Monday, March 31, 2008

What are the performance of children with meningitis

Meningococcal meningitis called "ECM" This is a common spring acute respiratory infectious diseases, is caused by the meningococcus. Both adults and children can be in this disease, but 15 children under the age of the most common.
ECM had after what performance? Light fever, headache, general discomfort, pharynx red, pharyngodynia, after 1-2 hours or days, the skin and oral mucosa, conjunctival hemorrhage points of the performance of sepsis ; bleeding such as small needle, pink, large-flake bleeding grouper, this is because bacteria capillary embolism, after the rupture capillary blood flow caused by the spillover of the skin. ECM will have serious stiff neck, projectile-vomiting, convulsion and even coma. Outbreak of meningitis disease developed very quickly, often within 24 hours of shock, for the performance was pale, lips bruised and Flooding skin, blood pressure dropped, endangering lives. Young babies frequently manifests itself disturbed sleep, sudden scream, two gaze fixed, and even seizures. At that time should be taken to the hospital early rescue. Generally speaking, meningitis diagnosis is not difficult.

Clinical manifestations of ordinary ECM

ECM with the performance of very different, different degrees of seriousness. Common type of meningitis patients all around 90 percent. According to the pathogenesis process is divided into three phases:
(I). Upper respiratory tract infection: meningococcus in the nasopharynx breeding, the majority of asymptomatic. Minorities feel throat pain, runny nose, etc.. Most of the patients during this period can be self-healing, but this highly infectious.
(Ii). Sepsis period: bacteria invaded the body, when the blood circulation invasive systemic infection sepsis said. This period with high fever, headache, nausea, vomiting, 70% of patients with skin and mucous Stasis points, or Yuban. Size of about 1 cm. This When patients or relatives are seeing is the skin with a "green", "Fazi" Stasis point.
(Iii). Meningitis period: germs with spinal cord blood flow in the brain membrane caused inflammatory response. Meningeal congestion and edema, severe headache, frequent vomiting, stiff neck. Will further serious thought to twitch.

Fulminant clinical manifestations ECM

ECM is an outbreak of epidemic cerebrospinal meningitis (ECM) of one type, which is characterized by the following:
1. Susceptible population age without the outbreak of meningitis more common in children. Generally believed that six months to two-year-old infants to ECM the most susceptible population, the greater the age, the lower the incidence rate. However, the death of children 1 1-year-old, and this gives us a warning: older children still hard to get out of this dangerous disease threats.
2. Onset of intense, rapid development of the general meningococcal first penetrated the upper respiratory tract, 1 to 2 days into the blood circulation, to 1 to the 2nd invasive cerebral spinal systems, and the outbreak of meningitis disease virtually no upper respiratory tract infection symptoms, or shorter Sepsis is a time and / or meningitis performance quickly period of severe life-threatening.
3. Dangerous condition, the return of the crisis in accordance with its dangerous clinical performance is divided into three types: (1) of septic shock, circulatory failure to rapidly emerging features performance for sudden high fever, chills, looking pale and Jueling limbs, lips fingertip cyanosis, pulse fine speed, decreased blood pressure measured or not, oliguria or urine. Stasis skin, Yuban rapidly increasing integration into tablets; even visceral adrenal hemorrhage disease also occurred widely disseminated intravascular coagulation, the patient quickly failure. (2) meningoencephalitis-to-severe intracranial hypertension characteristics showed severe headache, frequent and violent vomiting, elevated blood pressure, pulse slow strong, sustained or repeated seizures, quickly fell into a coma. (3) hybrid combination of the above two types of performance is a condition most of the mortality rate high. Even if the application of antibiotics, and it is still more than 10% mortality.

Saturday, March 29, 2008

Tuibing patients with carotid What types

Cervical spondylosis of many types, according to the type of Western medicine, but also by the type of Chinese medicine. Traditionally divided into the nerve root and spinal cord type, sympathetic type, vertebral artery and mixed. Shanghai Professor Zhao Ding-lin specialist classification, be divided into four. Qingdao October 1992, "which opened the second session of the cervical spine disease symposium" will be divided into the following six types: (1) Cervical: Local model, and from a cervical disc cervical degenerative changes in local or reflex caused pillow neck pain, neck activities restricted. (2) Nerve Root: cervical disc degeneration stimulus spinal nerve root compression caused sensory, motor dysfunction, is divided into acute, chronic two. (3) Spinal Cord: cervical disc late to change the result of spinal cord compression and ischemia, conduction from the spinal cord dysfunction, is divided into central and peripheral type two. Central is the incidence of upper extremities, lower extremities to the development of peripheral on the incidence of lower limb, to the development of upper extremity. The two types can be divided into mild, moderate and severe degree. (4) Vertebral Artery Type: As hook degenerative changes in the vertebral joints stimulate and oppression of the vertebral artery, causing vertebrobasilar insufficiency were. (5) Type sympathetic: cervical disc degeneration stimulation, oppression and neck sympathetic fibers, cause a reflection of symptoms. (6) Any other type: that esophageal compression type.

A series of clinical manifestations of cervical disease

Cervical spondylosis, gradually became a common disease, and long-term operations bow, the Fuan work. The main cause is due to daily life, leading to prolonged adverse posture of cervical degenerative disease, oppression or stimulate the spinal cord or nerve roots caused by the series of vascular clinical manifestations. The most common cervical disease in the following categories: 1, nerve root: As the dominant upper limb nerve was stimulated, shoulders, upper extremity numbness, pain, poor fingers activities, and can not be completed with chopsticks, and other movements of the button. 2, spinal cord: Early to dual leg numbness, difficulty activities, difficulty walking, walking pace, I feel like a pair of "hitting the cotton," the late urine can be obstacles to the development of both upper limbs numb, unable to. 3, sympathetic type: dizziness, headache, Shiwumohu, palpitation, sweating abnormalities, such as tinnitus. 4, vertebral artery type: As vertebral artery stimulated, leading to cerebral insufficiency, performance dizziness, headache, may result in sudden increases in the old, even syncope (temporary coma) 5, Mixed: two or more types exist . Except for a small number of cervical spondylotic myelopathy need inpatient surgery, the other various types are generally conservative treatment. Inspection methods: X-ray, magnetic resonance imaging (MRI), CT, EMG, and somatosensory evoked potential (SEP). Treatment Methods: 1, day-to-day care: Do not sleep pillows too high or too low, the neck is straight suitable (8-10 cm high pillow), the texture should be soft; not lying down reading books, watching television; avoid long Time bow, Fuan workers, preferably 2-3 hours every 15-20 minutes to outdoor activities, or do Baojiancao neck, but cut violent activities; attention to the neck warm and avoid fans, air-conditioning blowing straight; ride attention to the campaign or neck protection against radical turning, braking or sudden urgency to the neck. 2, medication: under the guidance of a doctor, take anti-inflammatory painkillers, neurotrophic, Blood Circulation and other drugs. 3, physiotherapy include: traction, massage, physical therapy, and so on, need to be a formal conditional hospitals. 4, surgical treatment: For severe symptoms, conservative treatment fails patients need surgical treatment; conservative treatment of spinal cord rarely effective, despite the early symptoms of lighter, a clear diagnosis, surgery should be as soon as possible. 5, neck and Wai receive care: cervical restricted mainly to excessive activities, and operations will not be affected patients. At present, there are an inflatable-type cervical traction, with the exception of fixed cervical spine, there are some traction role.

Thursday, March 27, 2008

Acute rhinitis complications are those?

Acute rhinitis is a nasal acute inflammation. When the result of human resistance for a variety of reasons to reduce or nasal mucosa damage, The virus is human invasion, and growth and reproduction, as well as the pathogenesis. At the same time, the original kept in the nose and throat of the bacteria will also flew breeding, active, forming secondary infection. If, at this time fail to obtain timely and better treatment of disease will continue to spread and cause sinusitis, otitis media, pharyngitis, laryngitis, bronchitis, pneumonia, and can lead to rheumatic fever, viral myocarditis, acute glomerulonephritis nephritis and morbidity, and so on. Therefore, in the treatment of acute rhinitis, it should also pay attention to whether there is a very incidence and the emergence. Where performance of high fever and no rebate, throat tightness, cough, chest tightness, palpitation, arrhythmia, joint pain, low back pain, frequency, or eyelid edema, and so on, shall be further comprehensive examination, diagnosis and early treatment to take positive measures, to avoid delay in treatment. How can we avoid the occurrence and incidence? Acute rhinitis first response to effective treatment, such as early use of anti-cancer vaccine drug, as well as the elimination of early inflammation, prevent the occurrence of disease and, secondly, to follow doctor's orders, and actively engage in other drug treatment should be a good rest once again, a large number of drinking water, to mitigate the damage to human disease and increase the excretion of germs, especially high fever at this point is more important. In addition, everyone should eat some light diet, in order to maintain the patency stool. When it is discovered that the disease increased significantly increased leukocyte should check the use of antibiotics to control disease development, and can often reduce the general incidence and the occurrence.

Rhinitis harm to the human body

With the increasing modernization of city life, Automobile exhaust, cosmetics, decorative materials and food additives, which are triggered rhinitis (including allergic rhinitis, chronic rhinitis and chronic sinusitis, etc.,) the main reason. The number of people currently suffering from rhinitis more and more, and age trends younger age. Rhinitis patients are increased annually, more harmful to the human body should not be neglected, had rhinitis must timely treatment, the development of tens of millions of rhinitis caused serious illness.
The incidence of rhinitis symptoms vary, great danger when the impact of the physiological function of the nasal cavity encountered when disordered breathing and trigger lower oxygen concentration, other tissues and organs affect the function and metabolism, and some such as headache, dizziness, memory decline, chest pain, chest tightness, Mi spirit wilt, even with emphysema, pulmonary heart disease, asthma, and other serious complications. When rhinitis can not receive timely treatment, the impact of olfactory mucosa, there will be the sense of smell obstacles, such as lead Wen Not Xiangxiu odor. When the long-term recurrent sinusitis did not receive timely treatment, the inflammation will spread to the adjacent organs, tissues, such as the frontal and with osteomyelitis, orbital bone wall inflammation and bone periostitis, orbital subperiosteal abscess, intraorbital Cellulites ball after optic neuritis, epidural abscess, subdural abscess, purulent meningitis, brain abscess, cavernous sinus thrombosis of the vein variety of critical illness.
The latest medical research at home and abroad that the world 80% of nasopharyngeal carcinoma happened in China, and about 90% of the NPC is due to rhinitis deterioration due. Working in the field of learning, because adults will rhinitis caused headaches, brain-headedness,inefficiency, and young people because rhinitis caused by nasal obstruction, headache and other symptoms caused mental concentration, memory and academic performance dropped significantly . Other rhinitis caused by complications included: not because of prolonged nasal ventilation, respiratory difficulties, will trigger sleep apnea syndrome; patients with inferior turbinate hypertrophy, lack of oxygen during sleep, can cause severe cases of cerebral infarction, hypertension, sudden the heart diseases, individual patients may even sudden death at night. Such cases have occurred in various hospitals. Therefore rhinitis must not take it lightly, when you or your family, friends suffering from rhinitis, should prompt medical treatment to avoid complications caused serious.

