Wednesday, 16 February 2011

Janelidze symptom. Reducing pain with palpation of the epigastrium depth - typical for myocardial infarction, more pain - for acute pancreatitis.

Dzhersilda syndrome (Jersild). Elephantiasis of the anus (the restriction of the anus), perineum, female genital mutilation in syphilis, tuberculosis, gonorrhea, chancroid, disease, Nicola - Favre.

Jefferson syndrome (Jefferson). Neuralgic syndrome in patients with aneurysm of the internal carotid artery: a one-sided headache in the forehead or eyes, the noise in my head, one-sided eye ptosis century, diplopia, gomolateralnaya giperesteziya cheeks and cornea. In some cases, developing a one-sided pulsating exophthalmos, swelling of the optic nerve papilla, its atrophy and gomolateralny mydriasis. Pupils do not react to light. Angiography can detect an aneurysm.

Gilbert syndrome (Gilbert). Gynecomastia, massive metastasis in the internal organs (usually lungs). with testicular tumors.

Joyce's symptom (Joyce). Determined by percussion dullness in the lateral abdomen, will not move when you turn the patient on his side. Characteristic of retroperitoneal hematomas and bleeding into the root of the mesentery.

Dzhofroya symptom (Joffroy). When looking up is impossible to raise an eyebrow and wrinkle the forehead. Observed in Graves' disease. Dzbanovskogo - Chugueva symptom. Inverted transverse grooves on the anterior abdominal wall corresponding to the necks rectus abdominis. Determined visually in the first hours after the perforation of gastric ulcer or duodenal ulcer.

Dzanoli - Vecchi syndrome (Zanoli-Vecchi). Cramps, bessoz ¬ A base status, respiratory arrest, occurring 2-3 h after spinal surgery. Syndrome develops as a result of bleeding into the spinal cord and getting blood into the ventricles of the brain.
Dillon symptoms: 1. If chest x-ray
cyst transparent than other formations in the lungs - it can be seen through the shadow edges.
2. In patients with failure of cardiac sphincter is not
respiratory rhythm proceeds of contrast into the stomach. In a normal contrast
suspension takes place at the time of the expiratory state of the diaphragm, with
inspiration promotion contrasting suspended from the esophagus into the stomach
terminate the clearer, deeper breaths.
3. Paradoxical movement of the diaphragm during breath-hold on
height of inspiration. Observed in the relaxation of the diaphragm.

Dietl syndrome (Dietl). Synonyms: illness Dietl, Dietl's crisis. Kolikopodobnaya abdominal pain, vomiting, fever, collapse, urinary retention, which occurs after excessive urination. Syndrome develops as a result of acute disorders of urine outflow in infringement of a wandering kidney.

Dobrovolskaya symptom

After counting the pulse at the radial artery and determination of blood pressure is pressed resulting in (to the aneurysm), the artery above the aneurysmal sac, and the pulse slowed to 10 - 15 strokes in 1 min, and pressure rises of 10-12 mm Hg. Art. Characteristic of arterio-venous aneurysm. At an arterial aneurysm that does not happen.

Dobrotvor symptom. The difference of filling pulse at the radial artery. Observed with pericardial effusion.

Dolbeault phlegmon (Dolbeau). Syn: commissural cellulitis of the thumb. Abscess located between the short adductor and short flexor of the thumb, with the ulnar side is limited to external intermuscular septum. Clinically characterized by localized swelling, redness and pain in this area, that is, I interdigital space, with a simultaneous lack of interest of the palm rest.

Donnelly symptom (Donnelly). The appearance of pain during palpation above and below the point of Mac Burneya while straightening sick right foot. Characteristic retrotsekalnogo appendicitis.

Dorendorf symptom (Dorendorf). One-sided smoothness supraclavicular fossa. Observed when an aneurysm of the aortic arch.

