Epispadias - malformation of the urethra development, characterized by partial or complete splitting of the upper wall. Epispadias occurs in both boys and girls, and in addition to the anatomical defect manifests itself in violation of urination (spray, incontinence), sexual function (painful erections, difficulty in sexual intercourse), urinary tract infections. The complex of diagnostic measures when epispadias includes full urological examination: ultrasonography, excretory urography, cystography, X-rays of the symphysis pubis, urodynamic studies. epispadias treatment - surgery, depending on the shape and the degree of severity of defect.
Epithelial coccygeal course - congenital abnormality characterized by the presence of the defect (narrow channel) in the subcutaneous tissue mezhyagodichnoy area. Clinical manifestations associated with inflammation coccygeal. It appears pain sacrococcygeal region selection ichor or pus, redness and thickening of the skin. Neglect of the disease leads to prolonged recurrent course: abscess, fistula formation of the secondary purulent, the development of pyoderma on the skin of the perineum and buttocks.
Epithelioma - tumor of the skin and mucous membranes, which develops from the cells of the surface layer - the epidermis. Epithelioma different variety of clinical options from small nodules to the considerable size of tumors, plaques and ulcers. There may be benign or malignant nature. Their diagnosis includes dermatoscopy, bakposev discharge, ultrasound education, histological examination of removed tissue or biopsy material. Treatment is mainly surgical, with the malignant nature of the tumor - radiation, chemotherapy, photodynamic, using both general and local methods of influence.
Pseudoerysipelas - an infectious disease transmitted to humans from animals and manifested inflammatory lesions of the skin and joints. The preferential localization process at pseudoerysipelas - the skin and the joints of the fingers, its rear surface. Perhaps the development of a generalized form of the disease. Diagnosis is based on pseudoerysipelas his clinic, epidemiological anamnesis and abjection of skin biopsy or blood of a patient. The basis of treatment is antibiotics pseudoerysipelas. According to the testimony used anti-inflammatory, detoxification, anti-histamines, physiotherapy.
newborn Erythema - transient redness of the skin associated with the adaptation of the child to extrauterine life and accompanied by polymorphic eruptions. The main symptom is a pinkish-red color of the skin, which is celebrated in the first hours or 2-3 days of life. Against the background of redness in some cases found small gray-yellow rash. The general condition is usually not affected. Diagnosis erythema newborn based on characteristic symptoms appearing at a certain age (the first days of life), and the clinical and laboratory signs of inflammation and infection are absent. Treatment is usually not required, according to testimony appointed desensitizing agents.
Pemphigus erythematosus (seborrheic pemphigus, Senir-Usher syndrome) - clinical form of pemphigus that combines the true manifestations of pemphigus, seborrheic dermatitis and erythematous variant of systemic lupus erythematosus. Typical symptoms are erythematous pemphigus covered with thick crusts red lesion areas of the skin combined with seborrheic lesions on the scalp. It is characteristic for a long period of remission. Diagnosis of pemphigus erythematosus based on the study of smears and biopsies. Treatment is carried out glucocorticosteroids, extracorporeal blood correction methods, local administration and the imposition of glucocorticoid triamcinolone ointment.
Erythrasma - psevdomikoz chronic bacterial origin which affects the epidermis mainly in large areas of skin folds. Manifested erythrasma appearance and merging painless gray-brown, brownish-red or yellowish-brown spots, covered with fine desquamation. Diagnosis erythrasma based on her clinical picture, localization of foci, typical glow under fluorescent study the characteristic microscopic picture. In the treatment of erythrasma considerable importance is the disinfection of linen and clothes. Held treatment of lesions, antibiotic therapy, ultraviolet irradiation, blood sugar correction, hyperhidrosis treatment.
Erythroderma - generalized diffuse inflammation of the skin, accompanied by hyperemia and edema of the dermis, rash papules, pustules and bullae, which erode with crusting and scaling, have a tendency to peripheral growth and mergers. Spreading, inflammatory foci capture all the new portions of the dermis, marked hair loss and nail. Rash accompanied by prodrome, itching, cracking, joining a secondary infection. Erythroderma diagnosed clinically and based on laboratory tests. Treatment stationary includes antibiotics, steroids, immunomodulators, antihistamines and other drugs.
