Remember these diagnostic formulas, the diagnosis of digestive diseases is no longer difficult!

Digestive system disease diagnosis formula

Digestive system disease diagnosis formula

Common symptoms: abdominal pain, diarrhea, nausea, vomiting, lumps

Common symptoms: abdominal pain, diarrhea, nausea, vomiting, lumps

1.

1.

2.

Stomach ulcer = chronic regular upper abdominal pain ( pain after a full meal ) + hematemesis and black stool

Duodenal ulcer = pain when hungry or pain at night + hematemesis and black stool

Duodenal ulcer = pain when hungry or pain at night + hematemesis and black stool

Peptic ulcer perforation = sudden severe abdominal pain ( signs of peritonitis ) + X- ray free gas under the diaphragm

Peptic ulcer perforation = sudden severe abdominal pain ( signs of peritonitis ) + X- ray free gas under the diaphragm

3.

3.

4.

5.

Treatment: Sulfasalazine (SASP)

6.

6.

(1) Acute pancreatitis ( edematous type ) = history of overeating / chronic biliary disease + persistent upper abdominal pain + reduction in bending pain + amylase test

(2) Acute pancreatitis ( hemorrhagic necrosis type ) = the above-mentioned edema type symptoms + waist and abdomen or periumbilical purple spot + abdominal puncture meat washing liquid + high blood sugar + low blood calcium

(2) Acute pancreatitis ( hemorrhagic necrosis type ) = the above-mentioned edema type symptoms + waist and abdomen or periumbilical purple spot + abdominal puncture meat washing liquid + high blood sugar + low blood calcium

The hematuria amylase value of hemorrhagic necrosis is not necessarily high, but sometimes it will decrease

The hematuria amylase value of hemorrhagic necrosis is not necessarily high, but sometimes it will decrease

7.

8.

9.

10.

11.

12.
Acute Abdomen

(1) Appendicitis = metastatic right lower abdominal pain + McDonald's point tenderness ( pain, dull pain ) + elevated WBC

(1) Appendicitis = metastatic right lower abdominal pain + McDonald's point tenderness ( pain, dull pain ) + elevated WBC

(2) Intestinal obstruction: abdominal pain + vomiting + swelling + closure + X- ray ( liquid level ) 

(2) Intestinal obstruction: abdominal pain + vomiting + swelling + closure + X- ray ( liquid level ) 

1) Causes: mechanical and dynamic  

1) Causes: mechanical and dynamic  

 2) Blood supply: simple and strangulated  

 2) Blood supply: simple and strangulated  

3) Degree: completeness and incompleteness

3) Degree: completeness and incompleteness

4) Position: high and low

4) Position: high and low

(3) Perforation of the digestive tract = history of ulcer + sudden upper abdominal pain + peritoneal irritation + free gas under the diaphragm

(3) Perforation of the digestive tract = history of ulcer + sudden upper abdominal pain + peritoneal irritation + free gas under the diaphragm

(4) Ectopic pregnancy = vaginal bleeding + history of menopause + severe pain in the lower abdomen ( cervix lifting pain ) + chorionic gonadotropin

(4) Ectopic pregnancy = vaginal bleeding + history of menopause + severe pain in the lower abdomen ( cervix lifting pain ) + chorionic gonadotropin

(5) Ovarian cyst pedicle torsion = posture change + sudden abdominal pain + cystic mass

(5) Ovarian cyst pedicle torsion = posture change + sudden abdominal pain + cystic mass

(6) Acute pelvic inflammatory disease = history of curettage surgery + abnormal leucorrhea + lower abdominal pain + severe lower abdominal pain ( cervix lift pain ) + purulent discharge

(6) Acute pelvic inflammatory disease = history of curettage surgery + abnormal leucorrhea + lower abdominal pain + severe lower abdominal pain ( cervix lift pain ) + purulent discharge

13.
Tumors of the digestive system

13.
Tumors of the digestive system

(1) Gastric cancer = elderly + melena + niche shadow + chronic ulcer pain regular change + upper abdominal pain + abdominal mass + weight loss + left supraclavicular lymphadenopathy

(1) Gastric cancer = gastric cancer elderly + melena + niche shadow + chronic ulcer pain regular change + upper abdominal pain + abdominal mass + weight loss + left supraclavicular lymphadenopathy

(2) Esophageal cancer = progressive dysphagia ( middle and late stage ) + post-sternal burning pain ( early stage ) + choking sensation after eating ( early stage )

(2) Esophageal cancer = progressive dysphagia ( middle and late stage ) + post-sternal burning pain ( early stage ) + choking sensation after eating ( early stage )

(3) Liver cancer: history of hepatitis + pain in the liver area + elevated AFP + hard liver + ascites jaundice + B ultrasound

(3) Liver cancer: history of hepatitis + pain in the liver area + elevated AFP + hard liver + ascites jaundice + B ultrasound

(4) Rectal cancer = rectal irritation + blood on the digital examination + pus and blood in the stool + weight loss + stool deformation

(4) Rectal cancer = rectal irritation + blood on the digital examination + pus and blood in the stool + weight loss + stool deformation

(5) Pancreatic cancer ( carcinoma of the head of the pancreas, cancer around the ampulla ) = elderly + painless progressively worsening jaundice + clay-colored stool + skin itching

(5) Pancreatic cancer ( pancreatic cancer, pancreatic head cancer, periampullary cancer ) = elderly + painless progressive worsening of jaundice + clay-colored stool + skin itching

(6) Colon cancer : elderly + weight loss + bowel habits change + CEA + abdominal mass　

(6) Colon cancer Colon cancer : elderly + weight loss + bowel habits change + CEA + abdominal mass　

14.
Benign lesions of the anus and rectum 

14.
Benign lesions of the anus and rectum 

(1) hemorrhoids = painless blood will + it with blood + vein-like mass 

(1) hemorrhoids = painless blood will + it with blood + vein-like mass 

(2) External hemorrhoids = anal pain + blood in stool + tender anal mass

(2) External hemorrhoids = anal pain + blood in stool + tender anal mass

(3) Anal fissure = severe anal pain after defecation + anal crack

(3) Anal fissure = severe anal pain after defecation + anal crack

15.
Closed abdominal injury

15.
Closed abdominal injury

(1) Kidney injury = waist injury + hematuria;

(1) Kidney injury = waist injury + hematuria;

(2) Liver rupture = right abdominal trauma + peritoneal irritation + mobile dullness;

(2) Liver rupture = right abdominal trauma + peritoneal irritation + mobile dullness;

(3) Spleen rupture = left abdominal trauma + total abdominal pain + intra-abdominal hemorrhage; 

(3) Spleen rupture = left abdominal trauma + total abdominal pain + intra-abdominal hemorrhage; 

(4) Intestinal rupture = mid-abdominal trauma + peritoneal irritation + puncture of light yellow liquid
.

(4) Intestinal rupture = mid-abdominal trauma + peritoneal irritation + puncture of light yellow liquid
.

16.
A hernia ( inguinal hernia ) = older men + increased abdominal + right lower quadrant mass + into the scrotum

16.
hernia ( inguinal hernia ) = older men + increased abdominal pressure + right lower quadrant mass + into the scrotum

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