Complications of allergic rhinitis

① bronchial asthma Less than half of the hay fever patients and some perennial allergic rhinitis in patients with bronchial asthma, This is due to allergic bronchial lesions result of its sensitized also consistent with allergic rhinitis. Usually in the nose, eye symptoms only after a few years of bronchial asthma, asthma attack before continuing, Persistent cough, which is the precursor symptoms of asthma, allergic bronchitis induced by. A very small number of patients with asthma and nasal and eye symptoms at the same time, a small number of children to asthma. Often found in children, a few years away nasal symptoms of asthma at this time may still attack, it may not have the clinical manifestations. Bronchial asthma is mainly expressed in a breath of breathing difficulties, and Wheezing Music; with serious chest tightness, not supine. Sit often take place or semi-sitting position to help breathing. To remove the viscosity of bronchial secretions, patients often been forced to cough, so children can be caused vomiting. When asthma began ease, often white present phlegm, dyspnea then lifted. Long-term asthma attack can be complicated by emphysema and pulmonary heart disease, patients with serious impact on the health and quality of life, which found only perennial allergic rhinitis. ② otitis media Because of swelling or edema of the nasal mucosa and the eustachian tube row, the eustachian tube the same mucosal lesions can also occur. When the pharyngeal mucosa tympanic membrane swelling and edema reached a certain extent, it can lead to the eustachian tube obstruction, middle ear effusion, and a conductive deafness, which is allergic otitis media. Not suppurative disease, it will not lead to the tympanic membrane perforation and ears discharging. Of its sensitized consistent with allergic rhinitis, allergic rhinitis with allergies otitis media is not common. ③ sinusitis Because of swelling or edema of the nasal obstruction in the nose and nasal Road was due to the sinus openings. Almost all patients with allergic rhinitis have different levels of allergic sinusitis, sinus invasion of regular bilateral, all sinuses. Allergic sinusitis in the absence of secondary infection, often without obvious clinical manifestations, diagnosis relies on sinus x-radiography or cT scanning. ④ other Also in children with allergic rhinitis, nasal blockage due to the long, often caused by mouth breathing can maxillary hypoplasia, zygomatic arch not obvious and looked more, said Adenoidectomy face (as a result looked more adenoidal hypertrophy, long-term blocked choanal named after due). Because pediatric patients with nasal blockage, commonly used in hand to push on the nasal tip in the nasal dorsum forming a rampant fold, saying allergic nasal fold. Some patients with allergic rhinitis, including adults and children, the risk that beneath the blue plaque, or a and allergic "colored" and this is because long-term nasal and sinus mucosa swelling or edema, oppression of the vein, lead venous drainage caused by the disruption.

Chronic rhinitis What is the harm

Chronic rhinitis is a common disease, Its incidence in the period to human facial features were greatly affected. The incidence of chronic rhinitis can be divided into several: allergic rhinitis, sinusitis, atrophic rhinitis, on sinusitis, hypertrophic rhinitis, nasal polyps, and so on. The incidence of clinical symptoms vary, great danger in the regular-cold, sneezing, streaming-nose, itching, ventilation impeded, hemorrhage, dry crust formation of the olfactory, neurasthenia, headache, dizziness, caused throat pain, arrhythmia, often concentrated T-yellow, green nose, and so on. To rhinitis patients working and living great suffering.   
Rhinitis a long time, if not treated promptly, can be transformed most of nasopharyngeal carcinoma. Therefore, patients with chronic rhinitis should be vigilant. Now briefly talk about the first phase of nasopharyngeal cancer clinical manifestations:
Spitting get up in the morning with a small amount of bloodshot; half of the nose ventilation often impeded when long-term headache and caused half of trigeminal neuralgia; ears closed or cause tinnitus, hearing loss; unilateral visual acuity or visual barriers by recede. The above symptoms, is the first phase of nasopharyngeal cancer lesions, or should be promptly dealt slice CT thoroughly checked, early treatment.

The more common rhinitis which

Rhinitis, Referring to the nasal mucosa and submucosal organizations inflammation. Rhinitis performance varied. The nasal mucosa from the pathological changes, a simple chronic rhinitis, chronic hypertrophy rhinitis, cheese rhinitis, atrophic rhinitis; incidence of and from the length of the course, can be divided into acute rhinitis and chronic rhinitis . In addition, some rhinitis, although slow onset, duration sustained longer, but there are specific causes, which have a specific name, such as allergic rhinitis (or allergic rhinitis), drugs such as rhinitis. Now on the characteristics of various rhinitis as follows:
(1) acute rhinitis: caused by the acute infection, commonly known as "cold" or "cold" can be a systemic symptoms in the autumn or winter and spring at the turn of common. The general condition after 7 ~ 14 days will pick up gradually. Died strong resistance can be self-healing. It is worth noting that many of the prodromal symptoms of acute infectious diseases have more than a local acute rhinitis performance characteristics of their own lack of infectious diseases, clinical attention should be differential.
(2) chronic rhinitis simple: it is common to multiple, developed from acute rhinitis. Combined with the secondary bacterial infection, treatment is not completely relevant and repeated attack. Clinical hypertrophy with chronic rhinitis and chronic inflammation of the nasal differential.
(3) chronic hypertrophic rhinitis: Simple rhinitis comes from chronic, long-term chronic inflammation, congestion而使nasal, inferior turbinate there hyperplasia due. This mucosal thickening, organizational flexibility, and nasal ventilation is poor, thereby endangering the nose physiological function.
(4) Drying rhinitis: rhinitis dry climate and with the occurrence of occupational factors, which are closely related. Long-term stimulation of the nasal mucous glands caused atrophy, decreased secretion from submucosal so dry even superficial erosion.
(5) atrophic rhinitis: mainly nasal mucosa, nasal periosteum and Oracle-Bone shrunk due to nasal organizations shrink, although the nasal relatively lenient, but nasal have lost their normal physiological function, and because of a nasal stem fanatic, patients still feel ventilation sluggish. When a bacterial infection, and their excreta and other toxins produced stench smell, a smell, life did not forget.
(6) cheese rhinitis: is a rare. Clinical features of the nasal cheese - like accumulation, stench, the lack of soft tissue and bone erosion, nasal occurred, the deformity. The cheese - like substance found in exfoliated epithelium, necrotic tissue, suppurative cells, cholesterol crystallization and mold-like microorganisms. As for the cause has not been determined.
(7) allergic rhinitis: also known as allergic rhinitis, nasal mucosa is the inhalation of certain components in the air due to the highly sensitive. Its symptoms and influenza are similar, but one day, multiple attack, and not attack, then completely normal. Allergic rhinitis attack sometimes closely related with the season.
(8) Drug rhinitis: drug rhinitis is not an appropriate long-term use of nasal continuous role in the outcome, but also be interpreted as is a chronic rhinitis. Its causes nasal cavity is not appropriate medication, including the use of the strong role of nasal vasoconstriction nose drops, liquid concentration, non-isotonic liquid, drug overdoses or long-term medication, and so on. These nasal cilia will damage the structure, thus affecting the physiological function of the nasal mucosa, a clinical disease.

Tuesday, March 25, 2008

What is the cause of women's low back pain

Because women have menstrual bred, childbirth, breastfeeding, and other physiological characteristics, So the more common low back pain. In addition, Emmeniopathy, vaginal discharge disease, pregnancy disease, gynecological disease and post-abortion, and so on, may also cause low back pain. Clinical manifestations of a common cause:
1. Abnormal uterine position because of uterine position forward, after Whitty, as a result of low back pain prolapse. No such special treatment of low back pain, uterine prolapse corrected, the symptoms can be alleviated by changing position.
2. Annex with chronic pelvic inflammatory disease such as inflammation, pelvic inflammatory disease, pelvic inflammatory connective tissue of patients, low back pain due to inflammation and stimulating. Along with the improvement of primary or cure disease, low back pain symptoms will gradually disappear and turn light.
3. Pelvic tumors such as uterine fibroids, cervical, ovarian cyst patients, nerve compression due to tumor invasion or pelvic cancer in connective tissue and low back pain. In such patients with low back pain, accompanied the entire breadth of abdominal pain, medication often ineffective.
4. Sacral spine ligament relaxation after pregnancy the fetus can increase the waist support of the increase, resulting sacral spine ligament relaxation, oppression pelvic nerves, blood vessels and cause low back pain. With such low back pain generally postpartum recovery waist muscle strength can be gradually disappear.
5. Lumber strain physical fatigue, abnormal station, sitting postures, as well as waist hard, and so on, may lead to low back pain caused lumber strain. Thus, such patients should pay attention to, regular activities waist so that the lumbar muscle to stretch.
6. Internal factors too many births, abortions and not more than the number of sections can cause damage caused Shenqi low back pain.
7. Long-term feelings of cold dampness Exogenous factors can deter Meridian, resulting in low back pain and blood sluggish.

Why pelvic inflammatory disease can cause infertility?

