Showing posts with label Diseases column. Show all posts
Showing posts with label Diseases column. Show all posts

Thursday, July 22, 2010

What the elderly dizzy examination

  What is the reason for the elderly dizziness? Expert, dizziness is a lot of people will have experienced symptoms. Common cause of dizziness older anemia, hypertension, cervical spondylosis, cerebral arteriosclerosis. What are the specific reasons for the elderly dizziness, the following will give you details.
  What is the reason the elderly dizziness
  1, high blood lipid
  Slow blood flow, brain insufficiency, occurs easily fatigue, dizziness, fatigue and other symptoms. The main diet is usually irrational, a large number of patients to eat high-fat, cholesterol, without love of sports.
  2, anemia
  If the elderly dizziness, weakness, pale performance, should go to the hospital to check to see if anemia.
  Three, high blood pressure
  In addition to dizziness in patients with hypertension but also often accompanied by Touzhang, palpitation, irritability, tinnitus, insomnia and discomfort.
  4, cervical spondylosis
  Constant neck tight, flexibility is limited, occasional pain, numb fingers, cold, a heavy feeling. Cervical vertebral artery compression of cervical hyperplasia, resulting in inadequate cerebral blood supply is the main reason for the disease dizziness.
  5, heart disease
  Early coronary heart disease, the symptoms are still mild, some people may not have chest tightness, palpitations, shortness of breath and other notable not only headache, dizziness, limb weakness, the spirit of hard concentration, such as tinnitus or amnesia. Dizziness occurred at this time due mainly to coronary atherosclerosis occurred, thinner lumen to narrow, making the heart ischemia and hypoxia. The cardiac insufficiency, can result in insufficient blood supply, causing dizziness.
  6, cerebral arteriosclerosis disease
  Conscious patients with dizziness, and frequent insomnia, tinnitus, mood swings, forgetfulness, limbs numb. Cerebral arteriosclerosis smaller diameter of the cerebral blood vessels, brain blood flow decreased, resulting in cerebral circulation, not getting enough oxygen, causing dizziness.
  Experts advise elderly with symptoms of dizziness, the alert over the disease more promptly to the hospital so bungled condition.

Wednesday, July 9, 2008

Gastric ulcer and should be differentiated from the diseases

Gastric ulcer is a common disease, as medical diagnosis and screening of the means of progress, the current diagnosis is not very difficult, but should pay attention to the following types of diseases and identification: (1) of gastric cancer: a benign stomach ulcer and malignant ulcers in the differential is very important, both the identification sometimes very difficult, in order to avoid mistakenly malignant ulcers as benign ulcer surgery and missed the opportunity, not a typical clinical manifestations of age Over the age of 45, low acid patients, even once the X-ray and endoscopy for cancer and could not confirm when, in medical treatment should be conducted under regular observation until complete healing ulcers. In addition, the part of patients, gastric biopsy showed a change between, even if the endoscopic ulcer has healed, but also to maintain contact with patients, regular follow-up and repeat the necessary checks, as mentioned earlier, some early gastric cancer Can be as benign as ulcer repair. In endoscopy and X-ray, benign and malignant ulcers in the differential points are as follows: ① benign ulcers for more than round or oval-shaped, smooth edges, tidy; malignant ulcers and more irregular shape. ② more benign ulcers at the bottom of smooth, white moss or moss covered huangbai; malignant ulcers can be at the bottom of a nodular, rugged, surface contamination. ② most benign stomach ulcer in the cavity profile outside the contrary is a vicious ulcer. ④ benign ulcers around the mucosal edema of the small, not deep into the stomach cavity, forming the edge of the filling smooth and symmetrical range. ⑤ benign gastric ulcer wrinkle wall radiation to mouth ulcers; malignant ulcers not radiating surface wall, the wall or mucosal surface disruption. Biopsy may improve the diagnosis rate. (2) chronic gastritis: chronic gastritis gastric ulcer patients can have similar performance, such as the rhythm of abdominal pain, and so on, are often confused with canker. Gastroscopy is the primary means of identifying them. (3) of gastric prolapse: As income from gastric mucosa H. pylori is often intermittent, the disease of pain not eased by the acid agent, lasting no clear rhythm, and posture-related pain and often left Lateral position to reduce pain, and the right of lying when pain increased. Confirmed to be subject to regular X-ray or gastroscopy. (4) gastrointestinal neurosis: In addition to the types of patients have gastrointestinal disease, with, at the same time functional existence of the other symptoms, such as palpitations, and more dreams, hyperhidrosis, Zhenfa of facial Chaohong, emotional instability, X-ray confirmed the diagnosis rely on the barium meal and gastroscopy. (5) gastrinoma: gastrinoma patients often have a number of gastrointestinal ulcers and ulcers stubborn, the general acid treatment was not obvious. Through the determination of the level of serum gastrin and analysis of gastric juice to make a diagnosis often

