Medicine for you
ARS syndrome
ARS a syndrome are the disease affecting sinews and ligaments which are attached to a simfiz and a pubic bone. In the beginning has inflammatory, then - degenerate and dystrophic character. It is caused by monotonous loadings and the repeating microinjuries. It is found in athletes. It is shown by the pains in the bottom of a stomach and inguinal area amplifying at assignment of a hip. It is diagnosed on the basis of complaints, the anamnesis, results of objective survey yielded a X-ray analysis, ultrasonography and MRT. Treatment includes restriction of loadings, medicines, physical therapy, surgical interventions....
Hallux valgus
Hallux valgus is a disease at which the first finger of foot is deformed at the level of a plusnefalangovy joint and deviates knaruzh. Pathology is followed progressing artrozoartrity the first plusnefalangovy joint. The disease develops gradually and is usually aggravated with age. It is shown by pains when walking, night pains are possible. At the expressed deformation there is a restriction of movements in the I plusnefalangovy joint. The diagnosis is exposed on the basis of clinical signs and data of a X-ray analysis. Treatment at early stages conservative, symptomatic. At considerable deformation surgical correction is carried out....
HELLP syndrome
HELLP syndrome — a heavy complication of pregnancy of which the triad of signs is characteristic: , damage of a hepatic parenchyma and thrombocytopenia. It is clinically shown by quickly accruing symptomatology — pains in a liver and in a stomach, nausea, vomiting, hypostases, yellowness of the skin raised by bleeding, violation of consciousness up to a coma. It is diagnosed on the basis of the general blood test, a research of fermental activity and a condition of a hemostasis. Treatment assumes the emergency rodorazresheniye, purpose of active plazmozameshchayushchy, gepatostabiliziruyushchy and hepatoprotective therapy, the medicines normalizing a hemostasis....
MODY diabetes
MODY diabetes – group of clinically similar forms of diabetes with an autosomno-prepotent way of inheritance. The disease is shown in the childhood and youth. The main symptoms – frequent desires to an urination and increase in volume of urine, strengthening of thirst and appetite, loss of weight, reddening of integuments, temperature increase of a body. Diagnostics is difficult, includes clinical inspection, a complex of laboratory tests: glucose on an empty stomach and after food, hormonal and genetic blood test. The program of treatment assumes reception of hypoglycemic medicines, correction of food and systematic sports activities....
Abdominal migraine
Abdominal migraine is the paroksizmalny idiopathic frustration which is characterized by pain episodes in the central part of a stomach lasting 1-72 hours. The painful attack is followed by the dispepsichesky, vasomotorial phenomena. Abdominal migraine is diagnosed on the basis of clinical symptomatology after an exception of possible causal pathology from bodies of a GIT, kidneys, a brain. Treatment means the actions directed to knocking over of an abdominalgiya (NPVS, the combined analgetics, triptana, antiemetic), and therapy during the mezhparoksizmalny period (preventive drug treatment, observance of the mode, an exception of triggers)....
Abdominal obesity
Abdominal obesity – the disease which is followed by adjournment of excess fat in a trunk and internals. The main signs – the circle of a waist is more than 100 cm, a systematic overeating, thirst for sweet, the increased thirst. Quite often arterial hypertension, a syndrome in a dream, apathy, drowsiness, bystry fatigue, chronic locks and other violations of digestion is defined. The endocrinologist is engaged in diagnostics, clinical poll, survey with measurement of a circle of a waist, calculation of IMT is applied. Treatment includes observance of a diet, regular physical load, medicamentous therapy is in addition appointed....
Abdominal kompartment-syndrome
Abdominal kompartment-syndrome – a complex of pathological changes which arise against the background of permanent increase in the intra belly pressure (VBD) and cause development of polyorgan insufficiency. It is observed after operations, at heavy injuries and diseases of abdominal organs, zabryushinny space, is more rare – at ekstraabdominalny pathology. It is shown by heart, renal, respiratory failure, violations of work of a liver and GIT. The basis of early diagnostics is made by repeated measurements of VBD, data of tool and laboratory researches are in addition used. Treatment – an urgent operational decompression, infusional therapy, IVL....
