The addon allows you to feel like a real therapist and use many possible diagnostic methods for many different diseases. All information about the addon is on its workshop page:

https://steamhost.cn/steamcommunity_com/sharedfiles/filedetails/?id=3172859737

The use of the addon is recommended for DarkRP, HELIX and all other role-playing modes; The addon can run in sandbox.

Diagnosis of diseases is carried out in the following ways:

General methods:
- Questioning the patient
- General inspection
- Ophthalmoscopy
- Otoscopy
- Auscultation of the heart and lungs
- Dosimetry
- Tonometry
- Inspection with a spatula
- Pulse oximetry
- Thermometry
- Examination of reflexes
- Rapid flu test

Instrumental methods:
- Electrocardiography (ECG)
- X-ray
- Magnetic resonance imaging (MRI)

Laboratory methods:
- Urine and blood biochemistry analysis
- Blood examination for microscopy

During its work, the heart emits electrical impulses that can be recorded on an electrocardiograph (ECG).
ECG analysis includes the measurement of waves, intervals and their relative positions. The P wave is the phase of atrial excitation. Lengthening indicates a disturbance in atrial conduction. QRS complex - phase of ventricular contraction. T wave - repolarization of the atria (returning their polarity to what it was before their contraction). The voltage of the teeth is their height relative to the isoline. The higher the teeth, the higher the excitability; the lower, the lower the excitability. Excitability is the ability to be excited, and conductivity is the ability to conduct an impulse through oneself. A decrease in excitability often indicates that the supply to the heart tissue is disrupted, which is why it does not contract as powerfully as it should.

An x-ray is a picture that is obtained by shining through body tissues with x-rays and is based on the different abilities of different tissues to absorb these rays and reflect them.
X-rays penetrate best through soft tissues: muscles, subcutaneous fat, skin and its derivatives, so such tissues are not distinguishable on an x-ray: the rays pass through and create dark spots called clearances. In turn, the white areas of the x-ray are called shadows. Color doesn't matter here: what matters is the absorption of X-rays. On the other side of the organ being examined, a plate is placed that absorbs all the rays and, depending on their quantity, in different areas it has a different color: white or black.
X-rays mainly assess the condition of bones and cartilage; It is more difficult to evaluate the lungs and heart, but this is still used (fluorography). If a solution that absorbs X-rays is poured into an organ, the integrity of that organ can be assessed.

Normal x-rays

This chapter presents the results of examinations without pathologies.

Dosimeter: The dose of radiation received is not determined
Neurological hammer: Deep reflexes are normal
General examination: General examination without pathologies
Pulse oximeter: Pulse 75/minute; Blood oxygen 97%
Spatula: The oral cavity is moist, without plaque
Tonometer: Pressure: 120/80
Thermometer: Temperature: 36.6
Stethoscope: Auscultation of the lungs without symptoms; Auscultation of the heart without symptoms

Normal ECG
All teeth are in place and have normal duration; the pacemaker is sinoatrial, conduction through the heart is not impaired.




Normal ear
There is no pus or blood in the external auditory canal, the eardrum is intact.













Normal fundus
The vessels of the eye are not damaged, the fatty tissue does not show through the vessels; There are no hematomas, no degenerative changes in the retina.











Normal eye
The functioning of the auxiliary apparatus of the eye is not impaired: the lacrimal glands, mabonite glands, eyelids, eyelashes do not have pathological exudate.

The study of internal body fluids (blood) and waste products (urine) is carried out using an analyzer and a microscope. The standards are presented below:

Microscopy of a blood smear.
Red blood cells: 120-150 units per field of view
Monocytes: 0-1 cells per field of view
B-Lymphocytes: 1-3 cells per field of view
Platelets: 120-150 units per field of view

Biochemical urine analysis.
Leukocytes: 0-5 cells in the analysis
Urea: 5-20 mmol/l

Biochemical blood test.
Angiotensin: 20-70 U/l
Vasopressin (Antidiuretic hormone): 270-280 U/l
Billirubin: 4-16 U/l
ALT (alanine aminotransferase): 0-40 U/l
Urea: 3-7 U/l
Iron: 9-30 U/l
Amylase: 30-100 U/l
Lipase: 0-60 U/l

What is "Units in Field of View"? When blood is put under microscopy, the microscope and gaze are fixed at one point and the number of specific cells the laboratory assistant sees is counted without moving anything. 100 cells are counted and make up the percentage ratio between their types. Exception: platelets and red blood cells: they are viewed at a low magnification fixed for all and their number is counted separately.

What is mmol? Mmol is a mile mole. The mole is an international unit of measurement that can be converted to grams. Depends on the size of the molecule and its composition. For example, a molecule of glucose is larger than a molecule of urea, so 1 mmol of glucose will weigh more than 1 mmol of urea - when expressed in grams.
1 mmol of glucose is 0.18 grams of glucose. The normal level of glucose in the blood is from 3.3 to 5.7 mmol per liter of blood (Average ~4.5), that is, normally 4.5 * 0.18 * 5 = 4 grams of glucose are dissolved in the blood of an adult

What is U/L? This is an international unit of measurement for enzyme activity. Enzymes are not measured in concentration or quantity in the blood; their activity is measured. U/L is the number of reactions activated by an enzyme over a certain period of time per liter of blood. The activity of enzymes depends on their amount in the blood, on the environment and activity regulators (Enzymes are generally active not only in the blood, but also in cells), therefore, U/L does not always reflect the amount of enzyme in the blood.