Saturday, July 5, 2008

Bronchial asthma diagnosis and differential diagnosis

Children over the age of 3, doctors diagnosed based on the following criteria: 1. Respite was the author or repeatedly back and some allergens or incentives related to. 2. Attack the lungs and Asthma Wen-ming. 3. Antiasthmatic drug effects are obvious. Choice of one in 1,000 suspected cases subcutaneous injection of adrenaline 0.01 ml / kg body weight, or Salbutamol Aerosol Ling deep liquid aerosol or 15 minutes to observe whether obvious effect. Asthma is a symptom of the disease, although the performance of more or less the same breath, but the reasons for the surge are varied, bronchial asthma is the most important reasons, with the identification of the disease are the following: Bronchiolitis is a type of pneumonia, more than occurred in small babies, because of bronchiolitis of edema and cramps and Asthmatic symptoms appear. Asthmatic bronchitis it is a breathing attack bronchitis, with the exception of a breathing space performance, there are clinical manifestations of bronchitis, breathing with the infection control and more. Baby jets wheezing is a congenital abnormality of the larynx, accompanied dysplasia or lower down the tongue, throat clinical obstruction caused by asthma. Foreign body aspiration due to inhalation of bronchial foreign body, bronchial obstruction, lumen stenosis, a suction of breathing difficulties. Cardiac asthma in various left ventricular heart failure, lung congestion due to hypoxia and bronchial spasms, can cause breathing problems and asthma. Nasopharyngeal adenoidal hypertrophy of the other, around the tonsil abscess, acute laryngitis, the throat spasms caused by low calcium, of endobronchial tuberculosis, TB hilar lymph nodes, lymph node cancer, and so can cause asthma.

Thursday, June 19, 2008

She Shang is a crack in it »

Tongue back that aspect, depth and vary in length as the crack or crack Gouwen tongue. Because it generally no symptoms and causes more uncertainty, it generally do not need treatment. Young and old men and women the disease can occur, along with the growth of age can be gradually increased. The common tongue back a vertical light pattern, often deeper and will be divided into the tongue of the "two halves", or perpendicular to the longitudinal vertical and horizontal structure of the shallow, Zhuangru vein, called the vein of tongue, or Zhuangru of a paper, said Wen for the brain, can also be used for margin of the tongue, a longitudinal Gouwen; worse back stretches of the tongue crack. Although Gouwen the depth, length, thickness different, but the normal color, does not affect the activities of the tongue and taste, tongue normal nipple, which are often deeper Gouwen bacteria and food debris were stranded and mild inflammation card, it may sometimes be Pain, stimulate the event, the case of acid, such as hot food Obviously, there are cracks tongue and facial paralysis at the same time and granulomatous cheilitis is incompetent Gianni Merlo syndrome. No pain who do not need treatment, patients should pay attention to crack the tongue to maintain oral cleansing, application of anti-inflammatory mouthwash to cracking ditch Center bacteria and food debris stranded, the pain should first clean light profiling, and ultraviolet irradiation Chai, oral vitamin B complex , The longitudinal center-Goushen, often with pain can be considered. Ditch spinning tongue, also known as crack tongue, usually without treatment, should pay attention to maintaining oral cleaning, washing Gouwen pain, first, and then make the appropriate treatment.

