Licensed books on medicine
<< Previous || Next >> |
Enterocolitis is an inflammatory or inflammatory-dystrophic lesion of the small or large intestine, resulting in a chronic course of atrophy of their mucous membrane.
The main clinical manifestations
Pain in the mesogastric region and throughout the abdomen (aching, pressing, stitching), worse after eating, physical exertion, accompanied by impaired stool (diarrhea, constipation, alternating diarrhea with constipation); weight loss is noted, with palpation of the abdomen soreness in the mesogastric region, along the large intestine, in the navel, rumbling of the intestine.
Classification of chronic enterocolitis
(according to A.V. Frolkis, 1975)
1. By etiology:
a) post-infectious (after dysentery, salmonellosis, food toxicoinfection, etc.);
b) postparasitic (amoebiasis, giardiasis, balantidiasis, helminthic invasions);
f) mechanical (colonoptosis, splanchnoptosis, dolichosigma, adhesive disease of the abdominal cavity, etc.);
i) secondary (gastrogenic, pancreatogenic, biliary origin and other etiologies);
j) insufficiently studied etiology (tropical and non-tropical sprue, Whipple's disease, congenital enzymopathies, etc.);
2. According to the prevailing localization of the pathological process:
a) with a predominant lesion of the small intestine;
b) the state of digestion - compensation, subcompensation, decompensation;
c) the severity of the course - mild, moderate, severe;
d) phase of the course: exacerbation, incomplete remission, remission.
The state of intestinal microflora and parasitic fauna: dysbiosis - pronounced, unexpressed.
1) pain; 2) enteric symptom; 3) general syndrome (weight loss, increased fatigue, decreased performance, decreased appetite); 4) hypovitaminosis syndrome; 5) exudative enteropathy syndrome; 6) polyglandular endocrine insufficiency syndrome; 7) anemia, hypoproteinemia, dysproteinemia, steatorrhea, creatorrhea, amylorrhea; 8) radiological and endoscopic symptoms; 9) partial or subtotal atrophy of the villi of the intestinal mucosa.
Three types of severity of chronic enterocolitis are distinguished with the course:
I - mild course - clinically manifested by local intestinal symptoms;
II - moderate course - characterized by intestinal and general syndromes;
III - severe course — general symptoms prevail and the general condition of patients suffers.
Clinical Diagnosis Examples
1. Chronic enterocolitis, parasitic, moderate with a primary lesion of the small intestine, unit, with moderate partial villous atrophy, with a predominance of deficiency of intestinal digestion and absorption in the acute phase.
2. Chronic post-infectious enterocolitis with a predominant lesion of the colon, the course of moderate severity, with symptoms of dysbiosis in the acute phase.
| << Previous || Next >> |
| = Skip to textbook content = |
Enterocolitis is an ongoing inflammation of the mucous membrane of the small intestine (enteritis) and the large intestine (colitis). As a rule, the disease is secondary in nature, as a complication of an infection, parasitic infestation, poisoning or other pathology. It proceeds both in acute and in chronic form. Symptoms: bloating and rumbling in the abdomen, excessive secretion of gas
- Enterocolitis Nutrition
Enterocolitis is an inflammation of the small intestines with a simultaneous defeat of the thick ones, characterized by diarrhea or, conversely, constipation. In acute enterocolitis, which is accompanied by frequent diarrhea, the body is depleted of fluid, and this leads to dehydration. Therefore, in the first two days of the disease, you need to drastically limit the amount of food, and to quench your thirst and prevent dehydration
- Necrotizing enterocolitis
Acute diarrhea in newborns often has an infectious nature. The causative agents of gastroenteritis or enterocolitis in newborns can be bacteria (Shigella, Salmonella, Yersinia, Campylobacter, various strains of Escherichia coli, Staphylococcus, Streptococcus, Proteus, Klebsiella, cholera vibrio, Clostridia, viruses, virus viruses, rotaviruses) mushrooms.