When injured, each limb or part of the body will receive damage to its integrity. Do not confuse with bruises, cuts and injuries: they are separate. The lower the state of these systems, the less chance of self-regeneration of damage. The condition of the limb is estimated at 100%, while the chance of regeneration of damage on this limb is 10%. If the condition is 10%, then the chance of regeneration is 1%. The percentages are detailed below. The chance is counted every 1 second.

Chance of regeneration, at 100% condition of a body part
Chance of regeneration of fractures and serious injuries - 0.05% (1 in 2000)
Chance of cuts regeneration - 0.1% (1 in 1000)
Chance of bruise regeneration - 0.5% (1 in 500)

Drugs
Nasocapril is a drug for the treatment of diseases of the nasal cavity. Vasoconstrictor and antimicrobial effect.
Ribavirin is a direct antiviral drug.
Acyclovirin is a direct antiviral drug.
Oxacillin is an antimicrobial drug.
Octinomycillin is an antimicrobial drug.
Penicillin is an antimicrobial drug.
Levomycetin is a local antimicrobial drug.
Hydrocardin is a competitive angiotensin inhibitor.
Cardiologin is a competitive inhibitor of vasopressin.
Hepatovirin is a direct antiviral drug against the hepatitis A virus.
Protofludin is an antiprotozoal drug that prevents the reproduction of protozoa.
Hydrocortisone is an anti-inflammatory drug.
Corticosterone is an anti-inflammatory agent.
Fluoropancreatin is an anti-inflammatory agent for the pancreas.
Calcifluorine is a cardiac calcium channel inhibitor.
Mycomycin is an antifugal drug that prevents the proliferation of fungi.
Hydroferrin is a drug that increases iron in the body.
Erythropinol is an inhibitor of hemolysis (blood destruction) enzymes.
Hemoprotalin is a stimulator of proliferation (division) of blood cell precursor cells.
Ferroarginil is an arginase stimulator.
Ganfumaril is a succinate dehydrogenase stimulator.
Allopurinol is a stimulator of nucleotide synthesis enzymes.
Colchicine is a drug used to treat gout.
Serothrombin is a stimulator of platelet formation.
Thrombocyclone is a drug that normalizes platelet function.
Angiopriomillin is a drug with an unstudied effect against systemic polyangiitis

Rhinitis
Inflammation of the nasal mucosa
Symptoms: runny nose
External examination: mucous discharge from the nose
Treatment: Nasocapril
This disease may become chronic and no longer respond to treatment.
This disease has a 0.01% chance of causing sinusitis every second (1 in 10,000)

Viral pneumonia
Pneumonia of viral origin, affecting the alveoli and bronchi in the lung
Symptoms: cough
Auscultation with a stethoscope: wheezing in the lungs
Instrumental inspection with a thermometer: temperature from 38 to 39
Treatment: Ribavirin

Pharyngitis
Inflammation of the laryngeal mucosa
Symptoms: sore throat
Instrumental examination with a stick: red throat
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Oxacycline
This disease may become chronic and no longer respond to treatment.
This disease has a 0.01% chance of causing lacunar tonsillitis every second (1 in 10,000)





















Eustacheite
Inflammation of the mucous membrane of the Eustachian (auditory) tube
Symptoms: sore throat and ear
Instrumental examination with an otoscope: pus in the external auditory canal
Instrumental examination with a stick: red throat
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Levomycetin

Angiotensin hypertension
Increased blood pressure due to an increase in the amount of blood angiotensin (kidney hormone)
Symptoms: headache
Instrumental examination with a tonometer: Pressure above 140 to 90
External examination: redness of the chest and neck
Biochemical examination: blood angiotensin is above 70 (normal is 20-70)
Treatment: Hydrocardine

Vasopressin hypertension
Increased blood pressure due to an increase in the amount of blood vasopressin (pituitary hormone, antidiuretic hormone)
Symptoms: headache
Instrumental examination with a tonometer: Pressure above 140 to 90
External examination: redness of the chest and neck
Biochemical study of the cut: ADH above 280 (Normal 270-280)
Treatment: Cardiologist

Hepatitis A
Liver damage due to hepatitis A virus infection
Symptoms: pain in the upper abdomen and nausea
External examination: yellowness of the skin and sclera of the eyes, pain in the right hypochondrium
Biochemical blood test: Bilirubin is below 4 (Normal 4-16). ATL above 40 (Normal 0-40)
Treatment: Hepatovirin

Focal infiltrated pyelonephritis
Purulent inflammatory disease of the collecting ducts and pelvis caused by pyogenic microorganisms
Symptoms: back pain
External examination: facial swelling, muscle tone in the lower back
Biochemical examination of urine: Leukocytes more than 5 (Normal up to 5)
Treatment: Octinomycillin
This disease may become chronic and no longer respond to treatment.
This disease can lead to nephrosclerosis with a 0.01% chance every second (1 in 10,000)

Diffuse infiltrated pyelonephritis
A purulent inflammatory disease of the collecting ducts and pelvis, which has no localization and spreads not only to the collecting ducts, but also to part of the parenchyma of the organ
Symptoms: back pain
External examination: facial swelling, muscle tone in the lower back
Biochemical examination of urine: Leukocytes more than 5 (Normal up to 5), Urea less than 5 (Normal from 5 to 20)
Biochemical blood test: Urea more than 7 (Normal from 3 to 7)
Treatment: Protoftordin

