3) diagnosis of tumors of the small intestine GI Medical edressit Oncology
Extending the reach of endoscopic methods, the introduction of new technologies in nuclear medicine and endoscopy modification edressit for wireless information transmission method allow us to inspect nearly the entire small intestine and thus clarify the real epidemiology, edressit etiology and pathogenesis of benign and malignant tumors. The aim of diagnostic algorithms is to reduce the number of cancers diagnosed small bowel for surgical room. Medical history and physical examination (20)
A history of one of the basic testing procedures edressit and arts listen between the lines belong to important realities doctor. When cancers of the small intestine hunt for signs of malabsorption, anemia, pain or after a malfunction passages in the digestive edressit tract. Background history:
There are several diseases linked to sex and age. Certain diseases of the small intestine are known for a particular patient since childhood, edressit such as celiac disease. Intussusception or Meckel's diverticulum are more likely in children and adolescents until cancer mostly in adults over 40 years of age.
Dominant edressit inheritance is known for Peutz-Jeghers syndrome, a hereditary disease include the celiac disease. Higher incidence in families is in idiopathic inflammatory and allergic diseases. Other diseases of the small intestine occurring edressit based on heredity not securely established. Physical examination of the small intestine (20)
Unlike examinations intrathoracic organs is the primary method of examination and abdominal palpation organs of the abdominal cavity. It is followed by inspection. Percussion has pain on examination of minor importance, even minor importance auscultation, if there is no acute episodes. Inspection
Before the examination, the abdomen is appropriate to make an overall examination of the patient, edressit it can become a valuable edressit complement to inspection abdomen. Pyoderma, pelagroidné changes, brittle nails, thinning hair located at polyvitaminous karencii a nutrient deficiency. Striking pallor may notify bleeding body of the abdominal edressit cavity, for symptoms of shock, ash-gray skin covered edressit with cold then. In advanced stages of shock it may develop into. Hippocratic facies - sunken cheeks and eyeballs, pointed nose, lips stale, light cyanosis, anxious facial expression, cold sweat on his forehead. Total cachexia forces us to reflect on the malignant tumor in the abdominal cavity, which can alert to and Akanthos nigricans or pigmentation in intestinal polyposis. Abnormal pigmentation is also located in ulcerative colitis, sprue, Whipple's disease. Dermatitis herpetiformis Duhring is associated with celiac disease. Facial flushing and flushing redness are characteristic of carcinoid. Early redeposition thick hair may occur with duodenal ulcers, together with dry wrinkled skin. The edema may be present in hypoproteinemia disorders of absorption, the enteral protein exudation.
Abdominal examination we realize from above, but from the side, and if it allows the condition edressit of the patient and in the stands. In this way we can observe the solidification of intestinal loops obstacle ileum - Schlange symptom can be induced by touching or tapping the palm of the affected areas, where even local bloating. Symmetric bulging abdomen above the chest located at the meteorizme example. during edressit fermentation and putrefaction, ascites and obesity. Asymmetric bowing in larger tumors, edressit cysts, hernia and diastasis of abdominal muscles. Conspicuous shuttle download abdominal observed at exsikóze and perforation.
Importance is the observation of the respiratory wave. With limited peritonitis breathing wave skips the affected stretch. In diffuse peritonitis belly breathing as a whole. edressit In a severe ongoing extensive peritonitis, the abdominal wall in the upper abdomen draws in breath while front chest wall is lifted - a sign of jeans. Percussion (20)
In diagnosing intestinal diseases percussion has special meaning. It is difficult to identify the different parts of the intestine because they abut tightly together. Given that, in the abdomen, bodies and parenchymatous containing gas, the tympanic percussion differentiated, the more gas in the intestine, the higher and more intense sound. E.g. meteorizme when we hear a clear tympanic percussion, sometimes with a metallic tinge. When multiplication edressit of the contents in the intestines, or the stagnation content and exudation into the lumen of the intestine is lower tympanic percussion tone. When stopping the intestinal passage is usually a significant tympanic percussion of dilated bowel proximal to the stenosis Kiwolov symptom local bloating lives in the intestinal strangulation, the move - Wahl flag. Tapped abdomen also looks at the phenomenon not only sound, but also what opposition puts the abdominal wall of the finger, often tapping can cause pain suggestive of peritoneal irritation. When tuberculous peritonitis is shortened mesentery and intestinal adhesions, edressit the handles that are passed through to the right half of the abdominal cavity free fluid in the abdomen is mostly spills edressit over into the left half. Therefore, when pokl
Extending the reach of endoscopic methods, the introduction of new technologies in nuclear medicine and endoscopy modification edressit for wireless information transmission method allow us to inspect nearly the entire small intestine and thus clarify the real epidemiology, edressit etiology and pathogenesis of benign and malignant tumors. The aim of diagnostic algorithms is to reduce the number of cancers diagnosed small bowel for surgical room. Medical history and physical examination (20)
A history of one of the basic testing procedures edressit and arts listen between the lines belong to important realities doctor. When cancers of the small intestine hunt for signs of malabsorption, anemia, pain or after a malfunction passages in the digestive edressit tract. Background history:
There are several diseases linked to sex and age. Certain diseases of the small intestine are known for a particular patient since childhood, edressit such as celiac disease. Intussusception or Meckel's diverticulum are more likely in children and adolescents until cancer mostly in adults over 40 years of age.