Retina abiotrophy
Retina abiotrophy – diverse group of the hereditary diseases of dystrophic character caused by gradual destruction of a retina with decrease in visual acuity, and at some forms - a total blindness. Symptoms are variable: decrease in visual acuity, a gemeralopiya, violations of color perception can be observed. Diagnostics is performed by ophthalmologic and genetic methods (an oftalmoskopiya, an elektroretinografiya, a fluorescent angiography, studying of the family anamnesis and identification of defective genes). At the majority of forms of an abiotrophy of a retina specific treatment is absent, the symptomatic and supporting therapy is capable to weaken some symptoms and to slow down progressing of a disease....
is the separate form of epileptic paroxysms proceeding with short-term shutdown of consciousness without visible spasms. Can be followed by violations of a muscular tone (an atoniya, a hyper tone, a miokloniya) and simple avtomatizm. It is often combined with other forms of epileptic attacks. The basis of diagnostics is made by an electroencephalography. For identification of organic changes of brain structures cerebral MRT is shown. Treatment is performed epileptology, is based on mono - or polytherapies by antikonvulsant, is selected individually....
Abstsediruyushchy pneumonia
Abstsediruyushchy pneumonia is the destructive inflammatory process which is followed by formation of the multiple purulent centers in pulmonary fabric. The symptomatology varies depending on the activator. Classical displays of abstsediruyushchy pneumonia include febrilny temperature, oznoba, heavy intoxication, cough with a fetid phlegm, anorexia, loss of weight. The X-ray analysis and KT of lungs act as the confirming methods of diagnostics. In treatment of abstsediruyushchy pneumonia medicamentous methods (antibiotics, infusional therapy, an immunotherapy), impact on the infection center (sanatsionny bronkhoskopiya, ), extracorporal haemo correction are combined (Ural federal district blood, haemo sorption)....
Abscess of bartolinovy gland
Abscess of bartolinovy gland is the delimited purulent process with involvement of a parenchyma of big gland of a threshold of a vagina (true abscess) or cavities of its channel (false abscess). The disease is shown by volume education in the field of the lower third of a big vulvar lip, intensive local pain, temperature increase of a body, a general malaise. The diagnosis is exposed by results of survey of the gynecologist, a bacteriological research, the analysis of PTsR. Treatment surgical – opening of abscess with the subsequent drainage, a marsupialization of the suppurated cyst or an extirpation of gland....
Abscess of an abdominal cavity
Abscess of an abdominal cavity – the limited abscess in an abdominal cavity concluded in the piogenny capsule. Features of clinic depend on localization and the size of the purulent center; as the general displays of abscess of an abdominal cavity serve pain and local tension of muscles of a stomach, fever, intestinal impassability, nausea, etc. Diagnosis of abscess includes a survey X-ray analysis of abdominal organs, ultrasonography and KT of an abdominal cavity. Treatment of abscess of an abdominal cavity consists in opening, drainage and sanitation of an abscess; massive antibacterial therapy....
Brain abscess
Abscess of a brain is a limited congestion of pus in a skull cavity. Distinguish three types of abscesses: intracerebral, subduralny and epiduralny. Symptoms of abscess of a brain depend on its location and the sizes. They are not specific and can make clinic of any volume education. Brain abscess according to brain KT or MPT is diagnosed. At abscesses of the small size are subject to conservative treatment. The abscesses located near brain ventricles, and also causing sharp rise in intra cranial pressure demand surgical intervention, at impossibility of its carrying out - a stereotaksichesky puncture of abscess....
