Saturday, November 3, 2007
Canker disease with symptoms similar to what
The perforated ulcer disease symptoms and acute pancreatitis, acute appendicitis, and acute cholecystitis, cholelithiasis, and other somewhat similar and easy to confuse each other, hence the need to identify. (1) acute pancreatitis: ulcer perforation many ulcer history, and more acute pancreatitis due to excessive eating greasy food, alcohol or biliary disease history; Men were more than ulcer perforation women, many middle-aged and acute pancreatitis, women more than men; A perforated ulcer persistent abdominal pain, Cheng the rapid spread of severe and the entire abdominal and muscle stiffness; while most acute pancreatitis in the upper abdominal pain, a zonal distribution, and the pain can radiotherapy to the waist and left shoulder back, but without abdominal ankylosis phenomenon, ulcer perforation of the many X-ray examination of free gas below the diaphragm and abdominal acute pancreatitis is their strength; flooding ulcers perforation increased leukocyte obviously, hematuria amylase not increased or only mildly elevated, and that mild jaundice acute pancreatitis, increased leukocyte, hematuria pancreatic amylase increased significantly. (2) acute appendicitis: pain than ulcer perforation light. Onset time. Often located in upper abdominal pain, muscle tension lesser degree, the following points confined to the right lower quadrant tenderness. But when perforated appendicitis abdominal pain and signs marked. The increased leukocyte. X-ray examination under no fat free gas. Under the free gas chamber and reflex pain is identifying those points. (3) acute cholecystitis, cholelithiasis: more common in middle-aged and older, the shape of obesity, female (especially a female fertility). Abdominal pain, muscle tension and confined to the right upper quadrant tenderness and under. A sustained abdominal pain paroxysmal colic. Sometimes visible jaundice, interleukin increased their strength abdominal X-ray examination, ultrasonography, contrast with stone or gallbladder inflammation change. (4) mesenteric thrombosis: canker many ulcer perforation history, and common in patients with mesenteric thrombosis interested disease; For ulcer perforation on the sustainability of intense abdominal pain, and quickly spread to the entire abdomen, abdominal rigidity; Abdominal pain and mesenteric thrombosis in without abdominal tonic; may ulcer perforation with nausea and vomiting; superior mesenteric thrombosis and diarrhea are common blood samples will be. (5) strangulating intestinal obstruction: sudden abdominal colic, was continuing. With obvious abdominal distention, nausea, vomiting, and in serious cases, there may be hematemesis, hematochezia. Early in shock, with a clear peritoneal irritation sign,Music from hyperthyroidism to disappear. Abdominal X-ray and see a plane liquid expansion prominent isolated small bowel or intestinal mix shift. (6) abdominal aortic aneurysm rupture: sudden in the abdominal, back pain after more with the original Halo, early in hypotension and shock move to the development of disease, poor prognosis. In addition, also with perforated ulcer acute renal colic, ruptured ectopic pregnancy, ovarian cysts torsion, such as myocardial infarction phase identification.
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