Diseases accompanied by diarrhea (diarrhea) are a group of the most important nosological forms. Many of them cause bacteria, while others occur with malabsorption (lack of absorption) or idiopathic inflammatory bowel disease. Diarrhea. A healthy adult consumes about 2 liters of fluid daily. To this amount are added 1 liter of saliva, 2 liters constantly
- Chronic glomerulonephritis in children. Acute and chronic renal failure
Questions for repetition: 1. Samples used to study the functional state of the kidneys. Test questions: 1. Definition, etiopathogenesis of chronic glomerulonephritis. 2. Classification of chronic glomerulonephritis. 3. The clinical picture and laboratory diagnosis of various forms of chronic glomerulonephritis. 4. Differential diagnosis of chronic glomerulonephritis. 5. A kidney biopsy,
- Chronic inflammation of the tonsils (chronic tonsillitis)
In children, this disease is common. Prerequisites for the development of chronic tonsillitis are anatomical, physiological and histological features, the presence of microflora in the gaps, and the violation of protective and adaptive mechanisms in the almond tissue. Most often, chronic tonsillitis begins after a sore throat. The inflammatory process in the tissues of the tonsils at the same time becomes chronic
- Chronic inflammation of the tonsils - chronic tonsillitis
Chronic tonsillitis (tonsillitis chronica) is a common infectious disease with the localization of a chronic focus of infection in the tonsils with periodic exacerbations of tonsillitis. It is characterized by a violation of the general reactivity of the body, due to the ingestion of toxic infectious agents from the tonsils. Exacerbations of chronic tonsillitis (sore throat) when contagious
- CHRONICAL BRONCHITIS. CHRONIC PULMONARY HEART.
In recent years, due to the deteriorating environmental situation, the prevalence of smoking, and a change in the reactivity of the human body, there has been a significant increase in the incidence of chronic non-specific lung diseases (COPD). The term KNZL was adopted in 1958 in London at a symposium convened by the pharmaceutical group Ciba. He combined such diffuse diseases
- Chronic duodenitis. Chronic gastroduodenitis
Chronic duodenitis (gastroduodenitis) is a disease characterized by a chronic inflammatory process in the mucous membrane of the duodenum (and stomach). ETIOLOGY. In the etiology of the disease, impairment of diet and lifestyle, disorders of the neuro-endocrine regulation of the function of the stomach and duodenum are important, as a result of which motor function is impaired
- Chronic runny nose (chronic rhinitis)
The main forms of chronic rhinitis (rhinitis chronica) - catarrhal, hypertrophic and atrophic - are a nonspecific dystrophic process of the mucous membrane and, in some cases, the bone walls of the nasal cavity. The disease is common. E and l about g and I and patogenesis. The occurrence of chronic rhinitis is usually associated with discirculatory and
- CHRONIC OBSTRUCTIVE LUNG DISEASES / CHRONIC BRONCHITIS AND LUNG EMPHYSIS /
Chronic obstructive pulmonary disease is a pathological condition characterized by the formation of chronic airway obstruction due to chronic bronchitis / chronic obstructive pulmonary disease and / or pulmonary emphysema / EL /. Chronic obstructive pulmonary disease is widespread. It is estimated that HB affects about 14–20% of the male and about 3–8% of the female adult population, but only
- Chronic colitis
Chronic colitis is a disease characterized by inflammatory lesions of the mucous membrane of the colon, in the clinical picture of which pain and dyspeptic syndromes predominate, and the morphological basis is a combination of elements of inflammation with signs of epithelial dystrophy, a decrease in the depth of crypts and the development of varying degrees of lymphoplasmocytic infiltration. In those
- Chronic duodenitis
- An inflammatory disease of the duodenum. Classification of chronic duodenitis Due to occurrence: primary, secondary; morphology: chronic duodenitis without atrophy; chronic atrophic duodenitis; by activity: period of exacerbation, period of remission. Diagnostic criteria 1) Pain; 2) dyspeptic syndrome (nausea, vomiting, heartburn,
- Chronic pancreatitis
Clinic Chronic pancreatitis is a chronic inflammation of the pancreatic tissue, leading to fibrosis, loss of exocrine tissue and, consequently, to gland dysfunction. The Marseille-Roman classification of chronic pancreatitis includes three types: 1. Chronic colifiable pancreatitis, accounting for 80% of all cases of chronic pancreatitis and arising from the background
- Chronic pneumonia
Chronic pneumonia is a chronic nonspecific bronchopulmonary process based on irreversible morphological changes in the form of deformations of the bronchi and pneumosclerosis in one or more segments and accompanied by relapses of inflammation in the lung tissue and / or bronchi. Essentially a similar definition is currently given by therapists. It is believed that under chronic pneumonia
- Chronic tonsillitis
Chronic tonsillitis is a chronic inflammation of the tonsils, with damage to other tonsils, localization is indicated - chronic adenoiditis, tonsillitis of the lingual tonsil. There are many classifications of chronic tonsillitis. At present, the classification of IB Soldatov, approved by the VII All-Union Congress of Otolaryngologists, is the most recognized. According to this classification, two forms are distinguished
- Classification of chronic inflammation.
Clinically distinguish between chronic inflammation that develops after acute and occurs de novo. Morphologically distinguish chronic inflammation of infectious and non-infectious origin. Infectious inflammation, in turn, is specific and non-specific. The terms “specific” and “non-specific” inflammation are used in the context of a type of inflammation. Histological features