RU2088137C1 - Method for performing express-diagnosis of visceral pathologies - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves recording infrared radiation emitted by palm surfaces of hands to detect zones of thermal asymmetry and to evaluate thermomorphological and thermofunctional indexes of each zone. Differential diagnostic properties reflecting the nature of pathology are determined. The properties are luminescence intensity, form, structure, zone boundaries, temperature gradient dynamic changes as response to functional cold test. EFFECT: increased diagnostic information capacity. 7 cl, 14 dwg, 2 tbl

Description

 The invention relates to medicine, more specifically to internal medicine, and in particular to methods of express diagnostics of the pathology of internal organs, and can be used to detect various internal organs during diagnostic examinations, to determine the localization and nature of the pathological process, as well as to identify malignancy and benign pathology.

 Of the known methods for diagnosing the pathology of internal organs for many years, the method of x-ray examination of various organs and systems remained the prerogative. However, a set of X-ray studies, due to the maximum permissible radiation loads and the complexity of some types of studies, is usually multi-link.

 In addition, despite the success of x-ray science, an early or at least timely x-ray diagnosis for a number of diseases is still far from a solved problem. X-ray methods for rapid diagnosis are used in a limited form: fluorography of the lungs, stomach and mammary glands. The reliability of detection of breast diseases ranges from 47.2-66.8% to 86.6% (Clinical Medicine, N 7, 1987, p. 117; Tr. All-Union Conf. TEMP-85, part 1, p. 56) . As for malignant neoplasms, conventional fluorography indicates that the detection of lung cancer remains low, and cancer of the stomach in the early stages is diagnosed only in 8-10% of cases (Timely radiology in the general diagnostic process. Soviet medicine, N 5,197, p.3- 7). In the search for the most informative and easy-to-use methods of express diagnostics, lately more attention has been paid to the development of the method of thermal imaging research, which is mainly based on recording infrared radiation of the body surface using thermal imaging. As a rule, a corporal thermal imaging study is used, including the registration of infrared radiation from the entire surface of certain parts of the body with the subsequent detection of thermal asymmetry and determination of the temperature difference over the affected organs (M.M. Miroshkov, V.I. Alikov, M.A. Gershanovich, V.P. Melnikova). However, the local projection approach to the study of thermal fields and temperature topography used in this method has its limitations. Thus, the formation of thermal fields is influenced not only by the activity of vascular reactions, the nature of general and local metabolic processes, but also by the anatomical features of body parts (including the development of the subcutaneous fat layer), the possibility of an atypical arrangement of organs, etc. In addition, a number of researchers there is a lack of thermo-asymmetry over the affected organs in the case of chronic or sluggish ongoing inflammatory processes, as well as in the case of an early initial stage of the disease.

 It should be noted that the thermosymeotics of island-inflammatory and malignant diseases of the internal organs, based on a locally projection approach (i.e., setting the temperature difference in the affected area) is largely similar and is not a stable differential diagnostic sign.

 There is no literature data on the specificity of the method of thermal imaging diagnostics of malignant diseases of internal organs, and the available data on the diagnostic effectiveness of corporate models of thermal imaging studies of oncopathology are different, only oncological diseases of the mammary glands in some specialized institutions are detected in 81.6% of cases.

 In pulmonary oncopathology, the diagnostic efficiency of thermal imaging methods is 50-60% (F.Kh. Kutusheva, A.S. Libov, A.P. Sorinov, Transactions of the TEMP All-Union Conference, 1985, part II, p. 183). With oncopathology of the abdominal organs, the reliability of the thermal imaging method according to V.F.Sukharev is 59.4% ("Clinical and experimental aspects of thermal imaging in abdominal surgery," Transactions of the TEMP All-Union Conference, 1982, pp. 103-104).