Downey - Wiseman syndrome (Doan - Wisemann). Synonyms: gipersplenicheskaya neytrofilopeniya, splenomegalic neutropenia. Syndrome of primary hypersplenism. Manifested splenomegaly, fatigue, palpitations, fever, pain of various locations. Sometimes form ulcers of the mouth. There is hyperplasia of bone marrow hypoplasia in transition, leukopenia, neytrofilopeniya.

Drammenda symptom (Drummend). The jet of air near the nostrils of the patient during systole. Determine if an aneurysm of the aorta. Due to the fact that expand in systole aorta pushes air from the lungs.

Drahtera symptom (Drachter). With one hand holding the foot of the child, the other percussing heel. When starting peritonitis child is protected from pain, holding both hands to his lower abdomen.

Dressler's disease (Dressier). Synonym: paroxysmal hemoglobinuria. After cooling, or physical stress occurs chills, fever, headache, back pain, jaundice. May be a moderate increase in liver and spleen. Urine is dark brown (a large number of methemoglobin). In the blood bilirubin increased, eosinophilia, and lymphocytosis. Proceeds attacks.

Symptom Dugas (Dugas). The patient could not put his hand on the "healthy" shoulder so that the elbows touch the breast. Characteristic of the shoulder joint injury.

Douglas symptom (Douglas). Severe, acute pain on palpation of vaginal vault. Change their shape when not being watched. Determine if an ectopic pregnancy.

Duffa symptom (Duff). Frequent involuntary touching the nose or movement, reminiscent of wiping his nose. Can be observed in tumors of the anteromedial frontal lobe.

Dueyya symptom (Douay). At vaginal examination in the doo-glasovom space cause severe pain without probing any tumor in this area. The uterus is a painful, mobile. Mark at pelvioperitonitah.

Dieulafoy symptom (Dieulafoy). Acute "dagger" a pain in the abdomen. Characteristic of perforated gastroduodenal ulcers.

Dieulafoy triad (Dieulafoy). Pain, muscle tension and skin giperesteziya in the right iliac region. Typical of acute appendicitis.

Symptom Dew (Dew). Moving percussion determined blunting caudally in the translation of the patient in Bozeman's position. Noted in right-sided subdiaphragmatic abscess.

Dyubara symptom (Dubard). Painful pressure on the occipital point of the vagus nerve. Can be observed with appendicitis.

Dyubreya melanosis (Dubreuilh). In women, the elderly face,
chest and hands appear dark spots dark brown,
the size of lentils to the value of children's hands. Skin drawing
saved. Sometimes develops hyperkeratosis, papillomatosis. Growth
slow, possible malignancy.

Dubois syndrome (Dubois). Synonyms: abscess Dubois, Dubois disease. Congenital disorder characterized by multiple cysts (the size of a pea) thymus. The walls of their smooth, cavity made detritus, resembling pus.

Dyukyuinga symptom (Ducuing). Pain in sideways kick, after a preliminary leg muscles relax. Watch in thrombophlebitis leg.

Dyupleya disease (Duplay). Synonyms: frozen shoulder, peritendinitis calcarea, bursitis calcarea, bursitis chronica subdeltoidea. The painful restricted motion in the shoulder joint (abduction and rotation of the shoulder inside). Often find deposits of lime in the supraspinatus tendon. Changes often occur after an injury.

Dupuytren's contracture (Dupuytren). Scar puckering palmar aponeurosis, resulting in the gradual development of flexion contractures of the fingers of one hand (usually right) or both hands. More often affected IV-V fingers. Men zabolezayut often. Contracture contributes to the emergence of trauma, there are indications of its association with ulnar nerve neuritis. Note hereditary disease. The reason is unknown. Are 3 stages of the disease: 1-I - the appearance of typical nodular palmar aponeurosis seals. Function of the fingers are not broken. In the 2 nd - appear dactylocampsis in metacarpophalangeal and proximal interphalangeal joints (not to exceed 90 °). Flexion of the fingers is preserved. In the third - comes shrinkage joint capsules, subluxations and dislocations of the phalanges. Fingers maximally flexed.