููุฏุฑุด ูุจูู ุจุนุฏ ููู what is the next stepููุฏุฑุด
67
00:04:40,100 --> 00:04:42,740
ูุดูู ู
ุฑูุถ ุนูู ุทูู ููู ู ูููู ุงู next step ุงูู
68
00:04:42,740 --> 00:04:46,480
ูุทูุจูู ู
ุซูุง ุชุญููู ุงู ูุทูุจูู imaging studies ูุฃ
69
00:04:46,480 --> 00:04:49,720
ูุงุฒู
ูุงุฎุฏ ู
ูู data ูู ุงูุจุฏุงูุฉ ุจูุฏุฑ ู
ุง ูุณู
ุญ ููุง
70
00:04:49,720 --> 00:04:53,060
ุงูุธุฑู ุฃุญูุงูุง ุจููู ููู ู
ุนูู ุฒู ู
ุง ูููุง ูู data ู ูุฏ
71
00:04:53,060 --> 00:04:56,380
ูููู ุงูู
ุฑูุถ ูู ุญุงูุฉ ุงูู ู
ุงููุฏุฑุด ูุงุฎุฏ ู
ูู data ุฒู
72
00:04:56,380 --> 00:04:59,040
ูู ุญุงูุงุช ุงู emergency ู
ุซูุง ูู ุญุงูุงุช ุงู trauma ูู
73
00:04:59,040 --> 00:05:01,840
ุญุงูุงุช ุงู gun shots ูู ุญุงูุงุช ุงู falling down ูู
74
00:05:01,840 --> 00:05:04,360
ุญุงูุงุช ุงู loss of consciousness ุทุจุนุง ูู ูุฐู ุงูุฃุดูุงุก
75
00:05:04,360 --> 00:05:09,350
ุชุนุชุจุฑ ุญุงูุงุช ุฎุงุตุฉุญุงูุงุช emergency ู
ู
ูู ู
ุง ููุฏุฑุด ูุงุฎุฏ
76
00:05:09,350 --> 00:05:12,650
ูููุง history ูู
ุง ููุจุบู ูุจุงูุชุงูู ุงู history ุจูุฏุฑ
77
00:05:12,650 --> 00:05:16,250
ุงูุฅู
ูุงู ุงุญูุง ุจูุญุงูู ูุญุตู ุงูุจุฑ ูู
ูุฉ ู
ู ุงูู
ุนููู
ุงุช
78
00:05:16,250 --> 00:05:21,030
ุจูุงุก ุนูู ุงููุถุน ุงููู ุจุณู
ุญ ููู ุงู condition ุทุจุนุง
79
00:05:21,030 --> 00:05:23,830
ุงูู
ุนููู
ุงุช ุงููู ุจูุญุตู ู
ู ุฎูุงููุง ุงู diagnosis ู
ู
ูู
80
00:05:23,830 --> 00:05:28,350
ูุฌุณู
ูุง ูุฌุณู
ูู ุฑุฆูุณูุงุช ุงูุฌุณู
ุงูุฃูู ุจูุณู
ูู
81
00:05:28,350 --> 00:05:32,610
subjective data subjective data ุงูุด ูุนูู
82
00:05:32,610 --> 00:05:37,860
subjective data ูุนููู
ุนููู
ุงุช ุจูุนุจ ูููุง ุงูุนุงู
ู
83
00:05:37,860 --> 00:05:44,960
ุงูุฐุงุชู ุฏูุฑ ูุจูุฑ ู ุทุจุนุง ูุฐู ุงูููุงู
ููุทุจู ุนูู ุงู
84
00:05:44,960 --> 00:05:50,650
history taking ูุฃู ุงูุนุงู
ู ุงูุฐุงุชู ููู
ุฑูุถููุณูุฉ
85
00:05:50,650 --> 00:05:55,150
ุงูู
ุฑูุถ ุงู educational level ุชุจุน ุงูู
ุฑูุถ ุงู
86
00:05:55,150 --> 00:05:58,650
awareness of the patient ุงู ุงูู
ุฑูุถ ููู
ุดููุฉ ุงููู
87
00:05:58,650 --> 00:06:03,070
ุนูุฏู ุฏุฑุฌุฉ ุงุฏุฑุงูู ููู
ุดููุฉ ุงููู ุนูุฏู ูุฏุฑุฌุฉ ุงูุชุนุงุทู
88
00:06:03,070 --> 00:06:08,710
ู
ุนูุง ุทูู ูุฌูุฏ ุงูู
ุดููุฉ ู
ุน ุงูู
ุฑูุถ ู
ุนุฑูุชู ุนู ู
ุฑุถู ูู
89
00:06:08,710 --> 00:06:13,070
ูุฐุง ู
ู
ูู ูุบูุฑ ู
ู ุงู data ุงููู ุจูุงุฎุฏูุง ู
ู patient ู
90
00:06:13,070 --> 00:06:16,970
patient ูู ููุณ ุงูู
ุฑุถูุนูู ุนูู ุณุจูู ุงูู
ุซุงู ู
ุฑูุถ ู
ู
ูู
91
00:06:16,970 --> 00:06:20,650
ูุนุทููุง full data ุนู ุงูู
ุฑุถ ุชุจุนู ู ู
ุฑูุถ ุชุงูู ู
ุงููููุด
92
00:06:20,650 --> 00:06:23,590
ุนุงุฑู ุญุงุฌุฉ ูุณู ุนูู ููุณ ุงูู
ุฑุถ ู ู
ุงูุนุทููุงุด data ูุงู
ูุฉ
93
00:06:23,590 --> 00:06:27,450
ูุจุงูุชุงูู ููุง ุงู subjective data ุงุจุชูุน ุงูุฏูุฑ ู
ู
ูู
94
00:06:27,450 --> 00:06:31,620
ูููู ููู
ุฑูุถ ููู ุจุชููู
ุงูุฃูู
ุงููู ุนูุฏูุจุนุถ ุงูู
ุฑุถู
95
00:06:31,620 --> 00:06:34,560
ุจูููู ุงูููู
ุนูุฏู ุนุดุฑุฉ ู
ู ุนุดุฑุฉ ูุนูู the maximum
96
00:06:34,560 --> 00:06:38,580
ู
ู
ูู ููุณ ุงูููู
ู
ุฑูุถ ุชุงูู ูููู
ู ุนูู ุฃูู ุฃูู ู
ู ููู
97
00:06:38,580 --> 00:06:42,180
ุชู
ุงููุฉ ู
ู ุนุดุฑุฉ ุฃู ุณุจุนุฉ ู
ู ุนุดุฑุฉ ู
ุซูุง ูุจุงูุชุงูู ููุง
98
00:06:42,180 --> 00:06:46,780
subjective data subjective data ุจูุทุจู ุนูู ุงู
99
00:06:46,780 --> 00:06:51,160
history taking ุงู objective data ุนูู ุงูุทุฑู ุงูุขุฎุฑ
100
00:06:51,160 --> 00:06:55,770
ูุนูู ุงูุนุงู
ู ุงูู
ูุถูุนู ุงููู ุจูุนุจุด ูููุงุงูู
ุฑูุถ ุฏูุฑ
101
00:06:55,770 --> 00:06:58,810
ูุจูุฑ ูู ุนุจุงุฑุฉ ุนู ุงู physical examination ูุฃู ุงู
102
00:06:58,810 --> 00:07:03,130
physical examination ุจูููู ู
ู ุงู conclusion ุชุจุน
103
00:07:03,130 --> 00:07:06,150
ุงูุทุจูุจ ู
ุจุงุดุฑุฉ ุฃู ู
ู ุงุณุชูุชุงุฌุงุช ุงูุทุจูุจ ุจุนุฏ ู
ุง ููุญุต
104
00:07:06,150 --> 00:07:09,350
ุงูู
ุฑูุถ ูุจุงูุชุงูู ูู ุงููู ุจูุญุท ุงูู
ุนููู
ุงุช ุงููู ููู ู
ุด
105
00:07:09,350 --> 00:07:12,630
ุงูู
ุฑูุถ ูู ุงู history ุงูู
ุฑูุถ ูู ุงููู ูู
ูู ุงูู
ุนููู
ุฉ
106
00:07:12,630 --> 00:07:15,410
ููู ูู ุงู physical examination objective data
107
00:07:15,410 --> 00:07:19,290
ุงูุฏูุชูุฑ ูู ุงููู ุจูู
ูู ุงูู
ุนููู
ุฉ ูุฐูู ุงูุญุงูุฉ ุงู
108
00:07:19,290 --> 00:07:25,390
investigationsุงูุชุญููู ู
ุงุจุชุฎุฏุนุด ูุฃููุงุก ุงูู
ุฑุถู ูู
109
00:07:25,390 --> 00:07:28,190
ุนุจุงุฑุฉ ุนู ุนููุง ุจูุฎุฏูุง ู ุจูุญูููุง ู ุฎูุงุต ุจูุทูุน
110
00:07:28,190 --> 00:07:32,130
ุงููุชูุฌุฉ ุนูุง ุจุงูุฃุฑูุงู
ูุฐู objective data ูู
ุงู ุงู
111
00:07:32,130 --> 00:07:36,710
objective data ุงู imagingุงูุชุตููุฑุงุช ุงูุฅุดุนุงุนูุฉ ุณูุงุก
112
00:07:36,710 --> 00:07:39,670
ุงู imaging ุงูุนุงุฏู ุงููู ูู ุงู X-rays ุฃู ุงู more
113
00:07:39,670 --> 00:07:43,150
advanced ุฒู ุงู CT scans ุงููู ูู ุงูุชุตููุฑ ุงูู
ูุทุนู ุฃู
114
00:07:43,150 --> 00:07:48,550
ุงูุชุตููุฑ ุงูุฑููู ุงูู
ุบูุงุทูุณู ุฃู ู
ู
ูู ูููู ุชุตููุฑ ุฃูุชุฑ
115
00:07:48,550 --> 00:07:52,290
ู
ู ููู more advanced ู
ุซูุง ุฒู ุงูุชุตููุฑ ุจุงูุฅุดุนุงุน ุฃู
116
00:07:52,290 --> 00:07:57,710
ุงูุชุตููุฑ ุจุงููุธุงุฆุฑ ุงูู
ุดุนุฉ ูู ูุฐู ุฃุดูุงุก ู
ู
ูู ููุฌุฃููุง
117
00:07:57,710 --> 00:08:00,870
ูู ุจุนุถ ุงูุฃุญูุงู ู ูู ุจุนุถ ุฃููุงุน ุงู pathologies ู ูู
118
00:08:00,870 --> 00:08:05,260
ุจุนุถ ุฃููุงุน ุงูุฃู
ุฑุงุถ ูุจุงูุชุงูู objective dataุนุดุงู ูุฎุฑุฌ
119
00:08:05,260 --> 00:08:09,680
ุงู diagnosisุ ูุญุชุงุฌ ุงู ูุดุชุบู ู
ุตุงุฏุฑูุงุ ุณูุงุก ู
ู
120
00:08:09,680 --> 00:08:13,880
ุงูู
ุตุงุฏุฑ
121
00:08:13,880 --> 00:08:16,840
ุงูุฐุงุชูุฉ ู
ุซู ุงูู
ุฑูุถ ุฃู ู
ู ุงูู
ุตุงุฏุฑ ุงูุฃุจุฌูููุฉ ู
ุซู
122
00:08:16,840 --> 00:08:19,820
ุงูุงุฎุชุจุงุฑ ุงูููุฒูููู ุฃู ุงูุชุญููู ุฃู ุงู study of
123
00:08:19,820 --> 00:08:22,980
imaging ูุจุงูุชุงูู ูู ุงูููุงูุฉ ุจูุทูุน ุงู conclusion
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ุงููู ูู ุงู diagnosis ูุงู diagnosis ุทุจุนุง ุฃู ุงูุชุดุฎูุต
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00:08:26,600 --> 00:08:31,480
ูู ุฃูู
ุญุงุฌุฉ ูู ุงู medical practiceุชูุฑูุจุง ูู ุงู
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00:08:31,480 --> 00:08:34,740
cornerstone of our medical practice how to
127
00:08:34,740 --> 00:08:40,400
establish a correct diagnosis ูุนูู ููู ูุนู
ู ุชุดุฎูุต
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ุณููู
ููู
ุฑุถ ูุฅู without correct diagnosis disaster
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could happenุฅุฐุง ุดุฎุตูุง ุบูุท ุฃู ุฅุฐุง ู
ุง ุดุฎุตูุงุด ุงูู
ุฑูุถ
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ู
ู ุฃุณุงุณู ุชุณุชู
ุฑ ุงูู
ุดููุฉ ุฃู ุจูุนุงูุฌ ุจูุงุก ุนูู ุชุดุฎูุต
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ุบูุท ูุจุงูุชุงูู ูุฐุง ุงูููุงู
ุจูุคุฏู ุฃุญูุงูุง ู
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complications ูู
ู
ูู ูุคุฏู ูู loss of life of the
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patient ู
ูุชูุฉ ูู ุจุนุถ ุงูุฃุญูุงู ุนุดุงู ูู ูู
ูู
ุฌุฏุง
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establishing a good and correct diagnosis before
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00:09:08,180 --> 00:09:11,720
going to the treatmentู ุทุจุนุง ูุฐุง ุงูููุงู
ุฒู ู
ุง ูููุง
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00:09:11,720 --> 00:09:17,940
ุจุญุชู ููู ุงู history taking ู
ุฑุญูุฉ ู ุฎุทูุฉ ู ุฒุงููุฉ
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00:09:17,940 --> 00:09:23,840
ู
ุญูุฑูุฉ ุฌุฏุง ุฌุฏุง ุฌุฏุง ุงูุด ูุฏููุง ู
ู ุงู history taking
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00:09:23,840 --> 00:09:28,800
ุงููุฏู ุงูุฃูู ูู establishing and confirming the
139
00:09:28,800 --> 00:09:32,660
diagnosisestablishing a diagnosis ูุฏ ูู
ุฑ ุจู
ุฑุญูุฉ
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00:09:32,660 --> 00:09:36,540
ูุจู ุงู diagnosis ูุจู ุงูุชุดุฎูุต ุงูููุงุฆู ุจูุณู
ููุง ู
ุฑุญูุฉ
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00:09:36,540 --> 00:09:41,340
ุงู differential diagnosis ูุนูู ุจูุญุตุฑ ุงุญุชู
ุงูุงุช ุงูุด
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00:09:41,340 --> 00:09:45,200
ู
ู
ูู ูููู ุงูู
ุฑูุถ ุนูุฏู ู
ู ุงู
ุฑุงุถ ุชุชุดุงุจู ูู ุงูุงุนุฑุงุถ
143
00:09:45,200 --> 00:09:50,530
ุงุญูุงูุงู
ุซููุง ุงูููุช ุฃุจูุฏุณุงูุชุณ ุฃู ููุฑููุงุฑู ุชุฑุงูุช
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00:09:50,530 --> 00:09:54,930
ุงูููุดู ุฃู ู
ูุฒููุชุฑููููู
ู ุฃุฏููุงูุชุณ ุฃู pelvic
145
00:09:54,930 --> 00:09:58,710
inflammatory disease ูู ุงูููู
ุงูู ูู ูุฐู ูุฏ ุงููุง
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00:09:58,710 --> 00:10:02,790
ุชููู ุฃุนุฑุงุจ ู
ุชุดุงุจูุฉ ุฃู ุงูู
ุฑูุถ ูุฃุชู ุจู presentation
147
00:10:02,790 --> 00:10:06,550
ู
ุชุดุงุจู ู
ู patient ู patient ูุจุงูุชุงูู establishing
148
00:10:06,550 --> 00:10:09,250
a diagnosis ูุฏ ูู
ุฑ ุจู
ุฑุญูุฉ ุงููdifferential
149
00:10:09,250 --> 00:10:14,210
diagnosis ุงููู later on ุจุนุฏ ููู ุจูุนู
ูููุง exclusion
150
00:10:15,190 --> 00:10:19,570
ูู possibilities ู ุจุณ ุจูุญุชูุธ ูู possibility ูุงุญุฏุฉ
151
00:10:19,570 --> 00:10:22,950
ุงููู ูู ุจุชุตูุฑ ุงู definitive diagnosis this is
152
00:10:22,950 --> 00:10:26,130
called the confirmation of diagnosis ูุนูู ุจูุฃูุฏ
153
00:10:26,130 --> 00:10:29,730
ูุงุญุฏ ู
ู ุงูุงุญุชู
ุงูุงุช ูุฐู ูุจุงูุชุงูู confirming the
154
00:10:29,730 --> 00:10:33,490
diagnosis ุทุจุนุง ูุฐุง ูุฏ ูุงุฎุฏ ู
ููุง ูุฌูุฉ ููุฏ ูุงุฎุฏ ู
ููุง
155
00:10:33,490 --> 00:10:36,430
ุฎุทูุงุช ุงูุชุฑ ู
ู ุงู history taking physical
156
00:10:36,430 --> 00:10:40,450
examination ู ุชุญููู ู imaging studies and so on
157
00:10:42,220 --> 00:10:45,380
ุงููุฏู ุงูุชุงูู ู
ู ุงู history taking ุจุนุฏ ู
ุง ูุนู
ู
158
00:10:45,380 --> 00:10:48,280
establishing ูู main diagnosis ูุนูู ุจุนุฏ ู
ุง ูุญุท
159
00:10:48,280 --> 00:10:53,980
ุงูุชุดุฎูุต ุงูุฑุฆูุณูุฅูู ุงู patient ู
ู
ูู ูููู ุนูุฏู other
160
00:10:53,980 --> 00:10:57,120
diagnosis ูุนูู ู
ุซูุง ูููู ุงูู
ุฑูุถ ูุนุงูู ู
ู acute
161
00:10:57,120 --> 00:11:02,000
cholecystitis ุงูุชูุงุจ ูู ุงูู
ุฑุงุฑุฉ ูุชูุฌุฉ ูุฌูุฏ ุญุตูู ู
162
00:11:02,000 --> 00:11:05,960
ูู ููุณ ุงูููุช ุนูุฏู other diagnosis ู
ูู
ุฉ ู ู
ู
ูู
163
00:11:05,960 --> 00:11:09,320
ูุชุฃุซุฑ ุนูู ุงูู
ุฑุถ ุชุจุนู ู ู
ู
ูู ุฃูู ูุชุฃุซุฑ ุนูู ุงู
164
00:11:09,320 --> 00:11:12,180
outcome of our management ุฒู ู
ุซูุง ุงู hypertension
165
00:11:13,670 --> 00:11:18,350
ุงูุถุบุท ุฃู ุงูุณูุฑุ ุงูู diabetes ุฃู ุงู heart diseaseุ
166
00:11:18,350 --> 00:11:21,970
congestive heart failure ุฃู arithmias ุฃู coronary
167
00:11:21,970 --> 00:11:26,310
artery disease ูู ูุฐู ุงูุฃุดูุงุก ู
ู
ูู ุชุฃุซุฑ ุนูู ุงู
168
00:11:26,310 --> 00:11:28,530
main course of the main disease ุงููู ูู ุงูู acute
169
00:11:28,530 --> 00:11:32,610
cholecystitis ุน ุณุจูู ุงูู
ุซุงู ูุจุงูุชุงูู ูุฐู ุจูุณู
ููุง
170
00:11:32,610 --> 00:11:36,490
co-morbidities ุฃู co-diseases ุฃู co-complications
171
00:11:36,490 --> 00:11:41,750
these should be controlledูู
ุง ููุฌู ูุนู
ู management
172
00:11:41,750 --> 00:11:44,530
ููู
ุฑูุถ ุนุดุงู ุงูู
ุดููุฉ ุงูุฑุฆูุณูุฉ ุงููู ุนูุฏู ุจุฑุถู ูุงุฒู
173
00:11:44,530 --> 00:11:47,990
ูุนู
ู management ููู
ุดุงูู ูุฐู ูุฅูุง course of our
174
00:11:47,990 --> 00:11:51,590
management ููุชุฃุซุฑ ุจุตูุฑุฉ ูุจูุฑุฉ ูู
ู
ูู ูุคุฏู ู
175
00:11:51,590 --> 00:11:55,850
complications ูุจุงูุชุงูู control of comorbidities by
176
00:11:55,850 --> 00:12:00,170
all means possibleู
ุฑูุถ ุนูุฏู ุถุบุทุ ู
ุฑูุถ ุนูุฏู ุณูุฑุ
177
00:12:00,170 --> 00:12:03,710
ู
ุฑูุถ ุนูุฏู heart diseaseุ ูุญุชุงุฌ ูุชุนุงู
ู ูุฐู ุงูุฃุดูุงุก
178
00:12:03,710 --> 00:12:07,590
ุจุฌุงูุจ ุงู diagnosis ุงููู ุงุญูุง ุญุทูุงู ุฌูุจ ุงููู ุงูุง
179
00:12:07,590 --> 00:12:13,250
ุฌูุจ ู
ุน ุงูุชุดุฎูุต ุงููู ุงุญูุง ุญุทูุงู obtaining an
180
00:12:13,250 --> 00:12:17,090
informed consent after optimization of patient
181
00:12:17,090 --> 00:12:22,210
condition ูุฐุง ุงููุฏู ุงูููุงุฆู ุจุนุฏ ู
ุง ูุนู
ูุชุฃููุฏ ุงู
182
00:12:22,210 --> 00:12:26,810
diagnoses ุงูุฑุฆูุณู ูุงูุฎุทูุฉ ุงูุชุงููุฉ ุจุนุฏ ู
ุง ูุนู
ู
183
00:12:26,810 --> 00:12:29,550
control ู ุงู comorbidities ุงููู ู
ู
ูู ูุชุฃุซุฑ ุนูู
184
00:12:29,550 --> 00:12:37,130
course of the disease ุงูุฎุทูุฉ ุงูุชุงูุชุฉ ูุงุฒู
ูุญุตู ุนูู
185
00:12:37,130 --> 00:12:41,750
ู
ูุงููุฉ ุงูู
ุฑูุถ ุฃู ู
ู ูููุจ ุนู ุงูู
ุฑูุถ ุนูู ุงูุนูุงุฌ
186
00:12:41,750 --> 00:12:45,490
ุงูุฎุทุฉ ุงูุนูุงุฌ ุงููู ุงุญูุง ุจุฏูุง ูุญุทูุง ููุฐุง ุงูููุงู
ุงููู
187
00:12:45,490 --> 00:12:48,610
ุจูุณู
ูู informed consent obtaining an informed
188
00:12:48,610 --> 00:12:52,750
consent ูุนูู ุงูุฑุงุฑ ุจุงูู
ูุงููุฉ ุงูุด ู
ุนูู informed
189
00:12:52,750 --> 00:12:56,010
consent ุงูุฑุงุฑ ุจุงูู
ูุงููุฉ ุจูุงุก ุนูู ุงูุดุ ุจูุงุก ุนูู
190
00:12:56,010 --> 00:12:59,870
ุดุบูุงุช ุงูุง ุจุฏู ุงุดุฑุญูุง ููู
ุฑูุถ ุจุฏู ุงุดุฑุญูู ุทุจูุนุฉ ู
ุฑุถู
191
00:12:59,870 --> 00:13:04,470
ุงูุชุดุฎูุตู ุจุฏู ุฃุดุฑุญ ูู ุงู treatment options ุงููู
192
00:13:04,470 --> 00:13:09,010
ุนูุฏู ุฎูุงุฑุงุช ุงูุนูุงุฌ ุงููู ู
ูุฌูุฏุฉ ู ุจุฏู ุฃุดุฑุญ ูู ุฅูุด
193
00:13:09,010 --> 00:13:13,330
ุงู treatment ูุฐุง ู
ู
ูู ูุคุฏู ุฅูุด ุงู outcome ุชุจุน ุงู
194
00:13:13,330 --> 00:13:15,690
treatment ู ุจุฏู ุฃุดุฑุญ ูู ุนู ุงู possible
195
00:13:15,690 --> 00:13:20,110
complications of our managementุงูู
ุถุงุนูุงุช ุงูู
ุญุชู
ู
196
00:13:20,110 --> 00:13:23,390
ุงููุง ุชุตูุฑ ูู ุงู management ุชุจุงู ุน ุณุจูู ุงูู
ุซุงู ูู
ุง
197
00:13:23,390 --> 00:13:26,430
ุจูุนู
ูู ู
ุซูุง appendectomy for acute appendicitis
198
00:13:26,430 --> 00:13:29,790
ุจุฏู ุงุญูููู ุนู possibility of wound infection ุจุฏู
199
00:13:29,790 --> 00:13:34,430
ุงุญูููู ุนู possibility of bleedingduring surgery ุงู
200
00:13:34,430 --> 00:13:40,430
after surgery ู
ุซูุง ูู ูุฐู complications ูุจุฏู ูู
ุงู
201
00:13:40,430 --> 00:13:44,630
ููู
ุง ูู ุงูู
ุฑูุถ ุฑูุถ ุงูุด ุงูุจุฏุงุฆู ุงูุชุงููุฉ ุงุทุฑุญ ุนููู
202
00:13:44,630 --> 00:13:47,990
ูู ู
ุงูููุชุด ุนูู ุฎุทุฉ ุงูุนูุงุฌ ูุฐู ูู ูู ุฎุท ุนูุงุฌ ุจุฏููุฉ
203
00:13:47,990 --> 00:13:51,750
ุงู ูุฃ ุจุฑุถู ูุฐุง ุจุฏู ุงุทุฑุญ ุนููู ุนูู ุณุจูู ุงูู
ุซุงู ุจูููู
204
00:13:51,750 --> 00:13:55,230
ุนูุฏู acute cholecystitis ูู ุญุตูู ุงูู
ุฑุงุฑุฉ ู ุจุฏูุง
205
00:13:56,050 --> 00:13:59,270
removal ุจุฏูุง ููุณูุณุชูุชูู
ู ุจุฏูุง surgical removal
206
00:13:59,270 --> 00:14:02,110
ู
ูุงููุด ุนูู ุงู surgical removal ุงููู ูุฏูู moment
207
00:14:02,110 --> 00:14:04,750
ุจุฏู ุฃูููู ู
ุซูุง ูู ุฎุทุฉ ุจุฏููุฉ ุงุณู
ูุง ุงู antibiotic
208
00:14:04,750 --> 00:14:09,930
ุจุฏู ุฃุนุฌุจ antibiotic ูู
ุง ูุชุญุณู ู ุจุนุฏ ููู ู
ู
ูู ุฃุนู
ูู
209
00:14:09,930 --> 00:14:13,670
surgery later on okay ูุจุงูุชุงูู ุฅูุด ุงูุจุฏุงุฆู
210
00:14:13,670 --> 00:14:18,110
ุงูู
ูุฌูุฏุฉ ููู ูู ูุฌุฏุช ู ุจุฏู ูู
ุงู ุฃุชููุน ุฅูุด ู
ู
ูู
211
00:14:18,110 --> 00:14:21,730
ุงูู
ุฑูุถ ูุณุฃู ุฃุณุฆูุฉ ุฅุถุงููุฉูู ูุฐู ุงูุดุบูุงุช ุจูุณู
ููุง
212
00:14:21,730 --> 00:14:25,490
informed consent ุจุนุฏ ู
ุง ุฃุฎุฏ informed consent ุฅูุฑุงุฑ
213
00:14:25,490 --> 00:14:29,550
ุจุงูู
ูุงููุฉ ุนูู ุงูุนู
ููุฉ ูุจุนุฏ ู
ุง ุฃุนู
ู optimization
214
00:14:29,550 --> 00:14:33,830
ููุถุน ุงูู
ุฑูุถ ูุนูู ุฃุฎููู ูู ุงููุถุน ุงูู
ุซุงูู ุงููู ุฃุฎูู
215
00:14:33,830 --> 00:14:36,570
ุงู complications ููู minimal ุฃู ุฃุญุงูู ุฃุฎูููุง
216
00:14:36,570 --> 00:14:40,770
minimal ุจุนุฏ ููู ุจุจุฏุฃ ุฎุทุฉ ุงูุนูุงุฌ ู
ุจุงุดุฑุฉ ูุจุงูุชุงูู
217
00:14:40,770 --> 00:14:45,730
ูุฐู ู
ู ุฃูุฏุงู ุงู history taking ุงูุฑุฆูุณูุฉ diagnosis
218
00:14:48,240 --> 00:14:51,740
Exclusion and discovery of other comorbidities
219
00:14:51,740 --> 00:14:58,680
ุงูุชุดุงููุง ู ูู ุงูููุงูุฉ ูุถุน ุฎุทุฉ ุนูุงุฌ ู
ูุงุณุจุฉ what is
220
00:14:58,680 --> 00:15:02,720
the significance of historyุฅูุด ุฃูู
ูุฉ ุงู history
221
00:15:02,720 --> 00:15:05,240
taking ูู ุงู general practice and medical
222
00:15:05,240 --> 00:15:09,500