Pyelonephritis with mesenchymal responses
Purulent (or autoimmune or viral) inflammatory disease of the collecting ducts and pelvis, without localization (or having), with scarring of the epithelium of the collecting ducts and pelvis
Symptoms: back pain
External examination: facial swelling, muscle tone in the lower back
Instrumental inspection with a thermometer: temperature from 37 to 38
Biochemical examination of urine: Leukocytes more than 5 (Normal up to 5), Urea less than 5 (Normal from 5 to 20)
Biochemical blood test: Urea more than 7 (Normal from 3 to 7)
Treatment: Hydrocortisone

Bacterial mitral valve stenosis
Narrowing of the left atrioventricular valve due to the deposition of bacteria on it, leading to stagnation in the systemic circulation
Symptoms: chest pain
External examination: facial swelling
Instrumental examination with a stethoscope: muffling the heartbeat
Instrumental examination with a pulse oximeter: Pulse below 60 (Normal 60-90)
Instrumental inspection with a thermometer: temperature from 37 to 38
ECG: T wave falling below the isoline
Treatment: Oxacycline

Atrioventricular block
Blockade of the atrioventricular sinus resulting from excessive activity of calcium channels
Symptoms: chest pain
Instrumental examination with a pulse oximeter: pulse below 60 (Normal 60-90)
ECG: lengthening of the P wave
Treatment: Calcifluorin

Fungal endocarditis
Inflammation of the endocardium of fungal etiology
Symptoms: chest pain
External examination: bluishness of the skin
Instrumental inspection with a thermometer: temperature from 37 to 38
Instrumental examination with a pulse oximeter: pulse above 90 (Normal 60-90)
ECG: decreased R wave height
Treatment: Mycomycin

Megaloblastic anemia
Anemia, caused by a decrease in the number of red blood cells and their compensatory increase in size, is caused by a lack of iron in the blood
Symptoms: weakness
External examination: bluishness of the skin
Blood microscopy: red blood cells below 120 (Normal 120-150)
Biochemical blood test: iron below 9 (Normal 9-30)
Treatment: Hydroferrin

Hemolytic anemia
Anemia caused by increased destruction of red blood cells due to increased activity of hemolysis enzymes of the liver and spleen
Symptoms: weakness
External examination: bluishness of the skin
Blood microscopy: red blood cells below 120 (Normal 120-150)
Biochemical blood test: Bilirubin above 16 (Normal 4-16)
Treatment: Erythropinol

Dyshematopoietic anemia
Anemia caused by a decrease in the proliferation of red blood cells due to a decrease in the amount of nutrients needed by the hematopoietic organs due to poor absorption of them.
Symptoms: weakness
External examination: bluishness of the skin
Blood microscopy: red blood cells below 120 (Normal 120-150)
Treatment: Hemoprotalin

Esophagitis
Inflammatory disease of the esophageal mucosa
Symptoms: chest pain and sore throat
Instrumental examination with a stick: red throat
Treatment: Oxacycline

Edematous pancreatitis
Inflammation of the pancreas caused by its self-destruction due to excessive activity of the secretory departments.
Symptoms: pain in the upper abdomen
External examination: pain in the left hypochondrium
Biochemical blood test: Amylase above 100 (Normal 30-100), Lipase above 60 (Normal 0-60)
Treatment: Corticosterone

Parapancreatitis
Inflammation of the pancreas, caused by self-destruction due to excessive activity of the secretory parts of the gland, penetrating beyond the pancreas (partially)
Symptoms: pain in the upper abdomen
External examination: pain in the left hypochondrium
Biochemical blood test: Amylase above 100 (Normal 30-100), Lipase above 60 (Normal 0-60)
Treatment: Fluoropancreatin

Septic pancreatitis
Inflammation of the pancreas caused by the destruction of the secretory sections and self-destruction of the gland due to exposure to bacteria entering the blood
Symptoms: pain in the upper abdomen
Instrumental inspection with a thermometer: temperature from 37 to 38
External examination: pain in the left hypochondrium
Biochemical blood test: Amylase above 100 (Normal 30-100), Lipase above 60 (Normal 0-60)
Treatment: Hydrocortisone

Hemorrhagic pancreatitis
Inflammation of the pancreas, caused by limited destruction of the secretory sections of it, located near the main blood vessels, which leads to the secretion of digestive enzymes into the blood and destruction of the body
Symptoms: pain in the upper abdomen, weakness
External examination: pain in the left hypochondrium
Biochemical blood test: Amylase above 100 (Normal 30-100), Lipase above 60 (Normal 0-60)
Treatment: Corticosterone

Infiltrated pancreatic necrosis
Inflammation of the pancreas caused by its infiltration and loss of function as a result, which leads to disruption of the secretory and endocrine parts of the pancreas
Symptoms: pain in the upper abdomen
External examination: pain in the left hypochondrium
Biochemical blood test: Amylase above 100 (Normal 30-100), Lipase above 60 (Normal 0-60)
Treatment: Penicillin

Autoimmune pancreatitis
Inflammation of the pancreas caused by the destruction of its secretory sections under the influence of the immune system itself
Symptoms: pain in the upper abdomen
External examination: pain in the left hypochondrium
Biochemical blood test: Amylase above 100 (Normal 30-100), Lipase above 60 (Normal 0-60)
Treatment: Hydrocortisone

Sialadenitis
Inflammation of the salivary glands
Symptoms: pain in the mouth
Instrumental examination with a stick: dry mouth
Biochemical blood test: Amylase above 100 (Normal 30-100)
Treatment: Corticosterone

Arginase deficiency
Insufficiency of argininase, which is involved in the formation of urea in the ornithine cycle from arginine
Symptoms: weakness
External examination: severe muscle weakness
Biochemical examination of urine: urea less than 5 (Normal 5-20)
Treatment: Ferroarginil

