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诊断公式(Diagnosis formula)
诊断公式(Diagnosis formula)
Diagnostic formula of digestive system diseases
Common symptoms: abdominal pain, diarrhea, nausea, vomiting, and mass
1. acute and chronic gastritis = unclean or stimulating food + epigastric pain, abdominal distention, nausea and vomiting
2. GERD = acid + retrosternal burning sensation + gastroscopy esophageal erosion with red strip (heartburn, acid reflux, regurgitation)
3. peptic ulcer disease
Chronic gastric ulcer = regularity of upper abdominal pain (pain after a meal) + melena
Duodenal ulcer pain (= hunger after meal 4 hours) or night pain and melena
Peptic ulcer perforation = sudden severe abdominal pain (peritonitis sign) + X-ray, free gas under diaphragm
4. gastroesophageal varices = upper gastrointestinal bleeding + previous liver disease
5. bacterial dysentery = unclean diet + + mucusbloodandpus + tenesmus abdominal pain
6. UC = left lower abdominal pain + mucusbloodandpus + (meaning, after remission) + antibiotics ineffective
Treatment: sulfasalazine (SASP)
7. acute pancreatitis (edema) = binge / chronic biliary history + persistent epigastric pain + bend pain relief + amylase detection
Acute pancreatitis (hemorrhagic necrosis type) = edema type symptoms + waist and abdomen or periumbilical abdominal wear purple + wash water meat + + high calcium low blood glucose liquid
Bleeding necrosis type: hematuria, amylase value is not necessarily high, sometimes it will decline. When diagnosed, choose CT
One week blood amylase was measured more than one week
8. pyloric obstruction = vomiting, food retention + water oscillation
9. = history of hepatitis cirrhosis and portal hypertension (+ + + splenomegaly ascites spider) + ultrasound (shrinking liver)
10. cholecystitis = paroxysmal right upper abdominal pain + Murphy sign + nausea and vomiting
11. gallstone = paroxysmal right upper abdominal colic + + Murphy sign + + B echo strong echo clusters and acoustic shadows
12. patients with acute obstructive suppurative cholangitis triad (KO = + +
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