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.

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.

Characteristic of most diseases of the esophagus dysphagia, regurgitation and chest pain in achalasia of the cardia have their clinical features, due to the mechanism of their development.

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.

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.

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.

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).

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.

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.

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.

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.