Fumarate deficiency
Insufficiency of succinate dehydrogenase, which converts succinate into fumarate by dehydrogenating it
Symptoms: weakness
External examination: severe muscle weakness
Treatment: Ganfumaril

Orothociduria
Insufficiency of nucleotide synthesis enzymes and accumulation of orotate acid in the body
Symptoms: weakness
External examination: bluish discoloration of the skin
Blood microscopy: red blood cells below 120 (Normal 120-150)
Biochemical examination of urine: Urea less than 5 (Normal from 5 to 20)
Treatment: Allopurinol

Gout
Accumulation of uric acid in joints
Symptoms: joint pain
External examination: joint pain
Treatment: Colchicine

Herptonzillitis
Inflammation of the throat caused by parasitism of the Coxsackie virus (Dangerous virus), causing multiple catarrhal infiltration of the larynx
Symptoms: sore throat
External examination: pain in the superficial and deep lymph nodes of the neck
Instrumental examination with a stick: red throat with fibrous scars
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Ribavirin




Catarrhal tonsillitis
Viral inflammation of the throat, caused by parasitizing viruses and accompanied by abundant catarrhal exudation into the larynx
Symptoms: sore throat
External examination: tenderness of the superficial lymph nodes of the neck
Instrumental examination with a stick: red throat with fibrous scars
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Acyclovirine




Lacunar tonsillitis
Inflammation of the throat of bacterial etiology, affecting the tonsils and accompanied by purulent exudate of the larynx and calcification of the tonsils
Symptoms: sore throat
External examination: pain in the superficial and deep lymph nodes of the neck
Instrumental examination with a stick: red throat with a white coating
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Oxacycline



Peritonsillitis
Inflammation of the throat and adjacent tissue with damage to the lymph nodes, tonsils and neck organs
Symptoms: sore throat
External examination: pain in the superficial and deep lymph nodes of the neck
Instrumental examination with a stick: red throat with bloody purulent discharge
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Oxacycline




Fibrous tonsillitis
Inflammation of the throat of unknown etiology, affecting predominantly connective tissue
Symptoms: sore throat
Instrumental examination with a stick: red throat with fibrous scars
Treatment: Acyclovirine











Follicular tonsillitis
Inflammation of the throat of fungal etiology, affecting the follicles in the tonsils and, as a result, occurring with a more severe immune response
Symptoms: sore throat
External examination: pain in the superficial and deep lymph nodes of the neck
Instrumental examination with a stick: red throat with severe swelling
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Mycomycin

Sinusitis
Inflammation of the sinuses (It is not specified which sinuses)
Symptoms: runny nose
External examination: purulent nasal discharge
Treatment: Octinomycillin

Call it vestibulitis
Inflammation of the mucous membrane of the nasal vestibule
Symptoms: runny nose
External examination: bloody mucus discharge from the nose
Treatment: Nasocapril

Diffuse bronchitis
General inflammation of the bronchi
Symptoms: cough
Auscultation with a stethoscope: whistling sounds in the lungs
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Penicillin

Peribronchitis
Inflammation of the bronchi involving the surrounding connective tissue
Symptoms: cough
Auscultation with a stethoscope: whistling and wheezing in the lungs
Instrumental examination with a pulse oximeter: Oxygen below 90 (Normal 90-100)
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Acyclovirine

Eosinophilic bronchitis
Inflammation of the bronchi of autoimmune etiology
Symptoms: cough
Auscultation with a stethoscope: whistling and wheezing in the lungs
Treatment: Hydrocortisone

Purulent obstructive fibrous sclerosing bronchiolitis
Inflammation of the bronchi of bacterial etiology, leading to blockage of small bronchioles and their overgrowth with connective (fibrous) tissue
Symptoms: cough
Auscultation with a stethoscope: acoustic shadows in the lungs
Instrumental examination with a pulse oximeter: Oxygen below 90 (Normal 90-100)
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Oxacycline

Fibrosing alveolitis
Inflammation of the alveoli of the lungs with the formation of fibrous scars in them
Symptoms: cough
Auscultation with a stethoscope: acoustic shadows in the lungs
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Ribavirin

Diffuse necrotizing alveolitis
Inflammation of the alveoli of the lungs and the surrounding connective tissue with tissue death patterns
Symptoms: cough
Auscultation with a stethoscope: acoustic shadows in the lungs
Instrumental examination with a pulse oximeter: Oxygen below 90 (Normal 90-100)
Instrumental inspection with a thermometer: temperature from 38 to 39
Treatment: Octinomycillin

Exudative pleurisy
Inflammation of the pleura caused by pyogenic bacteria
Symptoms: chest pain
Instrumental inspection with a thermometer: temperature from 37 to 38
Auscultation with a stethoscope: creaks in the lungs
Treatment: Penicillin

Fibrosing pleurisy
Inflammation of the pleura of unknown etiology, accompanied by fusion of the pleura with fibrous scars
Symptoms: chest pain
Auscultation with a stethoscope: creaks in the lungs
Treatment: Corticosterone

Histiocytosis
Pathological increase in connective tissue macrophages, infiltration of these macrophages (tissue macrophages - histocytes)
Symptoms: weakness
Blood microscopy: Monocytes above 1 (Normal 0-1)
External examination: skin hematomas
Treatment: Corticosterone

Mastocytosis
Pathological increase in plasma cells in connective tissue and its infiltration by these cells
Symptoms: weakness
Blood microscopy: B-Lymphocytes above 3 (Normal 1-3)
External examination: skin hematomas
Treatment: Corticosterone

