上腹部疼痛的辨别诊断(国外英文资料).docVIP

上腹部疼痛的鉴别诊断 Differential diagnosis of upper abdominal pain The digestive system: Acute gastroenteritis: abdominal pain above the abdomen and umbilicus, which is often associated with a persistent and acute pain, often accompanied by nausea, vomiting, diarrhea, and fever. The physical examination can be found in the upper abdomen or in the week of the umbilicus, which can be stressed, more unmuscular, less painful, and a slightly hyperactive bowel tone. It is not difficult to diagnose before the onset of the disease. 2. The stomach and duodenum ulcer: occurs in young and middle-aged, abdominal pain is given priority to with upper abdomen, mostly persistent ache in the physical examination can have epigastric tenderness, but no muscular tension, no rebound tenderness. Frequent occurrence can be accompanied fecal concealed blood test positive. A diagnosis can be established by a barium meal or endoscopy. 3. If the original history of stomach and duodenum ulcer or have similar symptoms, sudden upper abdominal pain, such as cutting, and quickly extend to complete abdomen, check the full abdomen tenderness, abdominal muscle tension, show sample plate stiffness, rebound tenderness, bowel, pneumoperitoneum, shifting dullness, hepatic dullness area shrink or disappear, tips for gastric and duodenal perforation. The abdominal flat tablet confirms that there are free gases in the diaphragm and the diagnosis of inflammatory fluid in the abdominal cavity. Cholecystitis, gallstones: this disease is good for middle aged women. Chronic cholecystitis patients often feel pain in the upper right side of the abdomen, increase the fat after eating fat, and radiate to the right shoulder. Acute cholecystitis often occurs after a fatty meal, with persistent pain in the right upper abdomen, radiation to the right shoulder, and fever, malignant vomiting. The risk of gallbladder is associated with chronic cholecystitis. When the gallbladder enters the gallbladder or moves in the bile duct, it