 In recent years, the attention of medical scientists has turned to the promising area of active thermography, its ability to study the dynamics of the image of infrared radiation under the influence of various physicochemical effects. Closest to the technical nature of the invention is the known method of dynamic infrared thermal mapping of an organism for diagnosing the condition of internal organs (E.E. Godik, Yu.V. Gulyaev "Dynamic infrared thermal mapping", Radotekhnika 8, 1991, p. 54-56). The method consists in examining the image of infrared radiation of the body surface with respect to predetermined zones reflecting the state of internal organs, measuring their temperature level and dynamics of the temperature gradient after exposure to a functional breakdown and diagnosing the state of the internal organ. Despite the obvious advantages of the prototype method, which allows to study thermal images in dynamics (in comparison with the classical thermography of static images of infrared radiation), it has several disadvantages, because it does not allow one to judge the nature of the pathology; it does not make it possible to identify the benign or malignant pathological process. In addition, it is known that the predominant object of study in the prototype method are body parts: face, hands (back surface, fingertips). We were attracted by the study of the dynamics of the thermal image of the palmar surface of the hands, because the presence of projection zones of the internal organs on the palms is a highly informative object of study, not yet fully studied.

 The basis of the image is the task of increasing diagnostic informativeness and the effectiveness of the method of rapid diagnosis of pathology of internal organs by providing the ability to assess the nature of the pathology, identifying an acute or chronic, benign or malignant process by the characteristic differential diagnostic signs.

 The problem in the method of rapid diagnosis of pathology of internal organs by examining the image of infrared radiation of the body surface in relation to predetermined zones that reflect the state of internal organs, measuring their temperature level and dynamics of the temperature gradient after exposure to a functional breakdown and diagnosing the state of the internal organ by them, the fact that they carry out a cold functional test of the palmar surface of the hands, and the diagnosis of the condition of the internal organ additionally oestriasis shape, the boundaries and the structure of the image zone of infrared radiation. When measuring elevated from the normal temperature level and positive dynamics of the temperature gradient, focal shape, homogeneous structure and clear boundaries of the zone, an acute form of the pathological process is diagnosed. When measuring a temperature gradient lower than normal and positive dynamics of the temperature gradient, diffuse shape, homogeneous structure and clear boundaries of the zone, the presence of a chronic inflammatory form of pathology is diagnosed. When measuring a temperature gradient lowered from the normal temperature level and positive dynamics, diffuse shape, homogeneous structure, clear or fuzzy zone boundaries, the presence of chronic non-inflammatory dystrophic processes, sclerotic and ischemic changes is diagnosed. When measuring lowered from the normal temperature level and positive dynamics of the temperature gradient, irregular geometric shape, inhomogeneous structure and a clear boundary of the zone, the presence of stones is diagnosed. When measuring lower than normal temperature level and the positive dynamics of the temperature gradient, focal shape, homogeneous structure and a clear border of the zone, a benign formation of the internal organ is diagnosed. When measuring lowered from the normal temperature level and negative dynamics of the temperature gradient, focal form, inhomogeneous structure and diffuse zone boundaries, a malignant neoplasm is diagnosed.

 The advantage of the invention is, first of all, that, unlike the prototype, it allows not only to identify pathology and establish its localization in the body, but also to judge the nature of the pathology (acute or chronic form, chronic inflammatory pathology or chronic sclerotic processes, the presence of stones) . In addition, it is possible to identify the benign or malignant process and topical diagnosis of the revealed malignant changes.

 The method is highly informative and effective, which is also confirmed by the data in table. 1, reflecting the probability of revealing the pathology of various organs of the proposed method. Examination using the proposed method is extremely simple and convenient, completely non-traumatic and takes only 3-5 minutes.

 The proposed method is as follows.

After adaptation for 10-25 minutes, the examined person is seated in a chair at a distance of 1.5-2 m from the receiving camera of the thermal imager, stability is given to the arms bent at the elbows and the camera is aimed at the palm surfaces of the hands. Infrared radiation is studied visually from an image on a cathode ray tube. The image can be captured on film. The authors previously divided the palmar surface into 25 sectors (conditionally), while trying not to violate the anatomical and morphological lines and proportions. In FIG. 1 is a diagram of hand sectors. By the sector in which the zone of thermal asymmetry is located, they judge the localization of pathology. In the absence of pathology of the internal organs (Fig. 2), a uniform isothermal IR glow of the entire palmar surface of the hand is observed, with the exception of the middle sectors 3-4-5 and 11, where the IR glow is hyperthermic with a temperature drop of 0.3-0.4 ^o C The presence of pathology is characterized by thermal asymmetry zones of hypothermia or hyperthermia with a temperature drop of 0.4 ^o C and above. In the process of thermal imaging research, a functional test is used.

