Diverticular Disease: Medical History

Medical history (history of illness) represents an important component in the diagnosis of diverticular disease/diverticulitis. Family history Are there any diseases in your family that are common? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). How long have you had pain? Do you have abdominal pain? How does the pain occur? Permanent?* Colicky?* … Diverticular Disease: Medical History

Crohn’s Disease: Micronutrient Therapy

Crohn’s disease may be associated with the risk of deficiency of the following vital nutrients (micronutrients): Vitamin A Vitamins B1, B2, B12, B3, B6, folic acid Vitamin E, vitamin K Mineral magnesium Trace elements zinc and iron Carotenoids alpha-carotene, beta-carotene, zeaxanthin and lutein In the context of micronutrient medicine (vital substances), the following vital substances … Crohn’s Disease: Micronutrient Therapy

Diverticular Disease: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus Food intolerance such as lactose intolerance Porphyria or acute intermittent porphyria (AIP); genetic disease with autosomal dominant inheritance; patients with this disease have a 50 percent reduction in the activity of the enzyme porphobilinogen deaminase (PBG-D), which is sufficient for porphyrin synthesis. Triggers of a porphyria attack, … Diverticular Disease: Or something else? Differential Diagnosis

Crohn’s Disease: Surgical Therapy

Treatment of Crohn’s disease should be primarily medicinal. Surgical interventions are reserved for complications. Guidelines: Complex surgery for Crohn’s disease should be performed by CED-experienced surgeons in centers. (II, ↑ , consensus). In patients with a refractory course, the indication for surgery should be reviewed early. This is especially true for children and adolescents with … Crohn’s Disease: Surgical Therapy

Abdominal Swelling

Abdominal swelling or distension – colloquially called abdominal circumference increase – (synonyms: abdominal swelling; abdominal distension; ICD-10-GM R19.0: swelling, distension, and nodules in the abdomen and pelvis) is usually associated with swelling of the abdomen beyond its usual size. On palpation (palpation) from ventral (“pertaining to the abdomen”), the hepatic rim and aorta are usually … Abdominal Swelling

Abdominal Swelling: Medical History

The medical history (history of the patient) represents an important component in the diagnosis of abdominal swelling. Family history What is the general health of your family members? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Are you exposed … Abdominal Swelling: Medical History

Abdominal Swelling: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Obesity (obesity). Cardiovascular system (I00-I99) Aortic aneurysm – wall bulge of the aorta. Infectious and parasitic diseases (A00-B99). Echinococcosis – infectious disease caused by the parasites Echinococcus multilocularis (fox tapeworm) and Echinococcus granulosus (dog tapeworm). Liver, gallbladder, and bile ducts – Pancreas (pancreas) (K70-K77; K80-K87). Gallbladder disease: cholelithiasis (gallstones). … Abdominal Swelling: Or something else? Differential Diagnosis

Abdominal Swelling: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection Skin, mucous membranes and sclerae (white part of the eye). Lymph node stations (cervical, axillary, supraclavicular, inguinal) including palpation (palpation). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? … Abdominal Swelling: Examination