practiceุ it is the first clinic critical and the
223
00:15:09,500 --> 00:15:12,800
first step in determining the diagnosis ุฒู ู
ุง ูููุง
224
00:15:12,800 --> 00:15:16,220
ู
ุฌุฑุฏ ุฃูู ู
ุฑูุถ ูุฌููู ุจุจุฏุฃ ุฃุชุนุงู
ู ู
ุนุงู ุนู ุทุฑูู ุงู
225
00:15:16,220 --> 00:15:20,860
communication ุจุจุฏุฃ ุฃุชููู
ู
ุนุงู ูุจุงูุชุงูู ุงูููุงู
ูุฐุง
226
00:15:20,860 --> 00:15:25,840
ูู ุงูุฎุทูุฉ ุงูุฃููู ูู establishing of diagnosis ุงู
227
00:15:25,840 --> 00:15:30,340
history taking ูุณุจู ูู ุฃูู
ูุชู ุงู physical
228
00:15:30,340 --> 00:15:35,000
examinationู ู
ูู
ุงูุชุฑ ู
ูู ู ู
ู
ูู ูุญุตู ุนูู ู
ุนููู
ุงุช
229
00:15:35,000 --> 00:15:37,620
ู
ู ุงู history ููู
ุง ูู ุงุญูุง ุณุฃููุง detailed question
230
00:15:37,620 --> 00:15:42,140
ู ูู ูุฌููุง ุงูู
ุฑูุถ ุตุญ ู ูู ุนู
ููุง relevant
231
00:15:42,140 --> 00:15:45,500
conversation ู
ุน ุงูู
ุฑูุถ ู
ู
ูู ูุญุตู ุนูู productive
232
00:15:45,500 --> 00:15:49,880
result ูุนูู ูุชูุฌุฉ ุงูุฌุงุจูุฉ ุงูุชุฑ ู
ู ุงู physical
233
00:15:49,880 --> 00:15:52,040
examination ุจุชูุช ู
ุฑุงุช ุชูุฑูุจุง
234
00:15:56,420 --> 00:15:59,320
ุงู diagnosis ุฃุญูุงูุง ุจูููู sufficient ุฃู ุงู history
235
00:15:59,320 --> 00:16:02,560
ุจูููู sufficient to make diagnosis ูู ุญูุงูู 70% ู
ู
236
00:16:02,560 --> 00:16:08,200
ุงู cases ูุนูู ุนูู ุณุจูู ุงูู
ุซุงู ู
ุฑูุถ ุนูุฏู peptic
237
00:16:08,200 --> 00:16:12,020
ulcer ูุฑุญุฉ ูู ุงูู
ุนุฏุฉ ุฃู ูู ุงู 12 ู
ู
ูู ู
ู ุงู
238
00:16:12,020 --> 00:16:16,100
history ุฃุดุฎุต ุงูู
ุฑูุถ ุงู history ุจูููู ููู ุนูุฏู ู
ุซูุง
239
00:16:16,100 --> 00:16:19,840
epigastric pain this pain is relieved by food or
240
00:16:19,840 --> 00:16:23,520
exaggerated by food ุญุณุจ ููุน ุงู ulcer okay ู ุจุงูุฐุงุช
241
00:16:23,520 --> 00:16:27,830
ุงู food ุงููู ุจูููู ููู fat and meatOkay ู ุฃุญูุงูุง
242
00:16:27,830 --> 00:16:30,310
ุจููู ูู ุนูุฏู recurrent attacks ูุนูู attacks ุฃูุชุฑ
243
00:16:30,310 --> 00:16:34,750
ู
ู ู
ุฑุฉ ุจุชุฌูู ุจุงูุฐุงุช ูู
ุง ูููู full stomach ูุฐู
244
00:16:34,750 --> 00:16:38,650
ุงูุดุบูุงุช ุจุชุฎูููุง ูุญุท diagnosis ุจูุณุจุฉ ูุจูุฑุฉ ู
ู ุงูุตุญุฉ
245
00:16:38,650 --> 00:16:43,410
ูุจุงูุชุงูู ูู 70% ู
ู ุงูุญุงูุงุช we can put a strong
246
00:16:43,410 --> 00:16:45,930
differential diagnosis ู we can confirm the
247
00:16:45,930 --> 00:16:50,150
diagnosisุงู history taking ู
ุด ู
ุญุชุงุฌ ูุชุนููุฏุงุช ู
ุด
248
00:16:50,150 --> 00:16:54,050
ู
ุญุชุงุฌ ูุฅูู ูููู ูู ุนูุฏูุง a lot of facilities ูู ู
ุง
249
00:16:54,050 --> 00:16:57,930
ููุงู ูููู open minded doctor ุจุงูุงุถุงูุฉ ู patient
250
00:16:57,930 --> 00:17:01,570
ุจูุนุทู ู
ุนููู
ุฉ ุจุงูุดูู ุงูุณููู
ู ูู
ุงู ุงูุฏูุชูุฑ ูุงุฒู
251
00:17:01,570 --> 00:17:06,370
ูุณุฃู ุงูุณุคุงู ุจุงูุดูู ุงูุณููู
ุงุฐุง it is easily
252
00:17:06,370 --> 00:17:09,890
applicable there is not too much ุงููู ูู
253
00:17:09,890 --> 00:17:14,770
facilities ูุงุฒู
ุฉ ุงู ู
ุชุทูุจุงุช ูุงุฒู
ุฉit's changeable
254
00:17:14,770 --> 00:17:18,410
ุงู history ู
ู
ูู ูุบูุฑู ู
ู
ูู ูุจุฏู ูู ุงูู
ุนููู
ุฉ ุญุณุจ ู
ุง
255
00:17:18,410 --> 00:17:21,350
ูุณุชุฌุฏ ุนูู ูุถุน ุงูู
ุฑูุถ ูุญุณุจ ุงูุด ุงูู
ุฑูุถ ู
ู
ูู ูุฑุงุฌุน ูู
256
00:17:21,350 --> 00:17:24,730
ู
ุนููู
ุงุชู ุนุดุงู ููู ู
ูู
ุฌุฏุง ูู ุงู history taking ุจุนุฏ
257
00:17:24,730 --> 00:17:28,370
ู
ุง ุงุฎุฏ ุงู full sheet ุชุจุน ุงูู
ุฑูุถ ูุงุณุฃูู ุนู ูู
258
00:17:28,370 --> 00:17:31,250
ุงูุฃุณุฆูุฉ ุงุนู
ู ู
ุนุงู review ูู answers ุงููู ูู ุฌุงูุจ
259
00:17:31,250 --> 00:17:34,370
ุนูููุง ุงู review ููู
ุนููู
ุงุช ุงููู ุงุนุทุงูููุง ูุฏ ุงูู
260
00:17:34,370 --> 00:17:38,350
ูุบูุฑ ููุจุฏูุงูุช ููุช ูุฐุง ุงูุช ููุช ูุฐุง ูู ุงูู
ุญุทุฉ ูุฐู
261
00:17:38,350 --> 00:17:41,690
ุงูุช ููุช ูุฐุง ูู ุงูุณุคุงู ูุฐุง ุงูุช ุฌุงูุจุช ูุฐุง ูุจุฏู ุงุนู
ู
262
00:17:41,690 --> 00:17:46,450
review ู
ุน ุงู patient ูุฅูุด ูู ุญูู ูู
ุงู does not
263
00:17:46,450 --> 00:17:49,090
need too much knowledge ูู ุจูุญุชุงุฌ knowledge ุทุจุนุง
264
00:17:49,090 --> 00:17:55,330
ุจูุญุชุงุฌ ุงูู ุงูุฏูุชูุฑ ูููู ุนูุฏู ูุนูู background ุงูุด
265
00:17:55,330 --> 00:17:58,500
ุงู complaint ูุฐุง ู
ู
ูู ูุนููู
ุง ูู ุงูู differential
266
00:17:58,500 --> 00:18:02,740
diagnosis ุงููู ูุงู behind this complaintุ ู
ุง ูู
267
00:18:02,740 --> 00:18:07,300
ุงูุชุดุฎูุตุงุช ุงูุทุจูุฉ ุงููู ู
ู
ูู ุชููู ู
ุณุฆููุฉ ุนู ุงูุญุงุฌุฉ
268
00:18:07,300 --> 00:18:10,100
ุงููู ุจูุดูู ู
ููุง ุงูู
ุฑูุถ ูู ุงูููุช ุงูุญุงููุ ูุฐู
269
00:18:10,100 --> 00:18:13,380
knowledge ูููุง ููู ูู ุนุจุงุฑุฉ ุนู skill ุจุงูุฏุฑุฌุฉ
270
00:18:13,380 --> 00:18:17,740
ุงูุฃููู skill ุจูุนุชู
ุฏ ุนูู ุชุฑุชูุจ ุงูุฃุณุฆูุฉ ุตุญ being
271
00:18:17,740 --> 00:18:22,660
more systematicand open minded and asking
272
00:18:22,660 --> 00:18:25,360
questions which is relevant or which are relevant
273
00:18:25,360 --> 00:18:28,840
to the problem ูู ูุฐู ุจุชุฎุถุน ูู skill ู ุงู skill
274
00:18:28,840 --> 00:18:31,460
ุทุจุนุง ุจุชูุฌู ุนู ุทุฑูู ุงู practice ุนู ุทุฑูู ุงู repeated
275
00:18:31,460 --> 00:18:35,140
practice ู ุงู knowledge ุจุชูุฌู ุนู ุทุฑูู ุงู reading
276
00:18:35,140 --> 00:18:38,620
ููู
ุง ูุนู
ู integration ูู knowledge ุจุงูุฅุถุงูุฉ ูู
277
00:18:38,620 --> 00:18:43,220
skill ุจูุทูุน ุนูุฏูุง good history sheet ู ู
ู
ูู ุงูู
278
00:18:43,220 --> 00:18:46,020
ูููุฏ ูู establishing the diagnosis
279
00:18:48,990 --> 00:18:53,330
So it is very problematic if we don't put the
280
00:18:53,330 --> 00:18:57,210
diagnosis or if we made a wrong diagnosis ูููู
281
00:18:57,210 --> 00:19:00,950
ุนุจุงุฑุฉ ุนู danger ุนูู ุงูู
ุฑูุถ ุฃู potential danger if
282
00:19:00,950 --> 00:19:04,210
you have a wrong diagnosis for example ุนูู ุณุจูู
283
00:19:04,210 --> 00:19:09,630
ุงูู
ุซุงู ูู ุดุฎุตูุง ู
ุฑูุถ ุนูู ุงูู UTI ูุทูุน ุนูุฏู
284
00:19:09,630 --> 00:19:13,130
mesenteric scheme ูุนููthis is wrong diagnosis ุงู
285
00:19:13,130 --> 00:19:15,910
UTI is wrong diagnosis ูุจุงูุชุงูู ู
ูุฒุงูุชุฑููุณููู
ูุง
286
00:19:15,910 --> 00:19:18,130
ู
ู
ูู ุงู patient ูุตูุฑ ุนูุฏู peritonitis acute
287
00:19:18,130 --> 00:19:22,330
abdomen and mortality or if we don't make a
288
00:19:22,330 --> 00:19:25,670
diagnosis ูู
ุง ู
ุงููุฏุฑุด ูุชูุตู ูู diagnosis ุงููุงุฒู
ู
ุด
289
00:19:25,670 --> 00:19:29,850
ูููุฏุฑ ูุจุฏุฃ ุฎุทุฉ ุงูุนูุงุฌ ูุจุงูุชุงูู ูุฐุง ุจูุงูู
ู
ู ุงููุถุน
290
00:19:29,850 --> 00:19:32,130
ุงููู ุจูุฎูู more complications potentially could
291
00:19:32,130 --> 00:19:37,750
happen in the future ูู
292
00:19:37,750 --> 00:19:43,130
ุฏุงูู
ุง ุจููู ูุงุฏุฑ ุฃุฎุฏ history ุจููุณูุงูุฃุฑูุงุญูุฉ ูู ุงู
293
00:19:43,130 --> 00:19:46,790
history taking ุฏุงูู
ุง ู
ุชุงุญ ู ุฏุงูู
ุง ุงูููุช ุนูุฏู ู
ุชุงุญ
294
00:19:46,790 --> 00:19:50,510
ูุฅูู ุงุฎุฏ full sheet from the patient ุงู full data
295
00:19:50,510 --> 00:19:53,410
from the patient ุทุจุนุง ูู ุนูุฏูุง two types of
296
00:19:53,410 --> 00:19:56,610
history ุจุงููุณุจุฉ ูุทุจูุนุฉ ุงู history ูุจุงููุณุจุฉ ููููุช
297
00:19:56,610 --> 00:20:01,290
ุงูู
ุชุงุญ ุนูุฏู ูุจุงููุณุจุฉ ู ุงูุฃุฑูุงุญูุฉ ุงููู ุงุฎุฏ ูููุง ุงู
298
00:20:01,290 --> 00:20:05,330
data ุงูููุน ุงูุฃูู ู
ู ุงูู
ุฑุถู ุงููู ูู ุงู patients
299
00:20:05,330 --> 00:20:10,130
ุงููู ุจูุฌูุง ูู ุงู non emergency conditionsูุนูู ุงููู
300
00:20:10,130 --> 00:20:13,610
ู
ุงูููููุด ุญูุงุช ุทุงุฑูุฉ ุนูู ุณุจูู ุงูู
ุซุงู ู
ุฑูุถ ุนูุฏู
301
00:20:13,610 --> 00:20:17,770
hernia ุจูุฌู ุนูู ุงูุนูุงุฏุฉ inguinal hernia ู
ุซูุง ุงู
302
00:20:17,770 --> 00:20:21,070
ู
ุฑูุถ ุนูุฏู hemorrhoid ู bleeding per rectum ุจูุฌู
303
00:20:21,070 --> 00:20:25,070
ุนูู ุงูุนูุงุฏุฉ ู
ุซูุง ุงู ู
ุฑูุถ ุนูุฏู biliary pain ูุชูุฌุฉ
304
00:20:25,070 --> 00:20:27,250
ูุฌูุฏ ุญุตูุงุช ูู ุงูู
ุฑุงุฑุฉ ุจูุตูุฑ ุนูุฏู biliary pain ู
305
00:20:27,250 --> 00:20:29,810
ุจุฑุถู ุจูุฌู ุนูู ุงูุนูุงุฏุฉ ุงูุฎุงุฑุฌูุฉ is an outpatient
306
00:20:29,810 --> 00:20:36,530
room history ูุฐุง ุงูููุน ุงูุฃูู ุงูููุน ุงูุชุงูู ุงููู ูู
307
00:20:36,530 --> 00:20:42,120
ุงู emergencyุงู emergency conditions ุงูู
ุฑูุถ ู
ุงูููู
308
00:20:42,120 --> 00:20:45,280
ูููุง ูู ูุถุน ูุงุฆู ูู ุจุนุถ ุงูุฃุญูุงู ุนูู ุณุจูู ุงูู
ุซุงู
309
00:20:45,280 --> 00:20:48,160
ุจูููู ุนูุฏู shock ุจูููู ุนูุฏู loss of consciousness
310
00:20:48,160 --> 00:20:51,460
ุจูููู ุนูุฏู severe pain ู
ู ุงู fractures ู
ุด ูุงุฏุฑ
311
00:20:51,460 --> 00:20:54,280
ูุนุทู ุฐุงุชู ูููุณ ุนูู ุณุจูู ุงูู
ุซุงู ูู ูุงู ุนูุฏู ูุณูุฑ ุงู
312
00:20:54,280 --> 00:20:58,460
ูู ูุงู ุนูุฏู multiple trauma ุงุฐุง ูุฐุง ุงู history
313
00:20:58,460 --> 00:21:03,480
ุจูููู very limited and very precise and in summary
314
00:21:03,480 --> 00:21:08,810
ุงูููุน ูุฐุง ูู ุงู emergencyูู
ุงู ู
ูู
ุฌุฏุง ูู ุงู
315
00:21:08,810 --> 00:21:13,010
history ุฃูู ุฃุบุทู ุงู other comorbidities ู ูุฐู ุทุจุนุง
316
00:21:13,010 --> 00:21:15,570
ูุงุฒู
ุฃุงุฎุฏ detailed history of the chronic diseases
317
00:21:15,570 --> 00:21:18,870
clerking for admitted patient for elective surgery
318
00:21:18,870 --> 00:21:22,330
we have to ask about suggestive symptoms of
319
00:21:22,330 --> 00:21:26,570
hypertension, diabetes mellitus and other chronic
320
00:21:26,570 --> 00:21:29,860
conditions such as pain, coughingurinary
321
00:21:29,860 --> 00:21:33,660
complaints ูุนูู different types of things ุนุดุงู
322
00:21:33,660 --> 00:21:37,140
ุงูุชุดู ุงุฐุง ุนูุฏ ุงูู
ุฑูุถ comorbidity ููุง ูุง ููุฐุง ุทุจุนุง
323
00:21:37,140 --> 00:21:39,480
ู
ูุญู ุจุงูููุน ุงูุงูู ู
ู ุงู history ุงููู ูู ุงู
324
00:21:39,480 --> 00:21:42,900
outpatient ุงู room history in the elective setting
325
00:21:42,900 --> 00:21:46,280
ูู ุงู emergency ูุฏ ูุง ุงุฌุฏ ุงูููุช ููุณุคุงู ุนู ูู ุญุงุฌุฉ
326
00:21:46,860 --> 00:21:52,060
ููู ูู ุงู elective I have the enough time elective
327
00:21:52,060 --> 00:21:54,800
ูุนูู ุจููู ุงู patient ู
ุด ูู emergency condition to
328
00:21:54,800 --> 00:21:57,660
assess that the treatment planned correctly
329
00:21:57,660 --> 00:22:01,400
indicated and patient is suitable for that
330
00:22:01,400 --> 00:22:05,460
operation ูุนูู ุงู patient ูุถุนู fit ูุงู treatment
331
00:22:05,460 --> 00:22:06,640
ุงููู ุงูุง ุจุฏู ุงุนู
ูู
332
00:22:10,850 --> 00:22:14,590
So what are the steps in history takingุ ุทุจุนุง ุงู
333
00:22:14,590 --> 00:22:17,650
history taking ุฒู ู
ุง ูููุง ุนุจุงุฑุฉ ุนู multi step
334
00:22:17,650 --> 00:22:21,210
procedure ููู ุจูุนุชู
ุฏ ุนูู ุงู collection of data
335
00:22:21,210 --> 00:22:25,390
from the patient ู
ู ุฃุจุณุท ุงู data ุฒู ุงูุฅุณู
ู ุงูุนู
ุฑ
336
00:22:25,390 --> 00:22:29,790
ู ุงูู
ูุงู ุงูุณูู ู ุงููุธูู ุงููู ุจูุดุชุบู ูููุง ุฃู ู
ูุงู
337
00:22:29,790 --> 00:22:35,290
ุงูุนู
ู ุชุจุนู ู ูู ูู ุฃุนุฒุจ ููุง ู
ุชุฒูุฌ ู ุฌุฏูุด ุงู .. ุงู
338
00:22:35,290 --> 00:22:39,520
.. ู
ู
ูู ูู ุจุนุถ ุงูุฃุญูุงูุงู socio-economic level of
339
00:22:39,520 --> 00:22:42,900
the patient ููุนุจ ุฏูุฑ ูู establishing the diagnosis
340
00:22:42,900 --> 00:22:47,800
ูู ูุฐู ุฃุดูุงุก ู
ูู
ุฉุ ุฌุฏุงุด ุงู patient ู
ู
ูู ูุตุฑู ุนูู
341
00:22:47,800 --> 00:22:50,060
ุงู health care ุชุจุนุชูุ ุฌุฏุงุด ูู ู
ูุชู
ุจุงู health
342
00:22:50,060 --> 00:22:53,240
ุชุจุนุชูุ ูู ูุฐู ุจูุฑูุฒูุง ุงู socio-economic level ุฃู
343
00:22:53,240 --> 00:22:57,950
ุงู educational level of the patientุฅุฐุง ุงู
344
00:22:57,950 --> 00:23:02,470
components of history taking ุฃูู ุญุงุฌุฉ ุจูุชููู
ุนู ุงู
345
00:23:02,470 --> 00:23:06,250
chief complaint ุฃู ุงู present complaint ู ุทุจุนุง ูุฐุง
346
00:23:06,250 --> 00:23:10,750
ุจูููู ููู ููู
ุงุช ููููุฉ what are you complaining of
347
00:23:10,750 --> 00:23:13,830
ู
ู ุฅูุด ุจุชุดูู ุจูุฌุงูุจ ุงูู
ุฑูุถ ุฅูู ุจุงุดูู ู
ู ูุงุญุฏ ุฃู
348
00:23:13,830 --> 00:23:17,710
ูุงุญุฏ ุงุชููู ุชูุงุชุฉ ู
ุซูุง ุจุงุดูู ู
ู abdominal pain ู
ุบุต
349
00:23:17,710 --> 00:23:21,350
ูู ุงูุจุทู ุฃู ุจุงุดูู ู
ู abdominal pain ู
ุน vomiting ุฃู
350
00:23:21,350 --> 00:23:23,810
ุจุงุดูู ู
ู abdominal pain ู
ุน vomiting ู
ุน ุดุนูุฑ
351
00:23:23,810 --> 00:23:27,750
ุจุงูุญุฑุงุฑุฉ ุฃู ุงูุบุซูุงูุฅุฐุง ูุฏ ูููู ุงู present
352
00:23:27,750 --> 00:23:31,850
complaint multiple ุฃู ู
ุชุนุฏุฏ ููู ุบุงูุจุง ูููู ูุงุญุฏ ู
ู
353
00:23:31,850 --> 00:23:34,990
ุงู complaints ูุฐู ูู ุงููู drawing the patient
354
00:23:34,990 --> 00:23:37,670
attention more than others ูู ูุงู ู
ุชุนุฏุฏ ุงู
355
00:23:37,670 --> 00:23:43,030
complaint ุนูุฏู ู
ู
ูู ุงู patient ูููู ูุนูู ู
ุชุบูุจ ุฃู
356
00:23:43,030 --> 00:23:46,910
ุนูุฏู ู
ุดููุฉ ูู ูุงุญุฏ ู
ู ุงู complaints ูุฐู ุฃูุชุฑ ู
ู
357
00:23:46,910 --> 00:23:51,190
ุบูุฑู ุทูุจ ุฅุฐุง ุจููู
ุงุช ููููุฉ ู
ู
ูู ุฃุณุฃู ุงูู
ุฑูุถ about
358
00:23:51,190 --> 00:23:54,820
the present complaintุจุนุฏ ููู ุงูุฎุทูุฉ ุงูุชุงููุฉ ุจุชูุฌู
359
00:23:54,820 --> 00:23:58,760
ุงู detail of this present complaint ูู
ุง ุฃุณุฃูู ู
ุซูุง
360
00:23:58,760 --> 00:24:02,400
ุนู ุงู pain ูู ุนูุฏู analysis of pain ุจุฏู ุฃุจุฏุฃ ุฃุญูู
361
00:24:02,400 --> 00:24:06,360
ูู ุงูุนูุงุตุฑ ุชุจุนุช ุงู pain ู ุทุจุนุง ูุฐู ููู
ุฑ ุนูููุง ูู
362
00:24:06,360 --> 00:24:10,740
ุฃู
ุซูุฉ ุน ุณุจูู ุงูู
ุซุงู ุจุฏู ุฃุณุฃูู ู
ู ุฅูุด ุจุชุดูู ูููููู
363
00:24:10,740 --> 00:24:13,580
pain ูููููู ููู ุงูุฃูู
ูุฐู ุงูุณุคุงู ุงูุฃูู ุงู sight
364
00:24:14,760 --> 00:24:18,400
duration of pain, onset of pain, radiation of
365
00:24:18,400 --> 00:24:23,300
pain, associated symptoms ู
ุน ุงู pain ูู ูุฐู
366
00:24:23,300 --> 00:24:29,160
ุงูุฃุดูุงุก ูุฌุจ ุฃู ูุชุนุงู
ู ู
ุนูุง ุฃู ูุชุนุงู
ู ู
ุนูุง ู
ุน ุชุงุฑูุฎ
367
00:24:29,160 --> 00:24:32,480
ุงู present complete ุงููู ูู ุงูุฌุฒุก ุงูู
ูุตู ุจุนุฏ ุงูุฌุฒุก
368
00:24:32,480 --> 00:24:36,080
ุงูู
ุฌู
ู ุงูุฌุฒุก ุงูู
ุฌู
ู ูู ุงู chief complaint ูุจุนุฏูุง
369
00:24:36,080 --> 00:24:40,540
ูุฃุชู ุงูุฌุฒุก ุงูู
ูุตู ุงูุฎุทูุฉ ุงูุชุงูุชุฉ ูู remaining
370
00:24:40,540 --> 00:24:45,130
questions about the abnormal systemูุนูู ุณุฃูุชู ุนู
371
00:24:45,130 --> 00:24:48,790
ุงู pain ุงูุง ุจุฏู ุงุณุฃูู ุนู ุดุบูุงุช ุชุงููุฉ ู
ูุฌูุฏุฉ ูู ุงู
372
00:24:48,790 --> 00:24:51,370
system ููุณู ูู ูุงู ุงู pain ู
ุซูุง ู
ุญูู ุงู abdomen ุงู
373
00:24:51,370 --> 00:24:54,230
ู
ุญูู ุงู gastrointestinal tract ุจุฏู ุงุณุฃูู ุนู ุงู
374
00:24:54,230 --> 00:24:57,010
other relevant symptoms ูู ุงู GI tract ุฒู ุงูููุฒูุง
375
00:24:57,010 --> 00:25:00,230
ู ุงู vomiting ู ุงู anorexia ู ุงู weight loss ู ุงู
376
00:25:00,230 --> 00:25:05,770
jaundice ู ุงู eating habits ุงุฐุง ูู ูุฐู ุฃุดูุงุก
377
00:25:05,770 --> 00:25:09,190
ุจุชุชุนูู ุจุงู remaining a question of the abnormal
378
00:25:09,190 --> 00:25:13,280
system ุจุนุฏูุง ุงู review of other systemsู ูุฐุง
379
00:25:13,280 --> 00:25:16,740
ุงูููุงู
ู
ูู
ุฌุฏุง ูู discovery of other abnormalities
380
00:25:16,740 --> 00:25:20,600
ุงู other chronic diseases ู
ู
ูู ูุณุงูู
ูู ุงู ู put
381
00:25:20,600 --> 00:25:23,180
the diagnosis of ุงู ุงู patient is diabetic ุงู ูุง
382
00:25:23,180 --> 00:25:27,400
hypertensive ุงู ูุง ุนูุฏู heart problem ุนูุฏู
383
00:25:27,400 --> 00:25:30,520
respiratory problem ุนูุฏู other problems that could
384
00:25:30,520 --> 00:25:37,020
influence the pathway ุงู the course of management
385
00:25:37,020 --> 00:25:41,100
and course of the disease ุงู past medical history
386
00:25:41,100 --> 00:25:46,700
ู
ูู
ุฌุฏุงุฃุณุฃูู ุฃุณุฆูุฉ ู
ุจุงุดุฑุฉ ุนู ุฅูุด ุจูุงุฎุฏ ุนูุงุฌุงุชุ
387
00:25:46,700 --> 00:25:51,340
ุนู
ููุง ุนู
ููุงุช ูุจู ููู ููุง ูุฃุ ุงุชุนุฑุถ ูุชุฎุฏูุฑ ุฃู ู
ุง
388
00:25:51,340 --> 00:25:54,900
ุงุชุนุฑุถุดุ ูู ุนู
ู ุนู
ููุงุช ุฌุฑุงุญูุฉ ุชุฎุฏูุฑ ุนุงู
ููุง ุชุฎุฏูุฑ
389
00:25:54,900 --> 00:25:58,040
ู
ูุถุนูุ ู ุงู other chronic diseases ู ุงู
390
00:25:58,040 --> 00:26:03,330
medications and so onุจุนุฏ ุงู past history ุทุจุนุง ุงููู
391
00:26:03,330 --> 00:26:06,150
ุจูุดู
ู ูู medical ู ุงู surgical history ู drug