What is the oral mucosa of harm »

Oral mucosa of seemingly minor ailments, but the viscera of oral connection, connected body, can be timely and accurate reflection of the part of the systemic disease, not complete treatment may result in its repeated attacks, increasing year by year, Chanmian impaired, and oral mucosa large area fester, Can affect the throat or stomach, and some even a high fever, life-threatening, can be a very small number of patients with cancer.

Had oral leukoplakia to regular referral

Oral leukoplakia occurred in oral plaque on the white, not including smoking, and other local incentives can be dissipated after the removal of a simple keratosis. Mainly for the white spot appears slightly higher than the oral mucosal surface of the white patches, the general no symptoms, some patients have discomfort, licking at McGREGOR lesions of Cuse. Leukoplakia is not the real cause is very clear, but numerous reports and the disease appears to smoking, local stimulation, Candida infections are more closely related. White spot disease occurs in 40 to 60-year-old male. At present there is no effect on the treatment of oral leukoplakia, but should first remove the possible risk factors, smoking cessation and removal of non-performing restoration. The lesions may be surgical resection, laser, freezers, and other treatment methods. Can take vitamin E and Chinese medicine Xiaoban films, such as proliferation film. They have to Candida albicans infections of the lesions can be treated with anti-mycophenolate. Have been cured with the need every six months to one year a review to prevent recurrence. Apart from the vast majority of white spot is Cuse flu, does not affect any other. There may be a small number of white spot for the development of oral cancer. Based on the popular features of white spot disease, should be targeted to take effective preventive measures. The middle-aged above the crowd, seriously implement the system of regular oral health check, pay attention to follow-up observation. Vigorously promote the prevention of smoking cessation is the most important of oral leukoplakia the most effective social measures.

Thursday, June 5, 2008

What are symptoms of hypertension

Symptoms of high blood pressure also known as secondary hypertension, in certain diseases in the course of the secondary high blood pressure, hypertension is only the disease, one of the clinical manifestations. , The clinical symptoms of hypertension symptoms and signs of complications such as hypertension and similar, therefore, when the incidence of some less obvious symptoms, often misdiagnosed as hypertension. However, due to symptoms of high blood pressure are the causes to be investigated, its treatment and prognosis of patients with hypertension completely different. Some of the symptoms of high blood pressure is treatable disease, hypertension can be cured after the subsequent return to normal, is in clinical work, should pay attention to symptoms of high blood pressure and hypertension identification. Generally speaking, symptoms of high blood pressure have the following characteristics: ① incidence when younger, some of the child when it happened hypertension. ② hypertension progress faster. ③ compared with age, diastolic blood pressure is relatively high. ④ of multiple drug therapy, the results are often poor, or even invalid. ⑤ the past, kidney disease or a history of arterial inflammation. According to reports, all of the symptoms of high blood pressure hypertension 5% ~ 10%. If it is found that their hypertension is more characteristic of suspected symptoms of hypertension, should be the basis of illness, finding a different specialist treatment for an early recovery.

Tuesday, June 3, 2008

What disease can cause acute nephritis syndrome


Can cause acute nephritis syndrome root disease are:
(1) infectious diseases: including bacteria, viruses, parasites cause the disease.
(2) systemic disease: such as systemic lupus erythematosus and systemic vascular inflammation, allergic purpura, hyperlipidemia, such as spontaneous cold globulin.
(3) primary glomerular disease: a film proliferative glomerulonephritis, IgA nephropathy, mesangial proliferative glomerulonephritis, focal segmental proliferative glomerulonephritis, and so on.
(4): If diseases such as serum.

