Virchow’s node: Historical and didactic features of the description of the eponym
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01.01.2018 |
Krylov N.
Alekberzade A.
Piatenko E.
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History of Medicine |
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© Nikolay N. Krylov, Aftandil V. Alekberzade, Elena A. Piatenko. The eponym is a part of the nomenclature of medicine. In 1848, R. Virchow described the enlarged left supraclavicular lymph node (Virchow's node), which he uncovered by physical examination. He believed that such lymphadenopathy occurs in cases of stomach cancer (less often – with lung cancer), when the metastatic process spreads up the thoracic duct to the left supraclavicular fossa. He described the pathogenesis of this trait and proved its malignant nature. Russian authors, apparently, borrowed this eponym from German textbooks on medicine. In 1886, Troisier added to Virchow’s insights and presented a detailed substantiation for the increase in the size of the left supraclavicular lymph node. Troisier described its typical location above the middle third of the clavicle behind the clavicular portion of the sternocleidomastoid muscle. He considered this enlargement as a direct sign of the existence of a neoplasm in the abdominal cavity or in the pelvic cavity, breast cancer, tuberculosis, and syphilis. In his opinion, identifying a diseased lymph node by physical examination does not indicate the exact location of the primary focus of the tumor, but will direct the diagnostic search in the right direction. Palpable lymph nodes in the supraclavicular fossa (Troisier-Virchow), as a rule, indicate a malignant nature. If the lymph node enlargement is due to tumor emboli in cases of stomach cancer, it should be referred to as Virchow’s metastasis. Troisier’s symptom can be detected due to the metastasizing of cancer of other abdominal organs and the small pelvis, lung, breast, esophagus and tuberculosis lesions.
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The Social Networks and Organization of Extracurricular Teaching of Students in the System of Higher Medical Education
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01.01.2018 |
Panova E.
Tutorskaya M.
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Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny |
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The article considers problem of implementation of interactive technologies into educational environment of medical universities. The experience is considered related to usage of the social network "VKontakte" in 2015/2016 academic year and first half of 2016/2017 academic year as a platform for extracurricular activities of the student scientific research circle on history of medicine of the "The I.M. Sechenov First Moscow State Medical University". The methodological recommendations are proposed concerning organization of extracurricular activity of the student scientific research circle in social networks. The possibility of implementation of education in habitual for student youth social media environment and availability of large spectrum of technical resources assignable by "VKontakte" permit to draw a conclusion about expediency of application of the given technology promoting efficiency of organization of extracurricular independent activity of students in the educational process.
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