392
00:26:06,150 --> 00:26:09,330
history ูู ุญุงูุฉ ุงูุฃุทูุงู ู
ู
ูู ุฃุณุฃู ุนู ุงู
393
00:26:09,330 --> 00:26:13,410
immunizations ู ุงู family history ูุฃู ุจุนุถ ุงู
394
00:26:13,410 --> 00:26:16,270
diseases are familial ุน ุณุจูู ุงูู
ุซุงู ุงู breast
395
00:26:16,270 --> 00:26:19,450
cancer ู
ูู
ุฌุฏุง ุงู family history ูู ุงู breast
396
00:26:19,450 --> 00:26:25,990
cancer ุงู colon cancer ูู
ุงู ุงู diabetes melanitis
397
00:26:25,990 --> 00:26:30,330
ุฃุญูุงูุง ุจููู familial ุฅุฐุง ูู ูุฐู ุฃุดูุงุก ุจุชุชุนูู ุจุงู
398
00:26:30,330 --> 00:26:34,530
familyุงู social and habits social history and
399
00:26:34,530 --> 00:26:37,910
habits ุจุงูุงุถุงูุฉ ุทุจุนุง ูู socio economic level of
400
00:26:37,910 --> 00:26:42,170
the patient ููู ุจูุณููุ ุฌุฏุงุด ุงู income ุชุจุนูุ ูู ูู
401
00:26:42,170 --> 00:26:47,130
ุจููุชู
ุจุงูุตุญุฉ ุงูุนุงู
ุฉุ ุจูุชุงุจุน ุฃู ุตุบูุฑ ู ูุจูุฑ ุณูุงุก
402
00:26:47,130 --> 00:26:51,270
ุนูุฏู ุฃู ุนูุฏ ุญุฏ ู
ู ุฃูุฑุงุฏ ุงูุนููุฉุ ูู ูุฐู ูุนูู
403
00:26:51,270 --> 00:26:55,990
ุจุชุนุทููุงู
ุนููู
ุฉ ุนู ูุฏุงุด ุงูู
ุฑูุถ ู
ู
ูู ูููู ุนูุฏู
404
00:26:55,990 --> 00:26:58,950
ุงุชูุงูู
ุฉ ุงูู
ุดููุฉ ูู ูุงู ุจุงูุชู
ุจุตุญุชู ูู ูุงู ุจุงูุชู
405
00:26:58,950 --> 00:27:03,770
ุงูู ูุชุงุจุน ุจุงุณุชู
ุฑุงุฑ ู
ู
ูู ูุนูู ุงูู ูุตูุฑ ููู
406
00:27:03,770 --> 00:27:06,530
management as early as possible ููู ูู ุงู patient
407
00:27:06,530 --> 00:27:11,930
is careless ุงู neglecting his problem ู
ู
ูู ูุฌููุง
408
00:27:11,930 --> 00:27:15,210
ูู ู
ุฑุงุญู ู
ุชุฃุฎุฑุฉ ุงู ูุฌููุง ูู ู
ุฑุงุญู more complicated
409
00:27:15,210 --> 00:27:17,430
than the usual
410
00:27:21,850 --> 00:27:24,350
first of all ุทุจุนุง ุงูู ุงุญูุง ู
ุง ูุฏุฎู ุนูู ุงูู
ุฑูุถ we
411
00:27:24,350 --> 00:27:27,390
have to ensure privacy ูุฐู ุงูู ุฎุทูุฉ ensuring
412
00:27:27,390 --> 00:27:32,730
privacy ensuring good light ูุงุฒู
ูููู ุฅุถุงุกุฉ ู
ูุงุณุจุฉ
413
00:27:32,730 --> 00:27:37,130
ูู ุงูุบุฑูุฉ privacy ูุงุฒู
ูููู ู
ูุงู ู
ุบูู ูู ูุฌูุฏ ุทุจุนุง
414
00:27:37,130 --> 00:27:42,090
ุดุฎุต ูู ูุงู ุงูู
ุฑูุถ female ุงู ูู ูุงู ูุงุฒู
ูููู ุดุฎุต
415
00:27:42,090 --> 00:27:46,570
ุชุงูู ู
ุนุงููุงุฒู
ูููู ู
ูุฌูุฏ ุงู
ุง ุงูุชู
ุฑูุฏ ุงู ูุงุญุฏ ู
ู
416
00:27:46,570 --> 00:27:50,410
ุงูุงุฑุจ ุงู patient ู ุจุงูุชุญุฏูุฏ ูุงุฒู
ูููู medical
417
00:27:50,410 --> 00:27:55,450
stuff ุงูุถู ุงู nursing stuff washing my hands and
418
00:27:55,450 --> 00:27:59,170
protecting myself ู
ูู
ุฌุฏุง ุจุงูุฐุงุช ูู ุงูุง ุฏุงุฎู ุนูู
419
00:27:59,170 --> 00:28:03,550
patient ุนูุฏู infectious disease ุงู ูู ุนูุฏู ุญุงุฌุฉ
420
00:28:03,550 --> 00:28:08,670
ู
ู
ูู ูุตูุฑ ูู ูุนูู spread by communication ุงู ูู
421
00:28:08,670 --> 00:28:12,630
ูุงู ุงูู
ุฑูุถ ุนูุฏู bleedingูู ูุฐู ุฃุดูุงุก I have to
422
00:28:12,630 --> 00:28:17,110
protect myself washing my hands introduction of
423
00:28:17,110 --> 00:28:22,250
myself ุทุจุนุง ุจุงู full term ูุงุฒู
ุฃููู ุงุณู
ู ุฃูุง
424
00:28:22,250 --> 00:28:26,630
ุงูุฏูุชูุฑ ููุงูู ูููุงูู ู ุงู post ุชุจุนู ุงูุด ู
ููุนู
425
00:28:26,630 --> 00:28:31,610
ูุทุจูุจ ูู ุงูุง ุทุจูุจ ุงู
ุชูุงุฒ ู
ุซูุง ูู ุงูุง ุทุงูุจ ูู ุงูุง
426
00:28:31,610 --> 00:28:39,000
ุฃุฎุตุงุฆู ูู ุงูุง ุทุจูุจ ุนุงู
ู ุงูุงุดู ุงููู ุจุฏู ุงุนู
ููู
427
00:28:39,000 --> 00:28:44,060
ุจุงุฎุฏ ุงุฐู ุงูู
ุฑูุถ ุงูุง ุงูุฏูุชูุฑ ู
ุซูุง ุนูุงุก ุงุณุชุดุงุฑู
428
00:28:44,060 --> 00:28:50,960
ุฌุฑุงุญุฉ ุนุงู
ุฉ ูู ุณู
ุญุช ุจุฏู ุงุฎุฏ ู
ูู ู
ุนููู
ุงุช ุจู
ุง ูุฎุต
429
00:28:50,960 --> 00:28:55,440
ุงูู
ุดููุฉ ุงููู ุฌูุช ูููุง ูู ู
ู
ูู ุงู ูุง ุทุจุนุง I have to
430
00:28:55,440 --> 00:28:59,960
use ูุนูู proper words and I have to show respect
431
00:28:59,960 --> 00:29:03,320
for the patient ู ุฏุงูู
ุง ู
ูู
ุฌุฏุง ูุงุฒู
ูุญุงูุธ ุนูู ุงู
432
00:29:03,320 --> 00:29:06,340
eye to eye contact with the patientูุงุฒู
ุฃุญุณุณ ุงู
433
00:29:06,340 --> 00:29:09,980
patient ุงููู ูู ุนุจุงุฑุฉ ุนู living thing ูุนูู living
434
00:29:09,980 --> 00:29:13,000
human being ู
ุด ุนุจุงุฑุฉ ุนู object ุฃูุง ุจุฏู ุฃุชุนุงู
ู ู
ุนุงู
435
00:29:13,000 --> 00:29:16,980
ู ุฎูุงุต ูุนูู ู
ุด ุนุจุงุฑุฉ ุนู ุญุงุฌุฉ ุฃูุง ุจุฏู ุฃุฎูุตูุง ูุฃ I
436
00:29:16,980 --> 00:29:20,100
have to show sympathy to the patient ูุงุฒู
ูููู ููู
437
00:29:20,100 --> 00:29:23,180
ุชุนุงุทู ุณูุงุก ูู ูุบุฉ ุงูููุงู
ุฃู ูู ูุบุฉ ุงู body
438
00:29:23,180 --> 00:29:26,820
language ูู
ุงู ู ุงู introduction ูุงุฒู
ูููู ูู
439
00:29:26,820 --> 00:29:31,220
proper wordsู ุจุฏู ุงุณุฃู ุงูู
ุฑูุถ ุนู ุงุณู
ู ู ุนู ุนู
ุฑู ู
440
00:29:31,220 --> 00:29:34,140
ุนู ุงูุฃุดูุงุก ุงูุชุงููุฉ ุงููู ูู ุงู personal data ุชุจุนุชู
441
00:29:34,140 --> 00:29:39,300
in a very nice manner and in a very nice way that
442
00:29:39,300 --> 00:29:43,840
the patient can have confidence ู
ู
ูู ุงูู
ุฑูุถ ูุตูุฑ
443
00:29:43,840 --> 00:29:47,280
ูู ุนูุฏู ุจูุงุก ุซูุฉ ู ุฏุงูู
ุง ุงู self confidence ุฃูู
444
00:29:47,280 --> 00:29:52,900
ุญุงุฌุฉ ุซูุฉ ุงูู
ุฑูุถ ุงู ููุฑุงู ูุชุญุณู ูุซูุชู ุงูู ู
ูุฌูุฏ ูู
445
00:29:52,900 --> 00:29:56,200
ุงูู
ูุงู ุงูุณููู
ุงู ุงูู
ูุงู ุงูุตุญูุญ ุงููู ุฑุงุญ ูุชููู ููู
446
00:29:56,200 --> 00:29:59,640
ุงูุนูุงุฌ ุงูุณููู
ูู ูุฐุง ุจุชุนุชู
ุฏ ุนูู ุงู first meeting
447
00:29:59,640 --> 00:30:03,320
ุจุชุนุชู
ุฏ ุนูู ุงู first conversation ู ุฏุงูู
ุง ุงูู
ุฑูุถ
448
00:30:03,320 --> 00:30:07,540
ุจูููู ุงูุทุจุงุน ุนู ุงูุฏูุชูุฑ ุงูู ู
ุง ูุจุฏุฃ ูุชุนุงู
ู ู
ุนุงู
449
00:30:07,540 --> 00:30:14,340
ุงูู ู
ุง ูุจุฏุฃ ูุชููู
ู
ุนุงู ูู ุฎุตูุต ู
ุดููุชู getting
450
00:30:14,340 --> 00:30:19,130
another person or a chaperone ูุนูู ู
ุฑุงููwhen you
451
00:30:19,130 --> 00:30:22,330
interview a female patient ูุฐุง ุงูููุงู
ู
ูู
ุฌุฏุง ูุฒู
452
00:30:22,330 --> 00:30:26,350
ู
ุง ูููุง ุญุจุฐุง ุงูู
ุฑุงูู ูููู ู
ู ุงู nursing staff ูุนูู
453
00:30:26,350 --> 00:30:29,390
ู
ุด ู
ู ุงู family members ููุณูู
ูุฃ ูููู ู
ู ุงู
454
00:30:29,390 --> 00:30:33,350
nursing staff ูู ุชุนุฐุฑ ูุฐุง ุงูููุงู
ู
ู
ูู ุงู family
455
00:30:33,350 --> 00:30:36,610
members ูุคุฏูุง ุงูุฏูุฑ ูุฐุง ูุฅู ูุงู ู
ุด ู
ุญุจุจ ุฒู ู
ุง ูููุง
456
00:30:36,610 --> 00:30:41,150
ูุฅู ุงู family members are on the side of the
457
00:30:41,150 --> 00:30:44,350
patientุจููู
ุง ุงู nursing staff ุงู ุงู chaperone ูู
ุง
458
00:30:44,350 --> 00:30:48,330
ูููู medical staff ุงู nursing staff ุจูููู ูุนูู
459
00:30:48,330 --> 00:30:55,210
ู
ุญุงูุฏ ูู ู
ุง ูู ุตุงุฑุช ู
ุดููุฉ ุงุฐุง
460
00:30:55,210 --> 00:30:58,370
recording of the patient personal data name of the
461
00:30:58,370 --> 00:31:02,190
patient full name ุบุงูุจุง ุจูุทูุจ ุงูุงุณู
ุซูุงุซู ู
ู
ูู
462
00:31:02,190 --> 00:31:06,330
ุงูุงุณู
ุงุญูุง ูุชุบุถู ุนูู ูู
ุง ููุฌู ููุฏู
ุญุงูุฉ ู ู
ู
ูู
463
00:31:06,330 --> 00:31:11,000
ูููู ุนูู ุจุงูุญุฑูู ุงูุฃููู ุจุณุฃู ู
ู
ูู ูููู ุงูุงุณู
464
00:31:11,000 --> 00:31:18,980
ุจุงููุงู
ู ุญุณุจ if I want to keepthe patient unknown
465
00:31:18,980 --> 00:31:23,580
name ู
ู
ูู ุฃุนุจุฑ ุนูู ุจุญุฑูู ุฃู ุฃููู ุงุณู
ู ุจุงููุงู
ู ูุฅู
466
00:31:23,580 --> 00:31:26,300
ุงู history presentation ุจูููู ูุฏุงู
ุงู medical
467
00:31:26,300 --> 00:31:29,620
staff ูุนูู ูุจุงูุชุงูู ุงู privacy ูุงู ู
ุงุจุตูุฑุด ูููุง
468
00:31:29,620 --> 00:31:36,400
breaching ูุนูู ู
ุงุจุตูุฑุด ูููุง ุงููู ูู ุงุฎุชุฑุงู ู ุงู
469
00:31:36,400 --> 00:31:39,850
privacy ูุฅู ุฃูุง ุจูุฏู
ู
ู ุฎูุงู ุงู medical staffุงู
470
00:31:39,850 --> 00:31:44,110
age of the patient ู
ูู
ุทุจุนุง ุงู age ุจููุนู ุฏูุฑ ูู
471
00:31:44,110 --> 00:31:46,950
ุจุนุถ ุงูุฃู
ุฑุงุถ ุนูู ุณุจูู ุงูู
ุซุงู ุงู acute appendicitis
472
00:31:46,950 --> 00:31:50,090
ุจูุฌู ูู ูู ุงูุฃุนู
ุงุฑ ุตุญูุญ ููู ุงูุชุฑ ุญุงุฌุฉ ุจูุฌู ูู
473
00:31:50,090 --> 00:31:53,170
ุงูุนุดุฑููุงุช ู ุงูุชูุงุชููุงุช ูุนูู ุงูู
ุฑุถู ูู ุงูุนูุฏ ุงูุซุงูู
474
00:31:53,170 --> 00:31:56,570
ู ุงูุนูุฏ ุงูุซุงูุซ ู
ู ุฃุนู
ุงุฑูู
ุจููู
ุง ู
ุฑุถ ู
ุซูุง ุฒู ุงู
475
00:31:56,570 --> 00:32:01,840
colon cancer ุจูุฌู ูู ุงู elderly peopleู
ุฑุถ ุฒู ุจุนุถ
476
00:32:01,840 --> 00:32:03,920
ุฃููุงุน ุงู February illnesses ุจุชูุฌู ูู ุงู children
477
00:32:03,920 --> 00:32:09,020
ุฃูุชุฑ ู
ุฑุถ
478
00:32:09,020 --> 00:32:11,280
ุฒู ุงู breast cancer ู
ุซูุง ุจูุฌู ูู ุงู elderly
479
00:32:11,280 --> 00:32:16,260
females ุฃูุชุฑ ู
ู ุงู malesุ ุงุฐุง ูุฐู ุงูุดุบู ู
ูู
ุฉ ุงู
480
00:32:16,260 --> 00:32:20,120
age ู
ู
ูู ูุนุทููุง ูุฑูุถูุง ุนูู ุจุนุถ ุฃููุงุน ุงู diagnosis
481
00:32:20,960 --> 00:32:23,900
ุงู gender of the patient ุงู males ู ุงู females ูู
482
00:32:23,900 --> 00:32:27,160
ุงู patient male ุงู female ุจุฑุถู ูุฐู ุจุฏูููุง ุทุจุนุง
483
00:32:27,160 --> 00:32:32,420
ุฎูุงู ุงู .. ุงู .. ุงู history ูุฃูู ุงู .. ุจุนุถ ุงูุฃุดูุงุก
484
00:32:32,420 --> 00:32:35,680
ุจุชููู more common in males ู ุงูุจุนุถ ุงูุฃู
ุฑุงุถ ุงูุชุงููุฉ
485
00:32:35,680 --> 00:32:38,240
ุจุชููู more common in females ุงู burst cancer ุนูู
486
00:32:38,240 --> 00:32:41,080
ุณุจูู ุงูู
ุซุงู more common in females than males ุจู
ุง
487
00:32:41,080 --> 00:32:47,160
ูุนูู ุจุฎุทูุงุช ูุชูุฑ ุจููู
ุง ุงู colon cancer more common
488
00:32:47,160 --> 00:32:52,940
in males for exampleุงูู marital statusุ ุงูู
ุฑูุถ
489
00:32:52,940 --> 00:32:57,680
ุฃุนุฒุจ ููุง ู
ุชุฒูุฌุ ููู ุนูุฏู ุฃุทูุงู ููุง ูุงุ ุฅูุด ุจูุดุชุบู
490
00:32:57,680 --> 00:33:02,580
ุงู occupationุ ู
ู
ูู ูููู ุจูุดุชุบู ุดุบู ู
ูุชุจู ู ู
ู
ูู
491
00:33:02,580 --> 00:33:06,730
ูููู ุจูุดุชุบู heavy liftingู
ุซูุง ุจูุดูู ุฃุดูุงุก ุชุฌููุฉ ุฃู
492
00:33:06,730 --> 00:33:12,290
ุจูุดูู ุฃู ุจูุดุชุบู ุดุบู ู
ุฑูู ุฃู ู
ุชุนุจ ู ุทุจุนุง ูุฐู
493
00:33:12,290 --> 00:33:15,310
ุงูุดุบูุงุช ู
ู
ูู ุฃููุง ุชุณุงุนุฏูุง ูู ุจุนุถ ุงู diagnosis ุนูู
494
00:33:15,310 --> 00:33:18,390
ุณุจูู ุงูู
ุซุงู ุงูู
ุฑุถู ุงููู ุจูุฌู ุนูุฏูู
hernias ุงููู ูู
495
00:33:18,390 --> 00:33:22,610
ุงููุชุงุฌ ุจูู ุฃููุงุนู ู
ู
ูู ูุนุทููุง ูู ุงู history ุฃูู
496
00:33:22,610 --> 00:33:25,890
ุจูุดูู ุฃุดูุงุก ุชุฌููุฉ ุฒู ุฃูู ูููู ุนุงู
ู ุจูุงุก ู
ุซูุง ุฃู
497
00:33:25,890 --> 00:33:30,590
ุจูุดุชุบู ูู ุงูุญุฏูุฏ ุฃู ุจูุดุชุบู ูู ุนู
ู ู
ุฑูู ุจููู
ุง ุงูุดุบู
498
00:33:30,590 --> 00:33:34,120
ุงูู
ูุชุจูุงููู ุจูููููุง ูุงุนุฏูู ุนูู ู
ูุงุชุจ ู ุนูู ูุฑุงุณู
499
00:33:34,120 --> 00:33:36,680
ุจูุฌููู
ุฃูุชุฑ ุจุนุถ ุงูุฃููุงุน ุงู pathologies ุงูุชุงููุฉ ุฒู
500
00:33:36,680 --> 00:33:39,900
ุงู hemoroids ู
ุซูุง ุฃู ุจูุตูุฑ ูู ุนูุฏูู
varicose veins
501
00:33:39,900 --> 00:33:44,140
ุงููู ูู ุงูุฏูุงูู ุงูุฑุฌููู ุฅูู ุฃุฎุฑูุง ูุจุงูุชุงูู ุงู
502
00:33:44,140 --> 00:33:48,780
occupation ู
ู
ูู ุชูุนุจ ุฏูุฑ ูู establishing the
503
00:33:48,780 --> 00:33:53,040
diagnosisุงู address of the patient ู ู
ูุงู ุงูุณูู
504
00:33:53,040 --> 00:33:58,380
ุชุจุนู ุจุงูุงุถุงูุฉ ูู date of the interview and the
505
00:33:58,380 --> 00:34:02,180
name of the interviewer ู
ูู ุงููู ุฃุฎุฏ ุงู history
506
00:34:02,180 --> 00:34:05,500
ู
ู
ูู ูููููุง two doctors ูุงุญุฏ ุจููุชุจ history ูุงุญุฏ
507
00:34:05,500 --> 00:34:08,900
ุจูุณุฃู ูุจุงูุชุงูู I have to document that ุงู history
508
00:34:08,900 --> 00:34:12,180
is taken by two doctors my name and my friend name
509
00:34:12,180 --> 00:34:15,920
ุงู my colleague nameุฃู ู
ู
ูู ูููู ุฃูุง ุงููู ุฃุฎุฏุช ุงู
510
00:34:15,920 --> 00:34:18,320
history ู ุฏูููุชู ูู ููุณ ุงููุฌู ุงูุง ุงููู ุณุฃูุช
511
00:34:18,320 --> 00:34:21,500
ุงูุฃุณุฆูุฉ ูุจุงูุชุงูู ูุฐุง ุงูููุงู
ูุงุฒู
ุงูุชุจู ู ุงู date
512
00:34:21,500 --> 00:34:25,360
ุจูุดู
ู ุงู time ุจุฑุถู date and time ูุนูู ุงู history
513
00:34:25,360 --> 00:34:30,720
is taking ู
ุซูุง ูู ุนุดุฑุฉ ุณุจุนุฉ ุงูููู ู ุนุดุฑูู ูู
514
00:34:30,720 --> 00:34:33,200
ุงูุณุงุนุฉ ุงูููุงููุฉ ุงูุณุงุนุฉ ูุงุญุฏุฉ ู ูุต ุงูุธูุฑ ู
ุซูุง
515
00:34:33,800 --> 00:34:36,520
ูุจุงูุชุงูู ูุงุฒู
ูุฐุง ุงูููุงู
ุงุฏููู ูุงูู ู
ูู
ุฌุฏุง ูู ุงู
516
00:34:36,520 --> 00:34:39,940
follow up ุงู first meeting ู ุงู first data of the
517
00:34:39,940 --> 00:34:43,060
patient ู ุจุนุฏ ููู ุงูุด ุตุงุฑ ููู change ุนูู ุงู data
518
00:34:43,060 --> 00:34:46,260
ุงูุด ุตุงุฑ ููู change ุนูู ุงู signs ู ุงู symptoms of
519
00:34:46,260 --> 00:34:50,140
the patient ุจุนุฏ ู
ุง ูู
ุฑ ุงูููุช ู ุงูุด ุตุงุฑ ููู change
520
00:34:50,140 --> 00:34:53,000
ุนูู ุงูุญุงูุฉ ุชุจุนุช ุงูู
ุฑูุถ in general
521
00:34:58,020 --> 00:35:01,560
ุฅุฐุง ุงู element ุงูุฃูู ุงููู ูู ุงู present ุฃู ุงู
522
00:35:01,560 --> 00:35:04,980
chief complaint in patients own words with
523
00:35:04,980 --> 00:35:10,140
duration ูุงุฒู
ุงูู
ุฑูุถ ูุณุชุฎุฏู
ุงูููู
ุงุช ุฃู ุฃูุง ุจูููู
524
00:35:10,140 --> 00:35:14,960
ุงุณุชุฎุฏู
ุงูููู
ุงุช ุฃู ุฃุตู ูุฒู ู
ุง ุจุชุนุฑู ุฅูุด ุฃูุช ุญุงุณุณ
525
00:35:16,190 --> 00:35:19,430
ู
ู
ูู ุงูู
ุฑูุถ ูููู well educated ุงู ุนูุฏู ุฎุจุฑุฉ ุจุงู
526
00:35:19,430 --> 00:35:23,710
medical terminology ูุญูู ููู
ุงุช more specific than
527
00:35:23,710 --> 00:35:26,890
a patient which is not well educated ุงู ุงู IQ
528
00:35:26,890 --> 00:35:31,050
level ุนูุฏู ูุงุทู ุงู ู
ุงููุด ุนูุฏู medical knowledge
529
00:35:32,290 --> 00:35:35,630
ู
ู
ูู ุงู terminology ุฃู ู
ู
ูู ุงูู
ุตุทูุญุงุช ุชุฎุชูู ู
ุง ุจูู
530
00:35:35,630 --> 00:35:39,890
ู
ุฑูุถ ุนูุฏู chronic disease ุจูุฌู ุจุงูู
ุดููุฉ ูุฐู ูุฐุง
531
00:35:39,890 --> 00:35:43,510
ู
ุฑุฉ ู ูู ุนุงุฑู ุงู diagnosis ุชุจุนู ุฃู ุตุงุฑ ุนูุฏู ุฎุจุฑุฉ
532
00:35:43,510 --> 00:35:47,050
ุจุงู symptoms ุงููู ู
ูุฌูุฏ ุงูุฃุนุฑุงุถ ู ุจูู ู
ุฑูุถ ุตุงุฑุช
533
00:35:47,050 --> 00:35:51,890
ุนูุฏู ุงู symptoms ููู
ุฑุฉ ุงูุฃููู ุฅุฐุง ูู ูุฐู ุจุชูุนุจ ุฏูุฑ
534
00:35:51,890 --> 00:35:54,750
ูู ุงูุชุฃุซูุฑ ุนูู ุงูููู
ุงุช ุงููู ุจูุณุชุฎุฏู
ูุง ุงูู
ุฑูุถ ูู
535
00:35:54,750 --> 00:35:59,270
ูุตู ุงูู
ุดููุฉ ุชู
ุงู
duration
536
00:36:01,680 --> 00:36:04,720
duration expressed in the form of timing or
537
00:36:04,720 --> 00:36:10,180
recurrence ูุนูู ู
ุชู ุตุงุฑุช ุงูู
ุดููุฉ ูู ูุฌูุฉ ู
ุนููุฉุ ู
ู
538
00:36:10,180 --> 00:36:13,780
ู
ุชู ุฅููู ุจุชุนุงูู ู
ู ุงูู
ุดููุฉ ูุงุฏุ ู
ู ุงู
ุจุงุฑุญ ู
ุซูุง ุฃู
539
00:36:13,780 --> 00:36:17,960
ู
ู ุงูููู
ุงูุณุงุนุฉ ุณุชุฉ ุงูุตุจุญุ ูุฐุง ุงู timing ุฃู ุฃูุง
540
00:36:17,960 --> 00:36:21,000
ุจุนุงูู ู
ู ุงูู
ุดููุฉ ูุงุฏ ู
ู ุนุฏุฉ ุฃูุงู
ูุฃุฌุชูู ูุฐุง ู
ุฑุฉุ
541
00:36:21,000 --> 00:36:23,640
ูุฐุง ุจูุณู
ูู ุงู recurrence ูุนูู frequency of symptom
542
00:36:25,550 --> 00:36:29,330
ุฃุฌูุชูู ุชูุงุช ู
ุฑุงุช ุงุฑุจุน ู
ุฑุงุช ุฃุฌุงูู ุงูู
ุบุฒ ูู ุฃุฑุจุน
543
00:36:29,330 --> 00:36:34,450
ุญุงูุงุช ูู ุฃุฑุจุน ุฃูุฌุงุช ู
ุฎุชููุฉ ุชู
ุงู
ุ ุฅุฐุง ูุงุช ุจูุณู
ูู ุงู
544
00:36:34,450 --> 00:36:38,850
recurrence ุฃู ุงู timing ุฅุฐุง ูุงุญุฏ ู
ููู
ุฃู ุงุชููู ู
ุน
545
00:36:38,850 --> 00:36:43,820
ุจุนุถ ู
ูู
ุฌุฏุงusually there is single complaint ููู
546
00:36:43,820 --> 00:36:47,440
ุบุงูุจุง ู drawing ุงู patient attention ููู ูู ุจุนุถ
547
00:36:47,440 --> 00:36:49,680
ุงูุฃุญูุงู ุจูููู multiple ุฒู ู
ุง ูููุง ูู pain ูู
548
00:36:49,680 --> 00:36:54,060
nausea ูู vomiting ูู anorexia ูู fatigue ูู
549
00:36:54,060 --> 00:36:57,780
weakness ุฃู ู
ู
ูู ูููู ุงู patient ุนูุฏู one symptom
550
00:36:57,780 --> 00:37:01,480
that draw his attention ุฒู ุงู pain ู
ุซูุง ุฃูุชุฑ ุญุงุฌุฉ
551
00:37:01,480 --> 00:37:03,960
ุจูุฌู ูููุง ุงูู
ุฑูุถ ู ุบุงูุจุง ุจุชููู ุนู
ูุงูู distraction
552
00:37:03,960 --> 00:37:08,140
ู
ุดุชุช ุชูููุฑู ุฃู ุนู
ูุงูู ู
ุนุงูุง ูู ุงูุฃูู
pain
553
00:37:10,650 --> 00:37:14,330
ุจูุณุฃู ุงู patient ุณุคุงู ู
ุจุงุดุฑ what are you
554
00:37:14,330 --> 00:37:18,270
complaining of ุงู what is your problemุ ู
ุงููุด
555
00:37:18,270 --> 00:37:24,490
ุจุชุดููุWhat is the complaint? I have pain. Where is
556
00:37:24,490 --> 00:37:27,810
pain? In the abdomen ู
ุซูุง ุฃู pain in my arm ุฃู
557
00:37:27,810 --> 00:37:32,970
pain in my leg ุฃู pain in the chest ูู ูุฐู ุฃุฌูุจุฉ
