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Diagnosis of diseases of a digestive tract at children

DIGESTIVE TRACT DISEASES

Disease

Symptom complex

162 Illness Krone

The beginning of a disease mainly in the prepubertatny and pubertal periods
Colicy pains in a stomach
Diarrhea
Fever
Anorexia
Chronic perianal fistulas
Endoscopic — a segmentarnost of damage of a large intestine in the form of change of a relief of a mucous membrane, it is frequent as "cobblestone road"

163 Hypotrophy of the I degree

Concern of the child, sleep disorder
Pallor of integuments and mucous
Decrease in elasticity of skin
Thinning of a hypodermic fatty layer mainly on a stomach
Decrease in turgor of fabrics
Body weight is lower than norm for 11 — 20%

164 Hypotrophy of the II degree

 

Concern, irritability of the child, sleep disorder
Lag of the child in psychomotor development, disappearance of the acquired movement skills
Loss of appetite
Pallor and xeroderma and mucous

The hypodermic fatty layer is absent on a stomach, a breast, is sharply thinned on extremities, kept on a face
Considerable decrease in turgor of fabrics and muscle tone
Body weight is reduced by 20 — 30%

165 Hypotrophy of the III degree

Integuments of pale gray color
The skin fold does not finish
The hypodermic fatty layer is absent on a stomach, a trunk, extremities, is sharply thinned or is absent on a face
Polyhypovitaminosis
Signs of an eksikoz (retraction of a big fontanel and eyeglobes, dryness of a cornea, mucous membranes of an oral cavity, rare urinations)
Decrease in body weight by 30% and more

166 Mekkel's diverticulum

Clinical signs usually arise in the first 2 years of life
The painless periodically arising proctorrhagia
Release of blood often is not connected with defecation
Chronic iron deficiency anemia
Positive reaction of Gregersen

167 Dyskinesia of zhelchevyvodyashchy ways, hyperkinetic option

Short-term acute pains in right hypochondrium after reception of greasy food or an emotional stress
Dryness and bitterness in a mouth
Feeling of a raspiraniye in right hypochondrium

168 Dyskinesia of zhelchevyvodyashchy ways, hypokinetic option

And having worn alternation of locks
Morbidity of a stomach at a palpation in right hypochondrium, Kerr's point
Increase, consolidation of a liver
The aching pain in right hypochondrium, remaining during, day
Preservation of pains in right hypochondrium or strengthening of spasmolysants, their after giving
Language Oblozhennost yellowish plaque
Morbidity of a stomach at a palpation in right hypochondrium, Kerr's point
The long expiration of bile when carrying out duodenal sounding

169 Cardiospasm

Vomiting during feeding of the child or right after it
Appetite is kept
Readiness of the child to eat food right after vomiting
Positive effect from purpose of atropine

170 Nonspecific ulcer colitis

Long diarrhea with release of fresh blood
Anorexia
Morbidity at a stomach palpation, especially, on the course of the left half of a large intestine
Pristupoobrazny pains in the lower part of a stomach
Emaciation
Lag in physical development
Endoscopic — diffusion inflammatory changes in a straight line and distal department of a large intestine

171 Pancreatitis is chronic

Abdominal pains of the surrounding character
Nausea mainly at night
Meteorism
Language Oblozhennost white plaque
Pallor of skin with an earthy shade
Morbidity of a stomach at a palpation in points of Mayo-Robsona, Kacha, Dezhardena, Shoffar
The anemia, leukocytosis, neutrocytosis increased by SOE
Increase of level of amylase of blood

172 Pylorospasm

The beginning of a disease in the first days of life
Vomiting not plentiful after a while after feeding of the child
Normal quantity of urinations
The number of emetic masses does not exceed the volume of the previous feeding

173 Pylorostenosis

The beginning of a disease on 2 — the 3rd week of life
Vomiting the fountain after a while after feeding of the child
Emetic masses exceeds the volume of the previous feeding, does not contain bile
Tendency to a lock, small volume of excrements
Rare urinations
Hypotrophy, ex-icos
Symptom of hourglasses
Absence of effect of atropine use

174 Zolingera-Ellison's syndrome

1 Abdominal pains

2 Diarrhea

3 Increase of acidity and volume of a gastric juice

4 Hypertrophy of folds mucous stomach

5 Multiple recurrent ulcers in a duodenum

6 Increase of level of serumal gastrin

175 Peyttsa-Egers's syndrome

1 Recurrent abdominal pains

2 Intestinal bleedings

3 Sprue of various degree of manifestation

4 Pigmental rashes at the birth (or the lives appearing in the first months), about lips, nostrils, on centuries, and also on mucous lips, cheeks

