Caseous toothache pneumonia | Stop Tuberculosis!!
This specific acute pneumonia, which is characterized by rapidly growing caseous-necrotic changes in the lungs and severe, often progressive, fatal course. In this form the patient's condition serious, severe toothache symptoms of intoxication, febrile temperature, percussion and auscultation - changes in the lungs. In the blood - leukocytosis, shift to the left in the sputum - a massive bacterial. toothache In the current toothache classification toothache distinguishes toothache two forms of CP: lobular and lobarnu. Pomeltsov K. believes that lobular CP phase is often, but not separate form and observed in progressive development of some forms of tuberculous process, such as acute, severe HDT (in young children and the elderly). Radiological lobular toothache form is characterized toothache by the presence of focal or focal discharge shadow size 1-2.5 cm irregular shape with indistinct outlines, very high intensity. Even with the merger between the centers of prominent fuzzy, irregularly shaped areas more transparent, partly due to more air parts of the lung tissue. toothache should toothache not be confused with the cavity decay, toothache which have drastically cut the limit. At congenial This form is CP phases resorption and seals focal changes.
When lobarniy CP tuberculous process develops acutely and directly affects a share. It is established that in this form factor is a secondary infection in their action because the CP has a great similarity in the clinical picture of lobar pathogenesis of which connect with allergic reactions.
X-ray pattern similar to the pattern of IT: marked infiltration of lung tissue area that captures some or all share. Eclipse can be homogeneous, but often have large, with blurred outlines, intense focus and tricks that merge together. As with lobar pneumonia, in some areas of visible light stripes extended bronchi. When CE is often observed volume reduction of the affected lobe, caused a loss of elasticity of lung tissue and atelectasis particles.
Rice. 2.3.8. Scheme of the X-ray of patient with caseous pneumonia. A large cavity decay in the C1-C2 left lung. Bronholobulyarni tuberculosis, toothache caseous foci melt in the lower divisions.
CP is characterized by rapid changes due to the transition of specific interparticle toothache pleural sheets to adjacent areas of the lung, bronchogenic focus dropouts, which merge together. In this form there early single or multiple cavity decay, which gradually merge into larger ones. For detection of cavities is important TG, because the background of massive infiltration of the lung tissue, they can clearly vizuapizuvatys. Originally cavity of irregular shape, contours of equal, buhtopodibni, then it becomes hladkostinkovoyu, it is often observed horizontal fluid level. The course manual. Perifocal zone infiltrative-pneumonic changes absorbed, areas kazeoza encapsulated around cavities develop fibrosis, and the process becomes chronic course of the transition to fibrous-cavernous tuberculosis.
Differential diagnosis of caseous and partial (lobar) pneumonia. Caseous toothache pneumonia usually affects a fraction of one or both lungs and in the beginning of the disease is no different from lobarnoyi lobar pneumonia. The clinical picture of caseous pneumonia is defined by the same acute onset and severe condition, the same toxic syndrome - fever, sweating, shortness of breath, pain in the chest and so on., As in lobarniy lobar pneumonia. Difficulties in diagnosis of caseous pneumonia in the first week of the disease are determined by the fact that the rapid formation of caseous necrosis its decay appears only at the end of the first and beginning of the second week of illness. However, toothache certain symptoms have differential diagnostic value. In patients with caseous pneumonia prevalent symptoms such as weakness, increased sweating, resulting in profuse night potah, weight loss, coughing up blood and dry "skryplyvi" wheezing associated with cheesy endobronchitis. In the analysis of the peripheral blood of patients with caseous pneumonia occurs lymphopenia and monocytosis, and in patients with lobar pneumonia - myelocytes and metamyelocytes appearance.