558
00:37:32,970 --> 00:37:37,250
ู
ุญุชู
ูุฉ ุฃู what is the problem ุจุณ ุบุงูุจุง ูู ุณุฃููุง
559
00:37:37,250 --> 00:37:40,070
ุงูู
ุฑูุถ ุฅูุด ุงูู
ุดููุฉ ููุงู ุนุงุฑู ุงู diagnosis ุชุจุนู
560
00:37:40,070 --> 00:37:44,310
ู
ู
ูู ูุญูููุง ุงู diagnosis ู
ุจุงุดุฑุฉุฒู ู
ุฑูุถ ู
ุซูุง ุจููู
561
00:37:44,310 --> 00:37:47,890
ุนุงุฑู ุงูู ุนูุฏู ุฃุณุงุจูุน ู
ุซูุง inflammatory ุฃู ุงู
562
00:37:47,890 --> 00:37:50,370
disease ู ููููู ุนูุฏู ulcerative colitis ูู ุณุฃูุชู
563
00:37:50,370 --> 00:37:55,560
ุงูุด ุงูู
ุดููุฉุชู
ุงู
ุ ูุจุงูุชุงูู ุฏุงูู
ุง ุงุญูุง ุจูุญุงูู ุงูู
564
00:37:55,560 --> 00:37:58,700
ูุฎูู ุงูู
ุฑูุถ ูุญูู ุนู ุงูุดููู ุจุชุงุนุชู ุนู ุงู complaint
565
00:37:58,700 --> 00:38:01,960
ุจุชุงุนุชู ูู
ุง ูุฎููููุด ูุญูู diagnosis diagnosis ุตุญูุญ
566
00:38:01,960 --> 00:38:05,080
ูู ู
ุฑุญูุฉ ูุงุญูุฉ ู
ู
ูู ุงูู
ุฑูุถ ูุญูููุง ููู ุจุงูุฏุฑุฌุฉ
567
00:38:05,080 --> 00:38:08,340
ุงูุฃููู ุงุญูุง ูุงุฒู
ูู ุงูุจุฏุงูุฉ ูุญูู ุงู complaint ุงููู
568
00:38:08,340 --> 00:38:12,580
ูู ุฌุงู ููู ููุจุนุฏ ุนู ุงูู ูุญุท diagnosis ู
ู ุงูุจุฏุงูุฉ
569
00:38:12,580 --> 00:38:16,920
ุฌุงู ุฏูุฑู ุจุนุฏ ููู ูู ุงู later on in the course of
570
00:38:16,920 --> 00:38:21,970
the historyุงูู
ุฑุญูุฉ ุงูุชุงููุฉ ุจุนุฏ ู
ุง ุงุณุฃููุง ุนู ุงู
571
00:38:21,970 --> 00:38:26,530
chief complaint ู ุบุงูุจุง ูุฐู ุจุชููู ูู few words ู
572
00:38:26,530 --> 00:38:29,630
ุจุฎูููุง as short as possible the patient is
573
00:38:29,630 --> 00:38:33,050
complaining of pain in the upper abdomen ู
ุซูุง ุงู
574
00:38:33,050 --> 00:38:36,670
complaining of vomiting ุงู complaining of nausea
575
00:38:38,850 --> 00:38:42,790
heat sensation, feverish sensation ูู ูุฐู ุงูุฃุดูุงุก
576
00:38:42,790 --> 00:38:46,150
ู
ู
ูู ุฃูุชุจูุง ูู ุงู chief complaint ุจุนุฏ ุฐูู ุจุงุฌู ูู
577
00:38:46,150 --> 00:38:49,370
details about the chief complaint ูู elements ูุงุฒู
578
00:38:49,370 --> 00:38:54,330
ุฃุญูููุง ููุชููู
ุนู ุจุนุถ ุงูุฃู
ุซูุฉ ูููุง ุจุนุฏูู ุจุณุฃู ุนู ุงู
579
00:38:54,330 --> 00:38:56,930
relevant ุฃู ุงู associated symptoms ูู ููุณ ุงู
580
00:38:56,930 --> 00:39:01,130
systemุงูู GI tract ุฃู ุงูู urinary tract ุฃู ุงู
581
00:39:01,130 --> 00:39:04,550
cardiovascular ุฃู ุงู respiratory system ุฃู ุงู
582
00:39:04,550 --> 00:39:07,930
neurological system ุฃู ุงู neurological system ุฃู
583
00:39:07,930 --> 00:39:12,610
ุงู musculoskeletal and bone system ูููุง ุจูููู ูููุง
584
00:39:12,610 --> 00:39:15,930
associated symptoms ุฒุงุฆุฏ ุงู symptom ุงูุฑุฆูุณู ุฃู ุงู
585
00:39:15,930 --> 00:39:19,450
complaint ุงูุฑุฆูุณู ุงููู ุฌุงู ููู ุงูู
ุฑูุถุจุนุฏ ููู ุจุจุฏุฃ
586
00:39:19,450 --> 00:39:25,250
ุงุญุท ุงุญุชู
ุงูุงุช differential diagnosis ูู
ูู
ุฌุฏุง ุฒู ู
ุง
587
00:39:25,250 --> 00:39:28,770
ุญูููุง ุงูู leading the conversation and thoughts
588
00:39:28,770 --> 00:39:32,410
don't allow the patient to tell you irrelevant
589
00:39:32,410 --> 00:39:35,310
questions ุงู irrelevant answers sorry ุงู
590
00:39:35,310 --> 00:39:39,110
irrelevant data ูู
ุง ุงูู
ุฑูุถ ุงูู ูุจุฏุฃ ูุญูู ููุงู
ู
ุด
591
00:39:39,110 --> 00:39:40,750
ู
ูู
I have to
592
00:39:43,780 --> 00:39:48,400
direct the patient ุงุนุงุฏ ุงูุชูุฌูู ููู
ุฑูุถ ููุณุคุงู
593
00:39:48,400 --> 00:39:54,480
ุงูุฃุณุงุณู ูุนูู ู
ุซูุง ู
ู
ูู ูููู ุจูุญูู ุนู ุงู pain ู ุงูู
594
00:39:54,480 --> 00:39:57,880
associated ู
ุซูุง with food ุงู ุจูุฌู ุนูู ุดูู cramps
595
00:39:57,880 --> 00:40:01,060
ุงู ุจูุนู
ู radiation ุจูุชุดุฑ ูู ูู ุฃูุญุงุก ุงู abdomen ู
596
00:40:01,060 --> 00:40:05,000
ู
ู
ูู ูุญุณ ููู ูู ูุฏูู ุงู ู
ู
ูู ูุญุณ ููู ูู ุงู arm
597
00:40:05,000 --> 00:40:12,720
ุงูุงุฎุฑู ู ูุฌุฃู ูุญูููู ุงูู ู
ุซูุง ุฑูุญุช ุนูู ู
ุดูุงุฑ ู
ุนููู
598
00:40:12,720 --> 00:40:17,580
ูุถูุช ูู ุงูู
ุดูุงุฑ ูุงุฌุช ู
ุนูู ู
ุซูุง ู ุจุนุฏ ููู ุฑูุญุช ุนูู
599
00:40:17,580 --> 00:40:20,600
ุงูุจูุช ู ุจุนุฏ ููู ูู
ุช ุงูู ุงุฎุฑู ู
ู
ูู ุจุนุถ ุงูู
ุฑุถู
600
00:40:20,600 --> 00:40:24,120
ูุดุชุทูุง ูู ุงูู
ูุถูุน ูุจุงูุชุงูู ูุงุฒู
ุงุนู
ู redirection
601
00:40:24,120 --> 00:40:29,740
ููู
ุฑูุถ ู ุงู relevant history ุงููู ุงูุง ุจุงุฎุฏู ุฏุงุฆู
ุง
602
00:40:29,740 --> 00:40:37,280
ุงู history taking ุจูููู ุนู ุทุฑูู ูุนูู integration
603
00:40:37,280 --> 00:40:44,790
between time and eventday ุฃู days ุงู
ุง ุจูุฐูุฑ ุชุงุฑูุฎ
604
00:40:44,790 --> 00:40:50,090
ู
ุนูู ุงู ุณุงุนุฉ ู
ุนููุฉ ุงู ุจูุญูู ุนู ุงูุงู
ู
ุนููุฉ ูุจู ุชูุช
605
00:40:50,090 --> 00:40:53,370
ุงูุงู
ุตุงุฑ ุนูุฏู ูุฐุง ุงู ูู ุงูุณุงุนุฉ ุงูููุงููุฉ ูู ุงูููู
606
00:40:53,370 --> 00:40:57,130
ุงูููุงูู ุตุงุฑ ุนูุฏู ูุฐุง ู ูุงุฒู
ูู ูุฐู ุงูุดุบูุงุช ูุฑูููุง
607
00:40:57,130 --> 00:41:00,130
in detail narrating in detail ูุนูู ูุฑูู ูุฐู
608
00:41:00,130 --> 00:41:04,330
ุงูุดุบูุงุช time by timeุงูุตุจุญ ุตุงุฑ ุนูุฏ ุงูู
ุฑูุถ ูุฐุง
609
00:41:04,330 --> 00:41:07,770
ูุจุนุฏูู ุงูุธูุฑ ุงุชุทูุฑุช ุงูุญุงู ููุฐุง ุฃู ุงูุณุงุนุฉ ุชุณุนุฉ
610
00:41:07,770 --> 00:41:12,130
ุงูุตุจุญ ุจุฏุฃ ุงูู
ุฑูุถ ูุดู ู
ู ุฃู
ุฑ ู
ุนูู ูุงูุณุงุนุฉ ู
ุซูุง ุนุดุฑ
611
00:41:12,130 --> 00:41:14,830
ุตุงุฑ ุนูุฏู ูุฐุง ุงูุณุงุนุฉ ุงุชูุงุด ุงู ุงุชูุงุด ุงุฌู ุนูู
612
00:41:14,830 --> 00:41:18,490
ุงูู
ุณุชุดูู ูู ุงู emergency ู
ุซูุง ุงุนุทููู ุนูุงุฌ ู
ุนูู ุงู
613
00:41:18,490 --> 00:41:22,670
ุตุงุฑ ุนูุฏู complaint ู
ุนูู ูู ูุฐู ุฃุดูุงุก I have to
614
00:41:22,670 --> 00:41:26,360
narrate in detailand avoidance of medical
615
00:41:26,360 --> 00:41:29,540
terminology with the patient of course ููู ุงู
616
00:41:29,540 --> 00:41:32,720
medical terminology ูู
ุง ุฃุฌู ุฃุนู
ู formulating ูู
617
00:41:32,720 --> 00:41:36,780
history ูู
ุง ุฃุฌู ุฃุตูุบู ุงู history ุจุงูุตูุงุบุฉ ุงููู ุฃูุง
618
00:41:36,780 --> 00:41:40,300
ุจุฏู ุฃูุฏู
ูุง ูู my colleagues ุฃู ุงู medical staff
619
00:41:40,300 --> 00:41:44,140
ุจุจุฏุฃ ุฃุฏุฎู ุงู medical terminologies ุงูุถุฑูุฑูุฉ ู
620
00:41:44,140 --> 00:41:45,420
ุงููุงุฒู
ุฉ ูู ููู ุดุบู
621
00:41:48,700 --> 00:41:52,900
ูุงุฎุฏ ู
ุซุงู ุนูู ู
ูุถูุน ุงู present complaint ููู ุฃูุชุฑ
622
00:41:52,900 --> 00:41:55,720
ุญุงุฌุฉ ุจูุฌู ุงูู
ุฑุถู ุจูุดููุง ู
ููุง ุจุงููุณุจุฉ ููุฌุฑุงุญุฉ
623
00:41:55,720 --> 00:41:59,940
ุงูุนุงู
ุฉ ูุนูู ุงููู ูู ุงู abdominal painุงูู abdominal
624
00:41:59,940 --> 00:42:07,040
pain ุทุจุนุง ููู ูู wide varieties of etiologies ูุชูุฑ
625
00:42:07,040 --> 00:42:10,980
ุฃุณุจุงุจ ูู abdominal pain ูู ุจุนุถูุง medical ู ูู
626
00:42:10,980 --> 00:42:14,800
ุจุนุถูุง surgical ู
ู ุฃุดูุฑ ุงูุฃุดูุงุก ุทุจุนุง ุงู abdominal
627
00:42:14,800 --> 00:42:17,740
pain ุงููู ุจูุฌูุง ูููุง ุงู patients ุนูู ุงูุชูุงุฑู ุงููู
628
00:42:17,740 --> 00:42:20,460
ูู ุญูุงูุฉ ุงู acute appendicitis ุฃู ุงู acute
629
00:42:20,460 --> 00:42:24,060
cholecystitis ุฃู ุงู pancreatitis ุฃู ุงู peptic
630
00:42:24,060 --> 00:42:28,400
ulcer disease ูู ูุฐู common thingsabdominal pain
631
00:42:28,400 --> 00:42:31,500
ูุจุงูุชุงูู ุงู abdominal pain ูู ุงู chief complaint
632
00:42:31,500 --> 00:42:34,180
ูู
ุง ุงู patient ููุฌู ูุงุณุฃูู ููููู I have abdominal
633
00:42:34,180 --> 00:42:37,800
pain ูู ุงูู
ูุทูุฉ ุงูููุงููุฉ ุจูุฃุดุฑ ุนูููุง upper abdomen
634
00:42:37,800 --> 00:42:41,620
ุฃู lower abdomen ูู ุฃุนูู ุงูุจุทู ุฃู ูู ุฃุณูู ุงูุจุทู
635
00:42:41,620 --> 00:42:44,240
ูู
ู
ูู ุฃุถูู ุนูููุง ูู ุฃุนูู ุงูุจุทู ุนูู ูุงุญูุฉ ุงููู
ูู ุฃู
636
00:42:44,240 --> 00:42:47,450
ุนูู ูุงุญูุฉ ุงูุดู
ุงููู ุฃุณูู ุงูุจุทู ุนูู ุงููุงุญูุฉ ุงููู
ูู
637
00:42:47,450 --> 00:42:51,270
ุฃู ุนูู ุงููุงุญูุฉ ุงูุดู
ุงู ูุจุงูุชุงูู ู
ู
ูู ุงุญูู ูู ุงู
638
00:42:51,270 --> 00:42:53,750
chief complaint ุงู ุงู patient came to the
639
00:42:53,750 --> 00:42:56,950
emergency ุน ุณุจูู ุงูู
ุซุงู with the chief complaint
640
00:42:56,950 --> 00:43:00,430
of right upper abdominal pain this is acceptable
641
00:43:00,430 --> 00:43:04,230
ุงูู ุงุญูููุง short words right upper abdominal pain
642
00:43:04,230 --> 00:43:08,850
ุงู right upper pain in his tummy ุจุงูู
ุนูู ุงูุฏุงุฑุฌ ูู
643
00:43:08,850 --> 00:43:13,920
abdomen ุงุฐุง ุงูุง ุจุฏูุด ุงุณุชุฎุฏู
ู
ุซูุง ู
ุตุทูุญ ุทุจูุชู
ุงู
ู
644
00:43:13,920 --> 00:43:16,300
ู
ู
ูู ุงููู ุงู patient ุนูุฏู lift lower abdominal
645
00:43:16,300 --> 00:43:20,440
pain ูุฐุง ุจุฑุถู chief complaint ูุนุชุจุฑ okay ูุญุชู ูุฃ
646
00:43:20,440 --> 00:43:24,240
ุงู ุงูุง ู
ุงุฐูุฑุชุด detail ุงุฐุง ุงู chief complaint pain
647
00:43:24,240 --> 00:43:28,640
ุจุนุฏ ููู ุจุงุฌู ุจู
ุฑ ุนูู ุนุฏุฉ elements ูุงุฒู
ุงุดุฑุญูุง ู
648
00:43:28,640 --> 00:43:34,550
ูุงุฒู
ุงุนู
ู ูุนููุชุญููู ููู pain ุงููู ุนูุฏ ุงูู
ุฑูุถ first
649
00:43:34,550 --> 00:43:38,290
thing I have to do ุฃูู ุฃุณุฃู ุงู patient ุนู ุงู site
650
00:43:38,290 --> 00:43:41,790
of pain where is the site ุทุจุนุง ุจุญูู ููู
ุฑูุถ ูุฃุดุฑ
651
00:43:41,790 --> 00:43:46,130
ุนูู ุงู site ููู ู
ูุฌูุฏ ุงูููู
ุจุนุถ ุงูู
ุฑุถู ู
ู
ูู ูุฃุดุฑ
652
00:43:46,130 --> 00:43:51,070
ุนูู ููุทุฉ ู
ุนููุฉ pinpoint ุจุฅุตุจุน ูุงุญุฏ ุฒู ูู ุญุงูุงุช ุงู
653
00:43:51,070 --> 00:43:54,950
acute appendicitis ู
ุซูุง ู
ู
ูู ูุญุท ุฅุตุจุน ุนูู ุงู right
654
00:43:54,950 --> 00:43:59,480
iliac fossa ููููู ุงู pain ู
ูุฌูุฏ ููุงูู
ู
ูู ุจุนุถ ุงููุงุณ
655
00:43:59,480 --> 00:44:02,680
ุงูุชุงูููู ูุญุทูุง ุงูุงูุฏ ุนูู ูู ุงูุงุจุฏู
ู ููุจุฏุฃ ูุญุฑู
656
00:44:02,680 --> 00:44:07,640
ุงูุงูุฏ ุญุฑูุฉ ุฏุงุฆุฑูุฉ ุงู ูู ู
ูุทูุฉ ุงูุงุจุฏู
ู ูููุง ุฃูู
ุน
657
00:44:07,640 --> 00:44:10,200
ุณุจูู ุงูู
ุซุงู ุงูู
ุฑุถู ุงููู ุจูููู ููู ุนูุฏูู
intestinal
658
00:44:10,200 --> 00:44:14,020
obstruction ู
ู
ูู ูุญุณ ุงูุฃูู
diffuse ูู ูู ุจุทูู
659
00:44:14,020 --> 00:44:18,640
ุชู
ุงู
ุ ูุจุงูุชุงูู ูุฐุง ุณุจุจ ู
ู
ูู ุงู patient ูุฃุซุฑ ุนูู
660
00:44:18,640 --> 00:44:21,380
ู
ูุทูุฉ ู
ูุชุตู ุงูุจุทู ุฒู ุงู patients ุงููู ุจูููู ุนูุฏูู
661
00:44:21,380 --> 00:44:25,280
peptic ulcer ู
ู ููู epigastric area ุงู ุงูู
ูุทูุฉ
662
00:44:25,280 --> 00:44:30,320
ุงููู ูููุง ุงูู
ุนุฏูู
ูุชุตู ุงูุจุทู ููู ุงูุตุฑุฑุฉ ู
ุจุงุดุฑุฉ ุจุฑุถู
663
00:44:30,320 --> 00:44:34,120
ูุฐู site ุงุฐุง ุจุนุฏ ูู ูุจุตูุบูุง ูู medical terminology
664
00:44:34,120 --> 00:44:39,480
site of pain ุทุจุนุง ูู ุนูุฏู four sites ููุฃุฏูู
ุฉ ู
ู
ูู
665
00:44:39,480 --> 00:44:44,460
ุงุฌุณู
ู night sites ุจุฑุถู ู
ู
ูู ุงููู right upper
666
00:44:44,460 --> 00:44:49,240
quadrant left upper quadrant ุงูุฑุจุน ุงููุฌุฑ ุงููู ุนูู
667
00:44:49,240 --> 00:44:52,280
ุงููู
ูู ุงู ุงูุฑุจุน ุงููุฌุฑ ุงููู ุนูู ุงูุดู
ุงู ุงู left
668
00:44:52,280 --> 00:44:55,740
lower quadrant ู right lower quadrantุฅุฐุง ู
ู
ูู
669
00:44:55,740 --> 00:44:58,820
ุฃุถูููุง ูุฐู ู site ุฃููู the patient has abdominal
670
00:44:58,820 --> 00:45:01,560
pain in his left lower quadrant ุฃู in his right
671
00:45:01,560 --> 00:45:04,680
upper quadrant ู ู
ู
ูู ุฃุฌุณู
ูุง ุจุงู nine areas ุงููู
672
00:45:04,680 --> 00:45:07,820
ููุดูููุง ู
ู ุฎูุงู ุงูุดูู ุงููู ููุฌููุง ูู ุงู slides ุจุนุฏ
673
00:45:07,820 --> 00:45:12,180
ููู ู ุฃุถูููุง as a site ูู
ุง ุฃุฌู ุฃุนู
ู formulation
674
00:45:12,180 --> 00:45:16,360
ูุดูุท ูู
ุง ุฃุฌู ุฃูุชุจ ุงู history taking ุฃุญุทูุง ุจู
ุตุทูุญ
675
00:45:16,360 --> 00:45:23,400
ุทุจู ุงููู ูู ุงู site time and mode of onset ุงู time
676
00:45:23,400 --> 00:45:29,030
ุฅูุด ูุนููู
ุชู ุจุฏุฃ ูู ุณุงุนุงุช ุงูุตุจุญ ู ูุง ุณุงุนุงุช ุงูุธูุฑ ู
677
00:45:29,030 --> 00:45:34,490
ูุง ุณุงุนุงุช ุงูู
ุณุงุก ู
ุชู ุงูููู
ู ูุง ุงูู
ุจุงุฑุญ ู
ู ุงูุฃูุงู
678
00:45:34,490 --> 00:45:40,510
ุฅุฐุง ุจุญุท ุงู time and date ุณุงุนุฉ ุฌุฏุงุด ุฅุฐุง ูุฏุฑุช ุฃู
679
00:45:40,510 --> 00:45:45,030
ุฃุญุตุฑ ุณุงุนุฉ ู
ุนููุฉ ุจูููู ุฃูุถู ุณุงุนุฉ ุชุณุนุฉ ุงูุตุจุญ ู
ุซูุง ุฃู
680
00:45:45,030 --> 00:45:48,270
ุฅุฐุง ู
ุงูุฏุฑุชุด ุฃุญุตุฑ ุณุงุนุฉ ู
ุนููุฉ ู ุงูู
ุฑุถ ู
ุด ูุงุฏุฑ ูุชุฐูุฑ
681
00:45:48,270 --> 00:45:53,310
ู
ู
ูู ุฃุญูู ู
ุซูุง ูู ุณุงุนุงุช ุงูุตุจุญ ูู ููุช ุงูุตุจุญ ุจุฏุฃ
682
00:45:53,310 --> 00:45:59,380
ูุดุนุฑ ุงูู
ุฑูุถ ูุงุญุฏ ุงุชููู ุชูุงุชุฉุงูู mode of onset mode
683
00:45:59,380 --> 00:46:03,980
of onset ุงูุด ูุนูู ููู ุจุฏุช ุงูู
ุดููุฉ ู
ู
ูู ุชููู ุจุฏุช
684
00:46:03,980 --> 00:46:07,720
all of a sudden ู
ู
ูู ุงูู
ุฑูุถ ููุฌู ูููู all of a
685
00:46:07,720 --> 00:46:10,280
sudden ุตุงุฑ ูู ุนูุฏู something like explosion in my
686
00:46:10,280 --> 00:46:16,500
abdomen ุฒู ุฅูุด ุงููุฌุฑ ุฏู ู ุจุนุฏูู ุจุฏูุช ุฃุญุณ ุจููู
ุดุฏูุฏ
687
00:46:16,500 --> 00:46:20,320
all of a sudden ูุนูู ูุจู ุฏูููุฉ ููุช ูููุณ ู ุจุนุฏูู
688
00:46:20,320 --> 00:46:25,310
all of a sudden ุจูู ููู ุทุฑููุฉ sharpOkayุ ูุฏ ุงูููุงู
689
00:46:25,310 --> 00:46:28,650
ุจููุทุจู ูู ุจุนุถ ุงูุฃุญูุงู ุนูู rupture of aneurysm ู
ุซูุง
690
00:46:28,650 --> 00:46:32,790
rupture of artery ุฒู ุงูุงุฑูุชูู ุฃูููุฑูุฒู
ููุฏ ููุทุจู
691
00:46:32,790 --> 00:46:35,010
ุนูู ุจุนุถ ุงู pathologies ุฒู ุงู perforation of
692
00:46:35,010 --> 00:46:40,290
gastric ulcer ุฃู peptic ulcer ุชู
ุงู
ุ ุฅุฐุง all of a
693
00:46:40,290 --> 00:46:43,810
sudden pain all of a sudden ุจุณู
ูู sudden onset
694
00:46:43,810 --> 00:46:48,610
ูู
ู
ูู ูููู ุงู onset gradual ุฅูุด ูุนูู gradualุ ูุนูู
695
00:46:48,610 --> 00:46:54,480
ุจุงูุชุฏุฑูุฌ ุงูุตุงุฑdiscomfort ุซู
aching ุซู
pain
696
00:47:05,800 --> 00:47:10,160
ุฅุฐุง ูุฐุง ุจูุณู
ูู gradual onset ุฒู ูู ุญุงูุงุช ุงู acute
697
00:47:10,160 --> 00:47:14,800
appendicitis ู
ุซูุง ุงูู
ุฑูุถ ุจูุตูุฑ ููู ุนูุฏู discomfort
698
00:47:14,800 --> 00:47:19,140
ุจุนุฏูู ุจูุตูุฑ ููู ุนูุฏู aching pain ุถุงู ูุนูู ู
ุด ุนุงุฑู
699
00:47:19,140 --> 00:47:22,960
ูุญุฏุฏ ููู ู aching ูุนูู ุฒู ุถุฑุจ ุตุฏุงุน ุงูุฑุงุณ ุจุนุฏูู
700
00:47:22,960 --> 00:47:26,460
ุจูุตูุฑ ููู ุนูุฏู sharp pain localized ูู ู
ูุทูุฉ ู
ุนููุฉ
701
00:47:26,460 --> 00:47:32,840
ุงููู ูู ูู ุงู right iliacus ุชู
ุงู
ุจุนุฏ ููู ุจุณุฃููุง ุนู
702
00:47:32,840 --> 00:47:40,330
ุงู nature of painูููุ ููู ุจุชูุตู ููุฃูู
ุ something
703
00:47:40,330 --> 00:47:46,170
like tinglingุ ุฅุดู ุจูุบุฒุ ุจููุฎุฒ something like
704
00:47:46,170 --> 00:47:51,730
tearingุ ุฅุดู ุฒู ุงููู ุจู
ุฒุน something like stabbingุ
705
00:47:51,730 --> 00:47:56,630
ุฒู ุงููู ุจุชุน ุทุนู something like constrictingุ ุฒู
706
00:47:56,630 --> 00:48:02,070
ุญุงุฌุฉ ุจุชุฎูู ุฃู ุญุงุฌุฉ
707
00:48:02,070 --> 00:48:07,580
ุจุชุถุฑุจ ุถุฑุจุ throbbingุน ุณุจูู ุงูู
ุซุงู ุฎููููู ุฃุถุฑุจููู
708
00:48:07,580 --> 00:48:11,060
ู
ุซุงู ู
ุนูู ุงู patient ุงููู ุจูููู ููู ุนูุฏู acute
709
00:48:11,060 --> 00:48:15,020
pancreatitis ุจูุญุณ ุฃูู ูู ุฒู ุณูููู ุจุชุทุนู ูู ุจุทูู
710
00:48:15,020 --> 00:48:18,900
ุจูููู ุนูู stabbing pain ุจููู
ุง ุงูู
ุฑูุถ ุงููู ุนูุฏู
711
00:48:18,900 --> 00:48:21,860
acute appendicitis ุจูุญุณ ุฃูู ุนูุฏู ุฒู throbbing pain
712
00:48:21,860 --> 00:48:25,200
ุญุงุฌุฉ ุฒู ุงููู ุจุชูุจุถ ููู ุฃูู
ู
ุนูุจุถ
713
00:48:28,000 --> 00:48:33,540
ุชู
ุงู
ุ ุจููู
ุง ุงูู
ุฑูุถ ุนูุฏู aortic aneurysm rupturing
714
00:48:33,540 --> 00:48:38,140
ุจูุญุณ ุฒู ุญุงุฌุฉ exploding pain ุฒู ุญุงุฌุฉ ุงููุฌุฑุช ููู ูู
715
00:48:38,140 --> 00:48:41,680
ูุฐู ุงูุฃุดูุงุก ู
ู
ูู ูุฐูุฑูุง ุงูู
ุฑูุถ ุงู ู
ู
ูู ูููู ุงูู
ุฑูุถ
716
00:48:41,680 --> 00:48:44,600
it is just pain doctor I cannot describe it is
717
00:48:44,600 --> 00:48:48,140
very bad pain ู
ุด ุดุฑุท ุงู ุงูู
ุฑูุถ ูููู nature ู
ุนููุฉ
718
00:48:48,140 --> 00:48:53,720
ุทุจูุนุฉ ู
ุนููุฉ ุงูุด ุงูุฃูู
ุจูุดุจู ู
ู
ูู ู
ุงููุชุฏูุด ููุฃุดูุงุก
719
00:48:53,720 --> 00:48:57,690
ูุฐูููู ุงูุง ู
ู
ูู ุงุณุงุนุฏู ุจ open question ูู ูู ุจูุดุจู
720
00:48:57,690 --> 00:49:00,930
ูุฐุงุ ูู ูู ุจูุดุจู stabbingุ ูู ูู ุจูุดุจู tinglingุ
721
00:49:00,930 --> 00:49:04,250
ูู ูู ุจูุดุจู .. ุจูุดุจู numbningุ ุฒู ุญุงุฌุฉ ููู ุชูู
ูู
722
00:49:04,250 --> 00:49:09,010
ุดุฏูุฏ ู
ุซูุง okay ูู ูุฐู ู
ู
ูู ุงุนุทู ุงูู
ุฑูุถ ุจุนุถ ุงู ..