 The sample with local cooling with ethyl ether turned out to be the most simple, non-traumatic and easily feasible, the result of which was the minimal exposure time and the recovery time of the temperature gradient (a necessary condition for express diagnostics), in addition, there was an amazing effect of contrasting and detailing of thermographic structures. Unfortunately, the use of ether for functional tests was limited by its high cost and strict limitation in medical institutions.

 The search for the corresponding analogue led us to the variant of testing using liquid nitrogen, which in its contrasting and cooling properties is not inferior to the properties of ether, it is also odorless, and most importantly, it is always abundant in any thermal imaging cabinet. For this, the palmar surfaces of the hands are treated with a cotton swab moistened with liquid nitrogen for 30 s using the method of cosmetic applications.

 Assess the thermomorphological and thermofunctional indicators of each identified zone of thermal asymmetry. When evaluating a thermogram, the presence or absence of zones of pathological thermo-asymmetry is determined, attention is paid to a number of signs characterizing the zone of altered IR radiation: the location of the glow zones, intensity, shape, boundaries, structure of the changed glow section and the dynamics of the temperature gradient.

 In FIG. 1 shows a diagram of the sectors of topographic localization of internal organs in the palm of your hand; in FIG. 2 thermograms of the palm of a healthy person. A-circuit; B-thermal image is the norm; in FIG. 3 thermograms of the palm with pathology of the bronchopulmonary system. A-scheme, B-chronic inflammatory process, C-exacerbation of a chronic inflammatory process; in FIG. 4 thermograms of the palm in the pathology of the biliary system A-scheme, B-chronic inflammatory process (chronic cholecystitis), C-dysfunction of the biliary tract dyskinesia; in FIG. 5 thermograms of the palm with pathology of the urinary system. A-scheme, B-chronic inflammatory process, C-urolithiasis; in FIG. 6 thermograms of the palm in the pathology of the gastrointestinal tract. A-scheme, B-acute inflammatory process of the stomach and duodenum, C-chronic inflammatory process of the stomach and duodenum; in FIG. 7 - thermograms of the palm in case of pancreatic pathology A-scheme, B and C - chronic inflammatory process in different patients; in FIG. 8 thermograms of the palm in the pathology of the cardiovascular system A-scheme, B-ischemic changes, acute myocardial infarction, C-chronic ischemic changes (CHD); in FIG. 9 shows a thermogram of the palm of vegetative-vascular dystonia; A-diagram; B-thermogram of a patient with vegetative-vascular dystonia; in FIG. 10 shows thermograms of the palm in the pathology of the genital area A-scheme, B-benign formation (uterine fibroma), C-chronic inflammatory process (adnexitis); in FIG. 11 thermograms of the palm with rectal pathology. A-scheme, B-benign tumor (polyp); C-malignant tumor (carcinoma); in FIG. 12 thermograms of patients A-malignant neoplasm of the stomach (carcinoma), B-chronic inflammatory process (gastroduodenitis); in FIG. 13 thermograms of patients A-chronic inflammatory process of the kidneys against the background of urolithiasis, B-sclerotic changes in the myocardium (cardiosclerosis); in FIG. Figure 14 shows a graphical representation of the dynamics of the temperature gradient for a functional cold test: line A in healthy people, line B in patients with benign pathology, line C in patients with malignant diseases.

 The sizes of zones of pathological infrared radiation are different, while there is not always a correspondence between the volume of the lesion in any organ of the area of the zone of altered infrared radiation.

 The shape of the infrared radiation section can be focal, diffuse, irregularly geometric. It has been established that the focal form is more common in the presence of localized inflammatory and tumor processes, the diffuse form is found in the presence of diffuse inflammatory, ischemic, sclerotic processes, the wrong geometric shape is found in the presence of urolithiasis and cholelithiasis.

