Text A. Peritonitis
Peritonitis is known to be general or localized, acute or chronic, primary or secondary.
Acute general purulent peritonitis is believed to be due to perforation of one of the hollow abdominal organs. The most frequent causes are perforating appendicitis, inflammatory conditions of the female sex organs and perforating gastric or duodenal ulcers.
The main symptoms of this condition are vomiting, pain and tenderness in the abdomen, it being considerably enlarged due to the presence of fluid there. The temperature is known to be moderately elevated, the pulse rate being considerably changed. The blood analysis usually reveals leucocytosis.
This condition is extremely dangerous to the patient’s life, an emergency surgery being performed to save the patient. During the operation the primary focus of peritonitis is to be removed, the danger for the patient being eliminated.
Emergency operative treatment is known to be followed by a course of antibiotic treatment, which greatly contributes to the recovery.
HOME ASSIGNMENTS
VI. Supply extended answers to the following questions:
1. Who of the scientists proved the existence of association between a lesion of the central and peri pheral nervous systems and the development of ulcer? 2. What do you know about the corticovisceral theory of ulcers? 3. Give the characteristic clinical manifestations of gastritis. 4. What factors contribute to the development of gastric cancer? 5. What is the development of acute appendicitis accompanied by? 6. What did the prominent Russan scientist S. Botkin prove? 7. What pathologic changes does hepatitis produce in the human body? 8. What three forms of cholecystitis are there? 9. What treatment is indicated in purulent and gangrenous forms of cholecystitis? 10. What diseases may be accompanied by jaundice?
VII. 1. Read Text B. 2. Say what the doctor must pay particular attention to whill examining a patient whose condition is suggestive of liver or bile duct disease:
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