 Wysłany: Pią 19:18, 25 Mar 2011 Temat postu: Anterior mediastinal neurogenic tumor misdiagnosis |
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| Anterior mediastinal neurogenic tumors Misdiagnosis
Cases. Now misdiagnosis as follows: 1. Misdiagnosed as chronic pancreatitis, gastric ulcer, 5 cases of upper gastrointestinal bleeding Misdiagnosis: ① to the long-term outpatient treatment of ulcer disease. Antispasmodic treatment works. ② only pay attention to recurring acid reflux, upper abdominal pain, pain under arrest after a meal, ignoring the treatment of iron Jing eating before the 2 cases, 3 cases of eating meat. Mistakenly saying to Even if the Fed ulcer disease exists, except fI Meng gland can not shoot a particularly duodenal ulcers Animals existence, can not be other than pancreatitis. because the duodenal bulb Shai inflammation often to local congestion, edema, particularly duodenal papilla edema can lead to pancreatic duct obstruction, combined with partial seizures, increased pancreatic duct obstruction caused by pancreatitis. ② urine amylase tests were normal or slightly higher, ignoring the small long-term damage caused by pancreatic cells. 3 chronic pancreatitis were misdiagnosed as chronic ulcer of the Results contribute to a feast of early cancerous sun l l misdiagnosed inflammation causes recurrent ① only from the left upper abdominal pain with defecation fields were difficult to digest under the summer months through the end of barium splenic flexure 2cm long embryos, embryo cavity light narrow departure, consider the left upper abdominal organs granted adjoining relationship, do not end in time the sun indigo microscopy. @ will be misdiagnosed as chronic colitis, steatorrhea viscosity Chang I, B-and abdominal plain film confirmed pancreatic tail and splenic flexure adhesions 4.. coronary heart disease misdiagnosed as chronic pancreatitis draft variant angina 7 down. misdiagnosed t ① 50 years of age, the average 3-year history, and left the boat I have Zhilao supine left hypochondrium pain, rest and change position to reduce, x-ray examination normal heart and lung and pleura, the variability of income Jilin angina Medical Information l99 | on 11 homes seems no doubt that down the left hypochondrium ② 2 .3 knock down left upper quadrant pain, tenderness zonal. B-proven chronic pancreatitis. @ only intended age of depression, pain, position and position changes with the occurrence of pain,adidas scarpe, ignoring the duration of pain, radiation parts, accessories and expansion of the crown seized the effects of treatment 5. frequently acute pancreatitis and Summer Queen arrhythmias misdiagnosed as acute cardiac arrest, sudden death, myocardial infarction misdiagnosed the original solid l: ① its attention to its middle-aged men, sudden onset of persistent precordial pain, acute ECG examination. the lead she and her low, flat and frequency of Tl Fat PVCs (bigeminy was. ② emergency treatment of sudden cardiac arrest, seized the corpse was found tied to the formation of coronary A blood, and pancreatic edema and exudation around the bloody confirmed acute pancreatitis. ③ course of the disease had appeared in the vagus N Enhanced excitatory symptoms, and because a large number of vomiting due to pancreatitis and cardiovascular system, an important electrolyte imbalance caused by misdiagnosis of the original performance is solid. 6. acute pancreatitis misdiagnosed as acute inferior wall myocardial infarction in 1 case. error saying stall because, ① in health of the body, sudden and left precordial I sneeze the pain with nausea and persistent vomiting, ECG I, IaVFT crossing inversion, pathological Q wave, diagnosed as acute inferior wall myocardial infarction seems to doubt, and the expansion of the crown and the effect of nutrition myocardium was , ECG dynamic observation, 24 hours after the onset Q wave disappeared, T crossing change low and even. so gradually erect, double check the urine amylase increased, suggesting that a wrong diagnosis. ② course of the disease only on the pathological Q wave. If we consider myocardial infarction should be done to check the serum enzymes, while ignoring signs of secondary abdominal rib check. The picture shows off on the grant from saying the concept of acute pancreatitis, so essentially for the grant taking into consideration the time of acute pancreatitis in high-lin trypsin directly on the heart blood, the blood of myocardial open. In particular, acute pancreatitis, the plasma inhibition of myocardial cells present in the tree element, while in high blood trypsin, and further aggravate myocardial ischemia, and because the pancreatitis itself is not exudation. stimulate the pancreas Cui, causing varying degrees of abdominal pain. resulting in increased excitability of the vagus N, adding the crown l conical cap A insufficiency, and digestive system dysfunction, resulting in electrolyte imbalance, caused further increase myocardial oxygen consumption, and so wrong saying. 7 Acute pancreatitis complicated with pancreatic encephalopathy misdiagnosed misdiagnosed by the original ear disease 1 down - ① young women lost both Zhu Wei himself, more than a dream. mental stimulation increased, patient vital signs were normal for each _ species, accounting for abdominal examination Ge , showing excitement, hallucinations, language no ethics sputum, symptomatic treatment to reduce the symptoms three days later, the readme left upper quadrant pain, blood results are multiplied increased amylase, B-ultrasound pancreas widened. around a small amount of exudation. pancreatitis confirmed Zhen. ② misdiagnosis is the main raw solid history of previous neurological weak Zhong, Chong history of mental stimulation before diagnosis, when diagnosis of psychiatric symptoms Chong, various vital signs were normal and abdominal examination is not surprising for, resulting in misdiagnosis. @ In case of young patients with a history of nervous breakdown Department of Environment and neurological symptoms, should not first consider the blast, who cut a birth rate of pancreatitis pancreatic disease, acute onset, rapid human blood trypsin. especially the pancreatic phospholipase A, acting on the brain cells, making it edema, degeneration of brain cells can + severe hemorrhage, softening necrosis, leading to clinical death, (bats Series: Zhang Li #),,_ |
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