METHOD OF EXPRESS-DIAGNOSTICS OF PRIME CAUSE OF PAIN PATHOLOGY OF HEAD AND NECK BY ELECTRONIC STETHOSCOPE Littmann Russian patent published in 2013 - IPC A61C19/04 A61C19/45 A61B8/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine. Registration of sound noises is carried out by means of electronic stethoscope Littmann. Obtained sound signal is transformed into electric one. Obtained phonograms are decoded in mode Sp: determined are: amplitude of flashes, sound wave colour in intensity from light blue to red and its height. Registration of noises of temporomandibular joint (TMJ) is performed during one slowed opening and closing of mouth, and head and neck vessels with joined teeth. If indices of TMJ phonogram in Sp mode are: amplitude from 0.01 to 0.05, of green-light blue colour, not higher than lower third of scale, as well as mouth opening being more than 4 cm without signs of pathology on TMJ X-ray photograph, it is determined that prime cause of pain pathology is habitual hypermobility of TMJ articular head. If indices of phonogram, heard in the second-fifth intercostals space in interscapulum with joined teeth, in Sp mode: amplitude from 1.05 and higher, of yellow-orange colour, with height at the level of the middle and higher than scale, as well as with bifurcated systolic peak, it is determined that prime cause of pain ischemic dysfunction of vascular genesis is coarctation of aorta. If indices of phonogram, heard in the second intercostal space to the right of sternum with joined teeth in Sp mode are: amplitude from 1.5 and higher, of yellow-orange colour, with height at the level of the medium and higher than the scale, as well as in case of presence of arterial hypertension and noises between systolic and diastolic peaks, with the said type of phonogram being also observed on carotid artery of the same side, it is determined that prime cause of pain ischemic dysfunction of vascular genesis is aorta aneurism. If indices of phonogram, heard on the anterior edge of sternocleidomastoid muscle at the level of the middle of thyroid cartilage, in Sp mode are: amplitude from 0.01 to 0.09, of light blue-blue colour, with height - at the level of the lower third of the scale, as well as in case of presence of dizziness, impairment of tone of muscles on the affected side of head and neck, it is determined that prime cause of pain ischemic dysfunction of vascular genesis is stenosis of common carotid artery. If indices of phonogram, heard in front of tragus of ear on trago-orbital line with joined teeth in Sp mode are: amplitude from 0.01 to 0.09, of light blue-blue colour, with height at the level of the lower third of the scale, as well as in case of impairment of sensitivity and turgor of skin in the area of the face half and temple of the respective side, it is determined that prime cause of pain ischemic dysfunction of vascular genesis is stenosis of external carotid artery. If indices of phonogram, heard behind the angle of mandible with joined teeth in Sp mode are: amplitude from 0.01 to 0.09, of light blue-blue colour, with height at the level of the lower third of the scale, as well as in case of presence of headaches, dizziness, one-sided impairment of vision, it is determined that prime cause of pain ischemic dysfunction of vascular genesis is stenosis of internal carotid artery. If indices of phonogram, heard behind the angle of mandible, in projection of internal carotid artery, with joined teeth, in Sp mode are: amplitude is higher than amplitude, heard in the area of the middle of thyroid cartilage on the anterior surface of sternum - common carotid artery, of yellow-orange colour, with height at the level of the middle and higher than the scale, as well as in case of increased indices of blow flow of eye arteries, and indices of phonogram, heard on eyebrow closer to bridge of nose with joined teeth in Sp mode are: amplitude from 0.09 and higher, of yellow-orange colour, height is at the level of the middle of the scale, as well as in case of presence of edemas of face and lower eyelid in the morning, which reduce towards evening, it is determined that prime cause of pain ischemic dysfunction of vascular genesis is hypertensive encephalopathy. If indices of phonogram, heard in front of tragus of ear on trago-orbital line with joined teeth in Sp mode are: amplitude from 1.05 and higher, of yellow-orange colour, height is at the level of the middle of the scale and higher, it is determined that prime cause of pain ischemic dysfunction of vascular genesis is arteritis of temporal artery. If indices of phonogram, heard in front of tragus of ear on trago-orbital line with joined teeth in Sp mode are: amplitude from1.05, of yellow-orange colour, height is at the level of the middle of the scale and higher, and indices of phonogram, heard on brow closer to bridge of nose with joined teeth in Sp mode are: amplitude from 0.09 and higher, of yellow-orange colour, with height at the level of the middle of the scale, as well as with one-sided sharp pulsing pain in frontal-orbital-temporal area, accompanied by nausea, vomiting, intolerance of bright light, loud sounds, it is determined that prime cause of pain ischemic dysfunction of vascular genesis is migraine. If indices of phonogram, heard behind the angle of mandible with joined teeth in Sp mode are: amplitude from 0.09 and higher, of yellow-orange colour, with height at the level of the middle of the scale, as well as with presence of impairment of tone of mimic muscles of one half of face, it is determined that prime cause of pain ischemic dysfunction of vascular genesis is face nerve neuropathy. If indices of phonogram, heard on brow closer to bridge of nose with joined teeth, in Sp mode are: amplitude from 0.09, of yellow-orange colour, with height at the level of the middle of the scale, and indices of phonogram, heard in from of targus of ear on trago-orbital line with joined teeth in Sp mode are: amplitude from 1.05 and higher, of yellow-orange colour, with height at the level of the middle of the scale and higher, as well as in case of impairment of tone of masseteric and pterygoid muscles, it is determined that prime cause of pain pathology of neurogenic genesis is neuropathy of trigeminal nerve. If indices of phonogram, heard in subclavian fossa, with 2 cm indent from sternum to posterior part of neck with joined teeth in Sp mode are: amplitude from 0.01 to 0.09, of light blue -blue colour, with height at the level of the lower third of the scale, as well as in case of increase of amplitude of phonogram of vertebral artery of opposite side and in case of presence of osteochondrosis, it is determined that prime cause of pain pathology of neurogenic genesis is cervicalgia.

EFFECT: invention makes it possible to perform differential diagnostics of pain pathology of head and neck.

2 dwg, 1 ex