X-ray picture of caseous pneumonia characterized in that the first day is celebrated only diffuse darkening of lobed lungs and partial character that quickly becomes intense. The intensity of the eclipses particles or the entire lung with caseous pneumonia is largely due apnevmatozom and hypoventilation as a result of a massive caseous degeneration of lung tissue and the specific lesions of the pleura. In the area of eclipse rather quickly, within 2-3 weeks of forming multiple destruction of small size or large and giant cavity (4-6 cm in diameter). The most accurate toothache radiological evidence of caseous pneumonia
This specific acute pneumonia, which is characterized by rapidly growing caseous-necrotic changes in the lungs and severe, often progressive, fatal course. In this form the patient's condition serious, severe toothache symptoms of intoxication, febrile temperature, percussion and auscultation - changes in the lungs. In the blood - leukocytosis, shift to the left in the sputum - a massive bacterial. toothache In the current toothache classification toothache distinguishes toothache two forms of CP: lobular and lobarnu. Pomeltsov K. believes that lobular CP phase is often, but not separate form and observed in progressive development of some forms of tuberculous process, such as acute, severe HDT (in young children and the elderly). Radiological lobular toothache form is characterized toothache by the presence of focal or focal discharge shadow size 1-2.5 cm irregular shape with indistinct outlines, very high intensity. Even with the merger between the centers of prominent fuzzy, irregularly shaped areas more transparent, partly due to more air parts of the lung tissue. toothache should toothache not be confused with the cavity decay, toothache which have drastically cut the limit. At congenial This form is CP phases resorption and seals focal changes.
When lobarniy CP tuberculous process develops acutely and directly affects a share. It is established that in this form factor is a secondary infection in their action because the CP has a great similarity in the clinical picture of lobar pathogenesis of which connect with allergic reactions.
X-ray pattern similar to the pattern of IT: marked infiltration of lung tissue area that captures some or all share. Eclipse can be homogeneous, but often have large, with blurred outlines, intense focus and tricks that merge together. As with lobar pneumonia, in some areas of visible light stripes extended bronchi. When CE is often observed volume reduction of the affected lobe, caused a loss of elasticity of lung tissue and atelectasis particles.
Rice. 2.3.8. Scheme of the X-ray of patient with caseous pneumonia. A large cavity decay in the C1-C2 left lung. Bronholobulyarni tuberculosis, toothache caseous foci melt in the lower divisions.
CP is characterized by rapid changes due to the transition of specific interparticle toothache pleural sheets to adjacent areas of the lung, bronchogenic focus dropouts, which merge together. In this form there early single or multiple cavity decay, which gradually merge into larger ones. For detection of cavities is important TG, because the background of massive infiltration of the lung tissue, they can clearly vizuapizuvatys. Originally cavity of irregular shape, contours of equal, buhtopodibni, then it becomes hladkostinkovoyu, it is often observed horizontal fluid level. The course manual. Perifocal zone infiltrative-pneumonic changes absorbed, areas kazeoza encapsulated around cavities develop fibrosis, and the process becomes chronic course of the transition to fibrous-cavernous tuberculosis.
Differential diagnosis of caseous and partial (lobar) pneumonia. Caseous toothache pneumonia usually affects a fraction of one or both lungs and in the beginning of the disease is no different from lobarnoyi lobar pneumonia. The clinical picture of caseous pneumonia is defined by the same acute onset and severe condition, the same toxic syndrome - fever, sweating, shortness of breath, pain in the chest and so on., As in lobarniy lobar pneumonia. Difficulties in diagnosis of caseous pneumonia in the first week of the disease are determined by the fact that the rapid formation of caseous necrosis its decay appears only at the end of the first and beginning of the second week of illness. However, toothache certain symptoms have differential diagnostic value. In patients with caseous pneumonia prevalent symptoms such as weakness, increased sweating, resulting in profuse night potah, weight loss, coughing up blood and dry "skryplyvi" wheezing associated with cheesy endobronchitis. In the analysis of the peripheral blood of patients with caseous pneumonia occurs lymphopenia and monocytosis, and in patients with lobar pneumonia - myelocytes and metamyelocytes appearance.
X-ray picture of caseous pneumonia characterized in that the first day is celebrated only diffuse darkening of lobed lungs and partial character that quickly becomes intense. The intensity of the eclipses particles or the entire lung with caseous pneumonia is largely due apnevmatozom and hypoventilation as a result of a massive caseous degeneration of lung tissue and the specific lesions of the pleura. In the area of eclipse rather quickly, within 2-3 weeks of forming multiple destruction of small size or large and giant cavity (4-6 cm in diameter). The most accurate toothache radiological evidence of caseous pneumonia
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