在功能性吐的诊断中发现了一种解剖学红鱼
Varun Sharma1, Aaron L Heston2, Brian Lightwine3
1College of Medicine, The University of Arizona College of Medicine - Phoenix, Phoenix, USA.
Cureus
|August 18, 2023
概括
一个罕见的解剖学异常,十二指肠逆转,使一个16岁的孩子复杂化.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医学诊断 医学诊断 医学诊断
- 解剖学上的异常
背景情况:
- 一名16岁的患者出现了持续的吐.
- 初步调查显示,十二指肠反向,一种罕见的先天性异常.
研究的目的:
- 在患有十二指肠逆转的患者中报告功能性吐病例.
- 审查罕见解剖变异所带来的诊断挑战.
主要方法:
- 一个16岁的患者的病例报告.
- 对诊断成像和临床表现的审查.
- 关于十二指肠逆转的文献综述.
主要成果:
- 患者的吐最终被诊断为功能性.
- 十二指骨逆向呈现出一个诊断复杂性.
- 这一案例凸显了诊断排斥的挑战.
结论:
- 功能性吐的诊断可能具有挑战性,尤其是在同时出现罕见的解剖异常的情况下.
- 虽然很少见,但应考虑复杂的胃肠道表现时考虑十二指肠逆位.
- 这一案例强调了考虑解剖学变异在无法解释的症状的重要性.
相关概念视频
Pathophysiology of Vomiting
608
Vomiting is a complex physiological response to expel harmful or irritating substances from the body. It's a defensive mechanism triggered by stimuli like poisons, microbial toxins, cytotoxic drugs, and mechanical abdominal distension. The process is centrally coordinated by the vomiting (or emetic) center located in the medulla of the brainstem. This area, rich in muscarinic M1, histamine H1, neurokinin 1 (NK1), and serotonin 5-HT3 receptors, coordinates the act of vomiting through...
608
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
108
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
108
Gastritis III: Clinical Manifestations and Management
322
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
322
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
155
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
155
Gastroesophageal Reflux Disease II: Clinical Features and Management
111
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
111
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
332
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
332