Women with pelvic uterus, fallopian tube and ovary or its surrounding organizations, Within including pelvic peritoneum, no one when inflammation can be called pelvic inflammatory disease. Inflammation can be confined to one site, but also at several sites inflammation. Clinical narrow pelvic inflammatory disease refers to Salpingitis.
Pelvic inflammatory disease, genital inflammation can spread upward from, but also by neighboring organs or other parts of the body inflammation of the infection caused. Bacteria often menstruation, abortion, childbirth process, or through the reproductive tract of surgical wounds caused pelvic inflammatory entered. Divided into acute and chronic pelvic inflammatory disease, the former rapid onset, the general has obvious etiology, if treatment promptly, thoroughly and effectively, often incurable. When acute inflammation may be unable to complete treatment into chronic, but more because of the slow onset, less severe diseases not draw attention, therefore the treatment is not timely, deferred into chronic, often causing pelvic inflammatory disease such women infertile.
Chronic pelvic inflammatory disease showed more bilateral salpingitis, and the course of time so that the orifice tube, in particular to accept the end of the egg (known as umbrella side) part or all of atresia may also tubal adhesions inner mucosal inflammation due to luminal narrowed or closed. Thus, the egg, sperm or embryos in the current obstacles, leading to infertility. Severe pelvic inflammatory disease can be spread to the pelvic peritoneum, adjacent to the uterus and cervix organizations, which eventually led to these organs, acting like poor activities, in particular soft wiggle tubal lost the physiological properties, become rigid, distorted and completely plug lumen , to the extent not heal.
Why not also in the pelvic inflammatory disease or Salpingitis? This is partly due to unawareness menstrual health, labor or menstrual swim under paddy fields, a small number of long-term continuous invasive bacteria, the passage of time can cause chronic pelvic inflammatory disease, partly due to other diseases, is more common pelvic tuberculosis led to the endometrium and tubal tuberculosis and tubal barrier membrane; there are a small number of sexual relations is due to the irregular, STD transmission resulting from Salpingitis tubal barrier; a few of them suffering from long-term unmarried former vaginal inflammation such as trichomonas or fungal vaginitis, the bacteria can uplink the tubal infection, the cause of tubal inflammation. Therefore, the girl child should be noted, perineal hygiene, puberty, when there is the obvious abdominal pain or dysmenorrhea, or menstrual irregularities, abnormal vaginal Leucorrhea should go to the hospital examination, early lighter or pelvic inflammatory disease Salpingitis can be cured.

Women under which causes abdominal pain

Women under acute abdominal pain can occur both abdominal pain and chronic abdominal pain.
1) acute abdominal pain caused by the following reasons: the acute inflammatory pelvic viscera, Annex as uterine inflammation, limitations enteritis; basins, the abdominal viscera rupture or perforation, such as ectopic pregnancy, ruptured ovarian cyst, gastric, duodenal ulcer, gastric cancer, appendicitis, gallbladder perforation and abscess ruptured appendix, with differences Pregnancy-perforated appendix ruptured abscess and common. Another acute intestinal obstruction, the abdominal viscera stones, pelvic organ of the Ministry of acute revascularization obstacles such as ovarian tumor torsion, Hydrosalpinx reversed, volvulus, as well as parasites, dysmenorrhea, pots can cause acute abdominal trauma lower abdominal pain.
Some abdominal pain in or near the lesion site, but some are not in line with the lesion site, with the illness and the development of the site has changed abdominal pain. Abdominal pain is divided into two types, 1) pain in the host location that is the organ itself lesions visceral pain. 2) to the body wall emission of pain involved. The former to the latter also. Gynecologic performance over the acute abdomen pain for the organ, such as ovarian tumor torsion, Hydrosalpinx reverse. But there are also first felt pain in future condition and variations, so special attention should be involved in pain.
2) chronic abdominal pain following abdominal and sacral pain dominated. Mostly cervicitis, the annex to chronic inflammation, chronic pelvic inflammation of connective tissue, and pelvic congestion of the uterus after the place of uterine hypertrophy, such as uterine prolapse due. The lower abdomen, falling flu, the symptoms of multiple lumbar acid in exhaustion after long points, and after sexual intercourse heavier menstrual period.
Quite a large proportion of chronic low back pain has nothing to do with gynecologic disease, such as Sacroiliac joint strain, lumbar muscle strain, disc prolapse and other diseases. Pain should pay attention to starting time, intensity, sustained or intermittent, and the pain began after parts availability change, expand, and rejected by or on - hi, or without symptoms, such as chills, fever, nausea, vomiting, constipation, Exhaust , menopause or menstrual disorders, and whether or not such mass.
Abdominal muscle tension, resistance, compression, mostly caused by inflammation or bleeding: relaxation, and more muscle contraction of the uterus or urinary system diseases. The pain stimulus depends not only on disease, it was also decided in the spirit of the body of the state.

Monday, March 24, 2008

What is chronic cholecystitis

The gallbladder is generally believed that small stones cystic duct obstruction easy, Caused acute cholecystitis, while larger stones often no obvious abdominal cramps, anti-caused chronic cholecystitis performance. Referring to the chronic cholecystitis chronic gallbladder inflammation caused chronic inflammation is the most common causes of gallbladder stones inside. It can be said that almost all the gallbladder stones patients with both chronic cholecystitis. Can chronic cholecystitis after the onset of acute cholecystitis is the aftermath. An acute cholecystitis in patients after the attack, almost inevitably develop into chronic cholecystitis. However, the fact is most acute cholecystitis acute exacerbation of chronic cholecystitis, a considerable portion of chronic cholecystitis is unknowingly happened in the past has never won a history of acute cholecystitis.
The clinical manifestations of chronic cholecystitis multi not typical, is not obvious, in peacetime may often have right upper quadrant of the pain, abdominal distension and the navel, nausea and anorexia greasy food, and so dyspeptic symptoms, and some patients flu right subscapular, and the right quarter rib or other places, secret anguish, in the stand, sports and after more obvious. Patients have the right upper abdomen under the rib edge of mild tenderness, or the pressure of a discomfort. Ultrasound examination showed gallbladder narrow or increased, emptying dysfunction. Oral contrast agent gallbladder stones are found, then the diagnosis can be identified.

How to correct the reversibility of chronic renal failure aggravated factors?

There are some reversible CRF often aggravated factors, If promptly corrected, could reverse the course of disease and improve renal function and prevent or delay the arrival of renal failure.
(1) infections: uremic patients because of the impact of various toxins, poor body resistance, decreased immune function and easy with systemic infection, infection will inevitably further increase renal damage. Therefore, uremic patients rapid deterioration of renal function, unexplained fever, pyuria, and the infection is easy with the primary disease and should be seriously, if active treatment should be found. After infection control with ease uremia, or even able to remove uremic state.
(2) urinary tract obstruction: the upper urinary tract obstruction after increased pressure within the urinary tract, urinary reflux, leading to kidney damage, uremia aggravated obstruction of a timely lift patients can cause obstruction, renal function may have different the degree turn for the better.
(3) hypovolemia: uremic patients because of severe restrictions on sodium and water, plus diuretic, on the lower tubular sodium reabsorption, causing dehydration, resulting in insufficient blood volume, decreased glomerular filtration rate, renal function further damage, if appropriate supplementary blood volume, it can improve symptoms.
(4) Hypertension: due to various reasons uremic patients suddenly increased blood pressure, kidney damage would worsen, so that blood pressure remained at an appropriate level to ensure that both blood pressure and kidney certain filtration rate, renal delay failure development.
(5) acidosis: When a patient CO2-CP lower than 18 mmol / L, in addition to basic drugs, the increase acidosis actively seeking the removal of factors can reduce the symptoms of uremia.
(6) electrolyte imbalance: uremic patients often have low blood calcium, high serum phosphate, calcium deposition in the kidneys, resulting in the continued deterioration of renal function. Also due to inadequate intake of potassium, application diuretics, appeared more hypokalemia and should be dealt with, otherwise would have serious consequences.
(7) The use of kidney toxic drugs: renal failure drug excretion delayed easily in the blood and tissue accumulation, cause kidney damage, the use of these drugs, renal damage aggravated by the drug could be considered.
(8) systemic diseases: chronic uremia primary renal damage can be caused, but also can be secondary to certain diseases or systemic diseases, such as connective tissue diseases, metabolic diseases, such as cardiovascular disease, uremia as for the above diseases caused by, or aggravated due to these diseases, then promptly correct treatment of these diseases can uremia primary condition improved by a degree or completely turn for the better.
(9) excessive protein intake: uremic patients protein content in food, BUN content and the degree of renal dysfunction was parallel relationship. Therefore, protein intake should be based on renal function to determine the situation. 

What is the acute prostatitis pathological changes

The pathological changes of acute prostatitis mainly polymorphonuclear leukocyte infiltration, destroy the prostate gland, Or catheter and prostate epithelial and mesenchymal its neighboring characteristics. By caused by bacterial infection. Because of its pathological changes of inflammation and the different types of distinction.
(1) card he prostatitis: infection by the prostate gland cavity to the excretion of the spread of congestion, edema, exudative increase. Endovascular epithelium with mild inflammatory cell infiltration,epithelial hyperplasia and scaling.
(2) follicular prostatitis: acinar have all epithelial shedding and invasion, as the development of inflammatory edema and congestive increased lumen stenosis occlusion, or small abscess formation of pseudo abscess. The entire gland softened, swelling flexible.
(3) substantive prostatitis: lesions further development, mesenchymal cells within eosinophilic infiltration extended to real, small abscess formation. Exfoliated epithelial necrosis, which are not easily distinguishable from glandular cavity. The spread of interstitial inflammation or the whole damn gland.
(4) prostatic abscess: real limitations for the development of inflammation abscess, or physical, it will infection and inflammation lymphatic blood infection caused prostate abscess. About 1 / 2 cases abscess will continue to increase, eventually urethra, perineum or rectum pierced.

The causes prostatitis

1, bacterial infections: For example, dirty sex life and gonococcal urethritis infection, Because the treatment can not complete the merger or to bacterial prostatitis. Tonsillitis can be combined bacterial prostatitis.
2, chlamydia, mycoplasma infection of the prostate is one of pathogens.
3, urinary tract sluggish: urinary tract after breeding bacteria, the body resistant to decline, leading to ejaculatory duct retrograde cause prostatitis.
4, the congestive perineal prostatectomy: enable local accumulation of metabolites, prostate obstruction gland fluid excretion sluggish, leading to the occurrence of chronic prostatitis.
5, work over exertion, fatigue and anxiety, tension easily lead to chronic prostatitis
6, excessive drinking, smoking, drinking too hot, caused excessive sexual desire prostate congestive is conducive to bacteria breeding, prostatitis-induced disease.
7, sedentary, taxi drivers and in the people working long hours sitting risk of chronic prostatitis, and should not be cured.
8, a cold, fatigue, low immune function can be induced by infection of prostatitis
9, perineal damage, chronic constipation, hemorrhoids may also lead to the occurrence of chronic prostatitis.