Essential thrombocythemia
Pathological decrease in the number of platelets in the blood
Symptoms: weakness
Blood microscopy: Platelets below 120 (Normal 120-150)
External examination: skin hematomas
Treatment: Serothrombin

Central thrombocytopathy
Perversion of platelet function during normal proliferation of bone marrow cells
Symptoms: weakness
External examination: skin hematomas
Treatment: Thrombocyclone

Langerhans histiocytosis
Pathological increase in Langerhans cells in the skin (skin macrophages), infiltration of the skin by these cells
Symptoms: weakness
External examination: skin hematomas
Treatment: Hydrocortisone

Systemic polyangiitis
Systemic (encompassing all organs and systems) vascular inflammation of unknown origin
Symptoms: weakness
External examination: multiple hemorrhages under the skin
Treatment: Angiopriomillin

Necrotizing periarteritis
Inflammation of the arteries and surrounding connective tissue of bacterial etiology
Symptoms: weakness
Instrumental inspection with a thermometer: temperature from 37 to 38
External examination: multiple hemorrhages under the skin and swelling of the skin
Treatment: Octinomycillin

Rheumatic polyangiitis
Systemic vascular inflammation under the influence of connective tissue under the influence of immunity
Symptoms: weakness
External examination: multiple hemorrhages under the skin
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Hydrocortisone

Necrotizing polyangiitis
Systemic inflammation of blood vessels with foci of necrosis of fungal etiology observed in them
Symptoms: weakness
Instrumental inspection with a thermometer: temperature from 38 to 39
External examination: multiple hemorrhages under the skin and swelling of the skin
Treatment: Mycomycin

Globulinemic phlebitis
Inflammation of the veins due to hyperactivity of globular proteins in them (mainly antibodies) of an autoimmune nature
Symptoms: weakness
External examination: multiple subcutaneous infiltrates around the veins
Treatment: Hydrocortisone

Granulomatous polyphlebitis
Inflammation of blood vessels caused by the deposition of granulomas (tumors from macrophages) of unknown etiology in them
Symptoms: weakness
Instrumental inspection with a thermometer: temperature from 37 to 38
External examination: multiple subcutaneous infiltrates around the veins
Treatment: Corticosterone

Cerebrovasculitis
Inflammation of cerebral vessels of unknown etiology
Symptoms: headache
Treatment: Corticosterone

Axonopathic polyneuritis
Inflammation of axons (nerve trunk) in nerves
Symptoms: loss of sensation in the limbs
Instrumental examination with a neurological hammer: decreased deep reflexes
Treatment: Oxacycline

Demyelinating polyneuritis
Inflammation of the myelin sheath (which surrounds and supplies the nerve) in nerves
Symptoms: pain in the limbs
Treatment: Octinomycillin

Diffuse polyneuritis
Inflammation of nerves and adjacent connective tissue
Symptoms: pain in the limbs
Instrumental examination with a neurological hammer: decreased deep reflexes
Treatment: Penicillin

Rheumatoid plexitis
Inflammation of the nerve plexus due to activity of the surrounding connective tissue
Symptoms: loss of sensation in the limbs
Instrumental examination with a neurological hammer: decreased deep reflexes
Treatment: Corticosterone

Edematous radiculitis
Inflammation of the spinal nerve roots, with swelling of adjacent tissues
Symptoms: loss of sensation in the limbs
Treatment: Hydrocortisone

Encephalitis
Inflammation of the brain of viral etiology
Symptoms: headache
Instrumental inspection with a thermometer: temperature from 37 to 38
Instrumental examination with a neurological hammer: decreased deep reflexes
Instrumental examination with a tonometer: Pressure below 120 to 80
Treatment: Ribavirin

Serous meningitis
Inflammation of the dura mater of the brain of viral etiology
Symptoms: headache
Instrumental inspection with a thermometer: temperature from 37 to 38
Instrumental examination with a neurological hammer: decreased deep reflexes
Treatment: Ribavirin

Protozoal meningitis
Inflammation of the dura mater caused by protists (protozoa)
Symptoms: headache
Instrumental inspection with a thermometer: temperature from 38 to 39
Instrumental examination with a neurological hammer: decreased deep reflexes
Treatment: Protoftordin

Spondylodiscitis
Inflammation of the cartilage between the vertebrae
Symptoms: back pain
External examination: decreased mobility of the spine
Treatment: Oxacycline

Purulent myelitis
Inflammation of the spinal cord of pyogenic etiology
Symptoms: back pain
Instrumental inspection with a thermometer: temperature from 37 to 38
Instrumental examination with a neurological hammer: decreased deep reflexes
Treatment: Octinomycillin

Ischemic encephalopathy
Damage to the brain caused by stopping the supply of oxygen to it due to blockage of a vessel (often). Otherwise called stroke (in general)
Symptoms: headache
Instrumental examination with a neurological hammer: decreased deep reflexes
Treatment: Corticosterone

Gangliolitis
Damage to one of the nodes of the sympathetic trunk
Symptoms: weakness, headache
Treatment: Corticosterone

Osteomyelitis
Inflammation of the bone, together with inflammation of the bone marrow
Symptoms: weakness, pain in limbs
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Oxacycline

Pyonephrosis
Extreme purulent destructive kidney disease
Symptoms: back pain
Instrumental inspection with a thermometer: temperature from 37 to 38
External examination: swelling of the face, muscle tone in the lower back, pale skin
Biochemical examination of urine: Leukocytes more than 5 (Normal up to 5), Urea less than 5 (Normal from 5 to 20)
Treatment: Penicillin