 The structure of the infrared zone can be homogeneous or non-homogeneous. It was found that a homogeneous structure is most often found in the benign course of the process, both inflammatory and tumor origin. An inhomogeneous structure occurs with an inhomogeneous nature of the process: with an exacerbation of the chronic process, with sclerotic and metabolic disorders, with stone formation, with qualitative pathology.

 The boundaries of the zones of altered infrared radiation can be clear or fuzzy, indistinctly expressed. Clear, well-defined contours (boundaries) of zones of altered IR radiation are observed with limited (localized) inflammatory and benign diseases, including those of a tumor nature. Fuzzy boundaries are observed in the presence of chronic, far-reaching processes and often depend on the prevalence of the process. The zone of altered IR radiation with a malignant pathology has a special specific picture, the boundaries of the zone in this case are sharply blurred, and then the pathological IR radiation section has a peculiar appearance, we called it a “piece of melted sugar”.

Determination of temperature differences between individual sections of hyper- or hypothermia and the surrounding tissues. It was found that the temperature difference on the palmar surface of the hands during pathology usually exceeds 0.4 ^o C. It was found that with a benign nature of the pathology, the temperature difference does not exceed 0.6-0.7 ^o C, with a malignant nature of the pathology, the temperature difference reaches 1.0-1.5 ^o C.

 The dynamics of the temperature gradient for a functional cold sample is also indicative. With the benign nature of the process, the temperature curve is well defined (Fig. 14, lines A and B). In the presence of a malignant nature of the pathology, the dynamics of the temperature gradient in response to a cold sample is absent (Fig. 14 line C).

 In the table. Figure 2 shows the likelihood of identifying differential diagnostic signs in various pathologies.

 As a result of clinical and thermal imaging studies, thermographic signs have been established that serve as differential diagnostic criteria for various types of pathology: acute, chronic, stone formation, benign and malignant neoplasms.

For an acute form of pathology (island-inflammatory diseases, exacerbation of chronic inflammatory, active allergic processes), a change in IR radiation is characteristic: an increase in IR glow in the projection region corresponding to the affected organ, with an increase in the temperature gradient from 0.4 ^o C or more, only 6 % of cases, a decrease in IR glow was observed in acute and subacute renal pathology (pyelonephritis, glomerulonephritis). Infrared radiation in acute forms of the disease often has a focal form, but may also have a drain, diffuse character in a pronounced process. The structure of infrared radiation is often homogeneous and only in the presence of an exacerbation of chronic inflammatory pathology is the heterogeneity of the structure visible. The border of acute forms of diseases in most cases is clear (when the process is localized) and only with a pronounced non-localized nature of the pathology, the boundaries of the zone of altered IR radiation are blurred. The dynamics of the temperature gradient for the cold sample is positive.

 A chronic form of pathology can be of inflammatory and non-inflammatory origin. Chronic inflammatory diseases are found in old far-reaching inflammatory processes. Chronic forms of pathology can be of non-inflammatory origin (dystrophic, metabolic, sclerotic, ischemic changes occur with coronary heart disease, with the development of cardiosclerosis). A chronic inflammatory pathology is characterized by a decrease in the intensity of IR radiation due to a decrease, the shape of the changed IR glow is mainly diffuse, diffuse, the structure is homogeneous, the border is clear and only in some neglected cases the boundaries of IR radiation are fuzzy.

 Chronic sclerotic processes are manifested by both an increase and a decrease in IR radiation, the appearance of a zone of increased IR radiation is noted only in the case of cardiosclerosis (post-myocarditis, post-infarction or atherosclerotic). Signs of coronary heart disease (CHD) are manifested by a decrease in IR radiation in the corresponding topographic sector of the palm. The forms of changes in IR radiation in the case of the development of metabolic changes are mainly focal (large-focal), in other cases the form of the changed IR radiation is diffuse. The structure of infrared radiation is predominantly homogeneous in chronic inflammatory and sclerotic ischemic changes, in metabolic changes in the myocardium (cardiosclerosis), the structure of infrared radiation is not homogeneous. The boundaries of infrared radiation in chronic forms of pathology are predominantly clear. The dynamics of the temperature gradient for the functional cold test is positive.

