Lecture notes, cheat sheets
Internal illnesses. Periarteritis nodosa (lecture notes) Directory / Lecture notes, cheat sheets Table of contents (expand) LECTURE No. 43. Nodular periarteritis Periarteritis nodosa is a systemic necrotizing vasculitis of the arteries of medium and small caliber with the formation of vascular aneurysms and secondary damage to organs and systems. Men are predominantly ill. Predisposing factors. Risk factors are drug intolerance, hypersensitivity to food, household and professional influences, cooling and insolation, a history of allergic diseases, arthralgia, myalgia, genetic predisposition to allergic and systemic diseases. Clinic. The main syndromes of the disease are asthenovegetative (weight loss, undulating fever with high temperatures that do not decrease under the influence of antibiotics, weakness, adynamia), cardiac (coronary insufficiency syndrome, heart attacks are possible), hypertensive (arterial hypertension), pulmonary (pneumonitis, asthmatic syndrome), abdominal (abdominal pain, dyspepsia, bleeding), hepatolienal (more often the liver increases), nephrotic (nephritis, nephrosclerosis with typical clinical manifestations), neurological (polyneuritis), trophic changes (subcutaneous nodules), articular (polyarthralgia), Wegener's syndrome (triad : rhinitis, sinusitis, followed by ulceration of the bones and cartilage of the nose; pulmonary vasculitis; kidney damage with the development of failure). Course options: acute, subacute, chronically recurrent. The diagnostic criteria are kidney damage with arterial hypertension, typical abdominal syndrome, combined with dyspeptic disorders, pneumonitis or bronchial asthma with high eosinophilia, cardiac syndrome in the form of coronaritis, polyneuritis. Three out of five criteria are required for diagnosis. Additional diagnostic study. Examination algorithm as in systemic connective tissue diseases. Table 8. Clinical and morphological signs of individual nosological forms of systemic vasculitis (according to E. N. Semenkova, 1988) Differential diagnostics. Should be carried out with systemic connective tissue diseases, infectious diseases, bacterial endocarditis, appendicitis, intestinal obstruction, ulcer perforation, hemoblastoses (Table 8). Treatment. Hormone therapy is carried out (prednisolone 30-40 mg for 1-2 months, followed by a dose reduction to a maintenance dose of 10-15 mg, complications may develop - steroid vasculitis), a combination of glucocorticoids with cyclophosphamide and azathioprine - up to several years. Heparin, trental, curantyl (improvement of blood rheological parameters), plasmapheresis, hemosorption up to 5-6 sessions are also used. Physiotherapy procedures are contraindicated. Symptomatic treatment is carried out. Forecast. The prognosis is unfavorable. Author: Myshkina A.A. << Back: Systemic scleroderma >> Forward: Rheumatoid arthritis We recommend interesting articles Section Lecture notes, cheat sheets: ▪ General hygiene. Lecture notes ▪ Valuation and property management. Lecture notes ▪ Economics and sociology of labor. Crib See other articles Section Lecture notes, cheat sheets. Read and write useful comments on this article. Latest news of science and technology, new electronics: The existence of an entropy rule for quantum entanglement has been proven
09.05.2024 Mini air conditioner Sony Reon Pocket 5
09.05.2024 Energy from space for Starship
08.05.2024
Other interesting news: ▪ MSP430FR6989 - a new microcontroller for stand-alone meters ▪ Bilingualism improves brain development in children ▪ Xiaomi car running on HyperOS News feed of science and technology, new electronics
Interesting materials of the Free Technical Library: ▪ section of the site Standard instructions for labor protection (TOI). Selection of articles ▪ article I went for order, but returned drunk. Popular expression ▪ article Arctic spoon. Legends, cultivation, methods of application ▪ article Golden-red mordant for brass items. Simple recipes and tips ▪ article Bambara proverbs and sayings. Large selection
Leave your comment on this article: All languages of this page Home page | Library | Articles | Website map | Site Reviews www.diagram.com.ua |