5 Existence of polyps in thin, is more rare in colonic and direct guts

6 Sometimes polyposes of a bladder and urethra

7 invagination Is possible

176 Stomatitis

1 Disturbance of the general state

2 Temperature increase

3 An unpleasant smell from a mouth

4 The strengthened sialosis

5 Inflammatory changes mucous a mouth of various degree from catarral to necrotic

177 Chronic gastroduodenit with the increased acid-forming function of a stomach

1 Abdominal pains stopping after meal

2 The child prefers milk dishes, porridges

3 Eructation acid

4 Heartburn

Tendency to locks
Morbidity of a stomach at a palpation in epigastric area, in a piloroduodenalny zone
Language Oblozhennost white plaque
Increase of acid-forming function of a stomach
In portion "And" duodenal contents — slime, a cylindrical epithelium, a large number of leukocytes

178 Chronic gastritis with the lowered acid-forming function of a stomach

Low-megalgias in epigastric area right after food
Nausea
Vomiting in 2 — 3 hours after meal
Eructation rotten
Disgust for porridges, milk dishes
Language Oblozhennost white plaque
Capotement in a stomach
Morbidity at a stomach palpation in epigastric area
Lowering of acid-forming function of a stomach

179 Chronic hepatitis

Pains in right hypochondrium
Dryness and bitterness in a mouth
Nausea, vomiting
Language is laid over by a white plaque
Skin itch
Teleangiectasias
Increase, consolidation and morbidity of a liver at a palpation
Increase in a spleen

180 Chronic liver failure

Feeling of a raspiraniye and pain in right hypochondrium
Intoksikatsionny syndrome
Icteric or brown coloring of integuments
Teleangiectasias on skin
"Hepatic" palms
Vascular asterisks on skin
Caput medusae
Language crimson with smoothed nipples
Hemorrhages in a sclera
The liver is increased, dense, hilly
The spleen is considerably increased
Decrease in level of a prothrombin of blood, nekorregiruyemy vitamin K

181 Chronic cholecystitis

Pains in right hypochondrium after reception of greasy food, emotional or physical overworks
Irradiation of pains in the right shoulder, a right shoulder-blade
Headache, dizziness
Subfebrile condition
Dryness and bitterness in a mouth
Feeling of a raspiraniye in right hypochondrium
Pallor of integuments
Morbidity of a stomach at a palpation in Kerr's point
Increase, consolidation and morbidity of a liver
In peripheral blood — a leukocytosis, a neutrocytosis, acceleration of SOE
Identification in portion "In" duodenal contents of a large number of leukocytes, slime, a prismatic epithelium, calcium bilirubinate salts


182 Juvenile diffusion digestive tract polyposes

Unstable chair with impurity of slime and blood
Recurrent pains in a stomach
Periodic release of the blood (which is not changed or in the form of clots) from a rectum out of communication with defecation
Anemia, hypoproteinemia
Often congenital anomalies of other bodies (heart diseases, hydrocephaly, incomplete turn of intestines, trachea stenosis, etc.)

183 Peptic ulcer of a duodenum

The acute abdominal pains carrying
moyniganovsky character
Night abdominal pains
Strictly localized character of pain (in paraumbilical area)
Carrying out pain always in the same point
At a palpation of a stomach strictly localized morbidity is defined
Radiological — a niche, cicatricial and ulcer deformation of a bulb of a duodenum at its baric contrasting, or a symptom of the angry bulb (fast emptying of a bulb from contrast)
Fibrogastroduodeneskopiya ulcer or rubtsovoyazvenny deformation of a duodenum

184 Peptic ulcer of a stomach

 

Acute pains after food in epigz stralny area
Night abdominal pains
Heartburn, eructation acid
Nausea, vomiting

Sharp morbidity at a stomach palpation in epigastric area
Increase of acid-forming function of a stomach
Radiological — a niche or rubtsovoyazvenny deformation at a contrast study of stomach
Fibrogastroduodenoskopiya — an ulcer on a mucous membrane of a stomach or its rubtsovoyazvenny deformation

According to Ostropolets S. S., V. N. Beet, Diagnostic syndromes of diseases of children's age.

 
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