Erytrophobia (blushing-syndrome, stress facial redness, facial flushing stress, idiopathic erythema) - fear of facial flushing, or the appearance of red spots on the face in front of others. The reason for the development of a common erytrophobia facial flushing, resulting from the increased activity of the sympathetic division of the autonomic nervous system. Diagnosis "erytrophobia" is set on the basis of complaints, medical history, the results of external examination and additional research data. Treatment - psychotherapy, pharmacotherapy, sympathectomy, clipping of the sympathetic nerve trunk.
Erosive bulbit - pathology department bulbar duodenum characterized by the formation of surface defects in the mucosa. The main clinical symptom is pain in the epigastric region, possible diarrheal phenomenon, bleeding. The most informative method of diagnosis - esophagogastroduodenoscopy; also used X-ray techniques to identify H. pylori. Treatment in most cases, conservative, aimed at eliminating the causes of erosion (H. pylori therapy, correction of primary diseases); with no effect neepiteliziruyuschihsya performed surgical removal of tissue.
Erosive gastritis - acute or chronic inflammation of the stomach, characterized by the formation of erosions of the mucous membrane. The clinical picture is polymorphic, but the major symptoms include abdominal pain, nausea, vomiting, dyspepsia, blood in the stool and vomit. Diagnosis is based on clinical examination, laboratory (blood test, identification of H. pylori infection, stool occult blood test) and instrumental investigations (endoscopy, gastrokinesograph with and without contrast). The treatment plan includes gemostatiki, antisecretory and antacid drugs gastroprotectives and analgesics, if indicated - antibiotics.
Erosive gastro - an inflammatory disease characterized by damage to the epithelial layer of the stomach and duodenum, and the formation of erosions (defects of the mucous layer, which, unlike the plagues, did not affect the submucosa and muscle membranes). Symptoms of the disease can be a pain in the epigastric area, heartburn, vomiting, dark with the presence of blood clots and black chair. For the diagnosis of erosive gastroduodenitis used esophagogastroduodenoscopy with biopsy and determine the presence of H. pylori infection. Treatments aimed at reducing gastric acidity, eradication of Helicobacter pylori and protecting the mucosa.
Erosive proctitis - a type of inflammation of the rectum to form the surface of the mucous membrane defects, healing without scarring. Manifested by pain in the rectum, burning in the anus area, tenesmus, stool disorders, bloody or mucous secretions in the faeces. In the subsequent recovery, or perhaps deepening erosion with the formation of ulcer surface. Erosive proctitis is diagnosed based on symptoms, rectal examination data, endoscopic techniques, biopsy and stool tests. Treatment - diet, enemas and suppositories with anti-inflammatory and regenerating action, hip baths.
Dental Erosion - a kind of non-carious lesions, characterized by the formation of defects of enamel and dentin on the buccal surfaces of the teeth. Lots dental erosion are located symmetrically on the incisors, canines, premolars; their education leads to discoloration of enamel, dental hypersensitivity, cosmetic defects. Dental erosion is detected by visual inspection after drying the tooth surface, and treating the iodine tincture. Treatment of dental erosion include conducting complex remineralizing therapy (the ingestion of calcium supplements, phosphorus, vitamin-mineral complexes, local application, electrophoresis), if necessary - filling defects or covering the crowns of the teeth.
esophageal erosion - common disease, which is based on casting acidic gastric juice into the esophagus with the subsequent formation mucosa defect. The main symptoms are heartburn, chest pain after eating, pain when swallowing, regurgitation, nausea in the mornings, vomiting with blood, and difficulty swallowing in the late stages. For the diagnosis of esophageal erosion used esophagogastroduodenoscopy, esophageal manometry, radiography, endoscopic biopsy, blood tests and fecal occult blood. Treatment involves the use of antisecretory drugs, prokinetics, antacids and alginates.
