Wednesday, November 2, 2011

TROPICAL DISEASE 20


T.B.
DIGESTIVE TRACT





6.3.2 CLINICAL FEATURES

The most frequent symptoms is abdominal pain.

- There may be accompanying weight loss, abdominal distension and

vomiting.

-  Another  group  of  patients may  present  with  weight  loss,

anorexia, diarrhoea and fever. 

-  The pain intensity depends upon the site, duration and  extent

of the lesion and the presence of complications.

-  It is most frequently present in the umbical region which  may

become generalised or localised to the right iliac fossa.

-  The pain is often colicky in nature with nausea  and  vomiting

and visible peristalsis with lesions like  stricture,hypertrophic

lesions or adhesions producing intestinal obstruction.

- Abdominal tenderness is frequently seen and can be elicited  in

two-thirds  of the patients, indicating extension of the  disease

to the peritoneum and lymph nodes.

-  A palpable mass, and visible peristalsis can be seen  in  over

one-third of the patients.

- The mass can be due to hypertrophic ileoceacal tuberculosis  or

enlargement  of  lymph nodes and matting of loops  of  the  small

bowel.

ANY questions be sent to drmmkapur@gmail.com
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