各个系统诊断检查治疗（Diagnosisandtreatmentofeachsystem）

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1、各个系统诊断检查治疗(Diagnosisandtreatmentofeachsystem)DiagnosticformulaofdigestivesystemdiseasesCommonsymptoms:abdominalpain,diarrhea,nausea,vomiting,mass1.acuteandchronicgastritis=uncleanorirritantfood+epigastricpain,abdominsldistension,nauseaandvomiting2.GERD=acid+retrosternalburningsensation+ga

2、stroscopyesophagealerosionwithredstrip(heartburn,acidreflux,regurgitation)3.pepticulcerdiseaseChronicgastriculcer=regularityofupperabdominalpain(painafterameal)+melenaDuodenalulcerpain(=hungeraftermeal4hours)ornightpainandmelenaPepticulcerperforation=suddensevereabdominalpain(peritonitiss

3、ign)+freegasunderXraydiaphragm4.gastroesophagealvarices=uppergastrointestinalbleeding+previousliverhistory5.bacterialdysentery=uncleandiet++mucusbloodandpus+tenesmusabdominalpain6.UC=leftlowerabdominalpain+mucusbloodandpus+(meaning,afterremission)+antibioticsineffectiveTreatment:sulfasala

4、zine(SASP)1.acutepancreatitis(edematype)二binge/chronicbiliaryhistory+persistentepigastricpain+bendpainrelief+amylasedetectionAcutepancreatitis(hemorrhagicnecrosistype)二edematypesymptoms+waistandabdomenorperiumbilicalabdominalwearpurple+washwatermeat++highcalciumlowbloodglucoseliquidBleedi

5、ngnecrosistype:hematuriaamylasevalueisnothigh,sometimesitwilldecline.ChooseCTwhendiagnosedSerumamylasewasmeasuredonceaweek,andlipasewasmeasuredmorethanoneweek2.pyloricobstruction二vomiting,foodandwatertone3.二historyofhepatitiscirrhosisandportalhypertension(+++splenomegalyascitesspider)+ult

6、rasound(shrinkingliver)4.cholecystitis二paroxysmalrightupperabdominalpain+Murphysign+nauseaandvomiting5.cholelithiasis二paroxysmalrightupperabdominalpain+Murphysignpositive+Bultrasoundstrongechogroup,soundshadow6.patientswithacuteobstructivesuppurativecholangitistriad(KO二++chillsfeverabdomi

7、nalpainandjaundice)+shock+psychiatricsymptoms(suchaslookedindifferent,coma)pentalogy7.acuteabdomen(1)appendicitis二metastaticrightlowerabdominalpainandMaxwe11pointtenderness(pain,pain)+WBC.(2)intestinalobstruction:abdominalpain+vomiting+swelling+closed+x-ray(banana/l