723
00:49:09,010 --> 00:49:12,610
ุจุนุถ ุงูุฃุณุฆูุฉ ุงูู
ุณุงุนุฏุฉ ุงููู ู
ู
ูู ุชูุฏูู ูู diagnosis
724
00:49:12,610 --> 00:49:19,350
ุงู ู
ู
ูู ุชูุฏูู ูู description ุงุณู
ุงู duration ุฌุฏูุด
725
00:49:19,350 --> 00:49:21,770
ุงู patient ูุนุฏ ู
ู ูุงุญูุฉ ู
ุง ุจุฏุฃ ุนูุฏู ุงู pain ูุญุฏ ู
ุง
726
00:49:21,770 --> 00:49:25,820
ุงุฌู ููู
ุณุชุดููุบูุฑ ุนู ุงู mode ู ุงู time of onset ุจุณุฃู
727
00:49:25,820 --> 00:49:29,080
ุนู ุงู total duration of pain ู
ู ุงููุญุธุฉ ุงููู ุจุฏุฃ
728
00:49:29,080 --> 00:49:32,940
ูููุง ุงูู
ุดููุฉ ูุญุฏ ู
ุง ุฃุฌุงูู ุนูู ุงูู
ุณุชุดูู ูุฏ ุชููู
729
00:49:32,940 --> 00:49:36,760
ุงูู
ุดููุฉ ุงุชูุฑุฑุช ุนูุฏ ุงูู
ุฑูุถ ูุฐุง ู
ุฑุฉ ูุจุงูุชุงูู ุงู
730
00:49:36,760 --> 00:49:39,420
duration ุงููููุฉ ุจุชุฎุชูู ุนู ุงู time ู ุงู mode of
731
00:49:39,420 --> 00:49:43,820
onset ูุขุฎุฑ complaint ุฃุฌู ููู ุงูู
ุฑูุถ ู
ู
ูู ูููู ุงู
732
00:49:43,820 --> 00:49:45,980
complaint ุจุฏุฃ ุนูุฏู ูุจู ููู
ูู ุชูุงุชุฉ ู ุจุนุฏ ุฐูู
733
00:49:45,980 --> 00:49:49,920
ุงูู
ุฑูุถ ู
ุง .. ู
ุงุฃุฌูุด ุนูู ุงูู
ุณุชุดูู ุงู .. ู
ุงุฃุฌูุด ุนูู
734
00:49:49,920 --> 00:49:53,050
ุงู emergency ุงู ู
ุงุฑุงุฌุนุด ุฏูุชูุฑุฅุฐุง ูุฐู ุงู total
735
00:49:53,050 --> 00:49:57,370
duration ุงู frequency of complaint ุชุถูููุง ูู ุงู
736
00:49:57,370 --> 00:50:00,110
total duration ู ุจุนุฏ ููู ุงู time ู ุงู mode of
737
00:50:00,110 --> 00:50:03,530
onset ูุขุฎุฑ ู
ุฑุฉ ุตุงุฑุช ูููุง ุงูู
ุดููุฉ ู ุทุจุนุง ุขุฎุฑ ู
ุฑุฉ
738
00:50:03,530 --> 00:50:06,810
ุตุงุฑุช ูููุง ุงูู
ุดููุฉ ูุฏ ุชููู ุฃูู ู
ุฑุฉ ู ูุฏ ุชููู ุงุชูุฑุฑุฉ
739
00:50:06,810 --> 00:50:10,350
ู
ู
ูู ุงูู
ุฑูุถ ูุฌู ูุฃูู ู
ุฑุฉ ุจุงู complaint ูุฐู ู ู
ู
ูู
740
00:50:10,350 --> 00:50:17,030
ูููู ุงุชูุฑุฑ ุนูุฏู ุงูุงุดู ูุฐุง ู
ุฑุฉ severity severity of
741
00:50:17,030 --> 00:50:23,020
the painุงู severity ู
ู
ูู ุงุนุจุฑ ุนููุง ุจุนุฏุฉ ุฃุดูุงุก ู
ู
ูู
742
00:50:23,020 --> 00:50:28,340
ุงุนุทู ุงูู
ุฑูุถ scale ู
ู ูุงุญุฏ ูุนุดุฑุฉ ู ุงูููู ู
ุซูุง ูุงุญุฏ
743
00:50:28,340 --> 00:50:33,080
ุงู pain ุงูุฎููู ู ุนุดุฑุฉ ุงู pain ุงูุดุฏูุฏ ู ุนุดุฑุฉ ุจูุดุจู
744
00:50:33,080 --> 00:50:36,360
ุงู labor pain ุงู ุจูุดุจู ุงู tooth extraction ุงู ุงู
745
00:50:36,360 --> 00:50:40,780
tooth pain sorry ุงูู ููู
ุงูุฃุณูุงู ููู
ุงูุชูุงุญูุฏ ุงู
746
00:50:40,780 --> 00:50:43,980
ุฒู ุงู labor pain ุฒู ููู
ุงูููุงุฏุฉ ู ุงูููู
ุงูุฎููู
747
00:50:43,980 --> 00:50:48,760
ุจุดุจููู ุจุดู ู
ุนูู ู
ุซูุง ูุฎุฒุฉ ุฅุจุฑุฉ ุตุบูุฑุฉู ุจููู ููู
ุฑูุถ
748
00:50:48,760 --> 00:50:57,000
ุงุนุทููู scale ุฌุฏุงุด ุจุนุถ ุงูู
ุฑุถู ุจููุตู ุงูููู
ุงู ุจูุนุทู
749
00:50:57,000 --> 00:50:59,920
ุงูููู
ุงูุชุฑ ู
ู ุญุฌู
ู ุงูุทุจูุนู ุงุฐุง ูุงุชู subjective
750
00:50:59,920 --> 00:51:04,660
ุงูู
ุดููุฉ ุตุงุฑุช ุฌุฏุงุด ู
ู ุนุดุฑุฉ ููููู ู
ุซูุง ุณุช ู
ู ุนุดุฑุฉ
751
00:51:04,660 --> 00:51:08,160
ู
ุฑูุถ ุชุงูู ูููุณ ุงู type of pain ู
ู
ูู ูุนุทููู ุฎู
ุณ ู
ู
752
00:51:08,160 --> 00:51:12,570
ุนุดุฑุฉ ุงู ุงุฑุจุนุฉ ุงู ูุนุทููู ุชู
ุงููุฉ ู
ู ุนุดุฑุฉ ู
ุซูุงุฅุฐุง ูู
753
00:51:12,570 --> 00:51:17,470
ุชูููู
ุงูู
ุฑุถู ุจุงุฎุชูู ู
ู patient ู patient ูุฐู ุทุฑููุฉ
754
00:51:17,470 --> 00:51:21,650
ุงูุทุฑููุฉ ุงูุชุงููุฉ ูู description of severity ุฃูู
755
00:51:21,650 --> 00:51:27,510
ุฃุณุฃูู ุนู effect of his personal lifeุฌุฏูุงุด ุงูู
ุดููุฉ
756
00:51:27,510 --> 00:51:31,970
ุฃุซุฑุช ุนูู ุงู daily activities ุชุจุนุชูุ ุฌุฏูุงุด ุตุงุฑ ููู
757
00:51:31,970 --> 00:51:35,170
limitation ูู daily activityุ ูู ุจุชูุฏุฑ ุชุฌูู
ู
ู
758
00:51:35,170 --> 00:51:39,190
ุงูุณุฑูุฑ ุชุฑูุญ ุงูุญู
ุงู
ู
ุซูุงุ ูู ุจุชูุฏุฑ ุชุนู
ู ุฅุฌุฑุงุกุงุช
759
00:51:39,190 --> 00:51:42,970
ุงููุธุงูุฉ ุงูุดุฎุตูุฉ ุชุจุนุชูุ ูู ุชูุฏุฑ ุชุฑูุญ ุงูุดุบู ุฃู ุชุทูุน
760
00:51:42,970 --> 00:51:46,090
ู
ู ุงูุบุฑูุฉ ุฃู ุชู
ุดู ูู ุงูุดุงุฑุน ูุชูุฌุฉ ุงูุฃูู
ูุฐุง ููุง
761
00:51:46,090 --> 00:51:50,720
ูุงุุฃุฐุง ูู ูุฐู ุงูุฃุดูุงุก ุจุชุนุทููู more objective data
762
00:51:50,720 --> 00:51:57,260
than ุฃูู ุฃุณุฃูู ุนู ุงู scale ู
ู ูุงุญุฏ ูุนุดุฑุฉ ุงุฐุง how
763
00:51:57,260 --> 00:52:01,280
daily life is affectedุ ูู ูุฏุฑุช ุชุฌูู
ู
ู ุณุฑูุฑู ููุง
764
00:52:01,280 --> 00:52:03,780
ูุฃุ ูู ุฌูุช ุนูู ุงูู
ุณุชุดูู ููุญุฏู ููุง ุดุงููู ู
ุดุงูุฉ
765
00:52:03,780 --> 00:52:08,580
ูุฌุงุจูู ูุงุณ ุชุงูููุ ูู ุฌูุช ูู ุณูุงุฑุฉ ููุง ุฌูุช ู
ุงุดูุ
766
00:52:08,580 --> 00:52:12,580
ุงุฐุง ุงู effect of complaint ุงู ุงู effect of pain
767
00:52:12,580 --> 00:52:18,700
ุนูู daily activity of the patientRadiation ุงูุด
768
00:52:18,700 --> 00:52:22,340
ูุนูู radiation ุทุจ ุงู radiation ูู ุนุจุงุฑุฉ ุนู ุงุญุณุงุณ
769
00:52:22,340 --> 00:52:26,500
ุงูุฃูู
ูู ู
ูุทูุฉ ุชุงููุฉ ุบูุฑ ุงูู
ูุทูุฉ ุงููู ุจุฏุฃ ูููุง ู
ุน
770
00:52:26,500 --> 00:52:30,160
ุงุณุชู
ุฑุงุฑ ูุฌูุฏู ูู ุงูู
ูุทูุฉ ุงูุฑุฆูุณูุฉ ุงููู ูู ุจุฏุฃ ูููุง
771
00:52:30,160 --> 00:52:33,620
ูุนูู ุนูู ุณุจูู ุงูู
ุซุงู ุงูู
ุฑูุถ ุงููู ุนูุฏู
772
00:52:36,310 --> 00:52:40,330
Angina Pectoris ุฃู ุงูู
ุฑูุถ ุงููู ุนูุฏู myocardial
773
00:52:40,330 --> 00:52:44,030
infarction ูู ุนูุฏู chest pain ููู ุจูุญุณ ุงู pain
774
00:52:44,030 --> 00:52:48,390
ุจุฑุถู ูู ุงููุชู ุจุฐุงุช ุงููุชู ุงูุดู
ุงู ู ุงู left arm ูุฐุง
775
00:52:48,390 --> 00:52:52,630
ุจูุณู
ูู radiation ูุนูู ุฅุญุณุงุณ ุงูู
ุฑูุถ ูู ุงูุฃูู
ูู
776
00:52:52,630 --> 00:52:55,610
ู
ูุทูุฉ ุบูุฑ ุงูู
ูุทูุฉ ุงูุฑุฆูุณูุฉ ู
ุน ุงุณุชู
ุฑุงุฑู ูู ูุฌูุฏู ูู
777
00:52:55,610 --> 00:52:58,410
ุงูู
ูุทูุฉ ุงูุฑุฆูุณูุฉ ูุฐุง ุจูุณู
ูู radiation pain ุฃู
778
00:52:58,410 --> 00:53:00,270
referral pain
779
00:53:02,470 --> 00:53:05,610
ุงูุฑุงุฏูุงุดู ูู ุนุจุงุฑุฉ ุนู ุงู sensation of pain in
780
00:53:05,610 --> 00:53:10,670
another area ูู
ุงู ู
ุฑุฉ despite ุจุงูุฑุบู
ู
ู ุงูู still
781
00:53:10,670 --> 00:53:16,150
continuous in the original area ู ุทุจุนุง ูุฐุง ุจุฎุชูู
782
00:53:16,150 --> 00:53:20,720
ุนู ุงู shiftingุงูู shifting ู
ุตุทูุญ ุชุงูู ููููู
ุงููู
783
00:53:20,720 --> 00:53:24,600
ูู disappearance of pain ูู ุงูู
ูุทูุฉ ู reappearance
784
00:53:24,600 --> 00:53:27,720
in another area ู ุฃุจุณุท ู
ุซุงู ุนูู ูุฐุง ุงูููุงู
ุฃู
785
00:53:27,720 --> 00:53:31,120
ุงูู
ุฑูุถ ุงููู ุนูุฏู acute appendicitis ุจูุฌู ุฃูู ุญุงุฌุฉ
786
00:53:31,120 --> 00:53:35,100
ุนูุฏู pain ุญูุงููู ุงูุณุฑุฉ ุฃู pain ูู ู
ูุทูุฉ ู
ุฑูุฒ ุงู
787
00:53:35,100 --> 00:53:39,010
abdomenูู ุงูู Central Abdominal Region ูุจุนุฏ ุฐูู
788
00:53:39,010 --> 00:53:44,250
ูุจุฏุฃ ุงูุดูุชูุฌ ูู ุงูู Right Iliac Fossa ููุตูุฑ ุงูุฃูู
789
00:53:44,250 --> 00:53:46,910
ุจุนุฏ ุฐูู ูู ุงูู Right Iliac Fossa ุชู
ุงู
ูุง ููุฎุชูู ู
ู
790
00:53:46,910 --> 00:53:49,990
ู
ูุทูุฉ ุงูู Central Abdomen ุฃู ุงูู Peri-Umbilical
791
00:53:49,990 --> 00:53:55,090
Area ูุฐุง ูุณู
ููู Shifting Progression ูู ุนูุงูุฉ
792
00:53:55,090 --> 00:53:59,550
ุงูุฃูู
ุจุงูููุชู
ุน ุงูููุช ูู ุตุงุฑ ููู relief ูู symptoms
793
00:53:59,550 --> 00:54:04,770
ุฃู ูู ุตุงุฑ ููู exaggeration ูู symptoms ู
ูู
ููุฃูู
794
00:54:04,770 --> 00:54:07,190
ูุฐุง ูุนูู ุฃุณุฆุจูู ุงูู
ุซู ุงูู
ุฑูุถ ุงููู ุนูุฏู acute
795
00:54:07,190 --> 00:54:12,580
appendicitis worsening by timeุชู
ุงู
ุ ุจููู
ุง ุงูู
ุฑูุถ
796
00:54:12,580 --> 00:54:15,520
ุงููู ุนูุฏู ู
ุซูุง intestinal obstruction ู
ู
ูู ู
ุน
797
00:54:15,520 --> 00:54:19,500
ุงููุฌุฏ ุจุงูุฐุงุช ูู ูุชุฌ ูุชุฑูุญ ูุฃู ุงููุชุฌ ุจูุฑูุญ ู
ู ุงู
798
00:54:19,500 --> 00:54:22,760
pressure ูู ุงู intestine ูุจุงูุชุงูู ุจูุฑูุญ ุงูุฃูู
ุฅุฐุง
799
00:54:22,760 --> 00:54:27,260
ุงู progression ููุง ุงููู ูู ุนูุงูุฉ ุงูุฃูู
ุจุงููุฌุฏ
800
00:54:27,260 --> 00:54:32,120
relieving and exacerbating factors ุงู relieving
801
00:54:32,120 --> 00:54:37,060
factors ู
ู
ูู ุชููู ุฃูู ู ู
ู
ูู ุชููู ุฏูุฉ ู ู
ู
ูู ุชููู
802
00:54:37,060 --> 00:54:41,900
motion movementูุฐูู ุงูุญุงูุฉ ุงูู exacerbating
803
00:54:41,900 --> 00:54:45,420
factors ู
ู
ูู ุชููู ุฃูู ุฃู ุฏูุงุก ุฃู movement for
804
00:54:45,420 --> 00:54:50,740
example ุงูู
ุฑูุถ ุงููู ุนูุฏู biliary pain ูุชูุฌุฉ ุชููู
805
00:54:50,740 --> 00:54:54,520
blood or stones ู
ู ุงู exaggerating factors ุงููู
806
00:54:54,520 --> 00:54:59,380
ุนูุฏู ุฃูู ูุฃูู ุฅุฐุง ุฃูู ุจูุตูุฑ ูู ุนูุฏู worsening
807
00:54:59,380 --> 00:55:03,700
ููููู
ูุฐุง ุจููู
ุง ู
ุฑูุถ ุนูุฏู peptic ulcer ุฏููุฏููุงู
808
00:55:03,700 --> 00:55:08,760
ุฃูุตุฑ ู
ู
ูู ูู ุฃูู ูุฑุชุงุญ ู
ุฑูุถ
809
00:55:08,760 --> 00:55:13,740
ุนูุฏู acutePancreatitis ู
ู
ูู ูู ุฃูู ูุชุนุจ ุฃูุชุฑ ุจููู
ุง
810
00:55:13,740 --> 00:55:20,820
ูู ุตุงู
ุจูุฑุชุงุญ ุฃูุชุฑ ู
ุฑูุถ ุนูุฏู biliary pain ู
ู
ูู ูู
811
00:55:20,820 --> 00:55:24,660
ุฃุฎุฏ non-steroidal anti-inflammatory drugs ูุฑุชุงุญ
812
00:55:24,660 --> 00:55:27,340
ุจููู
ุง ู
ุฑูุถ ุนูุฏู peptic ulcer ูู ุฃุฎุฏ non-steroidal
813
00:55:27,340 --> 00:55:29,660
anti-inflammatory drugs ุจูุตูุฑ ููู ุนูุฏู worsening
814
00:55:29,660 --> 00:55:35,950
ููู symptoms ุงูู
ุฑูุถ ุงููู ุนูุฏู acuteabdomen ุงู
815
00:55:35,950 --> 00:55:39,090
peritonitis ูู ุงุชุญุฑู ุจุตูุฑ exaggeration ูู symptoms
816
00:55:39,090 --> 00:55:45,490
ุจููู
ุง ูู ูุนุฏ ูู ุงูุตุบูุฑ ุณุงูู ุจุฎู ุงูููู
ุนููู ุดููุฉ ู
817
00:55:45,490 --> 00:55:48,310
ุงู ุญุฑูุฉ ู
ู
ูู ุชุนู
ู exacerbating ููุจูู ุงู ุชุนู
ู
818
00:55:48,310 --> 00:55:52,890
worsening ููุจูู ุจููู
ุง ู
ุฑูุถ ุนูุฏู ู
ุซูุง urinary stone
819
00:55:52,890 --> 00:55:59,440
ุณูุงู ุนูุฏู ูู ุงุชุญุฑู ุงู ูุนุฏ ูู ุญูุดุนุฑ ุจููู
ูุฃู ุงูููู
820
00:55:59,440 --> 00:56:03,220
ููุง ู
ููู ูุงุชุฌ ุบุงูุจุง ุนู ุญุฑูุฉ ุงู stone ูุฐู ู
ู ุฎูุงู
821
00:56:03,220 --> 00:56:05,980
ุงู urinary tract ุน ุณุจูู ุงูู
ุซุงู ุงุญูุง ุจูุฐูุฑ ุฃู
ุซูุฉ
822
00:56:05,980 --> 00:56:11,020
ููุชูุถูุญ ุจุนุฏ ู
ุง ุงุฎูุต ูุฐู ุงู elements ู
ู
ูู ุงุณุฃู ุงู
823
00:56:11,020 --> 00:56:15,220
patient what is the possible causeุ ุงูุด ุจุชุนุชูุฏ ุงูู
824
00:56:15,220 --> 00:56:18,440
ุงูู
ุดููุฉ ุนูุฏูุ ุงุฐุง ูุงูุช ุงูู
ุดููุฉ ุนูุฏ ุงูู
ุฑูุถ chronic
825
00:56:18,440 --> 00:56:22,420
ุจููู ุนุงุฑู ุงูุด ุงู diagnosis ุชุจุนู ูุจุงูุชุงูู ุงู cause
826
00:56:22,420 --> 00:56:26,340
ููุง ุจููู ูุงุถุญ ุจุงููุณุจุฉ ููุฃู ู
ู
ูู ุงูู
ุฑูุถ ูููู ุนูุฏู
827
00:56:26,340 --> 00:56:28,880
medical knowledge ูุจุงูุชุงูู ูุนุทููู a differential
828
00:56:28,880 --> 00:56:31,440
diagnosis ูููู ูู ู
ู
ูู ุชููู ุนูุฏ ุงูู
ุดููุฉ ูุฐุง
829
00:56:31,440 --> 00:56:35,020
ุงูุฒุงูุฏุฉ ู
ุซูุง ุงูุง ุจุดูู ู
ู ุฃุนุฑุงุถ ุงูุฒุงูุฏุฉ ุงุฐุง ุนูุฏู
830
00:56:35,020 --> 00:56:39,240
ุจุนุถ ุงู knowledge ุงููู ุชุณู
ุญูู ุงูู ูุนูู ูุญูููุง ูู
831
00:56:39,240 --> 00:56:43,740
ุนููู ููุชูุตู ูุฅูุด ู
ุนูู ุงุฐุง ุจุณุฃู ุงูู
ุฑูุถ what you
832
00:56:43,740 --> 00:56:46,460
think your diagnosis is what you think your
833
00:56:46,460 --> 00:56:50,480
problem is ูุฐุง ุงูุณุคุงู ูู ุงูููุงูุฉ ุจูุฌู ุจุนุฏ ู
ุง ุงุนู
ู
834
00:56:50,480 --> 00:56:52,560
analysis ูู symptom ุงูู
ูุฌูุฏ
835
00:56:54,960 --> 00:56:57,840
ุทุจุนุง ุฒู ู
ุง ููููุง ุงู abdomen ู
ุชุฌุณู
ู four areas
836
00:56:57,840 --> 00:57:02,020
ู
ู
ูู quadrants ุจูุณู
ููุง ุฃุฑุจุงุน ู ุทุจุนุง ุงูุฃุฑุจุงุน ูุฐู
837
00:57:02,020 --> 00:57:05,580
ุจุฎุงุทู
ุฉ ุจู
ุฑ ุจุงู ุฃูุจูุงููุงุณ ู ุฎุงุทุฉ ุชุงููุฉ ุจู
ุฑ ุจุงู
838
00:57:05,580 --> 00:57:09,300
ุฃูุจูุงููุงุณ ูุงุญุฏ ุจุงูุทูู ู ูุงุญุฏ ุจุงูุนุฑุถุฎุท ุทููู ู ุฎุท
839
00:57:09,300 --> 00:57:11,260
ุนุฑุถู ูุจุงูุชุงูู ุจูููููุง ุนุงู
ููู ุฒู ุฒุงุฆุฏ ุนูู
840
00:57:11,260 --> 00:57:14,520
ุงูุงูุจูุงููุงุณ ูุจุงูุชุงูู ููุง ุงู abdomen ุจูุตูุฑ ูู four
841
00:57:14,520 --> 00:57:17,680
areas right upper quadrant left upper quadrant
842
00:57:17,680 --> 00:57:20,940
right lower quadrant left lower quadrant ุจููู
ุง ูู
843
00:57:20,940 --> 00:57:23,800
ุงูุชูุณูู
ุงูุชุงูู ุงููู ูู ุงู nine regions ูู ุนูุฏูุง
844
00:57:23,800 --> 00:57:27,240
ุฎุทูู transverse ู ุฎุทูู vertical ุจูุฌุณู
ูุง ุงู abdomen
845
00:57:27,240 --> 00:57:32,720
ุฒู ู
ุง ุงุญูุง ุดุงูููู ููุง ูepigastric area ู
ูุฌูุฏุฉ ููู
846
00:57:32,720 --> 00:57:36,880
ูู ุงููุต ู right hypochondrial areaู left
847
00:57:36,880 --> 00:57:40,140
hypochondrial area ู ูู ุนูุฏูุง ุงู right lumbar ู ุงู
848
00:57:40,140 --> 00:57:43,380
left lumbar areas ุจูุญูุทูุง ุจุงู umbilical area ู ูู
849
00:57:43,380 --> 00:57:45,740
ุนูุฏูุง ุงู right iliac fossa ู ุงู left iliac fossa
850
00:57:45,740 --> 00:57:50,420
ุจูุญูุทูุง ูู ุงู hypogastric area ุงู suprapubic area
851
00:57:50,420 --> 00:57:54,020
head and mind regions ุทุจุนุง ูู ู
ูุทูุฉ ูููุง special
852
00:57:54,020 --> 00:57:57,120
pathologies ู
ุนููุฉ ุนูู ุณุจูู ุงูู
ุซุงู ุงู right
853
00:57:57,120 --> 00:58:00,520
hypochondria ู
ูุฌูุฏ ูู ุงู biliary tract ู ู
ูุฌูุฏ ูู
854
00:58:00,520 --> 00:58:02,680
ุงู liver ูุจุงูุชุงูู ูู
ุง ุงูู
ุฑูุถ ูููู ุจุดูู
ุงู right
855
00:58:02,680 --> 00:58:06,260
hypochondrial painุจุฏู ุฃุชููุน ุจุงูุฏุฑุฌุฉ ุงูุฃููู ุฃู
856
00:58:06,260 --> 00:58:09,900
ุงูุงุญุชู
ุงู ุงูุฃููู ุงู ูููู ูู ุนูุฏู biliary pathology
857
00:58:09,900 --> 00:58:12,680
ุฒู ู
ุง ูุณู
ููู leather stones ู
ุซูุง ูู ุงู area
858
00:58:12,680 --> 00:58:16,720
