Overview: primary tuberculous mesenteric lymphadenitis is M. tuberculosis by hematogenous spread into the corresponding lymph nodes or intestinal or bowel wall of the original lesion has healed completely without leaving any traces. The secondary is secondary to pulmonary tuberculosis or intestinal tuberculosis. The number of involved lymph nodes are usually the number of different, sizes; pale yellow, white or pink, and easy integration with lumps, and intestine, peritoneum, omentum adhesion , almost all of cheese-like change; sometimes liquefaction necrosis of ulceration to the abdominal cavity, intestine, or discharged out through the abdominal wall. Scattered healed disease or extensive calcification.[Cause]
primary tuberculous mesenteric lymphadenitis is tb spread through blood or lymph nodes caused by the intestinal mucosa into the corresponding. secondary tuberculous mesenteric lymphadenitis secondary to pulmonary tuberculosis or intestinal tuberculosis.[Sign]
of the disease were more common in children. Acute mesenteric lymph node tuberculosis, the patient is persistent low-grade fever, fatigue discomfort. umbilical or right lower quadrant pain is often persistent, sometimes paroxysmal intensification can also be manifested as acute abdominal pain, like cramps, nausea, and vomiting. May have diarrhea or constipation. umbilical or left upper quadrant on physical examination, palpable right lower quadrant, and enlarged lymph nodes, tenderness, often suspected acute appendicitis and an operation.
chronic mesenteric lymph node tuberculosis, chronic poisoning symptoms can occur and malnutrition, long-term performance of irregular fever, loss of appetite, weight loss, anemia, fatigue, diarrhea. Sometimes palpable enlarged lymph nodes of block, relatively fixed, not easy to promote. Enlarged lymph nodes may compress the portal vein to return blocked, resulting in ascites and abdominal varices; oppression of the inferior vena cava caused by lower extremity edema; oppression caused by pyloric pyloric obstruction; oppression caused by incomplete intestinal obstruction. In adults, can be a lack of clinical symptoms, while the performance of Cullen palpable abdominal mass, until the time of laparotomy findings lymph node tuberculosis.
preoperative abdominal x-ray found that calcification, gastrointestinal barium meal examination showed signs of bowel with bowel, intestinal mass produced signs of compression or adhesions, OT test positive, are help diagnosis. Computing tomography meter sizes can be found within the abdomen or the integration into the group of lymph nodes, central necrosis liquefaction zone may have.[Aftertreat]
should pay attention to nutrition, eating more protein, vitamins and iron in food. And treatment with anti-TB drugs, the method is essentially the same tuberculous peritonitis, treatment 1 year and a half. lymph nodes to produce symptoms of compression of intra-abdominal organs, the medical treatment fails, surgery may be considered to relieve pressure. necrosis of the lymph nodes cheese cheese-like material can be removed. The remaining lymph nodes did not produce symptoms of compression, usually disregarded.
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3.OT test positive.
to consider the differential diagnosis of chronic or acute appendicitis. Even those who still need to identify the gastric and duodenal ulcers, cholecystitis. abdominal lymph nodes should be limited to Council ileitis, lymphogranuloma, lymphosarcoma and other abdominal tumors.[Disease]
more leg symptoms
"O"-shaped legs, "X"-type legs, "duck step" gait abnormal Q-angle character footsteps patella fracture patella strain state of the patella flat feet softening of patellar crepitus patellar pain, patellar pain after the first emptiness patellar patellar patellar pain and tenderness can not be bent weeks refers to restless legs syndrome, ataxia, or gait abnormalities prolonged strenuous exercise
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