Nephrosclerosis
Replacement of kidney tissue with connective tissue
Symptoms: back pain
External examination: muscle tone in the lower back
Biochemical examination of urine: Leukocytes more than 5 (Normal up to 5), Urea less than 5 (Normal from 5 to 20)
Treatment: Corticosterone

Rapidly progressive glomerulonephritis
Inflammation of the glomeruli (glomeruli) of the kidney, local and rapidly progressive
Symptoms: back pain
External examination: facial swelling
Biochemical examination of urine: Leukocytes more than 5 (Normal up to 5), Urea less than 5 (Normal from 5 to 20)
Treatment: Oxacycline

Diffuse glomerulonephritis
Inflammation of the glomeruli (glomeruli) of the kidney involving the connective tissue surrounding them
Symptoms: back pain
External examination: muscle tone in the lower back, pale skin
Instrumental inspection with a thermometer: temperature from 38 to 39
Biochemical examination of urine: Leukocytes more than 5 (Normal up to 5), Urea less than 5 (Normal from 5 to 20)
Treatment: Octinomycillin

Urethritis
Inflammation of the urethra of bacterial etiology
Symptoms: pelvic pain
Treatment: Penicillin

Cystitis
Inflammation of the bladder of bacterial etiology
Symptoms: pelvic pain
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Penicillin

Acanthamoeba keratitis
Inflammation of the cornea of the eye caused by parasitism of Acanthomoeba (amoeba)
Symptoms: eye pain
Instrumental inspection with a thermometer: temperature from 37 to 38
Instrumental examination with an ophthalmoscope: translucent clusters of parasites on the cornea
Treatment: Protoftordin






Ophthalmoangiopathy
Damage to the blood vessels of the eye
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: weakness of the choroid
Treatment: Octinomycillin










Conjunctivitis
Inflammation of the mucous membrane of the eye
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: redness of the conjunctiva of the eye
Treatment: Levomycetin
This disease may become chronic and no longer respond to treatment.
This disease has a 0.01% chance of causing keratitis every second (1 in 10,000)





Dacryoadenitis
Inflammation of the lacrimal glands of the eye
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: increased lacrimation
Treatment: Penicillin










Iridocyclitis
Inflammation of the iris
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: abnormal color of the iris
Treatment: Corticosterone










Keratitis
Inflammation of the cornea of the eye
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: swelling of the cornea of the eye
Treatment: Penicillin










Xerophthalmia
Dryness of the eye due to impaired tear production
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: dry conjunctiva
Treatment: Acyclovirine









Infiltrative optic neuropathy
Damage to the optic nerve and infiltration in its area
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: damage to the posterior wall of the eye
Treatment: Octinomycillin








Panophthalmitis
Purulent inflammation of all media of the eye
Symptoms: eye pain
Instrumental inspection with a thermometer: temperature from 37 to 38
Instrumental examination with an ophthalmoscope: infiltration of the eyeball with pus
Treatment: Levomycetin







Retinitis
Inflammation of the retina of the eye of viral etiology
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: edema and catarrhal ulceration of the retina
Treatment: Ribaviri








Infiltrated scleritis
Inflammation of the sclera with infiltration of pus
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: changes in the color of the sclera and it










Uveitis
Inflammation of the choroid
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: destruction of the vascular wall of the eye
Treatment: Levom









Endophthalmitis
Inflammation of the inner membranes of the eye with infiltration into the vitreous body
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: infiltration of the eyeball wi










Episcleritis
Inflammation of the connective tissue between the sclera and conjunctiva
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: swelling of the eye membr










Meibomite
Inflammation of the meibomite gland
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: purulent formation on the lower eyelid
Treat









Blepharitis
Inflammation of the eyelids
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: swelling of the eye











Neuromyotonia
A hereditary disease leading to increased excitability of nerve fibers in the periphery of the body
Symptoms: involuntary contractions of small muscles
Treatment: Corticosterone

Dacryocystitis
Inflammation of the tear ducts and lacrimal sacs
Symptoms: eye pain
Instrumental examination with an ophthalmoscope: purulent discharge on the mucous membrane of the eye
Treatment: Penicillin









Otitis externa
Inflammation of the external auditory canal
Symptoms: ear pain
Instrumental examination with an otoscope: pus in the external auditory canal
Treatment: Oxacycline

Gastritis
Inflammatory disease of the gastric mucosa
Symptoms: pain in the upper abdomen
External examination: pain in the epigastric region and left hypochondrium
Treatment: Octinomycillin

Duodenitis
Inflammatory disease of the duodenal mucosa
Symptoms: pain in the upper abdomen
External examination: pain in the epigastric region and right hypochondrium
Treatment: Protoftordin

Eunit
Inflammatory disease of the jejunal mucosa
Symptoms: pain in the lower abdomen
External examination: pain in the left hypochondrium and periumbilical region
Treatment: Penicillin

Yelit
Inflammatory disease of the ileal mucosa
Symptoms: pain in the lower abdomen
External examination: pain in the right iliac and periumbilical region
Treatment: Penicillin

Colitis
Inflammatory disease of the colon mucosa
Symptoms: pain in the lower abdomen
External examination: pain in the subcostal and iliac regions
Treatment: Ribavirin

Sigmoiditis
Inflammatory disease of the mucous membrane of the sigmoid colon
Symptoms: pain in the lower abdomen
External examination: pain in the left iliac region
Treatment: Corticosterone

Proctitis
Inflammatory disease of the rectal mucosa
Symptoms: pain in the anus
External examination: pain in the anus
Treatment: Octinomycillin