gastrodiodinal ู ุงู pancreas ู
ูุฌูุฏ ูู ุงู
859
00:58:16,720 --> 00:58:19,780
hypocondria ู
ูุฌูุฏ ุงู spleen ู ุงู tail of pancreas
860
00:58:19,780 --> 00:58:24,580
ูุฐู ุฃู
ุซูุฉ ูู ุงู lumber area ู ุงู umbilical area
861
00:58:24,580 --> 00:58:28,840
ู
ูุฌูุฏ ุงู kidneys ูู ุงู lumber areasููู ุงูู central
862
00:58:28,840 --> 00:58:33,640
abdominal areas ู
ู
ูู ูููู ู
ูุฌูุฏ ุจุฑุถู ุงู vessels
863
00:58:33,640 --> 00:58:37,680
ู
ู
ูู ูููู ู
ูุฌูุฏ ุงู dedenum ุงู lower part of the
864
00:58:37,680 --> 00:58:43,400
dedenum ุงู ุจุฏุงูุฉ ุงู small intestine ูุฐูู ุงูุญุงู ูู
865
00:58:43,400 --> 00:58:46,100
ุงูiliac fossa ู
ูุฌูุฏ ุงู appendix ู
ูุฌูุฏ ุงู urinary
866
00:58:46,100 --> 00:58:48,560
tract ุงู lower urinary tract ูุฐูู ุงูุญุงู ูู ุงู left
867
00:58:48,560 --> 00:58:52,530
iliac fossaู
ูุฌูุฏ ุงู urinary tract ุนูู ุงูุฌูุฉ
868
00:58:52,530 --> 00:58:55,870
ุงูุชุงููุฉ ู
ูุฌูุฏ ุงู adnexa of females ุงู ovaries ู ุงู
869
00:58:55,870 --> 00:59:01,150
tubes ู ูู ุงู pelvis ู ูู ู
ูุทูุฉ ุงู subrabiumic
870
00:59:01,150 --> 00:59:04,670
area ู
ูุฌูุฏ ุงู pelvic organs ุงู uterus ู
ูุฌูุฏ ุงู
871
00:59:05,890 --> 00:59:09,430
urinary bladder ูู ูุฐู ุงูุฃุดูุงุก ุจุชูุฑุถ ุนููู
872
00:59:09,430 --> 00:59:12,770
pathologies ู
ุนููุฉ ูู ุงู differential diagnosis ุงุฐุง
873
00:59:12,770 --> 00:59:17,970
ููู ุงูู
ุฑูุถ ุจูุดูู
ุงูู
ุดููุฉ ูู ุงู abdomen ุจุญุฏุฏ ุงูุด ุงู
874
00:59:17,970 --> 00:59:20,630
anatomical structures ุงููู ู
ูุฌูุฏุฉ ููุง ู ุงูุด ู
ู
ูู
875
00:59:20,630 --> 00:59:25,190
ูููู ุงู pathology ูุงูุน ู
ู ููู another type of
876
00:59:25,190 --> 00:59:30,230
history history of mass or lump ูุฐุง ู
ุซุงู ุชุงูู ุจุฏู
877
00:59:30,230 --> 00:59:34,790
ุงุณุฃู ุงู patient when it was discoveredู
ุชู ุงูู
ุฑูุถ
878
00:59:34,790 --> 00:59:38,810
ูุงุญุธ ุงูู ุนูุฏู mass ูุฐุง ุงูุณุคุงู ุงูุฃูู ู ุงูุด ุงููู
879
00:59:38,810 --> 00:59:43,090
ุฎูุงู ููุงุญุธ ุจุณุฃูุด ุงูู
ุฑูุถ ุงูู ู
ู ู
ุชู ุงู mass ูุฐู
880
00:59:43,090 --> 00:59:46,110
ู
ูุฌูุฏุฉ ุงู ู
ู ู
ุชู ุงู swelling ุงู ุงู lump ูุฐู ู
ูุฌูุฏุฉ
881
00:59:46,110 --> 00:59:49,070
ูุฃูู ูุฏ ุชููู ู
ูุฌูุฏุฉ ู
ู ูุฌู ุงุทูู ู
ู ุงูู
ุฑูุถ ุงููู
882
00:59:49,070 --> 00:59:54,370
ูุงุญุธูุง ููู ุจุณุฃูู ููุชูุด ุงูุช notice this mass ู
ุชู
883
00:59:54,370 --> 00:59:57,990
ูุงุญุธุช ุงู mass ูุฐู ุงููุง ู
ูุฌูุฏุฉ how discovered ุงูุด
884
00:59:57,990 --> 01:00:02,590
ุงููู ุฎูุงูููุชุจู ููุง ูู ุตุงุฑ ูููุง symptom ู
ุนูู ู ูุง
885
01:00:02,590 --> 01:00:06,010
ูู ุดุงููุง accidentally ู
ู
ูู ุงูู
ุฑูุถ ูููู ุดุงููุง
886
01:00:06,010 --> 01:00:09,230
accidentally ู ูู ู
ุซูุง ูู ุงูุญู
ุงู
ุงู ุดุงูู ุญุงูู ุนูู
887
01:00:09,230 --> 01:00:12,790
ุงูู
ุฑุงูุง ุน ุณุจูู ุงูู
ุซุงู ุงู goiters ุงููู ูู ุงูุชุถุฎู
888
01:00:12,790 --> 01:00:15,430
ุงูุบุฏ ุงูุฏุฑุงูู ู
ู
ูู ุงูู
ุฑูุถ ููุชุดููุง ูู ูุงูู ูุฏุงู
889
01:00:15,430 --> 01:00:18,490
ุงูู
ุฑุงูุง ุงู ู
ู
ูู ุญุฏ ููููู ุงูู ุตุงุฑ ูู change ูู ุงู
890
01:00:18,490 --> 01:00:22,530
appearance ุชุจุนูุฃู ูุฑูุญ ูุฏูุชูุฑ for routine
891
01:00:22,530 --> 01:00:26,550
investigation ูุงูุฏูุชูุฑ ููุญุตู ูููููู ูู ุนูุฏู ุชุฏุฎู
892
01:00:26,550 --> 01:00:30,190
ู
ุซูุง ูู ู
ุงููููุด ุญุงุณุณ ุฃูู ูู ู
ุดููุฉ ุนูุฏู ุทุจ ูู ูู
893
01:00:30,190 --> 01:00:33,950
associated symptoms ู
ุน ุงู lump ูุฐ ุฃู ู
ุน ุงู massุ
894
01:00:33,950 --> 01:00:37,870
for example pain ูู ุตุงุฑ ูู change in size with
895
01:00:37,870 --> 01:00:41,810
timeุ ูู ูุจุฑุช ูุฐ ุงู mass ู
ุน ุงูููุชุ ูู ุฒุบุฑุชุ ูู ุถูุช
896
01:00:41,810 --> 01:00:48,360
ุฒู ู
ุง ููุ ูู ุจุชุฎุชูู ู ุจุชุฑุฌุนุ ูู ุงุฎุชูุช ุชู
ุงู
ุงุุน ุณุจูู
897
01:00:48,360 --> 01:00:51,760
ุงูู
ุซุงู ุงู inflammatory masses ู
ู
ูู ุชุฎุชูู ูู ูุงุญุฏ
898
01:00:51,760 --> 01:00:54,600
ุนูุฏู ุชุฏุฎู
ูู ุงู lymph node ูู ุงู neck ู
ุซูุง ูู mass
899
01:00:54,600 --> 01:00:58,700
ู
ุน ุงููุฌุฏ ุงุฎุชูุช ุฑุงุญ ุงูุชุฏุฎู
ุฑุงุญ ุงู inflammation ุงููู
900
01:00:58,700 --> 01:01:02,740
ูููุง ูุงุฎุชูุช ู
ุฑูุถ ุนูุฏู hernia ุงู hernia ุจุชุนู
ู mass
901
01:01:02,740 --> 01:01:07,220
ุงู ุจุชุนู
ู swelling ู
ู
ูู ุชุฎุชูู ูุชุฑุฌุน ุงุฐุง appearance
902
01:01:07,220 --> 01:01:11,720
disappearance and reappearanceู ู
ู
ูู ุงูู
ุงุณ ูุงุฏู
903
01:01:11,720 --> 01:01:15,000
ุชููู ู
ูุฌูุฏุฉ ู ุชุจูู ู
ูุฌูุฏุฉ ุนูู ุทูู ู ุชูุจุฑ ู
ุน ุงููุฌุฏ
904
01:01:15,000 --> 01:01:18,800
ุฒู ู
ุซูุง ุงู life omars ุงููู ุนูุฏูู
ุบุฏุงุฏ ุฏูููุฉ ุงู
905
01:01:18,800 --> 01:01:22,840
ุงููุงุณ ุฏูููุฉ ู
ู
ูู ุชูุจุฑ ู
ุน ุงููุฌุฏ ุงููู ุนูุฏูู
goiters
906
01:01:22,840 --> 01:01:27,600
ู
ู
ูู ุชูุจุฑ ู
ุน ุงููุฌุฏ ุชุฏุฎู ูู ุงูุบุฏูู ุงูู
ุฑูุถ ุจูุดูู ู
ู
907
01:01:27,600 --> 01:01:32,200
other masses ููุง ูุงุ ู ูู ูู any cause ุงู any
908
01:01:32,200 --> 01:01:34,820
possible cause ููู
ุงุณูุ ูุฐู ุฒู ุงู ุงูู
ุฑูุถ ูุงู ุงุชุนุฑุถ
909
01:01:34,820 --> 01:01:38,080
ู trauma swelling ู
ุซูุง ุตุงุฑ ูุชูุฌุฉ ู trauma ุงู
910
01:01:38,080 --> 01:01:42,020
hematoma ุงู so on ุงุฐุง ูุฐู ู
ุซุงู ุชุงูู ุนูู ุงู present
911
01:01:42,020 --> 01:01:45,340
complaint ุงููู ูู ุงู lump ุจุฏู ุงุณุฃู relevant
912
01:01:45,340 --> 01:01:51,230
question ุงู ุงุญูู ุงู .. ุงู ..ุงูู
ุดููุฉ ุงูุฑุฆูุณูุฉ ุงููู
913
01:01:51,230 --> 01:01:54,810
ุฃุฌู ููู ุงูู
ุฑูุถ ูanalysis of data ูุฐู ุงูุฃุดูุงุก ุทุจุนุง
914
01:01:54,810 --> 01:01:57,730
ููุดุฑุญูุง in more detail ูู
ุง ุงู ุดุงุก ุงููู ูุจุฏุฃ with
915
01:01:57,730 --> 01:02:01,210
side teaching ู ูู
ุง ูุจุฏุฃ ูุดุฑุญ ุนูู ุงูู
ุฑุถู ููุณูู
ุฑุงุญ
916
01:02:01,210 --> 01:02:05,470
ูุดุฑุญ in detail ู ูู ุฎุทูุฉ ุจุฎุทูุชูุง ุนูู ุงู patient
917
01:02:05,470 --> 01:02:10,930
ู
ุจุงุดุฑุฉ yes ุจุนุฏ ููู ุจูุฌู ุนูุง ุงู remaining questions
918
01:02:10,930 --> 01:02:15,860
of the abnormal systemThe affected system ูุนูู ูู
919
01:02:15,860 --> 01:02:19,280
ูุงู ุงูู
ุดููุฉ ุนูุฏ ุงูู
ุฑูุถ ูู ุงูู GI tract ุจูุจุฏุฃ ูุณุฃู
920
01:02:19,280 --> 01:02:22,560
ูู ุงูู GI tract ูู ูุงู ุงูู
ุฑูุถ ุนูุฏู ู
ุดููุฉ ูู ุงู
921
01:02:22,560 --> 01:02:24,900
urinary ุจูุจุฏุฃ ูุณุฃู ูู ุงู urinary ูู ูุงู ุงูู
ุฑูุถ
922
01:02:24,900 --> 01:02:26,920
ุนูุฏู ู
ุดููุฉ ูู ุงู chest ุจูุจุฏุฃ ูุณุฃู ูู ุงู
923
01:02:26,920 --> 01:02:31,120
respiratory ุฃู ูู ุงู cardiac ุญุณุจ ููู ุงูู
ุดููุฉ ูุจุนุฏ
924
01:02:31,120 --> 01:02:38,520
ููู ุจููุฌู ูู other systems ุงุฐุง ุงู
925
01:02:38,520 --> 01:02:42,710
diagnosis ุฒู ู
ุง ูููุง ู
ูู
ูู
ุงู ู
ุฑุฉ ุจุญุจ ุฃูุฏู
ุงุฐุง
926
01:02:42,710 --> 01:02:45,910
ุชุนุฑูู ุงู diagnosisุ ุงู diagnosis ูู ุนุจุงุฑุฉ ุนู
927
01:02:45,910 --> 01:02:49,410
anatomical description ุจุงูุงุถุงูุฉ ู pathological
928
01:02:49,410 --> 01:02:53,050
descriptionูุนูู ูู
ุง ุฃููู ุงูู
ุฑูุถ ุนูุฏู acute
929
01:02:53,050 --> 01:02:56,690
appendicitis ุจูุตู ุงู Anatomy ุงู appendix ููู ู
ูุฌูุฏ
930
01:02:56,690 --> 01:02:59,850
ุงููู ูู anatomical character ุงู appendix ู
ูุฌูุฏ ูู
931
01:02:59,850 --> 01:03:02,690
ุงู lower abdomen ุนูู ุงู right side ูู ุงูู
ูุทูุฉ ุงููู
932
01:03:02,690 --> 01:03:05,290
ูููุง ุงู cecum ูุจุงูุชุงูู ู
ูุฌูุฏ ูู ุงู right iliac
933
01:03:05,290 --> 01:03:08,590
fossa ุฃู ู
ูุฌูุฏ ูู ุงู right lower quadrant this is
934
01:03:08,590 --> 01:03:12,230
the anatomical part of my diagnosis ููุฐูู ุงูุญุงูุฉ
935
01:03:12,230 --> 01:03:14,850
ุงู pathological part ุงููู ูู appendicitis ููู
ุฉ
936
01:03:14,850 --> 01:03:18,930
appendicitis ูุนูู inflammationinflammation ููู
ุฉ
937
01:03:18,930 --> 01:03:23,370
itis ู
ุนูุงูุง inflammation ูุจุงูุชุงูู ูุฐุง ุงู pathology
938
01:03:23,370 --> 01:03:26,170
ููู
ุฉ inflammation ู
ุนูุงูุง pathology acute
939
01:03:26,170 --> 01:03:31,490
inflammation ุงู chronic inflammation ููู
ุฉ
940
01:03:32,350 --> 01:03:36,710
cancer ูู ุจุนุถ ุงูุฃุญูุงู colon cancer ุงู sigmoid
941
01:03:36,710 --> 01:03:39,870
cancer sigmoid colon cancer ุงู sigmoid ุนุจุงุฑุฉ ุนู
942
01:03:39,870 --> 01:03:43,430
anatomy ู ุงู cancer ุนุจุงุฑุฉ ุนู pathology ุงู ูู ุนุจุงุฑุฉ
943
01:03:43,430 --> 01:03:46,310
ุนู combination ู
ุง ุจูู anatomical part ู
944
01:03:46,310 --> 01:03:50,110
pathological part ูู
ุง ุงููู breast cancer ู
ุซูุง ุงู
945
01:03:50,110 --> 01:03:54,450
breast right ู ุงู left breast ุนุจุงุฑุฉ ุนู anatomy ูู
946
01:03:54,450 --> 01:03:57,250
anatomical region ุงุณู
ูุง breast ูู ู
ูุทูุฉ ุงุณู
ูุง
947
01:03:57,250 --> 01:04:00,210
breast ูู ุงู anatomyูุงูู Cancer ุนุจุงุฑุฉ ุนู
948
01:04:00,210 --> 01:04:03,570
pathological description Peptic ulcer ููู
ุฉ Peptic
949
01:04:03,570 --> 01:04:10,710
ู
ุนูุงูุง gastric ุงู duodenum ุงุฐุง ูุฐู ุนุจุงุฑุฉ ุนู
950
01:04:10,710 --> 01:04:14,330
anatomical description ู ุงู ulcer ุนุจุงุฑุฉ ุนู
951
01:04:14,330 --> 01:04:18,470
pathological description ุงู fracture ูุฐูู ุงูููู
ุฑ
952
01:04:18,470 --> 01:04:21,270
ุงูููู
ุฑ ุนุจุงุฑุฉ ุนู anatomy ู ุงู fracture ุนุจุงุฑุฉ ุนู
953
01:04:21,270 --> 01:04:22,950
description and so on
954
01:04:25,770 --> 01:04:29,430
ุฅุฐุง ุจุนุฏ ุฐูู ุจุงุฌู ููู differential diagnosis ู
ู
ูู
955
01:04:29,430 --> 01:04:31,930
ุฃูู ู
ุงุงุชูุตูุด ูู diagnosis ูู ุงูุจุฏุงูุฉ ููู ุฃุญุตุฑ
956
01:04:31,930 --> 01:04:35,590
ุงุญุชู
ุงูุงุชู ูู diagnosis ู
ุนููุฉ ุงู most likely
957
01:04:35,590 --> 01:04:41,610
diagnosis ุจูู
ุดู ู
ุน ุงู symptoms ุฃูุชุฑ ู
ู ุบูุฑู ูุนูู
958
01:04:41,610 --> 01:04:44,450
ูู
ุง ุงูู
ุฑูุถ ูููู ุนูุฏู right lower quadrant pain ุฃู
959
01:04:44,450 --> 01:04:48,470
right iliac fossa pain associated with nausea,
960
01:04:48,550 --> 01:04:51,130
vomiting, anorexia ุจููู ุงู most likely diagnosis
961
01:04:51,130 --> 01:04:56,240
ููุง ุงู acute appendicitisOkay ุฏููู
ุง ุจุณุชุจุนุฏ ุญูุงูุฉ
962
01:04:56,240 --> 01:04:59,560
Peptic Ulcer ู
ุซูุง ุฃู biliary colic is a most
963
01:04:59,560 --> 01:05:03,420
likely diagnosis ุจูุงุก ุนูู anatomical factors ู
964
01:05:03,420 --> 01:05:06,300
ุจูุงุก ุนูู pathological factors ู
ู ุฅูุด ุงูู
ุฑูุถ ุจูุดูู
965
01:05:06,300 --> 01:05:12,900
ู ู
ู ุฅูุด ุงูู
ุฑูุถ ุนูุฏู ู
ุดููุฉ less likely and the
966
01:05:12,900 --> 01:05:15,980
least likely ุจูุงุก ุฒู ู
ุง ูููุง ุนูู anatomical
967
01:05:15,980 --> 01:05:18,700
considerations ู clinical considerations ุงููู ูู
968
01:05:18,700 --> 01:05:21,620
ุงููุถุน ุงูุณุฑูุฑู ุฃู ุงูุดููู ุงููู ุจูุฌู ูููุง ุงูู
ุฑูุถ ู ุงู
969
01:05:21,620 --> 01:05:28,190
analysis of symptomsreview of the systems general
970
01:05:28,190 --> 01:05:32,070
review ุจูุนู
ู ูู ุงูุจุฏุงูุฉ ุจูุณุฃู ุฃุณุฆูุฉ ู
ุนููุฉ ุงู
971
01:05:32,070 --> 01:05:34,610
gastrointestinal system ูู ุฃุดูุงุก ูุชูุฑ ู
ู
ูู ูุณุฃู
972
01:05:34,610 --> 01:05:38,050
ุนููุง ููุฒูุงุ vomitingุ anorexiaุ weight lossุ
973
01:05:38,050 --> 01:05:44,790
ุฌูุงูุฏุณุ eating habitsุ problems ูู ุงู digestionsุ
974
01:05:44,790 --> 01:05:48,530
problems ูู ุงู swallowingุ ุฃุดูุงุก ูุชูุฑ ุงู
975
01:05:48,530 --> 01:05:54,030
respiratory systemุ dyspneaุ coughOrthopnea
976
01:05:54,030 --> 01:05:58,010
Cardiovascular System Chest Pain Dyspnea Orthopnea
977
01:05:58,010 --> 01:06:01,170
ูู
ุงู ู
ุฑุฉ ู
ู
ูู ุชููู ู
ุดุชุฑูุฉ ู
ุง ุจูู ุงู cardiovascular
978
01:06:01,170 --> 01:06:05,270
ู ุงู respiratory system Eurogenital System Dysuria
979
01:06:05,270 --> 01:06:10,250
Dysperionia Frequency of Urination Hesitancy of
980
01:06:10,250 --> 01:06:14,250
Urination Irritation of the urinary bladder ุงููู
981
01:06:14,250 --> 01:06:15,410
ูู ุงู burning sensation
982
01:06:18,900 --> 01:06:22,980
ุทุจูุนุฉ ุงููุฑูู ูู ููู free flow ููุง ููู dribbling
983
01:06:22,980 --> 01:06:27,860
ููุง ููู ุชูููุช ุ ูู ูู ุงููุฑูู ุถุนู ูู ุงู stream ููุง
984
01:06:27,860 --> 01:06:31,660
ููู full stream ุ ูู ูุฐู ุงูุฃุดูุงุก ูู ุงููุฑููุฑู ุชุฑุงู
985
01:06:31,660 --> 01:06:34,120
ู
ู
ูู ูุณุฃู ุนููุง ุงู nervous system ู ุงู
986
01:06:34,120 --> 01:06:39,340
musculoskeletal system ุงุฐุง ุนุงู
ุง ุงูุง ูุฌุจ ุงู ุงุทูุจ ู
ู
987
01:06:39,340 --> 01:06:44,060
ุงูู
ุฑูุถ ุนู ุถุนู ูู ุงูู
ุฑูุถ ูุดุนุฑ ุจุถุนู ู ูู ูุง ูุนู
ู ุงู
988
01:06:44,060 --> 01:06:51,960
ุญุฑูุฉุ ูู ุงูู
ุฑูุถ ูุดุนุฑ ุงูู ุนูุฏูุถุนู ุนุงู
ุญุชู ุจุฏูู ู
ุง
989
01:06:51,960 --> 01:06:56,140
ูุจุฐู ุฃู ู
ุฌููุฏุ ููู ุงูู
ุฑูุถ ุจูุตูุฑ ููู ุนูุฏู ุชุนุจ ูู
ุง
990
01:06:56,140 --> 01:06:59,200
ูุจุฐู ู
ุฌููุฏ ุงููู ุจูุณู
ูู ุงู fatigueุ ุฅุฐุง ุฅู ุงู
991
01:06:59,200 --> 01:07:01,820
weakness ูู ุงู patient ุดุนุฑ ุฃูู ุถุนูู ุจุฏูู ู
ุง ูุจุฐู
992
01:07:01,820 --> 01:07:05,380
ู
ุฌููุฏ ุฃู fatigue ุงู fatigue ู ุงู weakness ู
ู
993
01:07:05,380 --> 01:07:07,300
ุงูุฃุดูุงุก ุงููู suggesting malignancy
994
01:07:09,580 --> 01:07:13,900
ุฅุฐู ู
ูู
ุฌุฏุง ุฃุณุฃู ุนู ุงู weakness ูุงู fatigue ูู
ุง
995
01:07:13,900 --> 01:07:17,160
ุฃูุง ุดุงูู ูู ู
ุงููุฌูุงูุณู ุจุงูุชุญุฏูุฏ ุจุงูุฐุงุช ุงู patients
996
01:07:17,160 --> 01:07:20,140
ุงููู ูู ุนูุฏูู
stomach cancer ุฃู esophageal cancer
997
01:07:20,140 --> 01:07:23,660
ุฃู pancreas cancer ุจููููุง extremely weak and
998
01:07:23,660 --> 01:07:26,800
extremely fatigued ูุฐูู ุงูุญุงู ุงู colon cancer ูู
999
01:07:26,800 --> 01:07:31,010