Friday, March 21, 2008

How prevention of neonatal scleredema

Scleroderma is cold region newborn premature infants, low birth weight infants common diseases, The higher prevalence rate in the winter. Its main causes after birth and warm with poor hygiene and inadequate feeding after one week of suffering from various diseases.
Scleroderma primarily manifested as neonatal skin of the cool, stiffen. Hard swollen site was particularly prevalent in the lateral leg or thigh, cheek; even affect systemic, serious, difficulty in breathing, from the nose and mouth Maoxiemeizi even pulmonary hemorrhage, this condition is very dangerous, and often difficult to rescue death.
Neonatal scleredema serious consequences, prevention of the occurrence of the disease is essential. First, we must make health care during pregnancy, pregnancy prevention and treatment of poisoning, prevention of low birth weight infants to prevent premature births and the injury occurred. Secondly, the region should do a good job in the cold when the mother and child labor warm cold work. In addition to the room warm, but also prior to pre-coated baby warm, quickly wrapped the baby after birth good. If your baby hands and feet in the cold outside coated with, but attention should be paid to prevent scald. There is no warm conditions, it can be baby in arms, the adult child of warming, the heating method is simple. In addition, attention to the early opening of milk to ensure adequate calories, timely prevention and treatment of various diseases, which are the prevention of neonatal scleredema important measures.
If it is found that newborn skin, cool, acting like should request medical attention. If the body temperature are not declining, the hard skin of hours and can try to increase room temperature to 26 ° C at the same time plus warming, attention to the added heat, the body temperature can be slowly returning to normal. As the temperature dropped more, the scope of larger hard skin, should conditions in the warm early baby will be sent to the hospital for treatment.

Neonatal hyaline membrane disease in the differential diagnosis

Following the disease to disease and differential. 1. Wet lung Wet lung was particularly prevalent in full-term infants, Clinical symptoms of less serious breathing difficulties, lung X-ray findings of an extensive, and is different from hyaline membrane disease, which we can identify. 2. Group B β - hemolytic streptococcus infection Intrauterine infection of the disease caused by neonatal pneumonia or sepsis, pulmonary symptoms and X-ray findings with similar hyaline membrane disease, pulmonary pathological examination also transparent membrane formation. However, the pregnant mother of the baby late in pregnancy or childbirth infection history before history of premature rupture of membranes. In the absence of such identification difficult history. According to sepsis or pneumonia with antibiotics for diagnostic treatment, help identification. 3. Persistent pulmonary hypertension Also known as continuous fetal circulation or continuing transitional blood circulation is defined as newborns after birth longer maintain pulmonary hypertension, the type of fetus from the transition to adult type of blood circulation, the existence of a right to left shunt. Both occurred in full-term infants, the majority of non-labor suffocation. The time of birth or birth within 24 hours that appeared cyanotic, shortness of breath, cardiac auscultation even heard of pulmonary hypertension caused by systolic murmur. X-ray visible heart enlargement, amniotic fluid or incomplete lung expansion inhalation, displayed visible spot-shaped shadow. Echocardiographic Detection of pulmonary hypertension can be funded differential. 4. Aspiration Syndrome Hyaline membrane disease occurred in childhood to suffocation and aspiration syndrome identification, the latter X-ray showed emphysema and patch shadow can be identified.

Wednesday, March 19, 2008

HCC is how phased type?

1977 National Conference on the Coordination of liver cancer prevention study developed a type of liver cancer staging criteria. The standard will be divided into three-three liver cancer.
HCC 3:
① simple: Clinical and laboratory checks are no significant performance cirrhosis.
③ sclerosis: cirrhosis obvious clinical and laboratory manifestations were.
③ inflammatory: illness and the rapid development of cancer with persistent high fever or elevated serum alanine aminotransferase 1 times or more.
HCC stage:
① Ⅰ period: no obvious symptoms and signs of liver cancer are.
② Ⅱ period: between Ⅰ period and the period between those Ⅲ.
③ Ⅲ period: jaundice, ascites, distant metastasis or quality of one of dioxin.

What people most likely to suffer from liver cancer

Died of cancer in humans occupy the top 10 causes of the first, and hepatocellular carcinoma in patients with cancer and in the remains high. Although early by surgery to remove liver cancer, but because of its very covert, on the surface did not show any traces of it can seldom treatment. Once liver cancer in the clinical symptoms, the average survival time of patients with only about four to six months or so, therefore, how early detection of liver cancer and liver cancer prevention and treatment of liver cancer is far from the largest purpose. There are several reasons why hepatocarcinogenesis 1, liver cancer occurs in southern Africa and the Asia Pacific Rim, China, as a high incidence area. Liver cancer, regardless of age, but 40 people over the age of majority, while men more than women. 2, a family of hereditary liver cancer. Liver cancer and other types of cancer has the same genetic family, and therefore, if a person's parents, brothers and sisters of people suffering from liver cancer, the incidence of liver cancer risk than other people must be high, and can be as high as 56.9%. It was not immediately clear why the genetic liver cancer, and chromosomal mutation may be acquired or living environment. 3, liver, and the long-term use of aflatoxin in animal experiments, the mice can produce aflatoxin liver cancer. Aflatoxins exists primarily on the moldy rice, peanuts, corn, and other crustaceans or its processed products. 4, alcoholic liver disease also have liver cancer, especially in the hepatitis B virus has been coupled with the long-term in patients with large quantities of alcohol, more cause liver cancer. 5, liver cirrhosis, liver cancer for more derivative, 50 ~ 90% of the liver cancer patients with cirrhosis at the same time. 6, liver, a long-term infection with hepatitis B virus and hepatitis C virus is strongly related to liver cancer patients, one-third of people with chronic hepatitis history. At the same time more chronic hepatitis caused liver cirrhosis, which makes hepatitis patients prone to liver cancer.

Patients with hepatitis B liver liver cancer pain care

HCC is a very "insidious vicious" malignant tumor, the risk of it is not found early, most already advanced when diagnosed, and rapid development of the course, the "King of cancer," said. All middle-aged and older, have a long history of liver disease patients, if unexplained liver pain, suffering from weight loss, volatility of elevated liver transaminases, should be a check on six B-mortem a serum alpha-fetoprotein.
He entered the young adults had been suffering from chronic hepatitis, he also lightly, until one day, right upper quadrant pain of the sudden, he was thought to the hospital for an examination. Unexpectedly late this inspection it is Qingtianpili, ultrasound showed that great right liver lobe liver, a diameter of more than 10 centimeters.
Eat moldy food easily cause liver cancer
Primary liver cancer favor middle-aged man in the peak incidence between the ages of 40 to 50, men than women. Pathogenesis and mechanism is not yet determined, but that with liver cirrhosis, viral hepatitis, certain chemical aflatoxin, and other carcinogenic substances and water and soil factors relations to a certain extent. Aflatoxins with more of the rotten food ginger, peanuts, mycophenolate of food, oil, beans, fish and other foodstuffs as well as Doufuru.
Found the following circumstances, and should be checked at the hospital as soon as possible to:
1. Liver pain. More than half of patients as a first symptom, most persistent Duntong, tingling or pain.
2. Systemic and gastrointestinal symptoms. Early often difficult to draw attention, mainly as weak, suffering from weight loss, anorexia, abdominal distension, etc.. Some patients can be accompanied by nausea, vomiting, fever, diarrhea and other symptoms. Advanced appeared anemia, jaundice, ascites, lower extremity edema, and subcutaneous hemorrhage, such as cachexia.
3. Hepatomegaly. For both advanced liver cancer the most common major signs. In many instances, hepatomegaly or liver tumor patients and their chance to become palpable and the first symptom of liver cancer.

Monday, March 17, 2008

The performance of liver cirrhosis and portal hypertension

Cirrhosis develops to a certain stage, and gradually are shown some of the major clinical manifestations.
(1) splenomegaly: generally moderate swelling (it is normal for 2 to 3 times), and sometimes for splenectomy and to a left abdominal discomfort and pain, Zhang Man, with white blood cell, red blood cell and platelet decrease in the number of , said hypersplenism.
(2) the establishment and opening of collateral circulation: the portal vein and vein in a wide range of traffic between the branch in portal hypertension, in order to enable the portal vein system in the stasis of the blood returned, with a large number of traffic open, the expansion or varicose vein and systemic venous anastomosis and the establishment of a collateral circulation. ① mainly with the lower esophageal varices; ② umbilical around the abdominal subcutaneous varices; ③ veins and hemorrhoids, hemorrhoids venous anastomosis in the form Zhihe, ④ other: liver to the diaphragm paraumbilical vein, and net splenorenal ligament The intravenous membrane, or lumbar vein after abdominal vein.
(3) Ascites: liver cirrhosis and portal hypertension is the most prominent clinical manifestations, abdominal uplift, I feel abdominal distention. Revealed an advanced liver disease.

What are the complications of cirrhosis?

Often due to complications in patients with liver cirrhosis deaths, complications 1 hepatic encephalopathy liver cirrhosis most common cause of death. It is based on a metabolic disorder of the central nervous system dysfunction Zenggebingzheng, is the main clinical manifestations of consciousness disturbance, behavior disorders and coma. 2 upper gastrointestinal bleeding and frequently manifests itself hematemesis and feces. If the small amount of bleeding can be only black excrement. Shock can be caused by massive bleeding, and ascites and induced hepatic encephalopathy, or even death. 3 infection 4 Primary Liver Cancer 5 hepatorenal syndrome is characterized oliguria or urine, azotemia, hyponatremia and low urinary sodium. 6 vein thrombosis.