Cervical erosion - a defect, damage flat cervical epithelium on her vaginal parts around the external os. Most often it occurs as a result of endocervicitis and other inflammatory diseases of the sexual sphere, hormonal imbalance in the female body. The course may be asymptomatic or manifest abnormal secretions mucopurulent, sometimes bloody nature, drawing pains in the sacrum. It is a risk factor of cervical tumors (polyps, cancer). The main methods of diagnosis of cervical erosion are the inspection of the cervix in the mirrors and colposcopy. The treatment can be applied methods diathermocoagulation, lazerovaporizatsii and cryoablation, and radio-wave method
Esthesioneuroblastoma - malignancy of the olfactory neuroepithelial cells that occurs in the nasal cavity and paranasal rapidly spreading in the sinus cavity of the orbit, the ethmoid bone and the base of the skull. The main symptoms are nasal congestion, copious mucus, anosmia, swelling of the malar area. The diagnosis esthesioneuroblastoma rely on rhinoscopy data CT of the paranasal sinuses, brain MRI, histological analysis of biopsy material. Treatment depends on the characteristics of the tumor, as a rule, is a combination of radiological, surgical and chemotherapeutic techniques.
Ephedron addiction - abuse of ephedrine. Ephedrine ephedrine is obtained from which previously was widely used in medicine and classical still part of some medications. Admission ephedrone accompanied by a pleasant euphoria, a feeling of happiness, lifting the mood and performance. With constant use of the euphoria decreases appear autonomic disorders, mood and well-being. Characteristically rapid emergence of dependence and adverse for the development of psycho-organic syndrome and social maladjustment.
Echinococcosis - parasitic infestation of the larval stage of Echinococcus tape helminth flowing with the defeat of the internal organs (liver, lung, heart, brain, and others.) And form a cyst in them. Non-specific symptoms of echinococcosis include weakness, urticaria, transient rise in temperature; It depends on the specific localization of the parasite and can be represented by local pain, nausea, jaundice, cough, focal neurological symptoms, cardialgia, arrhythmia and so on. Diagnosis of echinococcosis relies on instrumental research data (X-ray, scintigraphy, ultrasound, CT) and serological tests. surgical treatment of echinococcosis.
Echinococcosis lungs - a form of zoonotic infection caused by larval tapeworm echinococcus and leads to a specific cystic lesions of the lung tissue. Manifestations of pulmonary echinococcosis may be chest pain, shortness of breath, persistent cough, urticaria, and pruritus; in complicated - copious sputum mixed with blood and pus, fever, respiratory distress, severe anaphylactic reactions. The diagnosis is established by means of X-ray and CT scan, sputum microscopy, serological blood test. When lung echinococcosis conduct removal of parasitic cysts, lung resection, lobectomy in combination with anti-parasitic treatment.
Hepatic echinococcosis - one of the most common parasitic diseases, which is based on the formation of cysts in the liver. The main symptoms of this disease are weakness, a significant decrease in appetite, weight loss, feeling of heaviness in the liver, nausea after eating fried or fatty foods, upset his chair. For the diagnosis of liver echinococcosis apply CBC, immunological methods, ultrasound of the abdomen, magnetic resonance imaging, SPECT liver, laparoscopy, etc. The most effective treatment - surgical excision of cysts.; and worming drugs are used.
Ehsherihioza (Coli infections) - acute, mainly intestinal infections caused by certain serovars bacteria Escherichia coli. Ehsherihioza appear as enteritis and enterocolitis may generalize and proceed with extra-intestinal symptoms. The mode of transmission of E. coli fecal-oral. Most infection occurs when consuming contaminated dairy and meat products. Possible and contact-household transmission path of an intestinal infection. Diagnosis ehsherihioza set the detection of E. coli in the stool and vomit, and at the generalization of infection - in the blood. ehsherihioza Treatment consists of diet, rehydration therapy, the use of antimicrobial agents and eubiotics.
Juvenile uterine bleeding - bleeding puberty, do not have an organic nature. Usually occurs after a delay of the next menstrual cycle. Spotting exceed the average amount of blood loss during menstruation, in the case of their profusion and duration of the symptoms of post-hemorrhagic anemia align:. General weakness, dizziness, pale skin and other juvenile uterine bleeding diagnosed based on clinical data and history at the confirmed absence of organic genesis of blood loss. comprehensive treatment. It held a non-hormonal and hormonal hemostasis, anemia treatment and prevention of recurrent dysfunctional bleeding.