Otitis media
Inflammation of the middle ear, auditory ossicles and auditory membrane
Symptoms: ear pain
Instrumental examination with an otoscope: violation of the integrity of the membrane
Treatment: Levomycetin









Otoliquorhea
Endolymph flows into the middle ear and then into the outer ear
Symptoms: ear pain
Instrumental examination with an otoscope: catarrhal ulceration of the external auditory canal
Treatment: Corticosterone









Otohematorhoea
Bleeding into the ear
Symptoms: ear pain
Instrumental inspection with a thermometer: temperature from 37 to 38
Instrumental examination with an otoscope: blood in the external auditory canal
Treatment: Oxacycline








Otovestibulitis
Inflammation of the semicircular tubules
Symptoms: ear pain
Instrumental inspection with a thermometer: temperature from 37 to 38
Treatment: Penicillin

Intoxication
Damage to the body resulting from uncontrolled use of various medications
Symptoms: pain in the upper abdomen and nausea
External examination: yellowness of the skin and sclera of the eyes, pain in the right hypochondrium
Biochemical blood test: Bilirubin below 4 (Normal 4-16). ATL above 40 (Normal 0-40)
Treatment: None

Two strains of influenza are to blame for the occurrence of epidemics - swine H1N1 and avian H5N1. In reality, pork causes a low mortality rate, about 1%. The regular flu, which causes seasonal outbreaks, kills less than 0.03% (30 times less). Bird flu leads to death in more than 50% of cases.

The peculiarity of the course of these infections in this add-on is that, regardless of the correctness of the chosen treatment, the patient will receive damage. In other words: you diagnose and treat without knowing whether you are doing it right or not.
The flu itself does not cause any symptoms, but it does cause complications that need to be treated. They will progress even after the flu is cured.
Flu medications do not cure the flu itself, but they do prevent the development of complications by a certain percentage, which is referred to as drug sensitivity. Complications are described for each flu separately - below. The disease takes away 60 health units at the very end and then disappears completely, regardless of the quality of treatment.
The flu spreads from player to player and the chance is counted every second. The chance is written separately for each flu.
All flu medications should be taken every 100 seconds, this is how long they last. You should not take the drug until the previous one has expired. That is, you can prescribe only 1 drug every 100-110 seconds and avoid complications. Or you can prescribe all known drugs at once, but you need to take them at the same time.
To find out if a person is infected with the flu or not, use a rapid test. It can give a 10% false result.
Once the illness ends, the player is immune to the specific flu (Until he dies).
How to determine which flu is circulating? Only on the basis of complications, that is, if one of the patients developed complications that were not present in another type of influenza.

H1N1 - swine flu
Flow duration - 1000 seconds
Chance of complications - 1% every second
List of complications:
Rhinitis, Viral pneumonia, Pharyngitis, Catarrhal tonsillitis, Sinusitis, Nazovestibulitis, Conjunctivitis
Chance of transmission: 10% every second
Sensitivity to drugs:
Zinamivir - 70%
Oseltamivir - 20%
Amantadine - 60%
Rimantadine - 10%
Grippferon - 90%

H5N1 - avian influenza
Flow duration - 1000 seconds
Chance of complications - 3% every second
List of complications:
Rhinitis, Viral pneumonia, Pharyngitis, Catarrhal tonsillitis, Sinusitis, Nazovestibulitis, Conjunctivitis, Peribronchitis, Diffuse necrotizing alveolitis
Chance of transmission: 5% every second
Sensitivity to drugs:
Zinamivir - 10%
Oseltamivir - 80%
Amantadine - 20%
Rimantadine - 40%
Grippferon - 10%

Broken arm
Special sounds: sounds of pain
Symptoms: arm pain
X-ray: forearm fracture
Treatment: metal splint



Fractured ribs
Special sounds: sounds of pain and suffocation
Symptoms: chest pain
X-ray: rib fractures
Treatment: surgical kit



Broken leg
Special sounds: sounds of pain
Symptoms: leg pain, slow walking
X-ray: hip fracture
Treatment: metal splint



Skull trauma
Special sounds: sounds of pain
Symptoms: headache
X-ray: fractured skull roof
Treatment: surgical kit



Abdominal injury
Special sounds: sounds of pain
Symptoms: abdominal pain
X-ray: colon injury (rupture)
Treatment: surgical kit



Perineal injury
Special sounds: sounds of pain
Symptoms: pain in the perineum
X-ray: pelvic fracture
Treatment: surgical kit






Hand cut
Symptoms: arm pain
External examination: cut on hand
Treatment: Vaseline

Leg cut
Symptoms: leg pain
External examination: cut on leg
Treatment: Vaseline

Chest cut
Symptoms: chest pain
External examination: cut on chest
Treatment: Vaseline

Head cut
Symptoms: headache
External examination: cut on the head
Treatment: Vaseline

Abdomen cut
Symptoms: abdominal pain
External examination: cut on the abdomen
Treatment: Vaseline

Perineal cut
Symptoms: pain in the perineum
External examination: cut on the perineum
Treatment: Vaseline

Hand hematoma
Symptoms: arm pain
External examination: bruise on the arm
Treatment: cadelin

Leg hematoma
Symptoms: leg pain
External examination: bruise on the leg
Treatment: cadelin

Chest hematoma
Symptoms: chest pain
External examination: bruise on the chest
Treatment: cadelin

Head hematoma
Symptoms: headache
External examination: bruise on the head
Treatment: cadelin

Abdominal hematoma
Symptoms: abdominal pain
External examination: bruise on the abdomen
Treatment: cadelin