Sunday, March 16, 2008

Heart failure clinical classification

(1) congestive heart failure by the speed of development can be divided into two kinds of acute and chronic, chronic majority. Acute left ventricular failure, to the more common, mainly as acute pulmonary edema.
(B) In accordance with heart failure can be divided into the site of the left ventricular, right ventricular failure and dedicated. Left ventricular failure is characterized by pulmonary congestion; right ventricular failure to systemic congestion as the main performance.
(C) systolic or diastolic heart failure due to systolic dysfunction and systolic emptying weakened capacity for systolic heart failure caused by heart failure. Clinical characteristics of the cardiac enlargement, increased end-systolic volume and ejection fraction lower. The vast majority of heart failure contractile dysfunction. Congestive heart failure abnormal diastolic function of the importance of the growing attention in recent years. It can be systolic dysfunction at the same time, may also exist in a vacuum. Diastolic heart failure is due to ventricular diastolic relaxation impaired ability to take the initiative and ventricular compliance decreased resulting in ventricular diastolic filling damage, ventricular pressure - capacity curve shift to the upper left, thus lowering the volume of stroke, left ventricular end-diastolic hypertension and congestive heart failure occurred, and representatives of the ejection fraction of normal systolic function. Diastolic heart failure mechanism are: ① impaired left ventricular relaxation. In particular, such as myocardial ischemia, myocardial sarcoplasmic reticulum Ca2 + uptake reduced capacity, myocardial intracellular free Ca2 + levels decreased slowly, impaired relaxation of the initiative; ② myocardial hypertrophy and increased myocardial stiffness (with myocardial fibrosis) , diastolic myocardial reduced capacity expansion (lower compliance). Simply diastolic heart failure is common in significant cardiac hypertrophy, heart cavity and normal size by fast heart rate, such as hypertension heart disease concentric hypertrophy period aortic stenosis; hypertrophic cardiomyopathy and ischemic cardiomyopathy, etc..
(D) the symptoms are inevitably divided into asymptomatic (asymptomatic) heart failure and congestive heart failure. Asymptomatic left ventricular heart failure is already dysfunction to normal following ejection fraction (<50%)>

What is the relationship between heart disease and heart failure

People who have heart disease is not certainly have heart failure? There are many heart patients confuse the issue. To this end, the author specifically ask the Cardiology Department, Peking University First Hospital, Professor Gao Wei.
Failure, congestive heart failure, and can lead to cardiac contractile function or diastolic dysfunction. On the one hand, due to reduced cardiac output to surrounding tissue perfusion bad, can not meet the metabolism of blood for patients there will be difficulty in breathing, the symptoms decreased exercise tolerance; On the other hand, cardiac output reduced to around back affected by the blood, then there will be bleeding patients showed lower extremity edema or liver, digestive tract, such as congestion.
Some patients had heart disease, say their heart failure, is not such a thing. Heart to heart failure occurred there is a process, each situation is different because patients need time is not the same. In other words, after heart disease also had a compensatory period, that is a function of cardiac decompensation stage. In the adaptation period, although heart disease patients, for example, to the hospital for an examination discovered a heart murmur or a big heart, it is only that he has heart disease, but his heart function may also in normal conditions. If the heart is on the basis of incentives, it can enable the development of decompensated heart from the decompensated, or heart failure occurred. In terms of incentives, the most important is infection.
Whether the patient had been diagnosed with congestive heart failure after entering a dangerous state? Professor Gao, the patient has heart failure, but different patients impaired cardiac function to varying degrees. On the one hand, depends on the cause of the original heart disease; on the other hand, the judgement of heart failure there is a process in itself. Clinical usually on the New York Heart Association in accordance with the development of a standard, which is primarily based on the patient's tolerance campaign to determine cardiac function. According to this standard, the cardiac function normally divided into four: an unrestricted physical activity is the decompensated stage two, three, already is discompensation; to four heart function, is a very serious heart failure, physical activity almost completely lost, also in the rest of symptomatic, which is a very serious heart failure. Four in the state, a considerable risk patients, the mortality rate was very high. Early treatment of heart failure must be to control the development of the disease.

Saturday, March 15, 2008

The clinical symptoms of gastric cancer

Early gastric cancer may be no symptoms, and some may have mild indigestion, often overlooked, as asymptomatic, it is difficult to blame the gastric cancer. Early gastric cancer by endoscopy found mainly in Japan, the highest detection rate of early gastric cancer for over 50 percent of China's gastroscopy detection rate was only 15% to 20%, the census should be promoted gastroscopy gastric cancer. If so gastroscopy census, the further development of early gastric cancer, a period of progress, often at Weina poor, tasteless food, eat abdominal flu, anemia, abdominal pain does not apply mainly to pain, weight loss and general weakness. Cardia cancer when there may be difficulty swallowing, gastric cancer pyloric obstruction can cause nausea and vomiting. A bleeding ulcer cancer, and it can cause or hematemesis. Polyp type of gastric cancer, stomach cavity to the tumor growth, but rare, ulcers, gastric cancer, a single or multiple marginal uplift, the more common. Such as gastric cancer metastasis to lung or pleural effusion, can have a cough and breathing difficulties. And peritoneal metastasis to the liver, can produce ascites. When severe and persistent abdominal pain on the Xianbei and the Department of Radiology, Chang said that pancreatic tumor penetration. The main signs of gastric cancer abdominal mass, when tenderness, when not got cardia cancer, lymph node metastasis, distant, in the left supraclavicular got inside of the hard nodules can not move. Some patients with gastric cancer, the cancer often associated with SARS, such as recurrent thrombosis and phlebitis, acanthosis nigricans disease, a pigmented skin folds, such as dermatomyositis. But some precancerous first is a paraneoplastic syndrome, should heighten vigilance and ability to raise self-examination.

How surgical treatment of advanced gastric cancer

So far, in our clinical surgery of gastric cancer treated by the patients, the proportion of advanced gastric cancer remains high. Therefore, how can this part of the surgical patients choose a suitable way to further extend the bottom-up period, relieve pain and also an important issue. Based on China's national coordination team of gastric cancer staging, Ⅳ gastric cancer diagnosis the following three criteria: 1, tumor invasion and the serosal involvement was peripheral organs or leather-like stomach; 2, of the lymph nodes have been positive; 3, distant metastasis. According to Ruijin Hospital 1,881 cases of gastric cancer cases, the first stage Ⅳ eloquence for expansion after five years of bottom-up rate of 8.92 percent, and the same period for the first stage Ⅳ cases of gastric resection of those under five years since and the rate of expansion than those for the gifted resection, the patients with advanced gastric cancer should not be used as the object of extended operation, and should, as appropriate, for the corresponding relatively simple surgery. Recently, China's first clinical Bethune Medical University School of surgery on 310 cases of advanced gastric cancer surgery treatment of reported that the advanced gastric cancer surgery positive significance is as follows: 1, lifting patients pain and mental burden, improve body; 2, in the main Aikuai was excised circumstances, can chemotherapy, immunotherapy, such as in the kill residual cancer organizations by the greater Jiu 3, as all the biological characteristics of gastric cancer is not the same, there are a few cases expert palliative surgery can obtain long-term survival; 4, a much more active for a check resection rate and improve the survival rate may be. The choice of surgical methods are: 1, such as systemic and local circumstances permit, and strive to resection of the primary tumor and lymph nodes near stomach to reduce tumor tissue day, postoperative chemotherapy for a favorable condition for 2, as local circumstances do not permit for the mass excision and have obstructive symptoms, for a shortcut anastomosis.

Friday, March 14, 2008

Chronic atrophic gastritis Diagnosis

Chronic atrophic gastritis no specific clinical manifestations, the diagnosis of chronic atrophic gastritis associated with clinical manifestations need auxiliary examination, especially for gastric endoscopy and biopsy. Below systematically introduced chronic atrophic gastritis diagnosis: (1) clinical manifestation: mainly anorexia, nausea, gas, or upper abdominal Duntong Baozhang, in a small number of patients can upper gastrointestinal bleeding, suffering from weight loss, anemia, a crisp, Guayan nipple or tongue atrophy. (2) laboratory ① gastric analysis: A type of multi-CAG acid-free or low-acid, B-CAG patients can be normal or low acid. ② Pepsinogen Testing: pepsin secretion, which used master cells, chronic atrophic gastritis, in the blood and urine of pepsinogen levels decreased. ③ Determination of serum gastrin: gastric antrum gastrin secretion of G cells. Type A CAG patients, serum gastrin often significantly higher in patients with type B CAG antral mucosal atrophy, a direct impact on the secretion of gastrin G function, normal serum gastrin. ④ immunological tests: parietal cell antibodies (PCA), which factor antibody (IFA), gastrin antibody-secreting cells (GCA) determination can be used as chronic atrophic gastritis and its sub-aided diagnosis. (3) X-ray inspection: X-ray stomach barium meal examination majority of patients with atrophic gastritis without abnormal findings. Gas can show that the double-contrast barium gastric mucosal folds flat, thinned, the greater curvature of the stomach mucosal folds serrated thinned or disappeared, fundus smooth, inflammation of the gastric antrum was serrated or mucosa can be rough, such as performance of chaos . (4) endoscopy and biopsy: endoscopy and biopsy is the most reliable method of diagnosis. Gastroscopic diagnosis should include lesions and atrophy of intestinal metaplasia and dysplasia level. Observation of direct observation of the mucosa atrophic gastritis sustained pale or gray, thinning or folds flat. Mucosa may be in the red-and-white, scattered in serious white plaque. Mucosal vascular exposed to the characteristics of atrophic gastritis, we can see the red mesh small arteries or capillaries, severe chronic atrophic gastritis, there are epithelial cell proliferation or formation of small particles larger nodules. Also mucosal erosion and bleeding. Gastric biopsy mainly varying degrees glands shrink and disappear, replaced by pyloric glands or intestinal metaplasia adenovirus metaplasia, interstitial inflammation infiltration significantly.

Chronic atrophic gastritis type

Chronic atrophic gastritis can be divided into two types. The clinical manifestation, treatment and prognosis two different, it is necessary to distinguish between. Chronic atrophic gastritis performance of the gastric mucosal atrophy, and the incidence may be immune factors, the major clinical manifestations of anemia, a type A atrophic gastritis. Another for the gastric antrum atrophy, pathogenesis and immunity has nothing to do, many of chronic superficial gastritis developed from, it was a common clinical these two diseases co-exist with each other. On the performance of abdominal pain, abdominal distension, the navel, is a B-type atrophic gastritis. In China, chronic atrophic gastritis mainly for B-type. B-atrophic gastritis about 5% of the patients can develop gastric cancer, the ratio is higher than normal, so these patients require regular follow-up.

Thursday, March 13, 2008

The clinical manifestations of tuberculosis

Symptom: respiratory symptoms of cough, sputum, blood or sputum hemoptysis. Have chest pain, chest tightness or difficulty breathing. Expectoration of small, can be more empty, and sometimes
A sputum samples of cheese, about 1 / 3 to 1 / 2 of tuberculosis have blood or sputum hemoptysis, how many different, stability, and can be cured by secondary branch expansion as a result of calcification or hemoptysis
. Cough, sputum, blood or sputum hemoptysis more than two weeks, 80 percent of TB screening an important clue to the source of infection indications. General tuberculosis without breathing difficulties, a large number pleural effusion,
Spontaneous pneumothorax, or slow-defibrillators hole with pulmonary tuberculosis and heart, respiratory failure, heart failure, often breathing difficulties. Systemic symptoms often fever, night sweats, lack of appetite, weight loss
Weakness, such as women Irregular Menstruation. Miliary type of blood and severe pulmonary lesions broadcast range of pneumonia and large cheese spread, a large number of pleurisy pleural effusion can be sustained high fever or flip-heat
. Signs: small lesions or who have no deep position abnormal signs, that the larger scope of respiratory movement weakened side, a higher turbidity, or weakened breathing sounds bronchioloalveolar
Breathing sounds. Pleural effusion can be a large number of the side of the lower chest or real Kouzhen voiced sound. Clavicle and scapula between the upper and lower areas of rales, especially wetlands rales are often contribute to TB
Diagnosis. Enophthalmos on the chest, intercostal narrow trachea to the ipsilateral mediastinal shift have suggested that the significance of the diagnosis.

