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Unit 5-6 - Coggle Diagram

- - - - Treatment of acute gout • Colchicine 1.2 mg stat, then .6 mg q 2 hours until relief or 6 mg. • NSAIDs
  - - - Treatment • Nonsteroidal antiinflammatory drugs (NSAIDs) • The slow acting drugs including gold
  - - - Weight control
      - Swimming
      - Walking
      - Strengthening
  - - - • Non-Surgical
      - • Wrist splinting
      - • (NSAIDS)
      - • Corticosteroid injections
      - • Treating underlying biological causes
      - • Chiropractic
  - - - • Modification of activities
      - • NSAIDs
      - • Rest for 3-6 weeks • Hydrocortisone injection
      - • surgery
- - - - Two distinct syndromes
        
        Oropharyngeal dysphagia
        
        Esophageal dysphagia
        
        สาเหตุอื่นๆ เช่น GERD , somatization
        
        กลืนของแข็งและเหลวแล้วติด neuromuscular
        
        กลืนของแข็งแล้วติด mechanical obstruction
        
        Acute Abdominal pain
        
        CLASSIFICATION
        
        Visceral pain ตําแหน่งไม่ชัดเจน burning , dull aching , colicky Parietal (somatic) pain บอกตําแหน่งได้ Refered pain
        
        สําคัญคือต้องแยกจาก odynophsgia (กลืนแล้วเจ็บ เช่น candidiasis) ออกก่อน
        
        Acute cholecystitis
        
        Signs and Symptoms
        
        • Localized pain
        
        3 more items...
        
        Hemorrhoid
        
        Acute appendicitis
        
        History
        • Pain beginning in epigastrium
        • Migration of pain from initial periumbilical to RLQ
        
        Gastrointestinal Hemorrhage
        
        Upper gastrointestinal hemorrhage
        
        Lower gastrointestinal hemorrhage
        
        Intestinal obstruction
        
        Peptic Ulcer
        
        Acute Pancreatitis
        
        Ascending Cholangitis
        
        Signs and Symptoms
        
        .With progression there is tenderness to deep palpation over McBurney’s point
        
        .Rovsing’s sing: pain in RLQ with palpation to LLQ