ุงูู
ุฑุงุญู ุงูู
ุชูุฏู
ุฉ ุชุจุนุชูweakness ู fatigue ู
1000
01:07:31,010 --> 01:07:35,070
anorexia ูู
ุงู ุงู anorexia ู
ูู
ุฉ ูู ุงู cancer ููู ุงู
1001
01:07:35,070 --> 01:07:37,830
anorexia ู
ุด ุจุงูุถุฑูุฑุฉ ุงููุง ุชุนูู cancer ู
ู
ูู ุงู
1002
01:07:37,830 --> 01:07:40,870
anorexia ุชููู relevant ูู
ุงู ูู inflammatory
1003
01:07:40,870 --> 01:07:43,950
conditions ุฒู ู
ุซูุง ุงู anorexia of the acute
1004
01:07:43,950 --> 01:07:48,630
appendicitisุฃู ุงูุงููุฑูุณูุง ูู ุงูู biliary colic ุฃู
1005
01:07:48,630 --> 01:07:51,350
ุงูู acute cholecystitis ุฃู ูู ุงู acute
1006
01:07:51,350 --> 01:07:54,570
pancreatitis ุงูุงููุฑูุณูุง ููุง ู
ู
ูู ุชููู relevant
1007
01:07:54,570 --> 01:07:58,270
ููุฐู ุงู conditions ููู ุงู chronic ุงููุฑูุณูุง
1008
01:07:58,270 --> 01:08:03,970
ุงููุฑูุณูุง ู
ู ููุช ุทููู ูุฐู ุจุชููู more significant ูู
1009
01:08:03,970 --> 01:08:07,610
ุงู cancers ุฃู ูู ุงูู
ุงููููุณู ุจููู
ุง ูู
ุง ุชููู a new
1010
01:08:07,610 --> 01:08:12,640
onset ูุนูู ุจุฏุงูุชูุง ุฌุฏูุฏุฉู
ุน ุงู symptom ุงูู
ูุฌูุฏ ุฃู
1011
01:08:12,640 --> 01:08:16,380
ูุจูู ุจุดููุฉ ูุฐู ุบุงูุจุง ุจุชููู for benign inflammation
1012
01:08:16,380 --> 01:08:20,400
ุงู painful conditions ูุฒู ู
ุง ูููุง ู
ู ุงูุถุญ ุงูุฃุณุจุงุจ
1013
01:08:20,400 --> 01:08:24,660
ุนูููุง ุงููู ูู ุงู acute appendicitis weight loss ุงู
1014
01:08:24,660 --> 01:08:29,240
change of weight I have to ask the patient about
1015
01:08:29,240 --> 01:08:32,220
the change of weight ูุฌุณ ูุฒูู ุงู ูุฃ ู
ู
ูู ุงู
1016
01:08:32,220 --> 01:08:35,140
patient ู
ุงูุชูุฒูุด ู
ุงูุนุฑูุด ูุฌุณู ููุง ูุฃ ุจุณ ู
ู
ูู ุงุณุฃูู
1017
01:08:35,140 --> 01:08:41,060
ุฃุณุฆูุฉ ุฒู ุนูู ุณุจูู ุงูู
ุซุงู ูู ู
ุงูุงุจุณู ูุณุนูู ุนููููู
1018
01:08:41,060 --> 01:08:44,660
ุงูู
ูุงุจุณ ุงููู ูุงูุช ุฒู
ุงู ุญุดุฑู ุตุงุฑุช ูุงุณุนุฉุ ูู ุงูุณุงุนุฉ
1019
01:08:44,660 --> 01:08:48,880
ุตุงุฑุช ุชุฌุน ู
ู ุฅูุฏูุ ูู ุงุถุทุฑูุช ุชุบูุฑ ู
ูุงุจุณู ู ุชุดุชุฑู
1020
01:08:48,880 --> 01:08:53,740
ู
ูุงุจุณ ุฌุฏูุฏุฉ ูุชูุฌุฉ ุงูู ุตุงุฑุช ู
ุด ู
ูุงุฆู
ุฉ ูููุฒู ุชุจุนูุงุ
1021
01:08:53,740 --> 01:08:58,610
ูุฐู ุฃุณุฆูุฉ ูููุงู
ู
ูู ุฃุณุฃููุง ู ู
ู
ูู ุงูู
ุฑูุถ ูููู ู
ูุชู
1022
01:08:58,610 --> 01:09:02,150
ุจูุฒูู ู ุจุชูุฒู ููููู ูุงููู ุงูุง ุงููุตุช ู
ุซูุง 10 ูููู
1023
01:09:02,150 --> 01:09:06,750
ุฎูุงู ุดูุฑูู ุงู 15 ูููู ุฎูุงู ุดูุฑ ุงู 20 ูููู ุฎูุงู 3
1024
01:09:06,750 --> 01:09:10,850
ุดููุฑ ุน ุณุจูู ุงูู
ุซุงู ูู ูุฐุง ุงูููุงู
weight loss ุจุนุถ
1025
01:09:10,850 --> 01:09:13,770
ุฃููุงุน ุงู cancer ุจุชุคุฏู ูุณููุฑ weight reduction ุฒู ุงู
1026
01:09:13,770 --> 01:09:16,790
stomach cancer ู ุงู colon cancer ูู
ุงู ูู ู
ุฑุงุญู
1027
01:09:16,790 --> 01:09:20,910
ุงูู
ุชูุฏู
ุฉ feverish
1028
01:09:20,910 --> 01:09:25,550
sensation ุงู pyrexic sensation ุงู heat sensation
1029
01:09:26,910 --> 01:09:29,930
ุจูุงุฎุฏ ุจุงููุง ุฅู ุงู fever ุนุจุงุฑุฉ ุนู sign ู
ุด symptom
1030
01:09:29,930 --> 01:09:34,450
ูุนูู ูุงุฒู
ุฃุฌูุณูุง ุจููุณู ูุจุงูุชุงูู ูู ุฌุฒุก ู
ู ุงู
1031
01:09:34,450 --> 01:09:37,790
physical examination ู
ุด ู
ู ุงู history ูู
ุด ู
ู ุงู
1032
01:09:37,790 --> 01:09:40,450
general review of system ููู ุงูู
ุฑูุถ ู
ู
ูู ูุดุนุฑ
1033
01:09:40,450 --> 01:09:45,210
ุจุงูุญุฑุงุฑุฉ ุฃู ู
ู
ูู ูุดุนุฑ ุจุงูุณุฎููุฉ ูุจุงูุชุงูู ุฃูุง ุจุณุฃู
1034
01:09:45,210 --> 01:09:49,550
ุงูู
ุฑูุถ ุจุชุดุนุฑ ุฅู ุฌุณู
ู ุฃุณุฎู ุจุชุดุนุฑ ุฅู ูู ุณุฎููุฉ ูู
1035
01:09:49,550 --> 01:09:54,210
ุฌุณู
ูููู ุจุงุณุฃููุด ุฅูู ุนูุฏู ุญุฑุงุฑุฉ ููุง ูุง ููู
ุฉ fever
1036
01:09:54,210 --> 01:10:01,090
sign ุนุจุงุฑุฉ ุนู physical sign not a history symptom
1037
01:10:01,090 --> 01:10:04,940
ู
ุด history symptom ุนุจุงุฑุฉ ุนู physical signnight
1038
01:10:04,940 --> 01:10:09,500
-sweeting ุชุนุฑู ุจุงูุฐุงุช ูู ุณุงุนุงุช ุงูููู ุงูู
ุฑุถู ุงููู
1039
01:10:09,500 --> 01:10:12,240
ุนูุฏูู
cancers ุจุนุถ ุฃููุงุน ุงู cancer ุจุชูุฏู ู night
1040
01:10:12,240 --> 01:10:15,720
-sweets ูู ูุฐู ุจุณุฃู ุนููุง ูู ุงู general symptoms
1041
01:10:15,720 --> 01:10:18,800
weakness, fatigue, anorexia, change in weight,
1042
01:10:19,320 --> 01:10:22,940
fever and chills and night-sweets chills ูุนูู
1043
01:10:22,940 --> 01:10:28,530
ูุดุนูุฑุฉุงููุดุฑูุฑุฉ ุจุชูุญู ุฃูู ูู ุนูุฏู ุญุฑุงุฑุฉ ู
ู ุงูููุน ุงู
1044
01:10:28,530 --> 01:10:32,410
high high grade fever ู
ุด ุฃู ููุน ุญุฑุงุฑุฉ ุจูุนู
ู ูุดุฑูุฑุฉ
1045
01:10:32,410 --> 01:10:36,090
ุงู high grade ูู
ุง ุงุชุนุฏู ุชุณุนุฉ ูุชูุงุชูู ุงุฑุจุนูู ุจูุจุฏุฃ
1046
01:10:36,090 --> 01:10:39,390
ุงูู
ุฑูุถ ูุตูุฑ ูู ุนูุฏู chills ู ุจูุจุฏุฃ ูุตูุฑ ูู ุนูุฏู
1047
01:10:39,390 --> 01:10:43,550
rygors ุงูุด ูุนูู rygors ูุนูู ุจูุจุฏุฃ ุงูู
ุฑูุถ ูุฎุดุจ ูุตูุฑ
1048
01:10:43,550 --> 01:10:47,830
ุฌุณู
ู stiff ูุจุงูุชุงูู ูุฐู ู
ู ุนูุงู
ุงุช ุงูุญุฑุงุฑุฉ ุงูุนุงููุฉ
1049
01:10:47,830 --> 01:10:53,190
gastrointestinal system ุจุณุฃู ุนู ุงู change of
1050
01:10:53,190 --> 01:11:01,000
appetiteูุฏุด ุงุชุบูุฑุช ุดููุฉ ุงูู
ุฑูุถ ููุฃูู ุดููุฉ ุงูู
ุฑูุถ
1051
01:11:01,000 --> 01:11:04,740
ู
ู
ูู ุชููู ุงุชุบูุฑุช recentlyุฒู ุงู acute appendicitis
1052
01:11:04,740 --> 01:11:07,920
ุงูู
ุฑูุถ ูุงู ุจูุฃูู ูููุณ ูุจู ููู
ูู
ุง ุจุฏุฃ ุนูุฏู ุงู
1053
01:11:07,920 --> 01:11:12,160
symptoms ุจุฏุฃ ุนูุฏู ุงู pain ุจุฏุฃ ูููุฏ ุงูุดููุฉ ุชุจุนุชู is
1054
01:11:12,160 --> 01:11:15,600
an anorexia of recent onset ุฃู change of appetite
1055
01:11:15,600 --> 01:11:18,960
of recent onset ุจููู
ุง ุงู patient ุงููู ุนูุฏู cancer
1056
01:11:18,960 --> 01:11:23,380
ุนูุฏู loss of appetite ุงู decrease ูู ุงู appetite
1057
01:11:23,380 --> 01:11:31,070
ู
ู long timeุจูุช ูู ุงูู
ุฑูุถ ุจู
ูู ูุฃุทุนู
ุฉ ู
ุนููุฉ ููุง
1058
01:11:31,070 --> 01:11:35,690
ูุงุ ูู ุจูุญุงูู ูุนู
ู avoidance ูุฃูู ู
ุนูู ุฃู ูุงุ
1059
01:11:35,690 --> 01:11:39,210
ุงูู
ุฑูุถ ุงููู ุจูุนู
ู avoidance ูู fatty meals ุฃู ูู
1060
01:11:39,210 --> 01:11:46,850
fats ุจุตูุฉ ุนุงู
ุฉ ู
ุฑูุถ ุจูููุงุฑููู ุงูุบุงูุจ ุจูููู ูุฅู ุงู
1061
01:11:46,850 --> 01:11:49,430
fats ุจุชุนู
ู ุนูุฏู exaggeration ูู biliary symptoms
1062
01:11:49,430 --> 01:11:53,910
ุงููู ูู ุงู gallbladder stones ุฃู ุงู stone disease
1063
01:11:53,910 --> 01:11:59,570
ุจููู
ุง ุงู patient ุงููู ู
ุงููุด ุนูุฏู ูุฑู ูู ุงูุฃูู ู
ู
ูู
1064
01:11:59,570 --> 01:12:04,830
ูููู ูุนุงูู ู
ู ู
ุดููุฉ ุชุงููุฉ ุน ุณุจูู ุงูู
ุซุงู ุจูููู ุนูุฏู
1065
01:12:04,830 --> 01:12:08,290
ูุนูู
1066
01:12:08,290 --> 01:12:13,890
problemูู ู
ูุงู ุชุงูู ุบูุฑ ุงู biliary ุงูู
ุฑูุถ ุงููู
1067
01:12:13,890 --> 01:12:16,510
ุจูููู ุนูุฏู peptic ulcer ุจูุนุงูู ู
ู ู
ุดููุฉ ูู ุงู meat
1068
01:12:16,510 --> 01:12:21,110
ูู ุงููุญู
ุฉ ุงู proteins ุงู high protein diet ุจุงูุฐุงุช
1069
01:12:21,110 --> 01:12:25,330
ุงู stomach ulcer ุญุณุงุณูู ูููุญู
ุฉ ูุชูุฑ ุงููุญู
ุฉ ุจุชุชุนุจูู
1070
01:12:25,330 --> 01:12:28,770
ุฌุฏุง ูุฅู ุงู proteins digested ุจุงูุฏุฑุฌุฉ ุงูุฃููู ูู ุงู
1071
01:12:28,770 --> 01:12:31,290
stomach ู ุงู digestion ุชุจุน ุงู proteins ูู ุงู
1072
01:12:31,290 --> 01:12:35,550
stomach ุจูุคุฏู ูู further release of acid ูุฅู ูู ู
ุง
1073
01:12:35,550 --> 01:12:39,370
ุฒุงุฏ ุงู protein digestion ุจุฒูุฏ ุงู pepsin ูุจุงูุชุงูู
1074
01:12:39,370 --> 01:12:44,310
ุจุฒูุฏ ุงู acid ู
ุนุงูุฒู ู
ุง ูููุง ุงู weight loss of
1075
01:12:44,310 --> 01:12:49,410
weight ุงู taste ู ุงู teeth ูู ุงู patient ุนูุฏู good
1076
01:12:49,410 --> 01:12:53,210
teeth ูุจุงูุชุงูู ุจูู
ุถุบ ุงูุฃูู ูููุณ ูู ุนูุฏู taste
1077
01:12:53,210 --> 01:12:56,970
ุทุจูุนู ููุง ูู change of taste ุงูู
ุฑูุถ ุจูุดุนุฑ ุจุทุนู
1078
01:12:56,970 --> 01:12:59,930
ุบุฑูุจ ูู ุชู
ู ุจุนุถ ุงู use of a gene pathologist ุจูุดุนุฑ
1079
01:12:59,930 --> 01:13:03,930
ุงูู
ุฑูุถ ุงู ุชู
ู ููู ุทุนู
ุบุฑูุจ metallic taste ู
ุซูุง
1080
01:13:03,930 --> 01:13:08,510
ุจูุญุณ ุงูู ุฒู ุทุนู
ุงูุตุฏุฑ ุงู ุทุนู
ู
ุฑ okay ูุฐู ุงูุดุบูุงุช
1081
01:13:08,510 --> 01:13:12,480
ู
ู
ูู ุชููู relevant ูู gastrointestinal symptomsูู
1082
01:13:12,480 --> 01:13:15,500
ุงู patient ูู ุนูุฏู ู
ุดููุฉ ูู ุงู swallowing ุงููู
1083
01:13:15,500 --> 01:13:20,460
ุจูุณู
ููุง ุงุญูุง dysphagia ุตุนูุจุฉ ูู ุงูุจูุน ุฃู ููู
ูู
1084
01:13:20,460 --> 01:13:25,160
ุงูุจูุน ุฃู ุฏูููุงุฌูุง ูุฐู ู
ู ุนูุงู
ุงุช ุงู isopathy ุงู
1085
01:13:25,160 --> 01:13:28,180
pathology ุงู ู
ู ุนูุงู
ุงุช ุงู upper GI tract ูู ุงู
1086
01:13:28,180 --> 01:13:34,120
stomach ู
ุซูุง ุงู swallowing ู
ูู
ุฌุฏุง ูุณุฃู ูู ูู ุงู
1087
01:13:34,120 --> 01:13:40,100
difficulty ูู fluids ููุง ูู solid foodุฅุฐุง ูุงู
1088
01:13:40,100 --> 01:13:44,080
ุงูู
ุฑูุถ ุนูุฏู difficulty ูู solid food ุฃูุชุฑ ุจููู
1089
01:13:44,080 --> 01:13:49,420
ุงูู
ุดููุฉ ุนูุฏู ุบุงูุจุง mechanical ูุนูู ุฏูุงุฌ ุฃู mass ุฃู
1090
01:13:49,420 --> 01:13:52,800
narrowing ูู ุงูุงุณููููุงุณ ุจููู
ุง ูู ูุงูุช ุงูู
ุดููุฉ ูู
1091
01:13:52,800 --> 01:13:56,820
ุงู fluids ู ูู ุงู solids ู
ุน ุจุนุถ ูู
ุจุชููู ุงูู
ุดููุฉ
1092
01:13:56,820 --> 01:13:59,340
ูู ุงู motility ูู ุงูุงุณููููุงุณ ุฒู ุญุงูุฉ ุงูุฃูุงููุฒูุง
1093
01:13:59,340 --> 01:14:03,180
ู
ุซูุง ุงููู ูู ุจููู ูู deficient motility ูู
1094
01:14:03,180 --> 01:14:07,870
ุงูุงุณููููุงุณู
ูู
ุฌุฏุง ูู
ุงู ูุณุฃู ูู ุงู dysphagia ุนู ุงู
1095
01:14:07,870 --> 01:14:11,590
site of dysphagia ูู ุงูู
ุฑูุถ ุจูุดุนุฑ ุงูู ุตุนูุจ ูู
1096
01:14:11,590 --> 01:14:16,870
ุงูุจูุน ูู ู
ูุทูุฉ ุงูุนูู ูู ุงูุฑุฌุจ ูุนูู ู ูุง ุตุนูุจ ูู
1097
01:14:16,870 --> 01:14:19,670
ุงูุจูุน ูู ู
ูุทูุฉ ุงู chest ู ูุง ูู ู
ูุทูุฉ ุงู upper
1098
01:14:19,670 --> 01:14:24,010
abdomen ู
ู
ูู ุงููุฌู
ุชุฌู ููู
ุฑูุถ ูู ุฒูุฑู ูู ุฑุฌุจุชู
1099
01:14:24,010 --> 01:14:30,370
ู
ู
ูู ุงููุฌู
ุชุฌู ูู ู
ูุชุตู ุงู chest ู
ู
ูู ุงููุฌู
ุชุฌู ูู
1100
01:14:30,370 --> 01:14:35,280
ุงู upper abdomenุฅุฐุง ููู ุงูู
ุดููุฉ ูู ุตุนูุจุฉ ุงูุจูุนุจ
1101
01:14:35,280 --> 01:14:37,440
ุจุชุญุฏุฏูู ููู ุงูู
ุดููุฉ ูู ุงู esophagus ูุฃูู ุงู
1102
01:14:37,440 --> 01:14:42,020
esophagus ุทููู 25 ุณุงูุช ุทููู ุจูุดู
ู ู
ูุทูุฉ ุงู neck ู
1103
01:14:42,020 --> 01:14:44,120
ู
ูุทูุฉ ุงู chest ู ู
ูุทูุฉ ุงู upper abdomen
1104
01:14:44,120 --> 01:14:48,620
regurgitation ุงุฑุชุฌุงุน ุงูุทุนุงู
ุจุฏูู ู
ุง ุงูู
ุฑูุถ ูุจุฏู
1105
01:14:48,620 --> 01:14:54,220
ู
ุฌููุฏ ุชุฎุชูู ุนู ุงู vomitingregurgitation ูุฃ ุฅุฑุงุฏูุง
1106
01:14:54,220 --> 01:14:57,900
ุงูู
ุฑูุถ ูุทูุน ุงูุฃูู ุจููู
ุง ุงู vomiting ูู ุฌุฒุก ุฅุฑุงุฏู
1107
01:14:57,900 --> 01:15:01,280
ููู ุฃู ุงูู
ุฑูุถ ููุถู ู
ุฌููุฏ ุนุดุงู ูุทูุน ุงูุฃูู ุจูุนู
ู
1108
01:15:01,280 --> 01:15:04,660
contraction ุนูู ุงู muscles ุชุจุนุชู ุนุดุงู ูุทูุน ุงูุฃูู
1109
01:15:04,660 --> 01:15:11,580
ุงู heartburn ุดุนูุฑ ุจุงูุญุฑุฌุงู ูุฑุง ุงู sternum retro
1110
01:15:11,580 --> 01:15:16,980
sternal burning sensation ูุฐู ู
ู ุนูุงู
ุงุชุงูู
1111
01:15:16,980 --> 01:15:19,020
Gastrointestinal Pathology ุจุงูุฐุงุช ุงูู
1112
01:15:19,020 --> 01:15:22,200
Gastrointestinal Reflex Disease ุงููู ุจูุตูุฑ ููู
1113
01:15:22,200 --> 01:15:26,660
ุงุฑุชุฌุงุน ููุญู
ุถ ูู ุงูู
ุฑูุถ ุจููุฏุฑ ุงู heart burn ุนูุฏูู
ู
1114
01:15:26,660 --> 01:15:29,700
ุทุจุนุง ุถุฑูุฑู ุฌุฏุง ุงูู
ูุฒ ู
ุง ุจูู ุงู heart burn ู ู
ุง ุจูู
1115
01:15:29,700 --> 01:15:35,000
ุงู heart pain ุงู ุงู angina pain of the heartุงูู
1116
01:15:35,000 --> 01:15:37,960
heartburn ุจูููู ุดุนูุฑ ุจุงูุญุฑุฌุงู ูู ู
ูุทูุฉ ุงูุงุณุชูุฑูุงู
1117
01:15:37,960 --> 01:15:41,060
ู
ุด relevant ูู heart ู
ุงููุด ุนูุงูุฉ ุจุงูููุจ relevant
1118
01:15:41,060 --> 01:15:45,680
ูุญุฑุฌุงู ุงู acid ูู ุงู in the esophagus ุจููู
ุง ุงู
1119
01:15:45,680 --> 01:15:48,540
heart pain ุงู ุงู angina ุงู pain ุจูููู ูุงุชุฌ ุนู
1120
01:15:48,540 --> 01:15:54,800
cardiac problem vomiting of blood ุงู ุงู
1121
01:15:54,800 --> 01:15:59,020
hematemesis ุจูุฌู ู
ุน ุงู peptic ulcer disease ู ุจูุฌู
1122
01:15:59,020 --> 01:16:03,350
ู
ุน ุงู gastric cancersู ุจูุฌู ูู
ุงู ู
ุน ุงู other
1123
01:16:03,350 --> 01:16:06,650
pathologies ุฒู ุงู portal hypertension ุฃู ุงู liver
1124
01:16:06,650 --> 01:16:12,590
cirrhosis ู
ู
ูู ุชุคุฏู ู vomiting of blood other
1125
01:16:12,590 --> 01:16:16,810
types or other ุงู previous history of abdominal
1126
01:16:16,810 --> 01:16:20,630
pain ูุฏ ูููู ุงู abdominal pain hard recurrent ุฒู
1127
01:16:20,630 --> 01:16:24,570
ูู ุญุงูุงุช ุงู gall stones ุงู ุฒู ูู ุญุงูุงุช ุงู peptic
1128
01:16:24,570 --> 01:16:27,950
ulcer ุงู ุฒู ูู ุญุงูุงุช ุงู chronic pancreatitis
1129
01:16:27,950 --> 01:16:34,260
abdominal distentionintestinal pathology ุงู
1130
01:16:34,260 --> 01:16:38,140
colonic pathology .. colonic problem .. gas ูู ุงู
1131
01:16:38,140 --> 01:16:42,680
abdomen .. colonic problem .. defecation problems
1132
01:16:42,680 --> 01:16:45,680
.. ูู ูู painful defecation .. ุงูู
ุฑูุถ ุงููู ู
ุงูุฑูุญ
1133
01:16:45,680 --> 01:16:49,740
ุงูุญู
ุงู
.. ููู ุฃูู
ุฃู ูู ุตุนูุจุฉ ูู ุงู defecation ..
1134
01:16:49,740 --> 01:16:53,060
ุจุฑุถู ูุฐุง ูู ุจุนุถ ุงู pathologies ุจูููู ู
ูุฌูุฏ ุน ุณุจูู
1135
01:16:53,060 --> 01:16:55,280
ุงูู
ุซุงู ุงูู
ุฑูุถ ุงููู ูู ุนูุฏู rectal problem ..
