The Question "where Localises A Pain?" The Doctor

The question "where localises a pain?" The doctor defines, what pain at the patient: At indistinct localisation - a pain , exact localisation - is possible only at a somatic pain. When there is a pain? This question specifies, whether the pain is periodic, - incidental, constant. The pain arises a question "why?" - Reveal the factors provoking a pain. Such factors can be, for example, an emotional pressure (at a stomach ulcer of a duodenal gut), certain food (at a chronic cholecystitis), horizontal or bent - body position -(at a hernia diaphragm apertures). Fizikalnoe research begin with the general survey, thus on a suffering look of the patient it is possible - to assume that the patient feels a pain. The pale face with the pointed - lines, hollow cheeks and eyes causes suspicion on disease with involving in inflammatory process (Hippocratic face). At survey of eyes it is possible to reveal a jaundice, an anaemia. Dryness of integuments happens is expressed at the - diseases accompanied by infringements vodno-elektrolitnogo of balance.

In Mild Cases It Is Shown And A

In mild cases it is shown and a mucous membrane hypostasis, in heavier - presence of rough and - non-uniform folds, erosion, ulcers which are usually located a - little above the narrowed site. The bleeding, gullet punching, further can develop. Chronic can be at the bottom of occurrence of a cancer of a gullet and . Frequent complications are repeated aspira-tsionnye , abscesses of lungs, a pneumosclerosis. - Especially often these complications meet at children. The - complications caused by the expanded gullet of a returnable nerve, the right main bronchial tube, the top hollow vein, a wandering nerve and are described-. In Petrovsky - allocates four - stages of disease: I stage - a functional changeable spasm , - gullet expansions - is not observed; II stage - a stable spasm with unsharp expansion of a gullet, III stage - cicatricial changes muscular ate with the expressed expansion of a gullet, IV stage sharply expressed - stenosis with a gullet, often S-shaped form, and . The basic methods of diagnostics are oe research, , , pharmacological tests.