The avoidance of the original disease increase

(1) of acute congestive heart failure: in children with acute left ventricular failure can be the first symptom of acute nephritis, if not promptly identify and rescue, can be rapidly fatal. Acute nephritis, since water sodium
Retention, edema and systemic blood volume increased pulmonary circulation bleeding is common. Therefore in the absence of acute heart failure cases, the patients often have shortness of breath, coughing and lung at the end of a little wet-pulmonary circulation, such as the sound of the bleeding
- Due to presence of respiratory tract infection patients at the same time, the presence of pulmonary circulation bleeding easily overlooked. Instead, there will be this cycle is mistaken for acute bleeding heart failure has occurred. Therefore, a correct understanding of
Shuinazhuliu caused by pulmonary bleeding or acute nephritis patients with acute heart failure is very important.
(2) hypertensive encephalopathy: the past, hypertensive encephalopathy in acute nephritis, the incidence rate of 5 percent to 10 percent in recent years, and acute heart failure, with its rate decreased significantly, and less acute heart failure
More rare, and this may be related to timely and reasonable treatment. Common symptoms are severe headache and vomiting, followed by a visual impairment, the sense of ambiguity, lethargy, and paroxysmal in a convulsion or seizure
For blood pressure control after the rapid improvement of symptoms or disappeared, no after-effects.
(3) of acute renal failure: the acute phase of acute nephritis, in the glomerular mesangial cells and endothelial cells proliferation of large, narrow capillaries and capillary blood, urine volume of patients to further reduce
(Oliguria or urine). Protein catabolism of a large number stranded, in the acute phase to appear uremic syndrome.
(4) secondary bacterial infections: acute nephritis because of lower body resistance and easy to secondary infection, the most common is the lung and urinary tract infection, in case of secondary infection, should be actively symptomatic treatment,
The avoidance of the original disease increase.

Beware of acute to chronic pyelonephritis

Acute Pyelonephritis women the most common bacterial infection of the urinary tract disease, when a fever, frequency, urgency, Niaotong, lumbar acid, low back pain and other symptoms and was diagnosed as acute pyelonephritis, that is,
Should adhere to the formal treatment until the system recovered.
Causing acute to chronic pyelonephritis reasons, mostly because of the acute phase treatment is not completely due. As acute symptoms after treatment, often in a short period of 23 days, disappeared, patients often mistakenly
Have been recovered and that the termination of treatment. As everyone knows, the symptoms disappeared does not mean cured, but should be in the urine of pathogenic bacteria (E. coli mostly) completely disappeared, and reviewed by two (training) Yam
And, before stopping. In the general course of treatment should be about two weeks, or even longer.
Acute to chronic pyelonephritis is another reason for the repeated infections that do not pay attention to the genitalia, anus of sanitation, or sex life caused by dirty.
In order to prevent acute pyelonephritis to chronic, it should do: First, the acute symptoms disappeared can not be interrupted because of the treatment, should obey the doctor's advice, adhere to treatment until healed. Second, stress health,
Frequent cleansing of the vulva and anus, the attention of menstrual and sexual health, water, urinating frequently, not only Daidao urgency of urination. Third, enhance physical exercise and pay attention to nutrition, increased resistance to
Anti-repeated infection. 40, a gynecological diseases such as chronic inflammation, such as pelvic inflammatory disease, treatment should be thoroughly to prevent the spread of infection to the pelvis.

Sunday, June 1, 2008

Psoriasis diagnosis and differential diagnosis

Psoriasis diagnosis: ① the good parts: the scalp, called lateral limbs stretch, when the symmetry in the knee; ② rash characteristic: silver white Linxie, film and the point of bleeding; ③ special pathological changes, chronic disease, most of the winter-summer light, repeated attack and easy diagnosis. Pustular psoriasis of the main features of the psoriasis on the basis of a majority of aseptic bulk of small pustules, recurrent illness. Joint-frequently occur in unusual type or pustular psoriasis, joint disease symptoms and severity of the severity of skin lesions parallel. Disease-red skin dry diffuse Chaohong, a large number scaling, a history of psoriasis. Identification of disease should be the following: 1. Seborrheic dermatitis and skin lesions of psoriasis limited to the scalp with the identification of seborrheic dermatitis. Seborrheic dermatitis lesions Linxie was patchy erythema, Linxie small greasy yellow, curettage Linxie no point bleeding, skin lesions realm unclear, sparse hair thinning loss, fragmentation fascicular hair. 2. 2 syphilid have sexual intercourse and dirty hard Xiagan history, rash widely distributed, fortune plantar have keratinizing scaling Ban Qiuzhen, syphilis sero-positive. 3. Simple chronic moss in the limbs stretch of the dice side Jiyao, hypertrophy of the disease and psoriasis should be identified, the latter intense itching, skin lesions were moss-like lesions, almost no Linxie. 4. Arthritis rheumatoid arthritis and psoriasis should identify the disease, which Cardiff had the symptoms of inflammation of symmetry to increase, and more violations of the proximal joint, rheumatoid result in positive, non-psoriatic lesions And a change. 5. Pityriasis rosea occurred in the trunk and limbs, proximal, rash and sticks to long axis line. 6. Continuity acromegaly dermatitis incidence of traumatic history of many Zhizhi, pustular early in the cluster were injured Zhizhi, forming a lake of pus, and then spread upward to Pu, septic scar can be generalized body. 7. Herpes-like pustules disease occurred in pregnant women, good in the groin, navel Waterloo, armpit, under the breast, such as wrinkle-wall, the ring arranged for groups or ring septic scar, systemic symptoms significantly. 8. Red of red disease psoriasis and other reasons to be caused by the disease of the red identification, a former history of psoriasis, can sometimes be found remnants of psoriasis lesions typical.