Abscess of a duglasov of space
Abscess of a duglasov of space – the encapsulated purulent center located in a uterine pryamokishechnom (pryamokishechno-puzyrny) deepening of a small pelvis. The clinic of abscess of a duglasov of space is characterized by nonspecific manifestations (intoxication, febrilny temperature, oznoba) and local symptomatology (pain in the lower departments of a stomach, the dizurichesky phenomena, frequent desires on defecation). Diagnosis of abscess of a small pelvis includes rectal and vaginal (at women) a research, ultrasonography of a small pelvis, KT, an abscess puncture through a rectum or the back arch of a vagina. Treatment of abscess of a duglasov of space consists in its opening through a rectum or a vagina, drainage and sanitation, performing antibiotic treatment....
Intestines abscess
Intestines abscess – the defeat of a wall of intestines which is a consequence of transition of pyoinflammatory process from nearby bodies or limfogenny or hematogenic spread of an infection from other centers. The disease can proceed with violently developing symptomatology, a hyperthermia, a sharp pain syndrome against the background of a serious general condition or in a recidivous form. A basis of diagnostics is the characteristic clinical picture, results of ultrasonography yielded by KT. Treatment of a disease – surgical, carried out against the background of massive antibacterial therapy....
Skin abscess
Abscess of skin is the local purulent inflammation of integuments which is characterized by formation of a cavity, a limited so-called piogenny membrane. Serve as symptoms of abscess reddening, swelled, sometimes morbidity on which place then the pus congestion is formed. All this can be followed by the general symptoms of intoxication (temperature increase, weakness, headaches). Diagnosis of abscess of skin is performed on the basis of survey of the patient, in certain cases in addition appoint basic researches (the general blood tests and urine). Local treatment is made by the surgeon – the cavity is opened and processed by an anti-septic tank, in some cases the general antibacterial therapy can be appointed....
Lung abscess
Abscess of a lung is a nonspecific inflammation of pulmonary fabric from which fusion with education results is purulent - necrotic cavities. During formation of an abscess fever, torakalgiya, dry cough, intoxication is noted; during opening of abscess - cough with a plentiful otkhozhdeniye of a purulent phlegm. The diagnosis is exposed on the basis of set of clinical, laboratory data, a radiological picture. Treatment means performing massive antimicrobic therapy, infusion-transfusion therapy, a series of sanatsionny bronkhoskopiya. Surgical tactics can include drainage of abscess or a resection of lungs....
Abscess of a mammary gland
Abscess of a mammary gland – the limited inflammatory center in the thickness of soft fabrics of chest gland representing the encapsulated purulent cavity. The disease develops and proceeds sharply, with substantial increase of temperature and the phenomena of intoxication, intensive pain, reddening and hypostasis of a breast, purulent separated from a nipple. In diagnostics the given the anamnesis and the complaint, objective surveys and additional methods of a research are important (ultrasonography of a mammary gland, a X-ray analysis, bacteriological crops separated from a breast). Treatment of abscess of chest gland only surgical (opening of an abscess) with parallel prescription of antibiotics....
Scrotum abscess
Scrotum abscess – the encapsulated purulent center in scrotum fabrics. Can be primary or secondary, superficial or vnutrimoshonochny. Meets seldom. Develops at infection with an ater, surgical interventions and traumatic damages or is a complication of a bacterial infection in the field of a small egg and its appendage. Symptoms of abscess of a scrotum are intensive pains, hypostasis, hyperaemia and a local hyperthermia in a defeat zone. Temperature increase of a body to febrilny figures, weakness, weakness, a headache, joint and muscles pains are observed. Treatment is surgical, opening and drainage of abscess against the background of antibacterial therapy is required....
Abscess of soft fabrics
Abscess of soft fabrics is the cavity located in muscles or hypodermic fatty cellulose, delimited from surrounding fabrics and filled with purulent contents. It is characterized by existence of hypostasis, hyperaemia, morbidity of skin and symptom of fluctuation in a defeat zone. Is followed by all-somatic changes: headache, hyperthermia, indisposition, frustration of a dream. Inspection includes survey, ultrasonography, a X-ray analysis, a diagnostic puncture of abscess and a bacteriological research of its contents. After formation of abscess its opening with the subsequent postoperative drainage and washing by solutions of anti-septic tanks is made....