Diagnostic and emergency assistance to the syndrome of "acute abdomen"

Only against the background of peritonitis has been a gradual bloating, even after repeated diarrhea. On palpation the abdomen is determined by diffuse pain, which is especially pronounced in the stage of peritonitis. On the development of peritonitis appears also indicate muscle strain the abdominal wall and a positive symptom-SHCHetkina Bljumberga. Often with abdominal palpation in patients with thrombo embolism of mesenteric arteries is determined by morbid tumor formation dough consistency, without clear boundaries, limited mobility, percussion sound stupid on him. Symptom has a name G. Mondor. The presence of Mondor’s symptoms associated with a sharp swelling of the affected bowel and mesentery at the stage of a heart attack. A characteristic feature of the disease is impaired intestinal motility, appears to decrease the intensity of the auscultatory noises in the abdomen. However, some patients in the initial stages of the disease are determined by acoustic phenomena of normal or even enhanced intestinal motility. The complete absence of bowel sounds (a symptom of a "complete silence") appears only in the terminal stage of peritonitis. Against the background of "complete silence" auscultated heart tones are distinct. In rare cases, mesenteric venous thrombosis can be detected swelling of the hemorrhoidal veins (symptom Korochanskogo).

• Only against the background of peritonitis has been a gradual bloating, even after repeated diarrhea. On palpation the abdomen is determined by diffuse pain, which is especially pronounced in the stage of peritonitis. On the development of peritonitis appears also indicate muscle strain the abdominal wall and a positive symptom-SHCHetkina Bljumberga. Often with abdominal palpation in patients with thrombo embolism of mesenteric arteries is determined by morbid tumor formation dough consistency, without clear boundaries, limited mobility, percussion sound stupid on him. Symptom has a name G. Mondor. The presence of Mondor’s symptoms associated with a sharp swelling of the affected bowel and mesentery at the stage of a heart attack. A characteristic feature of the disease is impaired intestinal motility, appears to decrease the intensity of the auscultatory noises in the abdomen. However, some patients in the initial stages of the disease are determined by acoustic phenomena of normal or even enhanced intestinal motility. The complete absence of bowel sounds (a symptom of a "complete silence") appears only in the terminal stage of peritonitis. Against the background of "complete silence" auscultated heart tones are distinct. In rare cases, mesenteric venous thrombosis can be detected swelling of the hemorrhoidal veins (symptom Korochanskogo).