Wednesday, October 22, 2008

How early detection IgA nephropathy

Young people have the following symptoms: change the color of urine, urine and more difficult to disperse foam, high blood pressure, swelling of the eyelids and lower limbs, waist pain, unexplained renal failure, especially in the above-mentioned symptoms occur in the digestive tract or upper respiratory tract infection , Suspected to be a high degree of IgA nephropathy, in a timely manner to the hospital for specialist examination Nephrology.
By the skin of renal biopsy for immune pathology, diagnosis of IgA nephropathy is clear the only way in guiding treatment and prognosis are also very important value. B are using ultra-guided kidney puncture the skin examination, easy to operate, the success rate is high and small wounds.
In recent years, notes that the medical profession, IgA nephropathy patients with family members in the urine screening a higher proportion of abnormal, so the family made the concept of IgA nephropathy. IgA nephropathy patients with family members should carry out periodic urine checks should be carried out by suspected members of the skin biopsy of renal clear diagnosis, with a view to early detection, early treatment.

Thursday, October 16, 2008

Will herpes zoster infection and recurrence

Herpes Zoster in the spring is the most popular kind of skin infection, but does not have a contagious infection will not. By the varicella - zoster virus infection after the recurrence of latent in the body, causing innervation of the skin along the area of the cluster arrangement herpes zoster, accompanied by neuralgia. The elderly and people with chronic wasting disease in people vulnerable to shingles, and once infected with the disease more serious. The non-disease known as the "waist-long string of" literature "wrapped around the waist fire Dan," This is because the infringement herpes zoster thoracolumbar parts of the incidence of the disease accounting for over 60%. In fact, the disease can also be the first violation, face, ears and upper and lower extremities, and other parts. As a result of this virus has the characteristics of pro-nerve, the incidence of neural always go along, was banded, so that "shingles."
Herpes Zoster is able to re-infection and recurrence. Although the majority of patients suffering from only once, but some may relapse several times, reportedly with the anti-virus re-activation of the immune response related to the individual.
The patients with herpes zoster, does not appear in pain when diagnosed early, aggressive treatment.

Wednesday, October 15, 2008

Thyroid cancer and the diseases easily confused?

The painless part of the thyroid tumor, or cancer of the thyroid nodule is mainly one of a number of other clinical thyroid diseases such as goiter and thyroid adenoma can see that
Performance. Due to the different nature of their disease treatment and prognosis are also different, so it is necessary to understand the difference between them, correct diagnosis, treatment and reasonable. Multi-nodular goiter by the development of simple goiter. Non-inflammatory nor tumor, which is the main cause of iodine deficiency disorders or endocrine regulation. Thyroid adenoma is a benign thyroid tumor
Tumor, the organization is the source of thyroid follicular epithelium, some of the cases tend to have malignant. Table 8 lists the three main differences, so patients can make the initial identification, but it still confirmed to the hospital to do further Check-related.

Monday, October 13, 2008

Children with fever and the diseases commonly found in a coma?

Q: fever in children with the diseases commonly found in a coma?
A: Severe high-temperature heat stroke, often in the hot sun or summer heat in the incidence of the environment, children are often weak. Fever and coma is the first high fever, followed by coma. Negative meningeal irritation, dry skin, no sweat, there can be circulatory collapse. No special examination of cerebrospinal fluid changes.
Hemorrhagic disease caused by intracranial hemorrhage, such as acute leukemia and acute idiopathic thrombocytopenic purpura, can occur in any season. With school-age children often. Fever in a coma and the relationship between these two kinds of diseases can be caused by the disease are fever, followed by coma. When the coma occurred after the heat could rise even more, negative meningeal irritation, and often have anemia, other parts of the bleeding, swollen lymph nodes, such as hepatosplenomegaly. Cerebrospinal fluid examination was to change the bloody uniform.

