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  • Diagnostic Diferential

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    sasdma
    162 просмотров3 страницы
    The patient's complaints suggest either chronic pancreatitis, peptic ulcer disease, or acute cholecystitis. Examination findings like epigastric pain that is worse after meals, tenderness on palpation of the liver and gallbladder points, and ultrasound findings of an enlarged pancreas with parenchymal changes are most consistent with a diagnosis of chronic pancreatitis.

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    DIfDia

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    The patient's complaints suggest either chronic pancreatitis, peptic ulcer disease, or acute cholecystitis. Examination findings like epigastric pain that is worse after meals, tenderness on palpation of the liver and gallbladder points, and ultrasound findings of an enlarged pancreas with parenchymal changes are most consistent with a diagnosis of chronic pancreatitis.

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    162 просмотров3 страницы

    Diagnostic Diferential

    Загружено:

    sasdma
    The patient's complaints suggest either chronic pancreatitis, peptic ulcer disease, or acute cholecystitis. Examination findings like epigastric pain that is worse after meals, tenderness on palpation of the liver and gallbladder points, and ultrasound findings of an enlarged pancreas with parenchymal changes are most consistent with a diagnosis of chronic pancreatitis.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PPTX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 3

    Diagnostic diferential:

    Acuzele pacientului: Pancreatita Cronica Ulcer gastric peptic Colecistita acuta

    Durere : +++ +/- ++


    -in epigastru si
    hipocondrul sting
    - postprandiala +++ -- ++

    -dimineata --- +/- ++

    Lipsa poftei de +++ +/- +


    mincare
    Astenie + + +

    Tulburari de somn + + +

    Xerostomie + + +

    Greata matinala +++ +/- +++


    Diagnostic diferential:
    Balonări +++ - +++
    abdominale
    postprandiale
    Uscăciune a +++ +++ +++
    tegumentelor

    Repulsie la alimente +++ - +++


    grase

    Abuzul de alcool +++ +++ +++

    ANG-: +++ + +
    -Leucocitoza-7,5
    *nrutrofile 78.7 %
    -VSH-12 mm
    Diagnostic diferential:
    Palparea ficatului-semnul +++ + +
    Lepen,Ortner,Murphi,Mussi,Boa
    s punctual dureros Kehr-negativ

    Punctele Desjardins, Mayo- +++ - +/-


    Robson ,Grott- dureroase la
    palpare.

    USG – Colecistita cronica +++ - +/-


    calculoasa. Pancreas marit in
    dimesiuni. Modificari in
    parenchimul pancreasului.

    Irigografie: Colon iritabil. + - +


    Dolicosigma. Sigmoidita spastica.

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