 Gallstones and kidney stones are manifested by a change in the intensity of IR radiation due to a decrease, the shape of the IR radiation zone is incorrectly geometric or focal, the structure is inhomogeneous (fragmentation), the boundaries are clear, the dynamics of the temperature gradient are positive.

 Benign tumors (polyps, fibromas, adenomas) are manifested by a change in IR radiation due to a decrease, the shape is focal, the structure is homogeneous, the contours are clearly defined. The dynamics of the temperature gradient are positive.

 Malignant neoplasms of internal organs are manifested by characteristic changes in IR radiation: for example, against the background of a general “warming up” of both the middle sectors and the corresponding topographic sector, a focal shape of a decrease in the IR glow of an inhomogeneous structure with blurry “corroded” contours is revealed, which in general has a picture a piece of melted sugar surrounded by a hot ring. The dynamics of the temperature gradient for the functional cold sample is negative.

 Examples of a specific implementation of the method are given in the form of extracts from medical histories.

 Example 1

 Sh-in A.V. 35 years. Complaints of belching of food eaten, nausea, pain in the epigastric region, bloating. I felt discomfort 1.5 g ago, I did not contact the doctors. In connection with the deterioration of health over the past two months, the appearance of night pain, he was hospitalized for examination and treatment.

 Objectively: the correct physique, skin and visible pink mucous membranes. In the lungs, vesicular breathing, the borders of the heart are not changed, the tone is clean, rhythmic pulse 76 / min, BP 120/80. The tongue is covered with a white coating, the abdomen is soft, slightly painful in the epigastrium. The liver and spleen are not palpable. Blood and urine tests without pathology.

 Thermal imaging research (Fig. 12, fragment B).

When examining the palm surfaces of the hands, the zones of lowering the IR glow in sectors 7 and 8, the temperature difference of 0.5 ^o C, the hypothermia zones are homogeneous, clearly defined, the functional cold test reveals the positive dynamics of the temperature gradient (Fig. 14, line A).

 Conclusion: signs of chronic inflammatory pathology of the stomach and duodenum.

 X-ray examination: heart and lungs without pathology, signs of chronic gastritis, duodenitis.

 Cholecystography: the gallbladder is of normal shape and size, there are no shadows of calculi.

 Fibrogastroscopy: gastroduodenitis (mild symptoms).

 The final clinical diagnosis: chronic gastroduodenitis.

 Example 2

 Ks, 53 years old. Complaints of weakness, weight loss, epigastric pain, periodically occurring vomiting. Sick for about a year, recently pains have become permanent.

 Objectively: the right physique, thin. The skin and visible mucous membranes are pale. There were no physical changes in the chest organs. Pulse 80 / min, blood pressure 110/70. The abdomen is soft, painless, the liver and spleen are not palpable.

 Blood and urine tests without pathology.

Thermal imaging research (Fig. 12, fragment A). When examining the palmar surfaces of the hands in the area of sector 8, the inhomogeneity of the structure is revealed. Conducted a cold test with liquid nitrogen more clearly reveals a hotbed of hypothermia with fuzzy eroded contours (a "piece of melted sugar"), an increase in IR glow in the region of 3-4-5 sectors, a temperature drop of 0.8 ^o C. In response to a cold sample of dynamics no temperature gradient was detected (Fig. 14, line C).

 Conclusion: malignant pathology of the stomach (carcinoma). An endoscopic examination of the stomach with a biopsy was performed. Histology: low-grade adenocarcinoma. Ultrasound: no echostructural changes in the liver, kidneys, and pancreas were detected.

 Operation: Percutaneous gastroectomy with hardware anastomosis. Histology: infiltrated small cell carcinoma with ulcerated areas and deep invasive growth in the muscle layer. There is no tumor growth along the borders of the tumor.

 The final clinical diagnosis: carcinoma of the body of the stomach P stage T N M.

 Example 3

 S, 56 years old. He considers himself sick for about two years, periodically worried about cramping abdominal pain, an admixture of blood in the feces, recently there has been a symptom of "urging to the bottom", pain in the sacral region.

