Friday, October 24, 2008

Vigilance in children with acute myocarditis

Children with acute myocarditis in children, mostly school-age children, and in 1-3 weeks before the onset of influenza have been history. Therefore, parents will not take cold in children. There are a lot of virus infection can cause myocarditis, the most common is the Coxsackie B virus group. Other viruses such as influenza, ECHO virus, adenovirus, herpes virus, mumps virus can cause myocarditis. Such infections often start showing flu symptoms, and then may be against myocardial.
Children of the cold, should go to the hospital checkup and treatment in a timely manner so as to avoid violation of myocardial virus. The clinical symptoms of myocarditis uneven. Light can be no symptoms, only doctors or laboratory examination of cardiac auscultation was found to have abnormal. There are some children with dizziness, fatigue, loss of appetite, chest tightness, shortness of breath or heart before symptoms such as pain. As the disease progresses, can occur in children with nausea and vomiting, tachycardia, arrhythmias, and so on performance. The disease can be dramatic changes in a matter of hours, lead to heart failure, shock or syncope. If we do not save in a timely manner, can be life-threatening.
There is no specific vaccine available to prevent viral myocarditis. The key measures is to improve their own health, strengthening exercises and do a good job of prevention against common infectious diseases, to enhance immunity. Respiratory diseases in epidemic season, as little as possible to crowd congestion, air quality and easy-to-transmitted diseases in public places in order to prevent the occurrence of a variety of infections.

Wednesday, October 22, 2008

Paroxysmal supraventricular tachycardia is how going on?

Paroxysmal tachycardia, is a common rapid arrhythmia. The clinical characteristics of the attack is a sudden, all of a sudden stop, every few minutes to several hours of sustainable attack, or a few days. Heart rate in more than 160-220 times per minute. Since the attack ectopic rhythm point of origin, can be divided into rooms, or rooms of the junction area. The first two are sometimes difficult to identify ECG At the same time, clinical manifestations and treatment of similar measures, it is collectively referred to as paroxysmal supraventricular tachycardia. Paroxysmal supraventricular tachycardia, can be found in young people without organic heart disease, often emotional, fatigue, excessive alcohol-related. There are more seen in patients with organic heart disease, such as rheumatic heart disease, coronary heart disease, cardiomyopathy, congenital heart disease and patients with hyperthyroidism. Certain drugs (such as digitalis) can also be caused by poisoning. Anesthesia, cardiac catheterization, and so can lead to. Wolff-Parkinson-White syndrome in pregnancy and is often induced by the disease. Paroxysmal tachycardia grave found in the organic heart disease, such as myocardial infarction, myocarditis, and so serious. Certain drugs (such as digitalis, quinidine, and agent Antimony) can also be caused by poisoning. Heart surgery, cardiac catheterization can lead to.

Friday, October 17, 2008

APN of pathogenic bacteria

Aerobic gram-negative bacteria of major pathogenic bacteria are the most common are E. coli and Proteus. Proteus has a strong synthesis of urease's ability to break down urea urease, so that the alkaline urine, leading to precipitation of phosphate, to form magnesium ammonium phosphate and calcium phosphate stones. Klebsiella spp synthesis of urease weak, but other synthetic stones favor of the formation of the material.
Gram-positive cocci, especially coagulase positive staphylococcus (aureus on the surface, parasitic corruption aureus), Staphylococcus aureus and Streptococcus Group D (enterococci) has also given rise to the occasional Acute pyelonephritis. Staphylococcus can be invasive way to the blood of kidney and urine disease caused by bacteria kidney abscess. Pyelonephritis caused by anaerobic bacteria in some rare cases.

Thursday, October 16, 2008

Differential diagnosis of obstructive pulmonary emphysema

【Diagnosis 】
The diagnosis of obstructive pulmonary emphysema, especially in the early diagnosis more difficult, should be history, signs, chest X-ray and pulmonary function tests to determine integrated. Where there is a gradual increase in the history of dyspnea, pulmonary Gong Tests can show the residual gas and RV / TLC, forced expiratory volume in the first second / forced vital capacity reduction, lower forced vital capacity, uneven distribution of gas, to reduce the diffusing capacity; as bronchodilators rule Treatment, no significant improvement in lung function, the diagnosis can be set up.
【Differential diagnosis】
It should be noted with tuberculosis, lung cancer and occupational lung disease in the differential diagnosis. Moreover, chronic bronchitis, bronchial asthma and obstructive pulmonary emphysema and chronic obstructive pulmonary disease are, and chronic support Bronchitis and asthma can be complicated by obstructive pulmonary emphysema. However, only three, and the distinction can not be the same. Chronic bronchitis complicated by emphysema in precancerous lesions confined to the main bronchus, There are obstructive ventilation barriers, but to a lesser extent, the normal diffusing capacity. Bronchial asthma attack for the performance period obstructive pulmonary ventilation barriers and over-inflated, can be severely uneven distribution of gas. However, the above-mentioned Reversible changes in the larger, better response to inhaled bronchodilators. Diffusion dysfunction is not clear. Bronchial asthma and reactive airway significantly increased, lung function day and night are big fluctuations in their haracteristics.

