The differential diagnosis of acute gastritis

An acute gastritis has served corrosive strong acid (sulfuric acid, hydrochloric acid, nitric acid), alkali (sodium hydroxide, potassium hydroxide), such as history or to Sool. After serving digestive tract caused by burns in the mouth, throat, sternum, and after intense abdominal pain, With swallowing pain, Yanxia difficulties, frequent nausea and vomiting. In serious cases can be hematemesis, Xuchu mucosal blood-Rot, in prostration, shock or cause of esophageal and gastric perforation symptoms, mouth, throat, there will be contact with the inflammation, congestion, edema, erosion, stripping mucosal necrosis, or ulcer see black, white crust. Second, the disease of acute appendicitis early on, there may be abdominal pain, nausea, vomiting, but with the condition progress gradually shift right lower quadrant pain and tenderness and fixed-Tiaotong more with fever, increased leukocyte, neutrophil significantly increased. Third, cholecystitis, cholelithiasis have recurrent abdominal pain, often right upper quadrant mainly radiotherapy to the right shoulder could be back. Check the attention of the sclera, skin jaundice. Right upper quadrant tenderness, Do's levy positive, can be touched or enlarged gallbladder. Quantitative of red blood bile and urine contribute to the diagnosis of biliary 3. Four other Lobar Pneumonia, such as the early stage of myocardial infarction may have varying degrees of abdominal pain, nausea, vomiting. If asked in detail about medical history, physical examination and the necessary support inspection, it is not difficult to identify.