Perineal hematoma
Symptoms: pain in the perineum
External examination: bruise on the perineum
Treatment: cadelin

Bleeding
Symptoms: bleeding from arteries or veins
Treatment: a bandage removes bleeding from the veins, and a set of bandages from both veins and arteries

Radioactive contamination
Infection is prevented by the use of a radioprotector - Cystamine
No symptoms
Instrumental examination with a dosimeter: more than 0 mSV (Norm 0)

Radiation sickness
Damage to health occurs at more than 4000 mSV
Symptoms: weakness
Special sounds: wheezing and coughing
Instrumental examination with a dosimeter: more than 2000 mSV (Norm 0)
Treatment: blood plasma transfusion

Serious blood loss (Hypovolemia)
Blood decrease below 2000ml
Special sounds: wheezing sounds
Symptoms: weakness
Treatment: stopping bleeding and blood plasma transfusion

Contusion
Occurs due to blast injuries
Special sounds: wheezing sounds
Special complaints: double vision
Symptoms: contusion
Treatment: Impregnated

The beginning of the operation is the patient's anesthesia. You can use four drugs, each with its own special properties:
Ketamine and Propofol are fast anesthesia.
Thiopental and Rocuronium are slow anesthesia.
The difference in onset time: in the first case is about 10 seconds, in the second - about 20.
Next, on the surgical table you need to supply the anesthetic mixture (gas), connect the patient to the devices and turn on the ventilator (artificial lung ventilation). Select an organ (See the next section, mandatory), and perform manipulations.
Hemostasis drugs are needed to stop bleeding (Temporary), resuscitation drugs are needed to restore blood pressure.

When performing operations, it must be taken into account that the most severe problems are always operated on first. Gravity from top to bottom:
Heart rupture > aortic rupture >
splenic rupture > lung rupture >
liver rupture > kidney rupture >
cardiac hematoma > aortic hematoma >
splenic hematoma > lung hematoma >
liver hematoma > kidney hematoma.
If operations are not carried out in this sequence, they will not be successful.

Heart rupture
Symptoms: chest pain
Examination with a stethoscope: muffling the heartbeat
Operation plan: Cut the skin with muscles, cut the pericardial sac with a small scalpel, aspirate the blood accumulated in this sac, coagulate the damaged vessels and suture
Progress of the operation: Incision, Small cut, Aspiration, Coagulation, Suturing


Aortic rupture
Symptoms: pain in the upper abdomen
External examination: fluid in the abdominal cavity
Operation plan: Make a large incision on the anterior abdominal wall, cut the peritoneum, clamp the aorta, aspirate the blood accumulated in the peritoneum, bypass the two ends of the damaged aorta (connect) and suture
Progress of the operation: Close-up section, incision, clamping, aspiration, shunting, suturing





Lung rupture
Symptoms: chest pain
Examination with a stethoscope: wheezing in the lungs
Operation plan: Cut the skin with muscles, clamp the damaged pulmonary artery, aspirate the blood accumulated in the lungs, bypass the two ends of the damaged pulmonary artery (connect) and suture
Progress of the operation: Incision, Clamping, Aspiration, Bypass, Suturing





Splenic rupture
Symptoms: pain in the upper abdomen
External examination: fluid in the abdominal cavity
Operation plan: Make a large incision on the left side of the anterior abdominal wall, cut the peritoneum, clamp the splenic artery, extract the spleen (remove) and suture
Progress of the operation: Close-up section, incision, clamping, extraction, suturing



Liver rupture
Symptoms: pain in the upper abdomen
External examination: fluid in the abdominal cavity
Operation plan: Make a large incision on the anterior abdominal wall, cut the peritoneum, clamp the hepatic artery, coagulate damaged vessels, remove part of the liver (resection) and suture
Progress of the operation: Close-up section, Incision, Clamping, Coagulation, Resection, Suturing



Renal rupture
Symptoms: back pain
Operation plan: Make a large incision in the lower back, clamp the hepatic artery, coagulate the hepatic artery and suture
Progress of the operation: Close-up section, Clamping, Coagulation, Suturing

Heart hematoma
Symptoms: chest pain
Operation plan: Cut the skin with muscles, cut the pericardial sac with a small scalpel, coagulate the accumulated blood and suture
Progress of the operation: Incision, Small cut, Coagulation, Suturing





Aortic hematoma
Symptoms: pain in the upper abdomen
Operation plan: Make a large incision on the anterior abdominal wall, cut the peritoneum, coagulate the accumulated blood and suture
Progress of the operation: Close-up section, Incision, Coagulation, Suturing









Splenic hematoma
Symptoms: pain in the upper abdomen
Operation plan: Make a large incision on the anterior abdominal wall, cut the peritoneum, coagulate the accumulated blood and suture
Progress of the operation: Close-up section, Incision, Coagulation, Suturing






Lung hematoma
Symptoms: chest pain
Operation plan: Cut the skin with muscles, drain the blood accumulated in the lungs, coagulate the accumulated blood and suture
Progress of the operation: Incision, Aspiration, Coagulation, Suturing









Liver hematoma
Symptoms: pain in the upper abdomen
Operation plan: Make a large incision on the anterior abdominal wall, cut the peritoneum, coagulate the accumulated blood and suture
Progress of the operation: Close-up section, Incision, Coagulation, Suturing






Kidney hematoma
Symptoms: back pain
Operation plan: Make a large incision in the lower back, coagulate the accumulated blood and stitch up
Progress of the operation: Close-up section, Coagulation, Suturing

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