 Objectively: correct physique, Brock's index is increased. The skin and visible mucous membranes are pale. The chest without features, the lungs - vesicular breathing, heart tones are muffled, rhythmic. Pulse 80 / min, BP 120/80. The abdomen is soft, painful in the hypogastric region. The liver and spleen are not palpable. Urine and blood tests without pathology.

Thermal imaging research (Fig. 11, fragment C). When examining the palmar surfaces of the hands, thermal asymmetry is detected in the border region of 5 and 6 sectors. A cold test with liquid nitrogen allows you to identify (more clearly) a focus for lowering the IR glow in the lower third of the border region of 5-6 sectors, the focus has fuzzy eroded contours ("a piece of melted sugar") against the background of an increase in the IR glow of surrounding tissues ("symptom of a hot ring ") and heating of the middle 3-4-5 sectors, the temperature gradient is 0.75 ^o C. The dynamics of the temperature gradient after the cold test is absent (Fig. 14, line C).

 Conclusion: malignant pathology of the rectum (cancer).

 Irrigoscopy: in the upper ampulla of the rectum along the left contour, a marginal filling defect for 4 cm. Conclusion: a tumor of the rectum. Sigmoidoscopy: at a depth of 7 cm, a mobile tumor is determined about 2 cm in diameter. Biopsy: in the preparation, highly differentiated adenocarcinoma with deep invasive growth.

 Operation: abdominal-anal resection of the rectum with the reduction of the sigmoid colon to the perineum.

 Histology: moderately differentiated adenocarcinoma with infiltrative growth in the intestinal wall.

 The final clinical diagnosis: carcinoma of the rectum T N M.

 Example 4

 Mr. N.K. 53 years old. Complaints of cramping abdominal pain, unstable stool, feeling of anxiety, poor appetite. He considers himself a patient for about a year, was examined at the place of residence, a suspicion was expressed of the presence of a neoplasm of the colon (during an X-ray examination). He was sent to hospitalization for examination and resolution of the issue of surgical treatment. Objectively: correct physique, skin and visible pink mucous membranes, chest not changed, vesicular breathing in the lungs, heart tones clean, rhythmic, heart rate 76 / min, blood pressure 140/80, abdomen soft, slightly painful on palpation in the umbilical region, liver and the spleen is not palpable. Peripheral lymph nodes are not enlarged. Blood and urine analysis without pathology. Fluorogram of the lungs and heart without features.

Thermal imaging examination (11, fragment B). When examining the palmar surfaces of the hands in the lower third of the border region of 5 and 6 sectors, a small focus of reduced IR glow, a homogeneous structure, a temperature difference of 0.5 ^o C is detected. A uniform increase in IR glow in the region of 3-4-5 sectors. A cold sample revealed clearly defined boundaries of the outbreak. The dynamics of the temperature gradient is positive (Fig. 14, line B).

 Conclusion: thermal imaging picture of a benign formation in the projection of the rectum.

 Sigmoidoscopy: a polyp at a depth of 7 cm on the front wall of the rectum, a polyp in diameter of about 1.5 cm, movable on the leg, does not bleed.

 Irrigoscopy: no organic changes in the colon were found.

 The operation of electro-extinction polyp.

 Histology: adenomatous polyp of the rectum. Final clinical diagnosis: rectal polyp.

 Example 5

 V-in, 56 years old. Complaint of paroxysmal pressing pains behind the sternum that occurs when walking, radiating to the left arm and stopping with nitroglycerin since 1978, IHD was diagnosed, angina pectoris, attacks increased since 1980, myocardial infarction was treated in May 1986, and is treated every year in hospitals in the city.

 Objectively: the correct physique, Brock's index is slightly increased, the skin and visible mucous membranes of normal color. In the lungs, vesicular breathing, heart boundaries are not changed, heart sounds are muffled, rhythmic, pulse 68 / min, BP 115/90. Blood and urine tests without features.

 AsAT 0.18; Alt 0.27. Atherogenic coefficient 4.9; prothrombin index 100.

