Disease sexually transmitted:

Secondary syphilis

A peptic ulcer of unspecified localization

Пептическая язва неуточненной локализации
A peptic ulcer of unspecified localization

A peptic ulcer is characterized by symptoms, but can sometimes occur without symptoms. As a rule, marked pain, usually acute, which occur on an empty stomach and are localized in the upper abdomen just below the breastbone. After meals or medicines they disappear almost immediately. Is also characterized by the appearance of pain in 1-2 hours of the night. Chronic, although variable night pain and no pain at morning awakening is a typical symptom of this disease.

A survey of patients in extrenal surgery

Обследование больных в екстренной хирургии
A survey of patients in extrenal surgery

Abdominal pain is the most prominent symptom indicating the occurrence of acute diseases of abdominal cavity and forcing the patient to urgently seek medical help. Its intensity is very different from unbearable suffering until you feel slight discomfort. Difficulties in accurate diagnosis are related to the fact that this symptom may be accompanied by an extremely wide variety of diseases.

Abdominal surgical infection

Абдоминальная хирургическая инфекция
Abdominal surgical infection

In surgery, the term "abdominal infection" is used to denote a wide range of infectious processes, as a rule, developing under the influence of microorganisms colonizing the gastrointestinal tract (GIT) and penetrating into other normally sterile abdominal cavity (exception, so-called primary peritonitis).

Abdominal trauma

Абдоминальная травма
Abdominal trauma

The classification should be simple and convenient in practical use and also give the ability to choose diagnostic and therapeutic tactics. Such demands are met by the classification of damages, presented in the national doctrine of military surgery. However, given the specifics of assisting the affected civilian population, in this classification we have made appropriate amendments.

Damaging agent.

Achalasia of the esophagus

Ахалазия пищевода

Achalasia of the esophagus

X-ray examination greatly facilitates clinical detection of achalasia and plays a primary role in the differential diagnosis with other functional, inflammatory and neoplastic diseases of the esophagus and stomach.

Acute abdomen

Острый живот
Acute abdomen

Turning to the practical methods of identifying a local or common protective tension of muscles of the abdominal wall, the main symptom of acute abdomen, it is necessary to revisit the recommendations, widely known by experienced clinicians from the beginning of the last century and has come down to us through the classical manuals Mondor, Samarina, the works of their predecessors and contemporaries. It is an occasion to highlight preserving the value of provisions and comment on these works in today's clinical medicine.

Acute alcoholic hepatitis

Острый алкогольный гепатит
Acute alcoholic hepatitis

Most common icteric form. The disease is characterized by weakness, anorexia, pain in the right hypochondrium, vomiting, diarrhea, jaundice, itching skin, fever. Often develops concomitant bacterial infection: septicemia, spontaneous bacterial peritonitis, pneumonia, urinary infection.

Acute appendicitis

Острый апендицит
Acute appendicitis

Are the following forms of acute appendicitis: catarrhal, phlegmonous, gangrenous and perforated. Due to the peculiarities of the clinical course particularly describe empyema of the Appendix, which is morphologically closest to flegma-nosnhoj form of appendicitis.

These forms of acute appendicitis essentially reflect the degree of inflammatory changes in the Appendix, i.e. the stage of the inflammatory process. Each form of the disease has not only morphological differences, but also characterized by its inherent clinical manifestations.

Acute calculous cholecystitis

Острый бескаменный холецистит
Acute calculous cholecystitis

Peculiarities of clinical manifestations.The disease begins rapidly. The leading symptom is biliary colic. Pain is caused by distension of the gallbladder, a significant increase in pressure, disorder of the bile flow in the cystic duct, inflammatory edema of the gall bladder adjacent peritoneum. There is pain in the right hypochondrium, radiating to the right shoulder, right shoulder, right side of the chest, sometimes in the left half of the thorax, lumbar or iliac region.

Acute Delta superinfection in hepatitis b virus carriers

Острая дельта-суперинфекция у вирусоносителей гепатита В
Acute Delta superinfection in hepatitis b virus carriers

Peculiarities of clinical manifestations.When superinfection hepatitis has a progressive course, may develop fulminant form of the disease.

Acute hepatitis D superinfection of HDV on HBV is more severe than co-infection, and often develops on the background of HUGW For this hepatitis is characterized by more of Karoti the incubation period than in viral hepatitis b and shorter preicteric period with high fever, with the presence of dyspeptic symptoms, pain in liver area, asthenovegetative symptoms, a repeated exacerbations and possible development of fulminant forms.

Acute esophagitis

Острые эзофагиты
Acute esophagitis

Clinical manifestations of mild cases of catarrhal esophagitis are feeling soreness or burning in the chest while eating. Possible heartburn. These symptoms are very low. An increase in the severity of the process is characterized by a reinforcement, as well as the accession retrosternal pain. These latter are perceived by patients as cutting, burning, piercing. Pain radiating to neck, jaw, interscapular region and significantly enhanced by food intake, which in some cases makes it impossible. The clinical picture complement salivation, belching, regurgitation of mucus

Acute gastritis

Острый гастрит
Acute gastritis

Typically, the first clinical signs appear within 6-12 h after exposure to a pathogenic factor. At the forefront are the symptoms of gastric dyspepsia: loss of appetite, feeling unpleasant taste in the mouth, heaviness and pain in the epigastric region usually of moderate intensity, salivation, nausea, belching air and food, vomiting the contents of his stomach with mucus and bile - vomit abundant, have an unpleasant odor. Sometimes repeated vomiting, increasing weakness, dizziness and headache.

