CC HI CHNG THNG GP TRN LM SNG

1. Hi chng nhim trng:

- St
- Mi kh , li bn , v mt hc hc , kht nc
- Huyt hc : s lng bch cu tng , c s thay i v t l % ca bch cu ht trung tnh hoc
BC lympho
2. Hi chng ng c
- Rung thanh tng
- G c
- R ro ph nang gim , c ting thi ng
- Rale m va, nh ht
3. Hi chng trn kh mng phi
- Nhn : lng ngc cng phng , gim c ng lng ngc , nhp th tng
- S: rung thanh gim hoc mt.
- G : ting vang trng , cn so snh gia hai bn .
- Nghe : r ro ph nang gim hoc mt
Hoc
- au ngc t ngt, d di
- Kh th
- Da xanh ton thn
- V m hi
- Mch nhanh, huyt p gim
- Lng ngc bn trn kh vng, bt ng
4. Hi chng trn dch mng phi ( HC ba gim )
- Nhn : lng ngc bn trn dch phng to hn , cc khoang gian sn gin rng di ng km
- S : rung thanh gim hoc mt
- G : c
- Nghe : r ro ph nang gim hoc mt
5. Hi chng suy h hp cp
- Kh th : nhp th nhanh nng > 25ln / pht , hoc kh th chm < 12 ln / pht .
- Co ko hm trn xng c , php phng cnh mi, rt lm lng ngc
- Xanh tm
- Mch nhanh
- V m hi, tay chn nng do gin mch.
- Ri lon thn kinh: l , vt v, hn m, c th co git
- Khm phi: lng ngc di ng km , r ro ph nang gim , c th nghe ran rt , ran ngy
6. Hi chng vim long ng h hp trn
- Ho , ht hi
- S mi , nght mi
- Nga mt mi
7. Hi chng hp tiu ph qun co tht
- Kh th chm , kh th th th ra
- Nghe phi c nhiu ran rt , ran ngy
- Xquang phi c hnh nh kh ph thng
8. Hi chng gng sc :
Mt , ho , kh th xut hin khi gng sc , gim khi ngh ngi
9. Tam chng Charcot ( hi chng tc mt, vim ng mt, si ti mt)
- au h sn phi
- St
- Vng da. ( trn lm sng, c ngi cn gi l Tam chng Villard)
10. Tam chng Fontan ( abces gan)
- St
- au h sn phi
- Rung gan(+) hay n k sn au
11. Vim ti mt
- au h sn phi
- Hi chng nhim trng
- Du Murphy ( + )
12. Hi chng tc rut
- au bng
- Nn i
- B trung i tin
- Bng chng
13. Hi chng suy gan mn tnh
- Ngn tay di trng
- Vng da
- Du " lng bn tay son " ,sao mch
- C trng
- Du xut huyt
14. Hi chng vim ty cp
- St
- au bng thng v lan ra sau lng ( au sau khi n)
- Nn i
- Bng chng ( bng cng nh g).
- Xt nghim amylase v lipase mu, Xquang, siu m bng
15. Hi chng thn h
- Ph
- Tiu m 3,5 g / lt
- Albumin mu < 30 g / lt
- Protein ton phn < 60 g/ lt
- Lipid mu tng
16. Hi chng niu o cp
- Tiu gt , but
- Tiu rt
- Mt tiu cp thit (khi mt tiu l phi i ngay, nu khng s tiu sn ra ngoi )
17. Hi chng thiu mu:
- Hoa mt, chng mt
- Da xanh, nim mc nht
- Hb gim, hng cu gim
- Thi tm thu 2/6 c nng
18. Hi chng tng p lc tnh mch ca:
- C chng
- Lch to 2, chc
- Nc tiu cn
- Tun hon bng h kiu gnh ch
- Nn ra mu
19. