Saturday, August 30, 2008

The main symptoms of prostate cancer

Because prostate cancer will occur in the posterior lobe, slow growth, was buried after, so early symptoms not obvious, once developed symptoms, and often is a relatively late. Advanced prostate cancer for the main performance of lower urinary tract obstruction, or with hematuria and urinary retention. The most prominent symptom is pain.    (1) voiding dysfunction: 80 percent of patients caused by the tumor sexual dysuria, urinary thinning or urinary partial distortion, or urinary bifurcation, urine-extended frequency, urgency, not urine Italy flu seriously when urine drops Lek and the outbreak of urinary retention. Hematuria patients accounts for only 3 percent.    (2) pain: waist, sacrum, buttocks, hip pain, pelvic, Sciatica is a common, intense just unbearable. Perhaps because tumor metastasis to bone or nerves or violations of hydronephrosis, renal infection due. About 31% of patients in pain.    (3) transfer symptoms: in prostate cancer, the transfer is common. About 1 / 3 or 2 / 3 of patients in the initial medical treatment when there were lymph node metastasis, will occur in all types, all types, waist, groin and other parts. The corresponding parts can cause swollen lymph nodes and leg swelling. Blood metastasis was particularly prevalent in the bone (such as the pelvis, sacrum and lumbar spine, such as the upper femur> and offal (such as lung, liver, brain, adrenal gland, testes, etc.).    (4) systemic symptoms: pain due to the effects of diet, sleep and spirit of the long-term torture, general conditions increasingly weak and emaciated fatigue, anemia, cachexia or renal failure.

Friday, August 15, 2008

Cirrhosis What are the reasons for anemia

Cirrhosis, often have different levels of anaemia, of which 2 / 3 for mild to moderate, mainly normal cells or small red blood cell anemia, occasionally giant cell anemia. Cause anemia because: ① resistive congestive spleen, large numbers of red blood cells in the spleen sinus long-term stasis in case of hemolysis. ② hypersplenism. ③ because fat metabolism disorder, abnormal plasma in a certain category lipid can cause hemolytic. ④ vitamin B12, folic acid, such as inadequate intake of nutrients, poor absorption and utilization of obstacles. Nutritional giant red blood cell anemia in alcoholic cirrhosis of the more common. In non-alcoholic cirrhosis, blood loss and iron deficiency anemia may be an important reason. Erythropoietin advanced cases often inhibit the use of barriers and iron.

Early diagnosis of cirrhosis

(A) diagnosis Decompensated cirrhosis of the diagnosis is not difficult, but early diagnosis is difficult. Pathology identified as patients with cirrhosis, without any symptoms, or only some non-specific symptoms of the digestive tract, so simply rely on clinical symptoms difficult to make early diagnosis. The following points may help early diagnosis: 1. For viral hepatitis, chronic lack of long-term drinking, such as patients with chronic gastro-intestinal infection, we must closely follow-up study with a view to early diagnosis. 2. For reasons unknown hepatomegaly, especially liver texture is a solid, smooth surface, to adopt various methods including ultrasound, laparoscopic, such as liver biopsy to determine their nature. Both the liver and spleen, liver cirrhosis is more likely. (B) the differential diagnosis to consider the differential diagnosis 1. Hepatomegaly caused by other reasons, such as chronic hepatitis and primary liver cancer and liver fat infiltration, and so on. 2. Splenomegaly caused by other reasons, especially the so-called idiopathic portal hypertension (grouper for the syndrome), its pathology of the liver before sinus portal fibrosis and increased pressure, clinical performance as splenomegaly, Anemia, WBC and thrombocytopenia, gastrointestinal bleeding, and so repeatedly. Advanced schistosomiasis have sinus before obstruction of the liver and portal hypertension, hypersplenism and ascites, and other performance, attention should be paid differential. 3. With other causes of upper gastrointestinal bleeding, in particular, peptic ulcer, gastritis, and so on. 4. And other causes of ascites, in particular the narrow pericarditis, Tuberculosis peritonitis, peritoneal cancer and ovarian cancer. Ovarian cancer in particular, is false mucinous cystadenocarcinoma, often chronic ascites as the main performance, ascites for the leakage of liquid in nature, can sometimes cause difficulties on the differential diagnosis, diagnostic laparoscopy on helpful. 5. And other causes of psychiatric symptoms such as uremia, diabetic ketoacidosis caused by a coma, with the identification of hepatic encephalopathy. Early cirrhosis of the clinical symptoms and diagnosis Cirrhosis of the past generally wait until a ascites, such as gastrointestinal bleeding or a loss can be compensated performance of the diagnosis, the treatment of this often lose the opportunity. Now, have a lot of liver fibrosis and biochemical indicators, such as Ⅰ, Ⅱ, Ⅲ, Ⅳ collagen, collagen, laminin, HA, such as biochemical indicators of the hospitals in different ways, normal Values are also different, but these indicators increased, on the tips of early liver cirrhosis, early treatment of liver fibrosis.

Wednesday, August 6, 2008

Glomerulonephritis slow trigger hypertension DR features

Chronic glomerulonephritis without renal failure, the general hypertension and renal damage occurred was directly proportional to the degree of relationship. Glomerular lesions in the case of a lesser extent, hypertension, a rare occurrence, even though there are also more mild hypertension. Glomerular lesions in the development of renal injury increased, the incidence of high blood pressure and levels of increases. As patients with chronic glomerulonephritis in more intake of sodium and water, the impact on the body also significantly higher than normal, the incidence of hypertension is likely to speculate with abnormal regulation of body fluids. But with renal insufficiency, Shuinazhuliu caused by high blood volume status, hypertension is often a major factor. In addition, plasma renin activity increased total peripheral resistance increased, the formation of hypertension is also another important reason. Clinical diagnosis based on the following points: (1) patients with acute glomerulonephritis past history. (2) recurring swelling, proteinuria, and frequently have anemia, hypoproteinemia and azotemia. (3) retinopathy is not obvious. (4) appear albuminuria and microscopic hematuria in hypertension, proteinuria continued presence of high blood pressure is not significant. (5) IVP show contrast excretion delays and narrow the bilateral kidneys, which contribute to symptoms of chronic glomerulonephritis in the diagnosis of hypertension. Chronic glomerulonephritis caused by the symptoms of high blood pressure, although there are more features, but it is sometimes difficult identification of disease and hypertension. In blood pressure or significantly increased in renal failure, hypertension is not easy with three of hypertension and radical identification. They may appear in the protein in the urine, and the red blood cell type, there azotemia atherosclerosis and retinal bleeding, depending on the nipple edema and other diseases. In clinical performance of hypertension with kidney damage, should pay attention to distinguish, for the corresponding treatment, the disease and improved the prognosis is very important.

Monday, August 4, 2008

Endometrial cancer clinical stage

Endometrial cancer clinical 4, Ⅰ limited to cancer of the uterus, early lesions confined to endometrial, without myometrial invasion; Ⅱ period involving the cervical lesions; Ⅲ invasion and uterine cancer outside the ovary, or lymph nodes, and so Luanguan Transfer; Ⅳ have been violations of bladder cancer, intestinal and distant the lung, liver and other organs. The transfer of the disease as the main means of lymphatic metastasis, followed by local spread; blood disseminated in more advanced.

Endometrial cancer What are the clinical manifestations

Clinical manifestations are as follows: (1) vaginal bleeding: This is the most common of endometrial cancer and the symptoms first appeared, more performance for irregular bleeding, bleeding for a long time when less. Menopausal women may not menstrual volume, duration of the extension; postmenopausal women in postmenopausal bleeding. (2) of vaginal discharge: endometrial cancer tissue necrosis, shedding can be caused by the exudate vaginal discharge, Mi Tang was mixed with blood samples, or for Nongxing, with the smell. (3) pain: more than in advanced patients, the tumor caused nerve compression. Pain can occur in the lumbosacral, lower abdomen, and legs to the radiation. (4) the inspection, no more early anomaly; late for the performance of the uterus can be increased, softened; postmenopausal women's uterus does not shrink or has increased, pelvic can touch the mass transfer. According to the above symptoms, conduct further examinations, whether for endometrial cancer can be confirmed. So women should always pay attention to their menstrual changes, the attention of vaginal secretions characters; Once symptoms appear, as soon as possible to the hospital for an examination.