Acute gynecological diseases in the practice of the surgeon

Острые генекологические заболевания в практике хирурга
Acute gynecological diseases in the practice of the surgeon

Progressive tubal perimenstrually at an early stage is extremely rare, as its clinical symptoms is quite poor. In the body of the patient changes, characteristic and fallopian early pregnancy: presumptive (nausea, vomiting, alteration of olfactory sensations, drowsiness, weakness) or probable signs (engorgement, cyanotic mucous of the vagina and vaginal part of cervix, slight increase in uterine size and mitigate its consistency, positive tests for hormones trophoblast). This is an important symptom is a missed period, it may often be absent, but if your period comes on time, it manifests itself unusual (in the form of scanty blood discharge).

Acute impairment of mesenteric circulation

Острое нарушение мезентериального кровообращения
Acute impairment of mesenteric circulation

Two groups of disorders of the mesenteric circulation and occlusal reocclusion. The main types of occlusive disorders of the mesenteric circulation are: embolism, thrombosis of the arteries, thrombosis of the veins. Following is a more detailed classification of acute disorders of mesenteric circulation developed in the faculty of surgical clinic. S. I. Spasokukotsky.

Acute intermittent (intermittent) porphyria

Острая перемежающаяся (интермиттирующая) порфирия
Acute intermittent (intermittent) porphyria

Abdominal pain, observed in the majority of patients are of a colicky nature, often localized in the lower abdomen. They are often accompanied by nausea, vomiting, sometimes leukocytosis and fever. Often severe pain in this disease must be differentiated from acute appendicitis, intestinal obstruction, perforated ulcer of the stomach or duodenum, that may be the reason for unnecessary surgical procedures. Constipation for a long period, almost impossible to cure.

Acute intestinal obstruction

Острая кишечная непроходимость
Acute intestinal obstruction

For this pathological condition the most appropriate morpho-functional classification, according to which the cause of decided to allocate dynamic (functional) and mechanical intestinal obstruction. Dynamic obstruction is disturbed motor function of the intestinal wall, without mechanical obstacles for advancement of intestinal contents. There are two types of dynamic obstruction: spastic and paralytic.

Acute viral hepatitis a (OVGA)

Острый вирусный гепатит А (ОВГА)
Acute viral hepatitis a (OVGA)

Peculiarities of clinical manifestations.The incubation period is 7-50 days. The disease has a cyclical course. When overt icteric form highlight preicteric, icteric and recovery periods. In some cases observed and subclinical anicteric (inapparently) course options.

Acute viral hepatitis b (ovgu)

Острый вирусный гепатит В (ОВГВ)
Acute viral hepatitis b (ovgu)

Peculiarities of clinical manifestations.The incubation period of the disease is 45-160 days, usually 3-4 months. The course and outcome of the disease depends on the strength and adequacy of the immune response. With adequate rapid response develop moderate and rarely severe, and the slow - light cases. Sharp cyclical course of the disease is characterized preicteric (prodromal), icteric periods and recovery.

Preicteric (prodromal) period of the disease, lasting 1-4 weeks, is characterized by gradual onset.

Acute viral hepatitis b with Delta-agent

Острый вирусный гепатит В с дельта-агентом
Acute viral hepatitis b with Delta-agent

Peculiarities of clinical manifestations.The duration of the incubation period when VGB is an average of 30-35 days (the maximum fluctuation from 6 weeks to 6 months). Clinical manifestations in General similar to those of ovhv without the Delta virus, but also indicates a more severe course of the disease in the presence of coinfection. Feature is the acute onset of the disease, increased body temperature up to high numbers, arthralgia, deterioration with increasing jaundice, low-grade fever. Characteristic of this form of mixed-hepatitis is the presence of exacerbations in 2 to 3 weeks from the onset of the disease that can be clinically severe, or accompanied by a re-increase of activity of Alat, thymol 2-3 times compared to the norm.

Acute viral hepatitis C

Острый вирусный гепатит С
Acute viral hepatitis C

Peculiarities of clinical manifestations.The incubation period is on average 6-8 weeks (2-26 weeks). More often anicteric form of the disease (more than 80 ), occurring usually asymptomatic. The main clinical symptoms of OVGS not fundamentally different from those at other parenteral hepatitis. The disease generally tends to be much easier compared to other acute viral hepatitis, however, and diagnosed because latent flow quite rare, even accidentally, over time, causing severe complications that accurately reflected in its popular name "the gentle killer". Indeed, the disease begins gradually. Leading symptoms preicteric period (10 days) are weakness, fatigue, loss of appetite, bloating, discomfort in the epigastric region and right hypochondrium.

Acute viral hepatitis E (AUGE)

Острый вирусный гепатит Е (ОВГЕ)
Acute viral hepatitis E (AUGE)

Peculiarities of clinical manifestations.The incubation period lasts from 17 to 75 days. At the end of the incubation period, on average, within 2 weeks the virus can be detected in the feces. Clinic similar to the one in OUGA, however, should be said about severe this disease in pregnant women, especially in the second half or in the early postpartum period (mortality in these cases is high and ranges between 20 and 40 ). Signs of liver failure and PEI they are developing very quickly, within an average of 4-5 days.

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