Wednesday, October 15, 2008

Pelvic inflammatory disease will affect the reproductive right?

The female pelvis and reproductive organs (including the uterus, fallopian tubes and ovaries), uterine and pelvic peritoneum around the connective tissue inflammation, etc., collectively referred to as pelvic inflammatory disease. Pelvic inflammatory disease is a relatively common gynecological diseases, in some sexual disorders, the spread of sexually transmitted disease is particularly common in the country. In my pelvic inflammatory disease caused by sexually transmitted diseases, although rare, but the following factors and the incidence of pelvic inflammatory disease: (L) poor personal hygiene. (2) the wider use of intrauterine devices. (3) post-natal infections and post-abortion infection. (4) to the minor gynecological some of the preoperative surgery and the lack of attention to aseptic operation. (5) unclean sexual intercourse or menstruation, and so on. Pelvic inflammatory disease often caused by more than one pathogen of mixed infections. Although the pathogen can be spread through blood or lymphatic, sometimes from nearby tissues or organs directly from the spread, but the vast majority of pelvic inflammatory disease pathogens are inside the vagina mucous membrane along the surface of the pelvic line tat-induced organ. And genital inflammation of the surrounding tissue is often not isolated, but interact at the same time inflammation. Pelvic inflammatory disease, tubal If you are going to feel the impact, resulting in adhesion lumen, complete obstruction, can affect the future of the pregnancy, causing infertility; if limited to pelvic inflammation of connective tissue, fallopian tube is not involved, do not affect reproductive function.

Monday, October 13, 2008

Children with fever and vomiting on the diseases common?

Q: children with fever and vomiting associated with the diseases commonly found in?
A: fever accompanied by vomiting is more common in children during the clinical symptoms found in the central nervous system infection, commonly found in the digestive system diseases and acute abdomen.
Children with epidemic cerebrospinal meningitis and Japanese encephalitis, when the disease are the early symptoms of fever for more performance for the sustainability of high fever, body temperature often in the 39 ℃ ~ 40 ℃ between. At the same time, high fever, vomiting frequently occur in children, and more for jet-like vomiting, convulsions and soon, in a coma, disturbance of consciousness.
Children with acute gastroenteritis, dysentery, acute food poisoning, will develop fever, vomiting symptoms. However, these gastrointestinal infections in general the degree of heat not too high, but not long duration of fever, vomiting non-jet-like, spit-food for the stomach contents, and so on.
Some of the acute abdomen in children, such as acute intestinal obstruction, intussusception, acute appendicitis, acute pancreatitis, and so on, generally have a fever in the clinical and vomiting. In addition to these acute abdomen fever, vomiting, abdominal pain symptoms more prominent. General search through the body and the physical and chemical examination can be diagnosed.

Friday, October 3, 2008

What people susceptible to pregnancy-induced hypertension syndrome?

Q: What were susceptible to pregnancy-induced hypertension syndrome?
A: 1, the beginning of young mothers and elderly primipara.
2, were short and stout body.
3, the onset is usually in the 20 weeks of pregnancy, especially in pregnancy after 32 weeks of the most common.
4, malnutrition, particularly those with severe anemia.
5, suffering from essential hypertension, chronic nephritis, diabetes and pregnancy, the higher prevalence, the disease may be more complicated.
6, and twins, too much amniotic fluid and the mole pregnant women, the incidence is higher.
7, winter and early spring season of cold and air pressure conditions, easy-to-incidence.
8, family history, such as pregnant women, mothers have a history of pregnancy-induced hypertension, the possibility of a higher incidence of pregnant women.

Pregnancy-induced hypertension is what the disease aftermath?

Q: pregnancy-induced hypertension is what the disease aftermath?
A: pregnancy-induced hypertension disease after delivery generally can be cured naturally, but if a month after childbirth, urine protein content of high blood pressure or persistent symptoms, they should consider the consequences for pregnancy-induced hypertension disease.
However, pregnancy-induced hypertension disease, the after-effects no symptoms, it is easy to be ignored. If you do not receive treatment and has done absolutely nothing, the next pregnancy and childbirth, will be a serious risk of pregnancy-induced hypertension disease, also suffering from high blood pressure chronic pelvic inflammation. As a result, one month post-natal medical examination, if the pregnancy-induced hypertension to identify those with the disease should be treated, treatment and food to quiet the combination therapy treatment results.