Креативная хирургия и онкология (Jul 2017)
DIFFERENTIAL DIAGNOSIS OF ACUTE INTESTINAL INFECTIONS OF SURGICAL AND ONCOLOGICAL DISEASES
Abstract
Presents an analysis of outpatient and inpatient medical records of patients delivered in infectious hospital № 4 of Ufa with suspected acute intestinal infection and transferred after clinical laboratory examination or from admissions for emergency indications, either from the intestinal-diagnostic unit after the establishment of the non-core nature of the disease in other hospitals. The most informative clinical symptoms and of anamnestic data in the differential diagnosis of acute intestinal infections, acute surgical diseases of abdominal organs (acute appendicitis, intestinal obstruction, cholecystitis and cholelithiasis, incarcerated hernia, diverticular disease, peritonitis, pancreatic necrosis), tumors of the intestine and thrombosis of the mesenteric vessels. In the differential diagnosis of a large circle of non-core diseases were used the results of additional research: the General analysis of blood and urine, capriform, bacteriological and enzyme immunoassay of faeces and vomit on pathogenic and conditionally pathogenic enterobacteria, rotaviruses, as well as the ultrasound and radiography of the abdomen, sigmoidoscopy.
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