Saturday, October 4, 2008

Jeghers diagnosis and treatment

(A) clinical Gastric polyp is usually no obvious symptoms, there are more complications when in the upper abdominal discomfort, nausea, vomiting or upper gastrointestinal bleeding, occurred in the Department of Helicobacter pylori can cause polyps Di intermittent pyloric obstruction, the symptoms may change position Mitigation. Gastric polyps are often accompanied by chronic gastritis, which can have the symptoms. (B) diagnosis Although an autopsy in cases of gastric polyps in the incidence of only 0.12 percent to 0.8 percent, while the detection rate as high as gastroscopy 8.7 percent or so, but nearly 50% of the stomach and polyps polyps is not related to the symptoms Gastroscopy in the accident was found. The diagnosis of gastric polyps and rely on the gastroscopic upper gastrointestinal barium X-ray examination, MRI can be detected in a larger polyp, for outstanding performance in the stomach cavity of the elevated lesion. Endoscopic polyps mostly round or hemispherical, for a small number of lobulated, smooth surface mucosa or small Keli Gan, mostly orange, the color a little more weight around the mucous membrane; long pedicle were more obvious changes to the top, white moss , Erosion or bleeding. If polyps were observed in surface erosion necrosis, the bottom-invasive disease, ranging from the size of particles on the surface, such as polyps were nodular should consider the possibility of malignant transformation. Endoscopic polyps should be seen in the routine biopsy, a number of requests were based on several pieces, but endoscopic biopsy greater limitations of early malignant missed easy to make, and should, therefore, endoscopic removal of polyps in a row later sections "All tumor biopsy." (C) treatment As the symptoms caused by gastric polyps less, the removal of polyps in the main significance lies in the total after the biopsy to rule out any small malignant lesions to prevent cancer. With the endoscopic polypectomy technology and the popularity increased, the majority of scholars called for gastric polyps should be positive for endoscopic removal. Ginsberg, and so that even if the diameter of 0. 5 cm of gastric malignant polyps also possible, and endoscopic biopsy forceps biopsy may have missed, so that greater than or equal to 0. 5 cm of polyps should be removed as a whole. Commonly used method of endoscopic removal of polyps are high-frequency electrocoagulation trap removal, laser removal, burning hot biopsy forceps, microwave, such as excision, is less than 0. 5 cm pedicle polyps without first choice for burning hot biopsy forceps, or more than Di 0 . 5 cm and less than 2 cm of pedicle no polyps removed in order to trap more convenient, and other methods, to remove the trap of the biggest advantages is to send specimens to recover seized disease, and fewer complications, safe, the most commonly used; large At 2. 0 cm pedicle-free as a result of endoscopic removal of polyps are prone to bleeding and perforation, surgery should adopt the line of part of the stomach surgery.

Gastric ulcer bleeding combined do not have to fast

Gastric ulcer caused by gastrointestinal bleeding, a common disease, the need for fasting according to the illness, and it is can not be generalized. Gastric ulcer caused by the bleeding, and its effect on how to stop bleeding and is directly related to gastric acid. Diet and gastric acid can easily maintain water and electrolyte balance, to ensure that nutrition and food can also promote the bowel, stomach so that food and blood running down, to reduce nausea and vomiting. Therefore, in a sense, diet is also a kind of adjuvant therapy. For less severe diseases, a small amount of bleeding the patient is no need for fasting. The diet should be based on the type of liquid or semi-liquid food was good, but not overheating. Such as milk, milk, rice rare, thin noodles, eggs, soup, and other food to the stomach irritation of the mucous membrane of small and unlikely to cause bleeding, you eat. However, massive bleeding, pyloric obstruction and vomiting occur frequently hemorrhagic shock patients should be fasting and stop bleeding in the treatment of attention to the blood volume at the same time; heat and add the electrolyte. Shock were to be corrected, the lifting of the symptoms of pyloric obstruction, no active bleeding, to be liquid diet, a gradual transition to the semi-flow and eat soft food.

How cancerous polyps in the stomach before?

Many people do gastroscopy have long found polyps, they often have such doubts: gastric polyps is not great against the disease? Cancer will not occur? There are two gastric polyp, called adenomatous polyposis, is crowded by dense arrangement of the composition of glandular hyperplasia robust, because there are varying degrees of dysplasia, cancer rates of up to 10% -30%, It said "precancerous lesions"; another called hyperplastic polyps, also known as inflammatory polyps or polyps renewable belonging to the extension of the gland hyperplasia, compared with disordered arrangement, there is a greater gap between the gland, and some have a folder in the middle Immature cells. The vast majority of all atypical hyperplasia, the cancer rate was only 0.4 percent. In addition, stomach and polyps polyps of different changes, such as juvenile polyposis change in the tendency of non-malignant; diffuse change polyps, cancer rates of up to 20%; there are genetic changes such as polyps. Under normal circumstances, the polyps of the stomach very small, less than one centimeter, hyperplastic polyps are basically benign, if only a small number of people grew up in hyperplastic polyps, which can cause indigestion, abdominal pain symptoms such as discomfort, but also occur on Gastrointestinal bleeding, the cancer will be. Although the adenomatous polyposis easily lead to cancer, but preventable, such as the emergence of upper abdominal discomfort, pain, nausea, loss of appetite or have symptoms such as black, so in a timely manner gastroscopy, the use of TURP polyps will be cut off. In order to prevent stomach cancer polyps, should adhere to a year to do a gastroscopy, clean removal of polyps. In addition, it is necessary to strengthen the self-care, the inhabitants eat or drink over the hurdle, as far as possible not to increase the burden on the stomach. As long as everyone is alert and can be kept out stomach cancer.