Tuesday, April 22, 2008

Endometrial cancer diagnosis

Endometrial cancer and the need for identification of the following diseases. 1. Menopausal transition period dysfunctional uterine bleeding (DUB menopausal transition period) is mainly expressed in menstrual disorders, such as the volume increased, menstrual extended, or bleeding between periods, such as irregular bleeding. Gynaecological examinations found no abnormalities, and endometrial cancer similar to the signs and symptoms. Clinical difficult to identify. Should in the first subparagraph curettage, confirmed after symptomatic treatment. 2. Senile vaginitis mainly to bloody Leucorrhea, to distinguish with endometrial carcinoma. The former see vaginal mucosa, or under the wall congestive scattered hemorrhage, the latter see normal vaginal wall, the liquid discharge from the cervix. Older women have to pay attention to the coexistence of two circumstances may be. 3. Submucosal uterine myoma or endometrial polyps more performance for menorrhagia and menstrual extended to differentiate with endometrial carcinoma. Timely to subparagraph curettage, uterine examination and B-type ultrasonic examination, diagnosis is not difficult. 4. Primary fallopian tube cancer mainly as vaginal discharge fluid, vaginal bleeding and abdominal pain. Subparagraph curettage negative, and the block of Gongpeng palpable, and endometrial cancer curettage positive Gongpeng no block of palpable. B-mode ultrasonography to check identification. 5. Elderly uterine mucositis often combined intrauterine empyema of increased vaginal discharge performance, size, or Nongxue of purulent. Uterine normal or increased soft, and the expansion of the cervix can be clearly scraping up diagnosis. Expansion of the cervix after see wound pus outflow see scraps of inflammatory cells, no cancer cells. Endometrial cancer combined intrauterine empyema, in addition to a wound pus outflow, but also scraps cancer, which can be pathological examination confirmed. However, attention should be paid to the possibility of the two co-exist. 6. Cervical cancer, uterine sarcomas appeared as irregular vaginal bleeding and fluid increased. Cervical cancer lesions in the cervix, cervical expand a barrel cervix. Uterine sarcomas in general more uterus and uterine cavity increases. Sub-curettage and cervical biopsy that is able to identify.

Endometrial cancer diagnosis and treatment

The major clinical symptoms are irregular vaginal bleeding. Postmenopausal bleeding characteristics of the disease. For the performance of pre-menopausal bleeding, menstrual extended exertion force after a small amount of vaginal bleeding. This was followed by increased vaginal discharge liquid, water or Xieshui kind. Advanced course will have anemia, suffering from weight loss, abdominal pain, etc. and lumbosacral. Diagnosis history, clinical examination and endometrial pathology examinations. Subparagraph diagnostic curettage is the main method of diagnosis, that is, operation of the first scratch again Exploration uterine cervical Guaqu endometrium, respectively specimens histopathological examination. With the disease need to menstrual disorders, endometrial polyps, submucosal uterine fibroids, and other uterine cancer, fallopian tube cancer, senile vaginitis of identification. Treated with surgical resection, supplemented by radiation therapy, chemotherapy and anti-estrogen progesterone, and other agents.

