Hospital therapy. Clinical picture and diagnosis of chronic enteritis (the most important)

Lecture notes, cheat sheets
Free library / Directory / Lecture notes, cheat sheets

Hospital therapy. Clinical picture and diagnosis of chronic enteritis (the most important)

Lecture notes, cheat sheets

Table of contents (expand)

45. Clinical picture and diagnosis of chronic enteritis

clinical picture. The clinical picture of chronic enteritis consists of local and general enteric syndromes. The first is due to a violation of the processes of parietal (membrane) and cavity digestion (maldigestion). Patients complain of flatulence, pain in the paraumbilical zone, bloating in the form of a cap, loud rumbling, diarrhea, less often constipation. Palpation reveals pain in the mesogastrium, as well as on the left and above the navel (positive symptom of Porges), splashing noise in the region of the caecum (Obraztsov's symptom). Feces acquire a clayey appearance, polyfecalia is characteristic.

General enteral syndrome is associated with impaired absorption of food ingredients (malabsorption), resulting in disorders of all types of metabolism, changes in homeostasis. Characterized by multifaceted metabolic disorders, primarily protein, which is manifested by a progressive loss of body weight. Changes in carbohydrate metabolism are less pronounced, which is manifested by bloating, rumbling in the abdomen and increased diarrhea while taking dairy products. To a large extent, the deficiency of body weight in patients is due not only to protein, but also to lipid imbalance. Changes in lipid metabolism are closely related to metabolic disorders of fat-soluble vitamins and minerals (calcium, magnesium, phosphorus). The characteristic signs of calcium deficiency are a positive symptom of the muscle roller, convulsions, recurrent "unmotivated" bone fractures, osteoporosis, osteomalacia.

Diagnosis and differential diagnosis. A general blood test reveals micro- and macrocytic anemia, an increase in ESR, and in severe cases - lympho- and eosinopenia. If the disease is of parasitic origin, lymphocytosis and eosinophilia may be observed in the blood.

A scatological examination reveals an intestinal type of steatorrhea due to fatty acids and soaps, creatorrhea, amylorrhea. The content of enterokinase and alkaline phosphatase in feces increases. The daily mass of feces increases significantly.

A biochemical blood test reveals hypoproteinemia, hypoalbuminemia, hypoglobulinemia, hypocalcemia, decreased levels of magnesium, phosphorus, and other microelements, disturbances in electrolyte metabolism in the form of decreased sodium and potassium levels.

The morphological picture of a mild form of chronic enteritis is characterized by thickening of the villi, their deformation, a decrease in the depth of the notches, a decrease in the tone of smooth muscles, subepithelial edema, degenerative changes in the surface of the epithelium, thinning of the brush border of cells, a decrease in the number of goblet cells in the region of the villi, an increase in the number of crypts, infiltration of the own layer mucosa with lymphoplasmacytic elements, a decrease in Paneth cells in the area of the bottom of the crypts.

<< Back: chronic enteritis. Etiology, pathogenesis, classification

>> Forward: Treatment, prognosis of chronic enteritis

We recommend interesting articles Section Lecture notes, cheat sheets:

▪ Anesthesiology and resuscitation. Lecture notes

▪ Psychology of work. Lecture notes

▪ Age-related psychology. Crib

See other articles Section Lecture notes, cheat sheets.

Read and write useful comments on this article.

<< Back

Latest news of science and technology, new electronics:

The existence of an entropy rule for quantum entanglement has been proven 09.05.2024

Quantum mechanics continues to amaze us with its mysterious phenomena and unexpected discoveries. Recently, Bartosz Regula from the RIKEN Center for Quantum Computing and Ludovico Lamy from the University of Amsterdam presented a new discovery that concerns quantum entanglement and its relation to entropy. Quantum entanglement plays an important role in modern quantum information science and technology. However, the complexity of its structure makes understanding and managing it challenging. Regulus and Lamy's discovery shows that quantum entanglement follows an entropy rule similar to that for classical systems. This discovery opens new perspectives in the field of quantum information science and technology, deepening our understanding of quantum entanglement and its connection to thermodynamics. The results of the study indicate the possibility of reversibility of entanglement transformations, which could greatly simplify their use in various quantum technologies. Opening a new rule ... >>

Mini air conditioner Sony Reon Pocket 5 09.05.2024

Summer is a time for relaxation and travel, but often the heat can turn this time into an unbearable torment. Meet a new product from Sony - the Reon Pocket 5 mini-air conditioner, which promises to make summer more comfortable for its users. Sony has introduced a unique device - the Reon Pocket 5 mini-conditioner, which provides body cooling on hot days. With it, users can enjoy coolness anytime, anywhere by simply wearing it around their neck. This mini air conditioner is equipped with automatic adjustment of operating modes, as well as temperature and humidity sensors. Thanks to innovative technologies, Reon Pocket 5 adjusts its operation depending on the user's activity and environmental conditions. Users can easily adjust the temperature using a dedicated mobile app connected via Bluetooth. Additionally, specially designed T-shirts and shorts are available for convenience, to which a mini air conditioner can be attached. The device can oh ... >>

Energy from space for Starship 08.05.2024

Producing solar energy in space is becoming more feasible with the advent of new technologies and the development of space programs. The head of the startup Virtus Solis shared his vision of using SpaceX's Starship to create orbital power plants capable of powering the Earth. Startup Virtus Solis has unveiled an ambitious project to create orbital power plants using SpaceX's Starship. This idea could significantly change the field of solar energy production, making it more accessible and cheaper. The core of the startup's plan is to reduce the cost of launching satellites into space using Starship. This technological breakthrough is expected to make solar energy production in space more competitive with traditional energy sources. Virtual Solis plans to build large photovoltaic panels in orbit, using Starship to deliver the necessary equipment. However, one of the key challenges ... >>

Random news from the Archive

Silk thread conducts light 26.10.2009

As scientists from the USA have shown, silk is a suitable material for light guides.

Doctors do not get tired of inventing new devices that can equip the human body, and materials scientists are looking for materials that can be used to control these devices and receive information from them. In particular, this requires biocompatible light guides - they will allow, for example, to communicate with sensors that measure blood glucose or monitor the appearance of dangerous viruses in the patient's body.

Scientists from Tufts University and the University of Illinois decided to make a biocompatible fiber from silk. To do this, they dissolved silkworm cocoons and got a rather thick liquid. This liquid, like a cream on a pie, was applied to a flint plate, and after the solvent dried, straight and curved silk fibers were obtained.

If substances that enhance light are added to the liquid for their manufacture, such a fiber will turn out to be a good light guide, as the researchers were convinced of.

Other interesting news:

▪ NASA spacecraft was able to withstand an explosion on the Sun

▪ Effect of caffeine on drug resistance

▪ Private spacecraft reached the ISS

▪ XBOOM Go Jellybean long-playing wireless speaker

▪ transparent transistor

News feed of science and technology, new electronics

Interesting materials of the Free Technical Library:

▪ section of the site Palindromes. Article selection

▪ article My hut on the edge. Popular expression

▪ article What is blue blood? Detailed answer

▪ article Common Privet. Legends, cultivation, methods of application

▪ article Refinement of the Ts215 indicator. Encyclopedia of radio electronics and electrical engineering

▪ article Powerful load optosimistor switch, 220 volts 40 amperes. Encyclopedia of radio electronics and electrical engineering

Leave your comment on this article:

All languages of this page

Home page | Library | Articles | Website map | Site Reviews