Outlined the pathogenesis of pulmonary tuberculosis

Tuberculosis is the most common TB (pulmonary tuberculosis-), is a chronic infectious disease of easing. In general who have tuberculosis
Infected adults, tuberculosis is secondary. Cheese-like lesions often necrosis, and primary tuberculosis cheese necrosis distinction. Because it has been in
Min reaction of human tissues, often leads to liquefaction, empty formation; substantial growth of the bacteria, the tendency of bronchial disseminated. The primary focus of tuberculosis-like bad cheese
Death often has been surrounded sclerosis and calcification trend. At the same time, the renewal of TB because the body has some immunity, often fiber repair lesions tend to slow
Of the lymphatic not disseminated, there are no local lymph nodes, but if not adequately treated, and often relapse. Antimicrobial treatment in the past years, the lung
TB sexual destructive progress, cheese - like lesions necrosis, liquefaction and inflammatory exudation notable addition to the lesions in the lungs often bronchial disseminated, but also
Disseminated through the pipeline to the lung, the most common being laryngeal tuberculosis and intestinal tuberculosis. At present, antibiotics and the widespread use of chemical drugs, TB lesions
Nature has clearly improved. But because of the strong variability of Mycobacterium tuberculosis, it is highly resistant, if the pre-resistant bacteria can not be completely cured or reservations geostationary
Lesion easily become hollow fiber chronic pulmonary tuberculosis.

Tuesday, March 11, 2008

Mediastinal tumor

A clinical performance. Common symptoms are as follows : (1) respiratory symptoms : chest tightness, chest pain usually occurring in substernal or on the side of the chest. Most invasive malignant bone or nerve, the pain is intense. Cough often trachea or lungs caused by compression, see less of hemoptysis. (2) neurological symptoms : due to the compression or nerve erosion have symptoms : If the tumor and the phrenic nerve can cause hiccups and diaphragm palsy; If violations of the recurrent laryngeal nerve tumors, can cause hoarseness; If sympathetic involvement can have documented Syndrome; intercostal nerve erosion, may have chest pain or paresthesia. If spinal nerve compression caused paralysis of limbs. (3) infection symptoms : If tumor or cyst rupture affected bronchial infection or lung tissue, then there was a series of symptoms of infection. (4) compression symptoms : Superior vena cava pressure, common in on the mediastinal tumor, was particularly prevalent in malignant thymoma and lymphoid malignancy. Esophagus, trachea pressure, and there may be short breath or hypopharyngeal obstruction and other symptoms. (5) special symptoms : teratoma breaking into bronchial patients cough and sebum from the hair. Bronchogenic cyst rupture and bronchial similarities performance bronchopleural fistula symptoms. A handful of intrathoracic thyroid cancer patients, the symptoms of hyperthyroidism. Thymoma patients, sometimes accompanied by symptoms of myasthenia gravis. Diagnosis (1) conventional X-ray examination is lateral chest X-ray photographs and fluoroscopic examination, the tumor size, location and shape. Density and calcification or pulsate. With respiratory whether deformed, or with swallowing and moved up and down. According to these findings, and clinical symptoms, the initial diagnosis can be made. Further inspection methods : bronchial angiography, CT angiography, or wave imaging, angiography and mediastinal Pneumocolon other. (2) attending microscopic examination of chest films or stratification indicated the trachea and esophagus shift, it should make the trachea and esophagus microscopic examination, in order to understand whether there is a cavity tumor. (3) radioisotope examination of suspected intrathoracic thyroid cancer patients and can be used as a tracer radioactive iodine inspection, the majority will be positive results. (4), located in the percutaneous biopsy of peripheral masses, in a television under fluoroscopic positioning, pilot puncture biopsy examination, to be histological diagnosis. (5) pilot clinical radiation therapy for cancer patients, except not, try a small amount of radiation therapy, After treatment reduced tumor can be indirectly proven diagnosis, because as lymphosarcoma after radiotherapy will be a rapid response. (6) examination of biopsy or axillary Au neck superficial lymph nodes, viable biopsy pathologic examination. (7) X-ray computer layered scan (CT) (8) exploratory thoracotomy or sternotomy incision longitudinal split, tumor resection or biopsy pathologic examination confirmed the diagnosis and timely surgical treatment. 3. Differential Diagnosis : all mediastinal tumor lesions should be differentiated with the following (1) aortic aneurysm or innominate artery aneurysm : in the ascending aorta and aortic arch and parts of the innominate artery aneurysm, and the need to differentiate mediastinal tumor. X-ray, can see connected with the aorta, is not easy to separate and expand beat block video. X-ray radiography or wave and serum testing will contribute to the rehabilitation Fahrenheit differential diagnosis, and the necessary conditions permit, for retrograde aortic angiography. (2) paravertebral abscess : paravertebral abscess at the spine on both sides, is symmetrical. X-ray inspection may show bone destruction and deformity. Performance can be combined with clinical diagnosis. (3) central lung cancer : in favor of the side of the hilum, patients often hemoptysis, irritating cough and expectoration. Layered radiography, bronchography contrast, sputum cells contribute to the investigation pathological diagnosis. (4) mediastinal lymph nodes : more common in young patients often weak, night sweating, weight loss, fever and other symptoms. X-ray revealed was lobulated or nodular shadows, sometimes within the tumor calcification, lung lesions may have tuberculosis, tuberculin test positive for more. Treatment of identified mediastinal tumor, malignant and as high as 30% because of the gradual growth to be near the organs of oppression, resulting in obstruction. Cystic mass and possible rupture, infection, or bronchial linked with the incidence of acute asphyxia, caused the death of the patients. Therefore, regardless of all mediastinal tumors are asymptomatic, or whether there have been changes in malignant tumors, with the exception of malignant lymphoma, the patient should be allowed to, the purposes of surgical resection. Malignant tumors of lymphocytes to the appropriate radiotherapy.

Esophageal Cyst

Cause pathogenesis of esophageal cyst is connected with the food cyst wall, its pathologic features are : ① cyst inner mostly gastric mucosa and gastric acid secretion is functional. Part of the intestinal mucosa, and rare esophageal mucosa. Wall acid can cause ulcers, perforation, hematemesis, such as erosion can cause bronchial hemoptysis, lung infections and breathing difficulties and other symptoms; ② cyst wall by the smooth muscle composition, the majority of patients with esophageal muscle cyst myometrial together, But between the esophagus and the cyst is not the same. Diagnostic X-ray examination : Visibility after mediastinal closely linked with esophageal the shadow can be seen when swallowing up and down, the shadow of uniform density, Contour clear, suddenly to the esophageal lumen. Treatment after treatment required lateral thoracotomy incision surgical resection, but must be taken to avoid injury esophagus.

Sunday, March 9, 2008

Children can weight might affect what disease?

Its characters : children see objects blurred, often ghost, accompanied by eye fatigue and soreness, headache, vertigo and other symptoms. Under such symptoms in children, are eye astigmatism. This is due to the corneal surface curvature is not a completely identical spherical, light at the same intersection can focus on the refraction caused inconsistencies, as well as children with a common eye disease. Is simply myopic astigmatism, simply hyperopic astigmatism, compound myopic astigmatism, hyperopia refolding astigmatism and mixed astigmatism five types. No matter what kind of astigmatism, the eyesight of children have some impact, and should wear appropriate spectacles to be cured. Otherwise will become increasingly serious.

Children white with yellow eye could be illness?

Its characteristics : white children with eye and mucous membranes were khaki. Experts believe that if children suffering from malaria, acute hemolytic disease and many STDs heat, can yellow white-eye, This is not to be ignored. Should pay more attention to the children with jaundice. Usually, when children with abnormal metabolism of bilirubin into the blood lead to jaundice, a common hemolytic jaundice, obstructive jaundice, hepatocellular jaundice, Icterohepatitis, choledocholithiasis, the disease leptospirosis. At this time not only stained white eye, skin and mucous membranes are also stained. White eye, skin and mucous membranes yellow jaundice is an important sign that once it is discovered that the treatment of early treatment.

BPH should be early treatment

With the extension of life expectancy, the proportion of aging population, common in elderly men -- prostate hyperplasia treatment is increasingly prominent. BPH over the age of 50 after the onset of symptoms, morbidity and increased with age. Its course in three phases. Early symptoms of dysuria, urinary frequency, urinary lines to small and weak, the increased frequency of nocturia. This period gradually emerged bladder trabeculation, without residual urine. Mid-started decompensated detrusor function incomplete, there residual urine. Advanced appeared to urinary retention, urinary incontinence, hematuria, which can be associated with renal dysfunction. Modern medicine, prostatic hyperplasia drug available early conservative treatment, It is based on the clinical study found that some patients prostatic hyperplasia developed to a certain extent to stop. Advanced Surgical treatment is required, and has just entered the medium-term, residual urine is not a long time, is the best time for surgery. Surgical treatment of urinary tract directly address the narrow issue that patients did not have to wait until the residual urine occurred more or urinary retention. incontinence before considering surgery. Conservative treatment is essentially the pre-operative preparation stage, its role is limited to reduce the risk of acute urinary retention and reduce the risk of prostate resection opportunities, but also medication for too long, effect will gradually weaken, adverse reaction will gradually increase. Many patients of the disease development of a lack of awareness, often late into the disease, such as before considering surgery. But with aging, physical decline, heart, lung, kidney function decline, increased surgical risk. eventually had barely drugs temporary mitigation symptoms, or repeated indwelling catheter, or because the course is too long to bladder dysfunction and only bladder Ostomy the country. But actually increased the patient's pain and the inconvenience of life and reduce the quality of life. At this time, if the bladder detrusor and sphincter function impairment. Surgical resection of the prostate if not better to improve urinary incontinence, the inability of urine. It is heartening that in recent years the treatment of urological cavity means to make significant progress, so that surgery more precise, meticulous, the risk is much lower. Postoperative pain and the use of pumps for patients with a painless, and easy to restore. This makes the whole treatment of trauma and pain, quick recovery, good effect. Transurethral resection of prostate (TURP) and the introduction of nearly 20 of the more advanced Transurethral resection of the prostate vaporization for (TUVP), with no surgery, pain reliable efficacy and less bleeding, the advantages of quick recovery, generally after three days patients can be discharged. BPH patients early treatment and accurate diagnosis and timely surgery, in order to enhance the quality of life.