Juvenile dermatomyositis - inflammatory myopathy of childhood with a primary lesion of the proximal limb muscles, the development of systemic vasculitis, and characteristic skin changes. Observed specific cutaneous manifestations in the form of erythematous rash around the eyes, as well as in the neck and large joints (knee and elbow). Accompanied by progressive muscle weakness, including - of smooth muscles of the respiratory system and digestive system, as well as striated muscle tissue of the heart. It noted the defeat of joints and calcification. Juvenile dermatomyositis myositis confirmed after detection of antibodies in blood. The therapy with corticosteroids and cytotoxic drugs.
Juvenile osteoporosis - a disease of bone in children up to 18 years with impaired bone metabolism, leading to a significant reduction in bone mineralization. It manifested by pain of varying intensity, usually in the lumbar spine. It is also characterized by frequent fractures, including compression fractures of the vertebral bodies. Juvenile osteoporosis is diagnosed based on history and clinical data confirmed the results of the survey tool skeleton. Various radiographic techniques and biopsy. Treatment of complex, aimed at increasing the degree of bone mineralization, the elimination of pain, prevention of further development of the disease.
Juvenile rheumatoid arthritis - progressive, destructive inflammatory joint disease in children, is under the age of 16 years, and combined with extra-articular pathology. The articular form of the disease is manifested by edema, deformity, contracture of large and small joints of the extremities, the cervical spine; systemic form is accompanied by general symptoms: high fever, polymorphous rash, generalized lymphadenopathy, hepatosplenomegaly, affecting the heart, lungs, kidneys. The diagnosis of juvenile rheumatoid arthritis is based on data from clinical, laboratory tests, X-rays and punctures of joints. When juvenile rheumatoid arthritis appointed NSAIDs, corticosteroids, immunosuppressive drugs, physical therapy, massage, physiotherapy.
Youth melanoma - a benign tumor, the type of mixed nevus appearing in the first years of life or during adolescence and asymptomatic. It is a papule pink-red or yellow-brown color with clear boundaries and varying consistency. Located often on the face, rarely on the limbs skin, in the initial stages is growing rapidly, then growth stops. Youth melanoma is diagnosed on the basis of the results of the histological study that reveals characteristic signs of the formation and excluding a life-threatening tumor. Surgical treatment is carried out excision of nevus, usually with the help of a laser.
Juvenile myoclonic epilepsy - a form of generalized epilepsy, the basis of the clinical picture of which consists of myoclonic seizures - asynchronous muscle contractions, temporarily resulting in symmetrical parts of the body, mainly in the arms and shoulder girdle. Along with myoclonic episodes can be observed in the clinic absences and clonic-tonic generalized epipristupy. Juvenile myoclonic epilepsy is diagnosed on the basis of the disease and the results of clinical electroencephalography, to the exclusion of organic cerebral pathology according to the neurological examination and MRI. Treatment is carried out mainly drugs valproic acid. As a rule, you need lifelong monitoring epileptologa.
Nuclear neonatal jaundice - newborn brain damage due to the direct cytotoxic effect of high concentrations of bilirubin. Manifested pronounced muscular hypertonicity: tilting the head back, Rolling Eyes. Characterized by frequent bouts of sleep apnea, can join convulsions. Nuclear neonatal jaundice leads to the development of persistent neurological disorders. Diagnosis is based on clinical and laboratory confirmation of hyperbilirubinemia. Treatment is aimed at the normalization of the level of bilirubin in the blood and elimination of neurological symptoms.
Buruli ulcer - an infectious dermatological disease caused by lesions of the skin one of the species of mycobacteria. Mainly prevalent in hot tropical countries, humid climate. Symptoms of this condition are ulcers with necrotic content at the bottom, arising mainly on the extensor surfaces of the skin of the knee and elbow joints. Diagnosis of Buruli ulcer is carried out by dermatological examination, study the history of the patient, bacteriological examination of discharge from the ulcer lesions. Treatment of the disease is done with antibiotics, but their efficacy may be insufficient for a full recovery. Also, use a topical treatment antiseptic solutions, in severe cases, surgical removal of lesions.