Tuesday, January 29, 2013

Symptom of tubercle and _'s symptom of the physical sign

Symptom of tubercle and _'s symptom of the physical sign
Tubercle and symptom depend on being given much trouble the position, there can not be, slight, or serious. At the beginning, can generate heat, the weight lightens and arthralgia. The liver is given much trouble hotly continuously. The peripheral enlargement of lymph nodes is common, often have no symptom. Important lymph node can also have granulation to be swollen even. Organ but function continue person who take place fiber take and damage. Cough and it has difficulty in breathing to be may be very much slight and No.
Chronic the intersection of tubercle and patient often have skin pathological change (spot piece, papule, the skin makes the brief summary) ,Nasal mucosa and combine at the membrane can also take place granulation to be swollenning. Nodular erythema, often with generating heat and arthralgia, it is European's common symptom, less in American philtrums.
70% of the patients make and puncture alive and can find to examine that there is swollen granulation of liver by the leather liver, they can not have symptom and the liver function is checked normally. The patient that 10% are less than has hepatomegaly. The serious going on liver function obstacle accompanies jaundice to be rare.
15% of the patients have swollen plain layer of inflammation of wink of granulation, it is usually dual sides. If not treated, the eyesight that it is serious to be can be caused by that the retina is given much trouble is lowered, there can also be serious vitreous inflammation or then sending glaucoma. There can be swelling lachrymal gland once in a while, the conjunctiva and eyelid are soaked, doing keratitis.
5%~10% of the patient cardiac muscle is given much trouble, can cause angina pectoris, in heart failure, or cause the fatal character to conduct unusually.
Acute much arthritis can be very outstanding. Swelling around the chronic joint and it touches a tender spot to be may be caused by bone qualitative change in the phalange. Inflammation is common around the acute ankle joint, there is not dermatosis that is decreased, are not often thought to have tubercle.
The central nervous system is given much trouble and can be shown as nearly pathological changes of any type, but the most common one is cranial nerve paralysis (especially the facial nerve is paralysed) ,Involve 5% of the patients.
Diabetes insipidus can take place. The intersection of hypercalcemia and disease and high the intersection of calcium and the intersection of urine and disease (alveolus macrophage and tubercle disease granulation swollen to secrete 1, due to 25 - two hydroxy vitamin D increase) Can cause kidney stone and calcium calm disease of the kidney and cause the renal function to be depleted, but prednisone can reduce the incidence of the supersession disorder of calcium. The gland function is hyperfunction to seem to unusually see more by first form, not when hypercalcemia disease does not have fast reaction to the steroids medicine of cortex, should consider this kind of possibility.
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