BPH beware urine poisoning

In early prostate hyperplasia, mild urethral obstruction, as a compensatory function of the bladder, the patient still on schedule emptying urine, But voiding time than normal extension. Development of mid-urethral obstruction increased urethral resistance increased, and over the voiding bladder capacity, the patients appeared urinary frequency, Urgency and other symptoms of urinary bladder can not completely emptying, therefore, residual urine. At this moment, if excessive fatigue, or catch cold drink, will result urethral mucosa edema, will add to obstruction, often acute urinary retention. If timely catheterization, the medication can restore normal urination. To the advanced, urethral obstruction serious, compensatory bladder dysfunction, bladder residual urine growing more than 200 ml, in a patient's small abdominal mass, voiding no line - was a bit. Due to increased pressure within the bladder, the upward flow of the kidney, so that both sides of renal hypertension caused bilateral hydronephrosis, renal injury. leading to chronic urinary poisoning. We know that urine poisoning is a very serious disease, even life-threatening. So, the patients heard a urine poisoning is of particular tension. However, prostate hyperplasia caused by the late urine poisoning, and chronic nephritis uremia caused by the different treatment provided in a timely manner, The prognosis is usually good. Urine poisoning which is due to urethral obstruction serious indirect impact arising from the kidney, kidney disease itself is not organic, timely lifting of the urethral obstruction, urinary kidney function can resume. Glomerulonephritis induced urine poisoning, it is itself a result of the kidney disease glomerulonephritis and serious loss of function, this disease is not reversible, patients treated only through dialysis or kidney transplant to sustain life. Right prostatic hyperplasia poisoning caused by the urine of control, the simplest solution is early indwelling catheter, urethral obstruction bladder lifted quickly restore the function of the kidney. However, some suffering from prostate hyperplasia of elderly patients, fear delays in treating catheterization, which are the cause of urinary the root causes of poisoning. Serious urine poisoning, indwelling catheterization often take several months or even year-long, and the long-term indwelling catheter. neither is prone uncomfortable urinary and reproductive tract infections, and not the best approach. The best way is for bladder ostomy, pending resumption of normal renal function, after prostate surgery. If frail elderly patients, with severe cardiopulmonary disease and the inability to tolerance prostatectomy, can make life bladder ostomy, but still able to lead a normal life. To avoid the occurrence of benign prostatic hyperplasia and urine poisoning, old friends should pay attention to the following two points : First, when you are suffering from benign prostatic hyperplasia, should pay attention to symptoms of urinary frequency. This is certainly not a normal phenomenon of the elderly, but the disease signal, timely treatment, prevent further development. When you two are serious urinary frequency, urgency and urge urine dripping not, they may have large amounts of residual and urinary retention. At this time do not for fear of breaking with catheterization and not treated in time, there will be urine poisoning occurred.

Friday, March 7, 2008

Clinical breast hyperplasia performance is what?

Breast pain and disease-based mass major clinical manifestations. (1) breast pain : often pain or irritation, can affect one or both sides of breasts, to the side of emphasis disappearing severe pain untouchable, and even affect their daily lives and work. Pain in the main Department of breast lumps, but also to the ipsilateral axillary, or Chest and back radiation; Some of the nipple pain or itching. Breast menstrual pain often in the past few days or aggravating via reduce pain significantly or disappear; With the emotional pain may fluctuate changes. Such menstrual cycle and changes in the emotional pain of mammary hyperplasia clinical performance of the major features. (2) breast lumps : mass can be made in one or both breasts, single or multiple. occur in the upper outer quadrant of breast can also be seen in other quadrants. Mass in the shape of massive films, nodular, strip-shaped, granular, with unit block of styles. Border little mass, shape and slightly harder texture medium or Ren, activities, and no adhesion surrounding tissue, often tenderness. Mass sizes, small miliary who are as large, will be over 3 ~ 4 cm. Have breast lumps with the menstrual cycle and changes in the characteristics of pre-menstrual mass increased stiffen, menstruating mass narrow softened. (3) nipple discharge : a small number of patients, there will be nipple discharge of spontaneous discharge. yellow or brown serous discharge. (4) menstrual disorders : patients can see and around irregular menstruation, or less than a lighter hair color can be associated with dysmenorrhea. (5) The emotional changes : patients often-emotional nerve irritability or poor, Securing angry, nervous or tired after aggravating.

How diagnosis of breast fibroadenoma?

As in the breast skin is an organ, in the breast fibroadenoma the diagnosis is relatively easy. Breast Fibroadenoma diagnosis based on : (a) the disease occurs in young women. 18 ~ 25 years of age the most common. (2) tumors occur in the side of breasts, often single and in the upper outer quadrant of breast most common. Appearing mass round or oval, sizes, hard, smooth surface, state clearly that activity, and not the surrounding tissue adhesions, No pain and tenderness. Slow growth, not septic ulcers. Has nothing to do with the menstrual cycle. (3) mammography X-ray and other imaging can help diagnosis. Necessary for mass-needle aspiration cytology or live pathological examination to the final diagnosis. Another take note of is that if over the age of 35 women, especially after menopause in women, breast lumps there, Even breast lumps the very traits as breast fibroadenoma, it is not easy to make this diagnosis. need to exclude the possibility of breast cancer after fibroadenoma under the diagnosis, and preferred to surgery.

How diagnosis of breast hyperplasia

Mammary hyperplasia, more common in young and middle-aged women, the menstrual cycle, that is, pre-menstrual breast pain, accompanied by multiple small nodules. Menstruation, breast pain disappeared, breast section with a small cut. Long history, often occurred in both breasts, or associated with menstrual disorders or emotional and angry, feeling sluggish, and so on. If in doubt, they can make mammograms mast target radiography, B ultrasonic inspection, infrared thermal images, CT, Fine-needle aspiration cytology or living tissue biopsy, and so on.

Oral contraceptives will cause breast hyperplasia

Contraceptives will induced mammary hyperplasia, we have been very concerned about the problem. Most people think that oral contraceptives containing estrogen and progesterone ratio is very close to the normal physiological state, it will not increase the incidence of breast hyperplasia rate. Sometimes found smoking can exacerbate illness, quit smoking often can alleviate the condition.

What is hyperlipidemia?

Blood fat-like substances known as lipids. The plasma lipids including cholesterol, triglycerides, phospholipids and free fatty acids. In the blood protein with a different combination, "LDL" form. Most of cholesterol synthesis by the body, partly from the diet. And triglyceride On the contrary, the majority of absorption from the diet, a small amount of synthetic human. Lipids in the body has many important functions. But if lipids are too high can deposition in the vascular wall, gradually forming atherosclerotic plaque, "patch" the increase, can increase vascular diameter stenosis, vascular or plug intravascular thrombosis resulting vascular hemorrhage. This can lead to coronary heart disease, myocardial infarction, stroke, brain bleeding. Hyperlipidemia refers to blood cholesterol "220mg/dl and / or triglyceride" 150mg/dl or higher density lipoprotein cholesterol "35mg/dl low-density lipoprotein cholesterol or" categorized. Hyperlipidemia no symptoms itself, when you belong to the following groups : the elderly, postmenopausal women, smoking and alcoholism following diseases : hypertension, obesity, yellow skin tumors, coronary heart disease, stroke, diabetes, kidney disease, the long-sugar diet, as well as a family history of high cholesterol, should check blood lipids, decided after a comprehensive evaluation of treatment (diet therapy and lifestyle adjustments. lipid-lowering drugs to choose and use) to achieve the objectives of the treatment of blood lipid levels. Medical studies have shown that long-term therapy treatment can reduce coronary heart disease, angina pectoris, myocardial infarction, stroke incidence and mortality in patients with diabetes and reduce the rate of premature death and disability. Because hyperlipoidemia is a slow process, and the adjustment and lipid lowering, elevated blood lipid eliminate the adverse effects also need a continuing role in the process. Thus patients with high cholesterol should be based on their own circumstances, is suitable for its own lipid-lowering therapy.

Hyperlipidemia and type of symptoms

Lipid within human cells is fluid and extracellular fluid (mainly blood), an important element. Lipid Metabolism and many diseases are closely related. In recent years, scientists in the study of lipid metabolism has expended enormous energy, aimed at the prevention and treatment of hyperlipidemia to reduce hyperlipidemia of the body of the hazards. My normal adult blood cholesterol containing 2.86 ~ 5.20 cents mole / L, triglyceride 0. 22 ~ 1.21 cents Moore / or, one or two can increase the diagnosis of hyperlipidemia. Generally, doctors tends to treat hyperlipidemia divided into four categories : (l) hypercholesterolemia : Hyperlipidemia patients accounted for 40% of total serum cholesterol levels, but the normal triglyceride content. (2) Hypertriglyceridemia : hyperlipidemia patients accounted for 20%, serum triglyceride levels increased, and the normal total cholesterol content. (3) mixed hyperlipidemia : hyperlipidemia patients accounted for 40% while the serum total cholesterol and triglyceride content increased. (4) low high density lipoprotein hyperlipidemia : Serum high-density lipoprotein-cholesterol levels lowered. This type of hyperlipidemia can exist independently, also with hypercholesterolemia, or associated with hypertriglyceridemia.