 Fluorogram: the lungs are transparent, the roots of the lungs are somewhat denser, the heart is slightly expanded to the left.

Thermal imaging inspection (Fig. 8, fragment B). When examining the palmar surfaces of the hands, the thermal asymmetry is determined in sector 6, partly 25. The diffuse zone of the altered IR glow, inhomogeneous structure due to the presence of large focal hyperthermia against the background of lowered IR glow, the outlines are not clear: temperature drops of 0.5 ^o C.

 Functional cold test reveals the positive dynamics of the temperature gradient (Fig. 14, line B).

 Conclusion: signs of ischemic changes (CHD), sclerotic myocardial changes (postinfarction cardiosclerosis).

 ECG: regular sinus rhythm, heart rate of 66 / min. Cicatricial changes in the myocardium of the left ventricle in the anterior septal area.

 The final clinical diagnosis: coronary heart disease, stable angina, functional class III, post-infarction cardiosclerosis.

 Example 6

 Ah, 48 years old. Complaints of pain in the lumbar region, diarrhea. The patient considers himself the last three years, when the coral-shaped stone of the left kidney was first diagnosed.

 Objectively: the correct physique, skin and visible mucous membranes of normal color. In the lungs, vesicular breathing, heart sounds are clean, rhythmic. Pulse 76 / min, blood pressure 130/70. The abdomen is soft, painless. Pasternatsky’s symptom is positive on both sides, there are no peripheral edema. In the analysis of urine leukocyturia, albuminuria. Blood tests without features.

Thermal imaging research (Fig. 13, fragment A). When examining the palmar surfaces of the hands, thermo-asymmetry is determined by lowering the IR glow in the region of sectors 3-4-5 diffuse, inhomogeneous structure (fragmentary) with fairly clear boundaries. A temperature difference of 0.6 ^o C, a functional cold sample reveals a positive dynamics of the temperature gradient (Fig. 14, line B).

 Conclusion: signs of urolithiasis, a chronic inflammatory process.

 X-ray examination: filling defects in all cups on the left. Ultrasound: nephrolithiasis, stones of both kidneys, signs of pyelonephritis.

 The final clinical diagnosis: urolithiasis, stones of both kidneys, calculous pyelonephritis.

Claims (7)

 1. The method of rapid diagnosis of pathology of internal organs by examining the image of infrared radiation of body surfaces in relation to predetermined zones reflecting the state of internal organs, changing their temperature level and dynamics of the temperature gradient after exposure to a functional breakdown and diagnosing the state of the internal organ according to them, characterized in that they carry out a cold functional test of the palmar surface of the hands, and the diagnosis of the state of the internal organ is additionally carried out in form, gr nitsam structure and in the image zone of infrared radiation.  2. The method according to p. 1, characterized in that when measuring elevated from the normal temperature level and the positive dynamics of the temperature gradient, focal shape, homogeneous structure and clear boundaries of the zone diagnose the acute form of the pathological process.  3. The method according to claim 1, characterized in that when measuring lowered from the normal temperature level and the positive dynamics of the temperature gradient, diffuse shape, homogeneous structure and clear boundaries of the zone, the presence of a chronic inflammatory form of pathology is diagnosed.  4. The method according to claim 1, characterized in that when measuring lowered from the normal temperature level and the positive dynamics of the temperature gradient, diffuse shape, homogeneous structure, clear or fuzzy zone boundaries, the presence of chronic, non-inflammatory dystrophic processes, sclerotic and ischemic changes is diagnosed.  5. The method according to p. 1, characterized in that when measuring lowered from the normal temperature level and the positive dynamics of the temperature gradient, irregular geometric shape, inhomogeneous structure and a clear boundary of the zone diagnose the presence of stones.  6. The method according to p. 1, characterized in that when measuring lowered from the normal temperature level and the positive dynamics of the temperature gradient, the focal shape, homogeneous structure and a clear border of the zone, a benign formation of the internal organ is diagnosed.  7. The method according to claim 1, characterized in that when measuring lowered from the normal temperature level and the negative dynamics of the temperature gradient, focal form, inhomogeneous structure and diffuse zone boundaries, a malignant tumor is diagnosed.

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