1136
01:16:55,280 --> 01:16:57,720
rectal cancer .. ูุนุงูู ู
ู ู
ุดููุฉ ูู ุงู defecation
1137
01:16:58,740 --> 01:17:01,760
obstructed defecation ุจูููู ุนูุฏู ุงู ุจูููู ูู ุนูุฏู
1138
01:17:01,760 --> 01:17:05,980
ุญุงุฌุฉ ุจูุณู
ููุง tenismus ูุนูู ุจุธู ุงูู
ุฑูุถ ุงูู ูู ุนูุฏู
1139
01:17:05,980 --> 01:17:09,960
feces ุงู ูู ุนูุฏู stool ุจุณ ูู
ุง ููุฌู ุจุฑูุน ุงูุญู
ุงู
1140
01:17:09,960 --> 01:17:14,280
ู
ุงููุด ุนูุฏู ุงู ุญุงุฌุฉ ูุฐูู ุงูุญุงูู ุงู painful
1141
01:17:14,280 --> 01:17:17,740
defecation ู
ุงุดู ู
ุน ุงู anal fissures ุงู ุดุฑูุฎ
1142
01:17:17,740 --> 01:17:23,720
ุงูุดุฑุฌูุฉ ู
ุงุดู ู
ุน ุงู infections ุฒู ุงู abscess ุงู
1143
01:17:23,720 --> 01:17:27,640
perianal abscess ุงู ุงู rectal abscessThe change of
1144
01:17:27,640 --> 01:17:32,340
the color of the skin ุฒู ุงูู jaundice ุงูุงููู
ูุง ุงูู
1145
01:17:32,340 --> 01:17:34,620
cyanosis ุงู jaundice ุงููู ูู ุนูุงูุฉ ุจุงูุฃุจุฏูู
ูู
1146
01:17:34,620 --> 01:17:38,120
ู
ุจุงุดุฑุฉ ูุฃูู ุฌุงู ู
ู ููู ุงู jaundice ุฅู
ุง ู
ู ุงู
1147
01:17:38,120 --> 01:17:40,600
hemolysis of the blood ุฃู ู
ู ุงู liver ุฃู ู
ู ุงู
1148
01:17:40,600 --> 01:17:45,980
biliary tract ุฅุฐู ูุฐู ูููุง ุฃุดูุงุก ู
ุญุชู
ูุฉ ุงู skin ูุฏ
1149
01:17:45,980 --> 01:17:49,140
ูููู ูู pigmentation ู
ุนููุฉ ูู ุจุนุถ ุฃููุงุน ุงู disease
1150
01:17:50,210 --> 01:17:53,590
ุงูู skin ูุฏ ูููู pale in color ุฒู ูู ุญุงูุฉ ุงูุงููู
ูุง
1151
01:17:53,590 --> 01:17:57,450
ูุงูุงููู
ูุง ู
ู
ูู ุชููู ูุงุชุฌุฉ ุนู cancer ููููู cancerุ
1152
01:17:57,450 --> 01:18:00,770
stomach cancerุ pancreatic cancer ุจุชูุฏุฑ ูุงููู
ูุง
1153
01:18:00,770 --> 01:18:07,490
ูููุง ุฅุฐุง ุงู color of the skin ุงู respiratory
1154
01:18:07,490 --> 01:18:12,230
system cuffing ูู ูู dry cuff ููุง sputum cuffุ
1155
01:18:12,230 --> 01:18:17,420
ูุนูู productive cuff ููู ู
ุน ุจุงูุบูHemoptysis ูู
1156
01:18:17,420 --> 01:18:20,740
ุงูู
ุฑูุถ ุจูููุญ ุฏู
ุ ููู ุจูู
ูุฒ ุงู hemoptysis ุนู ุงู
1157
01:18:20,740 --> 01:18:25,820
hematemesisุ ุงู hemoptysis ุจูููู ุงูุฑููู ูุนูู ุจูููู
1158
01:18:25,820 --> 01:18:29,640
ู
ุนุงู ุฑุบูุฉ ุจูู ุงู hematemesis ูุฃ ุงู hemoptysis
1159
01:18:29,640 --> 01:18:32,940
ุจูููู ุฒู ุฑุบูุฉ ุงูุตุจูู ู ุจูููู ููู ุงูุฏู
ููู rosy
1160
01:18:32,940 --> 01:18:36,220
color ูุงุชุญ ูุฑุฏู ูุงุชุญ ุจููู
ุง ุงู hematemesis ุจูููู
1161
01:18:36,220 --> 01:18:41,310
ุบุงู
ู ูุฃูู ู
ุฎุชูุท ุจุงู acid of the stomachุฃุญูุงูุง ุงู
1162
01:18:41,310 --> 01:18:43,590
hemoptysis ุจูููู ู
ุนุงู food material ุจููู
ุง ุงู
1163
01:18:43,590 --> 01:18:46,310
hemoptysis ูุฃ ุจูููู ู
ุนุงู sputum ุฃูุชุฑ ุฃู frothy
1164
01:18:46,310 --> 01:18:50,170
material dyspnea shortness of breath ุงูู
ุฑูุถ ุจูุงุฎุฏ
1165
01:18:50,170 --> 01:18:54,810
ููุณ ูุตูุฑ ูุณุฑูุน Orthopnea ูู
ุง ุงูู
ุฑูุถ ููุงู
ูู ุงู
1166
01:18:54,810 --> 01:19:00,760
supine position ูุจุฏุฃ ููุณู ูุชุถุงูู chest painุจุงูุฐุงุช
1167
01:19:00,760 --> 01:19:04,760
ูู
ุง ูุจุฐู ู
ุฌููุฏ Respiratory System ููู ูุฐู ุงูุฃุดูุงุก
1168
01:19:04,760 --> 01:19:08,180
ู
ุดุชุฑูุฉ ูู
ุงู ู
ุน ุงู cardiac pathologies Chest pain,
1169
01:19:08,300 --> 01:19:12,320
dyspnea, orthopnea, palpitations ุฎููุงู ูู ุงูููุจุ
1170
01:19:12,320 --> 01:19:15,480
ุจุงูุฐุงุช ุงู patients ุงููู ุนูุฏูู
chronic hypertension
1171
01:19:15,480 --> 01:19:18,460
ุฃู ูู ุนูุฏูู
arrhythmias ุฃู ุงู patients ุงููู ูู
1172
01:19:18,460 --> 01:19:24,870
ุนูุฏูู
angina pain Cough and sputumdizziness and
1173
01:19:24,870 --> 01:19:29,370
headache ุงู dizziness ุจูุญุณ ุงูู
ุฑูุถ ุงูู ุฏุงูุฎ ู ุจุฏู
1174
01:19:29,370 --> 01:19:33,450
ูุฌุนุจ ุชุฎุชูู ุนู ุงู drowsiness ุงู drowsiness ุจูุญุณ ุงูู
1175
01:19:33,450 --> 01:19:36,510
ูุนุณุงู ุจุฏู ููุงู
ุจููู
ุง ุงู dizziness ุจูุญุณ ุงูู ุนูุฏู
1176
01:19:36,510 --> 01:19:40,310
light head ุจูุณู
ููุง light headedness ูุนูู ุจูุญุณ ุงูู
1177
01:19:40,310 --> 01:19:45,980
ุฑุงุณู ุฎููู ู ู
ุด ุดุงููุฉ ุจุฏู ูุฌุนุจ ุจุฏู ูุฏูุฑ ู ูุฌุนุจAnkle
1178
01:19:45,980 --> 01:19:48,400
swelling ุฃู ุฅุฏูู
ุฉ ู
ู ุนูุงู
ุงุช ุงูู Cardiac Disease
1179
01:19:48,400 --> 01:19:51,260
ุจุงูุฐุงุช ุงูู Heart Failure Unperipheral vascular
1180
01:19:51,260 --> 01:19:59,080
system Congestion of veins ู Venus Edema ุจุงูุฅุถุงูุฉ
1181
01:19:59,080 --> 01:20:03,500
ูู Loss of pulsations ุฃู Loss of pulse ูู ุงูุงุฑุชุฑุงุถ
1182
01:20:03,500 --> 01:20:06,160
ูู ูุฐู ูุฏ ุชููู ู
ู ุนูุงู
ุงุช ุงู Cardiac Disease ุฃู ู
ู
1183
01:20:06,160 --> 01:20:10,980
ุนูุงู
ุงุช ุงู Peripheral Vascular Diseaseุงููุธุงู
1184
01:20:10,980 --> 01:20:12,980
ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู
1185
01:20:12,980 --> 01:20:13,320
ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู
1186
01:20:13,320 --> 01:20:14,020
ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู
1187
01:20:14,020 --> 01:20:14,160
ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู
1188
01:20:14,160 --> 01:20:16,340
ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู
1189
01:20:16,340 --> 01:20:18,100
ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู
1190
01:20:18,100 --> 01:20:18,100
ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู
1191
01:20:18,100 --> 01:20:18,100
ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู
1192
01:20:18,100 --> 01:20:37,120
ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑูุฌูููุงูู ุงูููุฑ
1193
01:20:37,540 --> 01:20:41,340
problems of maturation ุฒู ุงู abstracted urination
1194
01:20:41,340 --> 01:20:46,400
ุฃู ุฒู ุงู weak stream ุฃู ุฒู ุงู dripling hesitancy
1195
01:20:46,400 --> 01:20:52,780
frequency ุงูู
ุฑูุถ ุจูุฑูุญ ุงูุญู
ุงู
ูุชูุฑ ุงู ุจุชุฑุฏุฏ ูู ุงูู
1196
01:20:52,780 --> 01:20:55,940
ูุฑูุญ ุงูุญู
ุงู
ุงู urgency ุจูุญุณ ุงู patient ุงูู ุฏุงูู
ุง
1197
01:20:55,940 --> 01:21:01,060
ุฒู ุงููู ูู ุงู escape urine ุจููุฑุจ urine ูุจุงูุชุงูู
1198
01:21:01,060 --> 01:21:04,980
ุจููุงุญูุด ููุณู ูู
ูู ูุฑูุญ ุงูุญู
ุงู
ุจุณุฑุนุฉ ูุฐู ุจูุณู
ููุง
1199
01:21:04,980 --> 01:21:12,080
urgencyOkay menstrual cycles frequency and
1200
01:21:12,080 --> 01:21:15,020
regularity ูู ุงู menstrual cycles ูู ูู
1201
01:21:15,020 --> 01:21:18,040
menstruation ููุง ูุง ู ูุฏุงุด ุงู frequency ู ูุฏุงุด ุงู
1202
01:21:18,040 --> 01:21:23,460
regularity ูู ูู pregnancy ุงู symptoms suggesting
1203
01:21:23,460 --> 01:21:26,320
of pregnancy ูุฃู symptoms of pain ูุฐู ูุฏ ุชููู
1204
01:21:26,320 --> 01:21:30,420
ูุงุชุฌุฉ ุนู pregnancy ุจุงูุฐุงุช ุงูectopic pregnancy ุงููู
1205
01:21:30,420 --> 01:21:34,680
ุจูููู ูู ุงู tubesbreasts ูู ูู ุงู breast pathology
1206
01:21:34,680 --> 01:21:37,820
ุงู breast pathology ู
ู
ูู ููุนูุณ ูู ุงู abdomen ูู
ุงู
1207
01:21:37,820 --> 01:21:43,740
ุฒู ู
ุซูุง ุงูู
ุฑุถู ุงููู ุจูููู ููู ุนูุฏูู
breast changes
1208
01:21:43,740 --> 01:21:47,600
ูุชูุฌุฉ ุงู cycles ุงู menstrual cycles ูู ุงู females
1209
01:21:47,600 --> 01:21:50,940
ูุจุงูุชุงูู ู
ู
ูู ูุตูุฑ ูููู
congestion ูู ุงู breast ุงู
1210
01:21:50,940 --> 01:21:56,160
pain ูู ุงู breast ุงู ูุชูุฌุฉ ovarian ุงู uterine
1211
01:21:56,160 --> 01:22:01,490
pathologysecondary sex characteristics ุฒู ุงู
1212
01:22:01,490 --> 01:22:05,990
growth of hairs ู ุฒู ุงู changes on voice ู ุฒู ุงู
1213
01:22:05,990 --> 01:22:10,930
first menstrual cycles ูู ุงู females ูู ูุฐู ู
ูู
ุฉ
1214
01:22:10,930 --> 01:22:15,470
ุฌุฏุง ุฃุณุฃู ุนููุง ูู ุงู eurogenital system reviewุงู
1215
01:22:15,470 --> 01:22:19,290
nervous system ู
ุซูุง ุงู ุจุชููุน ุงู mental status of
1216
01:22:19,290 --> 01:22:21,970
the patient ู
ู ุฎูุงู ุฃุณุฆูุฉ ู
ุนููุฉ ุฌุฏุงุด ุงูู
ุฑูุถ ูู
1217
01:22:21,970 --> 01:22:25,150
ุนูุฏู mental health ุฌุฏุงุด ุงู IQ level ุชุจุนู ูู ูู
1218
01:22:25,150 --> 01:22:28,170
ุนูุฏู mental retardation ููุง ูุง ุงู conscious level
1219
01:22:28,170 --> 01:22:32,370
ุจููู
ู ุจุงู physical examination ุฒุงุฆุฏ ุงู history
1220
01:22:32,370 --> 01:22:38,030
ูู
ุงู ูู ุงู patient ุนูุฏู ููุจุงุช ุตุฑุงุญุฉูู ูู ุนูุฏ
1221
01:22:38,030 --> 01:22:43,410
ุงูู
ุฑูุถ ุจูุบูุจ ุจุดูู ู
ุคูุช Transient ischemic attacks
1222
01:22:43,410 --> 01:22:47,670
ุจุชุนูุณ Vascular disease ุงู ุจุชุนูุณ Brain disease Loss
1223
01:22:47,670 --> 01:22:51,770
of sensations ุงู Paresthesia ุจูุญุณ ุงูู
ุฑูุถ ุจุฎุฏูุงู ูู
1224
01:22:51,770 --> 01:22:56,930
ุฅูุฏู ู ูู ุฑุฌููู okay ูู ูุฐู Review ูู ุงู nervous
1225
01:22:56,930 --> 01:22:59,890
system ุจุงูุงุถุงูุฉ ู ุงู musculoskeletal system
1226
01:22:59,890 --> 01:23:05,730
Migratory pain ูุนูู pain ู
ู hand ู handุจุชุญุฑู ูู ุงู
1227
01:23:05,730 --> 01:23:08,470
joints ุฃุญูุงู ุจูุญุณ ููู ูู ุงู joints of the hand ูู
1228
01:23:08,470 --> 01:23:10,590
ุงู joints of the leg ูู ุงู joints of the foot
1229
01:23:10,590 --> 01:23:15,790
swellings and limitation of movements ุจุงูุฐุงุช ูู
ุง
1230
01:23:15,790 --> 01:23:19,990
ุงูู
ุฑูุถ ูุชุญุฑู ุจุตูุฑ ููู ุนูุฏู pain ูุชูุฌุฉ ุงูุญุฑูุฉ ูุฐู
1231
01:23:19,990 --> 01:23:23,470
ูุจุงูุชุงูู ุจููุฏุฑุด ูุนู
ู ุงู full range of motion ุฃู ุงู
1232
01:23:23,470 --> 01:23:29,090
full range of movement ูู ุงู joint ูุฐุง ูู ุงู past
1233
01:23:29,090 --> 01:23:31,930
medical history ูู ุงู patient ูุงู
ูู ุงูู
ุณุชุดูู ูุจู
1234
01:23:31,930 --> 01:23:37,460
ููู ูุฃู ุณุจุจุู
ุนูู ุณูุงุก ูุงู medical ุฃู surgical ููุงู
1235
01:23:37,460 --> 01:23:41,880
ู
ุฑุฉ ูุงู
ูู ุงูู
ุณุชุดูู ููุฏุงุด ุทูู ูู ุงูู
ุณุชุดูู ูู ูู
1236
01:23:41,880 --> 01:23:45,220
ุนูุฏู history of infectious disease ุฒู ุงู
1237
01:23:45,220 --> 01:23:48,940
tuberculosis ู
ุซูุง ูู ูู ุนูุฏู history of chronic
1238
01:23:48,940 --> 01:23:51,620
disease ุฒู ุงู diabetes ู ุฅูุด ุจูุฎุฏูู ุนูุงุฌ
1239
01:23:51,620 --> 01:23:55,140
hypertension ูุฐูู ุงูุญุงู ูุฐูู ุงูุญุงู ุงู cardiac ุฃู
1240
01:23:55,140 --> 01:23:59,660
pulmonary disease bronchial asthma rheumatic fever
1241
01:24:01,620 --> 01:24:05,360
ุทุจุนุง joint pain and swelling contact with patients
1242
01:24:05,360 --> 01:24:09,440
with hepatitis or aids or blood transfusion should
1243
01:24:09,440 --> 01:24:13,360
be asked ุทุจุนุง ูุฐู ุงูุดุบูุงุช ู
ูู
ุฉ ุฌุฏุง ูู ุงู past
1244
01:24:13,360 --> 01:24:16,880
history I have to ask in detail ุจุงูุฐุงุช ุงู contact
1245
01:24:16,880 --> 01:24:21,140
of the patients previous operations ุงู past
1246
01:24:21,140 --> 01:24:25,970
surgical historyูู
ุนู
ููุฉ ุนู
ูุ ูุฅูุด ููุน ุงูุนู
ููุฉ
1247
01:24:25,970 --> 01:24:30,230
ูุงูุชุ ููู ูุงูุช ุชุญุช ุชุฎุฏูุฑ ุนุงู
ุฃู ุชุฎุฏูุฑ ู
ูุถุนูุ ููู
1248
01:24:30,230 --> 01:24:34,150
ุงูุชุฌูู ุฏู
ูู ุงูุนู
ููุฉ ุฃู ุฎูุงููุง ุฃู ุจุนุฏูุงุ ุฃู ุงูุชุฌูู
1249
01:24:34,150 --> 01:24:38,390
ุฏู
ู ุฎูุงุต ุจุฏูู ู
ุง ูุนู
ู ุนู
ููุฉ ุงูู
ุฑูุถุ ูู ุตุงุฑ ุนูุฏ
1250
01:24:38,390 --> 01:24:42,410
ุงูู
ุฑูุถ complications ุฃุซูุงุก ุงูุชุฎุฏูุฑ ุฃู ุจุนุฏ ุงูุชุฎุฏูุฑุ
1251
01:24:42,410 --> 01:24:45,770
ุทูู ูู
ุง ุตุญู ู
ู ุงู bingeุ ุฃู ุตุงุฑ ูู ุนูุฏู ุจุนุถ ูููุง
1252
01:24:45,770 --> 01:24:48,470
complications ูู ุงู respiratory ุฃู ุงู cardiacุ ุฃู
1253
01:24:48,470 --> 01:24:52,120
general complicationsุูู ุงูู
ุฑูุถ ุนูุฏู bleeding
1254
01:24:52,120 --> 01:24:57,760
diathesisุ bleeding tendencyุ ุจููุฒู ุจุณูููุฉ ุงูู
ุฑูุถุ
1255
01:24:57,760 --> 01:25:01,720
ุจุณุฃูู ุฃุณุฆูุฉ ู
ุจุงุดุฑุฉ ูู ุจูุตูุฑ ุนูุฏู ุงุจุณุชaxis ุจุณูููุฉุ
1256
01:25:01,720 --> 01:25:08,320
ุฏู
ุจูุฒู ู
ู ุงูุฃููุ ุนูุฏ ุฃู ุณุจุจุ ูู ูู ุฏู
ูู ุงููุซุฉ ุฃู
1257
01:25:08,320 --> 01:25:12,420
ูู ุงููู
ุ ูู ุนูุฏ ุงูู
ุฑูุถ ูู
ุง ููุฌุฑุญ ุจูุทูู ุงู bleeding
1258
01:25:12,420 --> 01:25:16,300
ูู
ุง ูููุ ูู ุจูุตูุฑ ูู ุนูุฏู deep bleeding ุฒู ุงู
1259
01:25:16,300 --> 01:25:21,000
joint swelling ู
ุซูุงุุงููู ูู ุชุฑุงูู
ุงู blood ุฏุงุฎู ุงู
1260
01:25:21,000 --> 01:25:24,420
joint ุจุงูุฐุงุช ุงู knee joint ูู ุญุงูุงุช ุงู hemophilia
1261
01:25:24,420 --> 01:25:27,760
ุงูู
ุฑุถู ูุฐูู ุจูุตูุฑ ููู ุนูุฏูู
bleeding ุฏุงุฎู ุงู joint
1262
01:25:27,760 --> 01:25:31,720
ููุณู ุจูุณู
ูู hemarthrosis ุฅุฐุง ุงู bleeding tendency
1263
01:25:31,720 --> 01:25:35,960
ู
ูู
ูุฅูู ุงู bleeding tendency ุจุงูุฐุงุช ูู ุงู patient
1264
01:25:35,960 --> 01:25:39,660
ุงููู ุจูุนู
ูู surgery ุงููู ุจูุนู
ูู operation ู
ุฌุฑุฏ
1265
01:25:39,660 --> 01:25:41,560
ู
ุนู
ู cutting ูู tissue ุจูุจุฏุฃ ูุตูุฑ ููู ุนูุฏู
1266
01:25:41,560 --> 01:25:44,990
bleeding without controlูุจุงูุชุงูู ู
ูู
ุฌุฏุง ูู ุงูู
1267
01:25:44,990 --> 01:25:47,890
Preoperative ูุจู ู
ุง ุฃุนู
ูู ุงูุนู
ููุฉ ูู ุงู past
1268
01:25:47,890 --> 01:25:51,590
history ุฃุณุฃู ุนู ุงู bleeding tendency ุงู drug
1269
01:25:51,590 --> 01:25:54,110
history ุฃุดูุงุก ูุชูุฑ ูู ุงู drugs ุนูู ุฑุฃุณูุง ุงู non
1270
01:25:54,110 --> 01:25:58,130
-steroidal anti-inflammatory drugs Aspirin
1271
01:25:58,130 --> 01:26:02,430
ูุงูุงุณุชูุฑููุฏุง ูู drugsูุงูุงูุณููููุ Anti
1272
01:26:02,430 --> 01:26:06,710
-hypertensivesุ ูุฑู
ููุง ุงูtherapyุ ุจุงูุฐุงุช ุงููุฑู
ููุง
1273
01:26:06,710 --> 01:26:11,070
ูู ุงููุชูุงุชุ ุงููู ูู ุงูุฃุณุชุฑูุฌูู ูุงูุจุฑูุฌูุณุชุฑูู
1274
01:26:11,070 --> 01:26:14,470
ูุงููููุณุชูุฑููุฏุงูุ ุงูุงูุชุงูููู
ุงุชูุฑู ุฏุฑุงุฌุณ ุจุงูุงุถุงูุฉ
1275
01:26:14,470 --> 01:26:19,630
ููุฃุฎุฑู ุญุณุจ ู
ุง ูู
ูู ูุถุน ุงูู
ุฑุถููุฃู ูุฐู ุงูุฏุฑุงุฌุงุช ูุฏ
1276
01:26:19,630 --> 01:26:24,070
ุชููู ุชุฃุซูุฑ ุนูู ู
ูุงุตูุฉ ุงูู
ุฑุถ ูุงูู
ูุงุตูุฉ ููุณูุฑุฌูุฑู
1277
01:26:24,070 --> 01:26:27,330
ุนูู ุณุจูู ุงูู
ุซุงู ุงูุงุณุชูุฑููุฏ ุจุชุฌูู ุงูู
ูุงุนุฉ ูุจุชุฌุนู
1278
01:26:27,330 --> 01:26:30,610
ุงูู
ุฑูุถ ุนุฑุถ ูู wound infection ุงูุงุณุชูุฑููุฏ ุจุชุชุนุงุฑุถ
1279
01:26:30,610 --> 01:26:36,790
ู
ุน ุงู wound healing ุจุนุฏ ุงูุณูุฑุฌูุฑู ุงูุงูุณูููู ุจูุฃุซุฑ
1280
01:26:36,790 --> 01:26:38,630
ุนูู ุงู wound healing ุจูุฃุซุฑ ุนูู ุงู risk of
1281
01:26:38,630 --> 01:26:42,970
infectionุงููู ูู ุงูุฏูุงุจูุชุณ ูุนูู ูุฐูู ุงูุญุงู ุงู
1282
01:26:42,970 --> 01:26:46,070
patients ุงููู ุนูุฏูู
hormonal therapy ูุฏ ูุชุฃุซุฑูุง
1283
01:26:46,070 --> 01:26:50,030
ุจุฏุฑุฌุงุช ู
ุชูุงูุชุฉ ุงู estrogen ู
ู
ูู ูุนูู ุงู risk of
1284
01:26:50,030 --> 01:26:53,310
thromboembolismูุนูู ุงู risk of cardiac
1285
01:26:53,310 --> 01:26:56,270
complication ูู ูุงู ุจูุงุฎุฏูุง ุงูู
ุฑูุถ exogenous
1286
01:26:56,270 --> 01:27:00,170
ุจูุงุฎุฏูู ูุนูุงุฌ ุงู antihypertensive medication
1287
01:27:00,170 --> 01:27:03,970
should be taken at the time ุนุดุงู ู
ุงูุตูุฑุด
1288
01:27:03,970 --> 01:27:06,450
complication ุฃู uncontrolled hypertension during
1289
01:27:06,450 --> 01:27:09,010
the disease of the current disease of the patient
1290
01:27:09,010 --> 01:27:13,800
ุฃู during the surgeryimmunization ูุณุฃู ุนููุง ูู ุงู
1291
01:27:13,800 --> 01:27:16,140
children ู
ุด ูู ุงู adults ุฃูุชุฑ ุดูุก ูุฅู ูุงู ูู ุงู
1292
01:27:16,140 --> 01:27:19,620
adults ูุณุฃู ุนูู ุชูุชุงููุณ ุฃูุชุฑ ุญุงุฌุฉ ุชูุชุงููุณ
1293
01:27:19,620 --> 01:27:22,160
immunization ุจุงูุฐุงุช ูู ุงูุญุงูุงุช ุงููู ุจุชูุฌู ุจุงู
1294
01:27:22,160 --> 01:27:24,820
trauma ุงููู ุจูููู ูู ุนูุฏูู
trauma with
1295
01:27:24,820 --> 01:27:27,720
contamination of the wound ูุนูู ุตุงุฑ ูู ุนูุฏ ุงูู
ุฑูุถ
1296
01:27:27,720 --> 01:27:31,550
trauma ููู ููุณ ุงูููุช ุงุชููุซ ุฌุฑุญู ุจุงูุจุงูุทููุฉ ุงู
1297
01:27:31,550 --> 01:27:36,210
ุจุงูุฑู
ู ุงู ุจู
ูุทูุฉ ู
ุชุณุฎุฉ ูุฐู ุงูุชูุชุงููุณ ู
ูู
ุฌุฏุง ูููุง
1298
01:27:36,210 --> 01:27:39,590
ูุงู ุงูุชูุชุงููุณ ุจููุชูู ูู ุงูุฌุฑูุญ ุงูู
ูุชูุญุฉ ุนู ุทุฑูู
1299
01:27:39,590 --> 01:27:46,050
ุชููุซูุง ุจุงูุงุชุฑุจุฉ ุงู ุจุงูุทููุฉุงูู family history
1300
01:27:46,050 --> 01:27:50,510
health, age and cause of death ูู ุงู patients ู ูู
1301
01:27:50,510 --> 01:27:54,650
ุงู family members ุงู familial disease ุฏู ุงู breast
1302
01:27:54,650 --> 01:27:57,690
disease ู ุงู colon cancer ู ุงู infections ุงููู
1303
01:27:57,690 --> 01:28:01,750
ู
ู
ูู ุชูุชุฌู ุนู ุทุฑูู from patient to patient ุฒู ุงู
1304
01:28:01,750 --> 01:28:05,670
TB ู ุงู hepatitis ู ุงู AIDS ู ุงู .. ุงููู ุจูุณู
ููุง
1305
01:28:05,670 --> 01:28:10,710
transmissible diseases marital
1306
01:28:10,710 --> 01:28:15,150
status ูู ุงู social history ู
ุชุฒูุฌ ุฃู ุฃุนุฒุจู ุงู
1307
01:28:15,150 --> 01:28:20,280
occupational status ุงูุด ุงูู
ุฑูุถ ุจูุดุชุบูุฒู ู
ุง ูููุง
1308
01:28:20,280 --> 01:28:23,000
ุจุนุถ ุงูุฃุนู
ุงู ู
ู
ูู ุชููู associated with some
1309
01:28:23,000 --> 01:28:27,200
diseases ูู ุงูู
ุฑูุถ ุณุงูุฑ ููุง ูุฃุ ุจุนุถ ุงูุฃู
ุฑุงุถ ุจุชููู
1310
01:28:27,200 --> 01:28:31,880
ู
ุชูุทูุฉ ูู ุจุนุถ ุงูุฏูู ุฒู ู
ุซูุง ุงู malaria ู
ูุฌูุฏ ูู
1311
01:28:31,880 --> 01:28:36,160
ุงูู
ูุงุทู ุงูู
ุฏุงุฑูุฉ ุนูุฏ ุฎุท ุงูุงุณุชูุงุก ูุฐูู ุงูุญุงู ูู
1312
01:28:36,160 --> 01:28:39,260
ุงูู
ูุงุทู ุงููุฑุงููุฉ ุฃู ูู ุงูุฏูู ุงููู ุจุชุนุชู
ุฏ ุนูู ุชุฑุจูุฉ
1313
01:28:39,260 --> 01:28:42,320
ุงูู
ุงุดูุฉ ุงู ูุฐุง ู
ู
ูู ูููู ูู ุนูุฏูู
hidatite disease
1314
01:28:42,320 --> 01:28:46,280
hidatite cyst disease ุงู habits ุฒู ุงู smoking
1315
01:28:46,280 --> 01:28:50,540
ุจูุนูู ุงู risk of ุฃุดูุงุก ูุชูุฑุงูุฏุฑูููุฒ ุฃู ุงูููุงุชู
1316
01:28:50,540 --> 01:28:53,160
ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ
1317
01:28:53,160 --> 01:28:54,660
ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู
1318
01:28:54,660 --> 01:28:58,180
ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ
1319
01:28:58,180 --> 01:28:58,720
ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู
1320
01:28:58,720 --> 01:29:01,880
ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ
1321
01:29:01,880 --> 01:29:02,680
ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู
1322
01:29:02,680 --> 01:29:03,600
ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ
1323
01:29:03,600 --> 01:29:04,700
ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู
1324
01:29:04,700 --> 01:29:08,020
ุงูุฃุณุงุณูุฉ ุฃู ุงูููุงุชู ุงูุฃุณFormulate and complete the
1325
01:29:08,020 --> 01:29:11,060
picture of the patient disease and confirming the
1326
01:29:11,060 --> 01:29:15,540
diagnosis ุจุงูุฅุถุงูุฉ ููู
ูุงููุฉ ุนูู ุฎุทุฉ ุงูุนูุงุฌ ูุฃู
1327
01:29:15,540 --> 01:29:19,440
without established history there is no plan for
1328
01:29:19,440 --> 01:29:22,400
treatment and there is no plan for correct
1329
01:29:22,400 --> 01:29:26,540
treatment so the take home message from here is
1330
01:29:26,540 --> 01:29:29,480
always talk to the patient before asking for
1331
01:29:29,480 --> 01:29:35,480
anything else talking to the patientdetails of the
1332
01:29:35,480 --> 01:29:39,820
data ู
ูู
ุฌุฏุง ูุจู ู
ุง ุฃุจุฏุฃ ุฃุนู
ู examination ู ูุจู ู
ุง
1333
01:29:39,820 --> 01:29:45,300
ุฃุจุฏุฃ ุฃุทูุจ investigation ู
ุนููุฉ ู ุฃุณุงุณุง ูู ุงู
1334
01:29:45,300 --> 01:29:48,160
history ู ุงู talking to the patient ูู ุงููู
1335
01:29:48,160 --> 01:29:52,500
ุจููุฌููู ุฅูุด ุฃุทูุจ ููู
ุฑูุถ ู ุฅูุด ุฃุนู
ู investigation
1336
01:29:52,500 --> 01:29:56,260
ููู
ุฑูุถ ู ุฅูุด ุงูุนูุงุฌ ุงููู ูุงุฒู
ููู
ุฑูุถ ุจุนุฏ ู
ุง ุฃูู
ู
1337
01:29:56,260 --> 01:30:01,890
ุงูุตูุฑุฉ ุจุดูู ููุฑุทุจุนุง ู
ูุถูุน ุงู history ู
ุง ุจููุญูุงุด
1338
01:30:01,890 --> 01:30:05,090
ุนูู ูุธุฑูุง ุจุณ ุงู ุดุงุก ุงููู ูู ุงู bedside teaching
1339
01:30:05,090 --> 01:30:09,530
ููุชูุงูู ุงู history taking ุจู
ุฒูุฏ ู
ู ุงูุชูุตูู ู
1340
01:30:09,530 --> 01:30:14,950
ุจุชุทุจูู ู
ุจุงุดุฑ ุนูู ุงูู
ุฑุถู ุงู ุดุงุก ุงููู ูุดูููู
ุนูู ุฎูุฑ
1341
01:30:14,950 --> 01:30:17,410
ูู ุงู bedside teaching ู ุดูุฑุง ููุฌู
ูุน
|