Hyperlipidemia clinical performance

Hyperlipidemia main clinical manifestations including two major aspects : (a) lipid deposition in the dermis caused by the yellow tumor; (2) in vascular endothelial lipid deposition caused by atherosclerosis, coronary heart disease and have other peripheral vascular disease. As hyperlipidemia yellow when the tumor incidence rate is not very high, Atherosclerosis the incidence and development will take quite a long time, Therefore, the majority of patients with hyperlipidemia no abnormal signs and symptoms found. And patients with hyperlipidemia often is conducting biochemical blood tests (serum cholesterol and triglyceride) were found. A yellow tumor (lesion) is a variation of limitations skin LAI tabs, its color can be yellow, orange or brown-red, shaped nodules, papules or plaques shape, texture general softness. Mainly due to the dermis swallowed lipid concentration of macrophages (foam cells), also known as yellow caused by the tumor cells. According xanthoma the shape, location, and can be divided into the following categories : (a) xanthoma tendon (tendon lesion) is a special type of tumor nodules yellow, in the tendon location, common in the Achilles tendon, hand or foot stretch tendon, knee and shoulder rectus femoris tendon triangular or anywhere. Round or oval quality Scleroderma under nodules on the skin with adhesive, clear boundary. This xanthoma is often familial hypercholesterolemia more characteristic performance. (2) palmar crease xanthoma (palmar crease lesion) is a palm occurred in the Department of lines Flat-yellow tumor, was mild orange tabs, located in the palm and fingers between crease Department. Such xanthoma in the diagnosis of familial abnormal beta-Hyperlipoproteinemia a certain value. (3), nodular yellow (tuberous lesion), the slow occur in the physical side of the sun, such as the elbow, knee and knuckle stretch Office and the hip, ankle, buttocks and other parts. For a round nodule, sizes, borders clear. Early texture of a soft, late because of injury fibrosis, texture stiffen. Such xanthoma mainly in the family abnormal beta - lipoprotein familial hypercholesterolemia or hypercholesterolemia. (4), Tuberous measles xanthoastrocytoma (tuberous eruptive lesion) occurs in the extremities elbow extensor side and buttocks, the lesions often in the near future bulk emergence was nodular integration trend measles-like yellow packets around the tumor often nodular xanthoma. Tumors of the skin was orange, accompanied inflammatory basement. This xanthoma mainly in the family abnormal beta-Hyperlipoproteinemia. (5), measles xanthoastrocytoma (eruptive solitary) for the performance of needles or Commelina benghalensis size papules, brown or orange color associated with inflammatory basement. Sometimes oral mucosa may also suffer. Mainly in hypertriglyceridemia. (6), flat xanthoma (xanthelasma) found in eyelid weeks, there eyelid called xanthomas, is the more common of a yellow tumor. Performance of the eyelid occurred around Orange slightly out of the flat surface papules or flake - like tumor, a well-soft texture. Generalized the ramifications, neck, trunk and limbs of flat yellow or brown papules, a few millimeters to a few centimeters in size. clear boundary, surface smoothing. Such xanthoma various hyperlipidemia common, but can also be found in normal blood lipids. These different forms of yellow tumor can be seen in different types of hyperlipidemia. At the same types of hyperlipidemia who can arise in many forms of xanthoma. As effective lipid-lowering therapy, the majority of xanthoma can gradually dissipated. In addition to various xanthoma, there are two signs also help in the diagnosis of hyperlipidemia, and lipid corneal arch hyperlipidemia fundus changes. Bow cornea (corneal ARCUS) also known as the old ring, if found in the following 40 years, mostly associated with hyperlipidemia, familial hypercholesterolemia most common, but not very specific. Lipid hyperlipidemia fundus (retinal lipemia) are a result of triglyceride-rich lipoprotein particles Shen Fundus plot in the small arteries caused due to light scattering. often severe hypertriglyceridemia and was accompanied chylomicronemia performance characteristics. In addition, severe hypercholesterolemia especially homozygous familial hypercholesterolemia, there will be more migratory arthritis. But this situation is rare, and most of arthritis self-limited. Obvious hypertriglyceridemia can cause acute pancreatitis, should draw attention.

Type III Hyperlipoproteinemia which clinical performance?

Type III Hyperlipoproteinemia rare, often familial, recessive genetic disease. Patients often 30-40-year-old appeared at the flat xanthoma (orange and yellow lipid calm, often occurred in the palm), Festival to sexual tumor measles and yellow-yellow skin tumors, premature coronary artery disease and other, often accompanied by obesity and blood uric acid increased, About 40% of patients have abnormal glucose tolerance. Biochemical characteristics : plasma lipoprotein abnormalities in place of plasma usually stale, and often a vague "cream" layer; cholesterol and triglyceride almost increased cholesterol / triglyceride ratio ≥ 1.

Sunday, March 2, 2008

Acute appendicitis is the performance and how the treatment?

Acute appendicitis is the acute inflammation appendectomy, Our common emergency situation, I should briefly explain to you the disease.
Appendix is a continuation of the human colon, but the terminal is closed. In childhood, an appendectomy is immune organs of resisting infection, but in the adult stage has been no functional degradation.
As appendectomy linked with colon and colon storage stool is the place, so when a colon inflammation, be squeezed into the appendectomy, and other pathological conditions, the appendix inflammation may occur, there congestion, swelling, severe when there Septic perforated appendix, will be entered at this time enteral stool peritoneal cavity, caused acute peritonitis.
Typical patients with acute appendicitis at first cause abdominal pain, often giving the misconception that gastritis, in the hours after the pain gradually shifted to the right lower abdomen, sometimes accompanied by nausea, vomiting, abdominal distension, fever, and so on performance. Oppression right lower quadrant tenderness can, while partial muscle tension flu.
After the above symptoms, your best immediately to the hospital. In the diagnosis of appendicitis, and should check the urine routine abdominal ultrasound, remove urinary stones; of female patients must be invited to gynecological consultation, excluded gynecological diseases. So far, no appendicitis is still a certain checks can be diagnosed, mostly on the clinical experience of physicians.
After the diagnosis of appendicitis, doctors will be decided according to the prevailing situation of conservative treatment is a medical or surgical treatment. Conservative treatment include: fasting, intravenous infusion, and antibiotic treatment (anti-inflammatory). Treatment of patients with symptoms will continue to disappear, blood back to normal. Surgical resection is the treatment of inflammation appendectomy. Surgical resection is appendectomy in one of the most common surgery, under normal circumstances the use of continuous epidural anesthesia, similar to what is commonly known as "spinal anesthesia," but there are some differences. Surgery Under normal circumstances relatively smoothly, but sometimes encountered very difficult circumstances.
Under normal circumstances, the body resection appendectomy and will not have adverse effects, but is still a need for acute appendicitis early discovery, early diagnosis and early treatment.

An extremely common acute abdomen - appendicitis

An extremely common acute abdomen. Appendectomy also called vermis sudden, The medial cecal is a slender blind. Human appendectomy varying the length and location, the general-7 to 9 cm in the right lower quadrant iliac fossa. Cecum and proximal appendectomy vicinity to-end for the Blind. Appendectomy submucosal layer is rich in lymphoid tissue, and hyperplasia, or obstruction appendectomy narrow cavity; appendectomy cavity often stool, stones, parasites and other retention, these factors can cause the contents of the appendix cavity drainage impeded, in particular because of arterial appendectomy To end artery, poor blood supply, causing once for one reason or another blood circulation obstacles, easily aroused appendectomy on avascular necrosis and inflammation. Sub-acute and chronic appendicitis two. Acute appendicitis can occur in all ages, the incidence of young people as the supreme.
The main symptoms are abdominal pain, usually beginning around the navel, upper abdominal pain, and then gradually increased, a few hours after the shift to the right lower abdominal pain. Continuing into the nature of abdominal pain. When the pain really can not afford lumbar patients can be accompanied by nausea and vomiting, fever, anorexia, such as pressure on the handle slowly, and then suddenly removed, the inflammation of the appendix and visceral impact neighboring inspired by pain, medically known as anti -. The majority of patients have an obvious tenderness point appendectomy. Because the disease receptor stimulation appendectomy, the impulse came hub, will reflex caused abdominal muscle contraction, for the performance of the right lower abdominal muscle tension.
Once perforated appendix, peritonitis caused when there will be the right lower quadrant or total abdominal tension, tenderness and muscle tension in the diagnosis of acute appendicitis is also a certain sense. When abdominal pain suspected acute appendicitis possible, and should never blindly taking pain medicine, but should go to the hospital early diagnosis and treatment. Chronic appendicitis is a common disease, patients often hidden sense of right lower quadrant, and repeated attack. Acute appendicitis, if the non-surgical treatment, and still others to chronic appendicitis. Appendicitis patients generally require removal appendectomy only curable.

Rhinitis patients should pay attention to what their daily life

(1) acute rhinitis: 1. More attention should be drinking water. 2, indoor ventilation. 3, fever when appropriate rest, attention and warm. 4, wearing masks when they leave the house. 5, catering to light. 6, the use of drugs should not be sweating too. 7, fried Chinese medicine should be light, frequent drinking. 8, after it is not appropriate medication and eat cold food cold, of goods. (2) chronic rhinitis: 1, in peacetime should pay attention to physical activity, to participate in appropriate sporting activities. 2, the morning cold water wash can be used to enhance the resistance capacity of nasal mucosa. 3, to improve the working environment. 4, attention to climate change, timely enhance clothes. 5, nasal obstruction, should not be forcibly blow nose nose. 6, not hand-dug nose. 7, keeping ease of mind. 8, and maintain patency stool. 9, it is not appropriate long-term use of vasoconstriction role of the nose drops, such as ephedrine, intranasal net. (3) dry rhinitis and atrophic rhinitis: 1, appropriate to participate in physical exercise. 2, cleaned daily nasal cavity, the former should be cleaned soft crust formation Baptist removed. 3, a day to do massage nose or nasal friction points. 4, the climate is arid, can go out wearing masks, or nasal drops of oil droplets, such as compound such as mint oil. 5, quit liquor. 6, eat more vegetables, fruits, maintaining patency stool. 7, do not often hand-dug nose, nasal avoid injury caused epistaxis. 8, diet hot, scorching of the more eating vegetables, fruit. (4) allergic rhinitis: 1 should avoid contact with allergens. 2, using the correct method blow nose nose. 3, should not be excessive use of vasoconstriction of nose drops. 4, enhance physical activity.

Otitis Externa common symptom treatment

1. Acute Otitis Externa external auditory canal burning, pain, hear flu,Those with body weight fever, discomfort, ear weeks lymphadenopathy. Examination showed diffuse external auditory canal congestion, swelling, weight, external auditory canal stenosis, skin ulcers. 2. Chronic Otitis Externa external auditory canal discomfort and itching, and a small amount of secretion. Course elderly may ear canal skin thickening and hearing loss. Some Chronic Otitis Externa with of attention and should be distinguished from fungal Otitis Externa. Commonly used proprietary Chinese medicine The disease is a Chinese medicine ears sore areas, and more heat because of wind or hit by the heat toxin Wang Sheng,Shufeng Qingre, detoxification swelling. 1. Within medication Yinqiao pills, oral Niuhuangjiedu pills each 1 on the 9th 2nd. 2. The medication ① Huanglian paste, Zijin Coated Tablets external auditory canal. ② medicine Changpu, Fuzi contour of and sesame oil ear drops. ③ if accompanied by swelling around the ear. Casual water can be transferred External Application (Cork added gypsum and cooler water contour tune into paste coating ear swelling or weeks to hot and humid towels Kurashiki local). Western medicine commonly used 1. Acute Otitis Externa; erythromycin or Spiramycin on the 1st 3rd oral should appropriate to use drugs such as painkillers such as pain tablets. 2. Local coating the external auditory canal to Yan Song acetate cream, ointment, such as cortisone. 3. FM, infrared physiotherapy.