颐恒老师病例答题公式（Yi Heng teacher case answer formula）.docVIP

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颐恒老师病例答题公式（Yi Heng teacher case answer formula）.doc

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颐恒老师病例答题公式（Yi Heng teacher case answer formula）

颐恒老师病例答题公式（Yi Heng teacher case answer 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 navel purple clothes wash water meat + liquid + + high calcium low blood sugar 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 (K