Dominant edressit inheritance is known for Peutz-Jeghers syndrome, a hereditary disease include the celiac disease. Higher incidence in families is in idiopathic inflammatory and allergic diseases. Other diseases of the small intestine occurring edressit based on heredity not securely established. Physical examination of the small intestine (20)
Unlike examinations intrathoracic organs is the primary method of examination and abdominal palpation organs of the abdominal cavity. It is followed by inspection. Percussion has pain on examination of minor importance, even minor importance auscultation, if there is no acute episodes. Inspection
Before the examination, the abdomen is appropriate to make an overall examination of the patient, edressit it can become a valuable edressit complement to inspection abdomen. Pyoderma, pelagroidné changes, brittle nails, thinning hair located at polyvitaminous karencii a nutrient deficiency. Striking pallor may notify bleeding body of the abdominal edressit cavity, for symptoms of shock, ash-gray skin covered edressit with cold then. In advanced stages of shock it may develop into. Hippocratic facies - sunken cheeks and eyeballs, pointed nose, lips stale, light cyanosis, anxious facial expression, cold sweat on his forehead. Total cachexia forces us to reflect on the malignant tumor in the abdominal cavity, which can alert to and Akanthos nigricans or pigmentation in intestinal polyposis. Abnormal pigmentation is also located in ulcerative colitis, sprue, Whipple's disease. Dermatitis herpetiformis Duhring is associated with celiac disease. Facial flushing and flushing redness are characteristic of carcinoid. Early redeposition thick hair may occur with duodenal ulcers, together with dry wrinkled skin. The edema may be present in hypoproteinemia disorders of absorption, the enteral protein exudation.
Abdominal examination we realize from above, but from the side, and if it allows the condition edressit of the patient and in the stands. In this way we can observe the solidification of intestinal loops obstacle ileum - Schlange symptom can be induced by touching or tapping the palm of the affected areas, where even local bloating. Symmetric bulging abdomen above the chest located at the meteorizme example. during edressit fermentation and putrefaction, ascites and obesity. Asymmetric bowing in larger tumors, edressit cysts, hernia and diastasis of abdominal muscles. Conspicuous shuttle download abdominal observed at exsikóze and perforation.
Importance is the observation of the respiratory wave. With limited peritonitis breathing wave skips the affected stretch. In diffuse peritonitis belly breathing as a whole. edressit In a severe ongoing extensive peritonitis, the abdominal wall in the upper abdomen draws in breath while front chest wall is lifted - a sign of jeans. Percussion (20)
In diagnosing intestinal diseases percussion has special meaning. It is difficult to identify the different parts of the intestine because they abut tightly together. Given that, in the abdomen, bodies and parenchymatous containing gas, the tympanic percussion differentiated, the more gas in the intestine, the higher and more intense sound. E.g. meteorizme when we hear a clear tympanic percussion, sometimes with a metallic tinge. When multiplication edressit of the contents in the intestines, or the stagnation content and exudation into the lumen of the intestine is lower tympanic percussion tone. When stopping the intestinal passage is usually a significant tympanic percussion of dilated bowel proximal to the stenosis Kiwolov symptom local bloating lives in the intestinal strangulation, the move - Wahl flag. Tapped abdomen also looks at the phenomenon not only sound, but also what opposition puts the abdominal wall of the finger, often tapping can cause pain suggestive of peritoneal irritation. When tuberculous peritonitis is shortened mesentery and intestinal adhesions, edressit the handles that are passed through to the right half of the abdominal cavity free fluid in the abdomen is mostly spills edressit over into the left half. Therefore, when pokl
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