Sunday, April 20, 2008

Esophageal cancer is a common one

Is a serious threat to people's health and life of the disease. China every year about 209,000 people die of esophageal cancer. The outcome of treatment for esophageal cancer illness of the difference between the very poor sooner or later. Surgical treatment as an example, the 5-year survival rate of early cancer about 90%, and advanced cancer five-year survival rate to 20 percent to 30 percent. Esophageal cancer is the formation of esophageal mucosa from normal epithelial cell receptor stimulation factors inside and outside of becoming cancer. From the normal epithelial develop into cancer need more time still unclear, generally, from the severe esophageal epithelium proliferation develop into cancer takes several years, by the early development of cancer in advanced cancer to take about a year. Past that early esophageal cancer symptoms and no signal is wrong. Because these signals and symptoms of mild, and disappeared the next time, do not automatically disappear after treatment, they have been neglected patients and doctors, can not be diagnosed, the best treatment after losing the opportunity. In fact, the vast majority of patients with early esophageal cancer have experienced different types, different degrees of subjective symptoms if they have the following symptoms should be alarming. 1. Swallow food Gengye flu symptoms are most common. Some patients can even clearly recall the first time. These symptoms can be automatically disappear after treatment, a few days or a few months later again, after the Gengsha flu frequency and the extent of the increase. 2. Hypopharyngeal substernal pain and pain, esophageal flu symptoms are more多见. After eating at the sternum or esophageal pain, a burning sensation, acupuncture flu, or influenza friction traction flu. Sandy swallowing rough or hot food at the pain increased, small mouth or swallowing thin-cold food is less pain. Pain generally more practical parts of the high number of cancer sites. Lower esophageal cancer, pain can occur in the abdomen. A few days later, after treatment or medication can ease the pain. Eating improperly or emotional pain fluctuations will appear. This situation will be repeated. 3. Foreign body sensation in the esophagus in patients with a particular consciously eat food Cuying pierced the esophagus, esophageal wall in the attached food, pharynx not go. 4. Slow down food and food through the esophagus flu stranded when patients are pleasant than before, the Food and slow down, or even somewhere to stay. This feeling has nothing to do with the nature of food, drinking water will sometimes this feeling. 5. Throat and a dry sense of austerity may be associated with minor pain, and patients sometimes emotional dynamic of the wave. 6. Sternum after nausea bulging flu patients often can not specifically describe this feeling, only saying that the chest discomfort.

Wednesday, April 9, 2008

What is secondary hypertension symptoms

When in the following circumstances should be carefully examined to determine whether the secondary hypertension: (1) patients on the full buck poor response to treatment (including diuretics, and the triple drug use to a maximum dose); (2) in patients with good control of blood pressure before, but now control poor; (3) sudden hypertension; (4), or hypertension and more young people over the age of the elderly hypertensive emergencies; (5) the known secondary hypertension symptoms and signs.

Monday, April 7, 2008

Clinical manifestations of connective tissue enteritis

1. Patients with scleroderma have abdominal discomfort, abdominal distension, fresh after abdominal Wong, anorexia, nausea, vomiting, constipation and intermittent diarrhea and other gastro-intestinal dysfunction alternative performance.
2. Dermatomyositis have, in varying degrees, the small intestine and the expansion of sub-section changes, with low power and extended through time. Visible to the naked eye wall edema, thickening.
3. Systemic lupus erythematosus intestinal damage is the result of vasculitis, common gastrointestinal symptoms including abdominal pain, loss of appetite, nausea, vomiting. Rare diarrhea, and feces, and occasionally obstruction. A few patients villous atrophy, not with the intestinal absorption of Protein-Losing Enteropathy, limitations enteritis, ulcerative colitis non-specific, such as acute appendicitis.
4. Polyarteritis nodosa arteritis intestinal symptoms may be common, intestinal ischemia, abdominal pain, vomiting or diarrhea evil. Vascular occlusive disease can cause Changhuiyang, infarction, perforation. Clinical symptoms sometimes resembles specific limitations enteritis or ulcerative colitis.

Monday, March 31, 2008

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

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.

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.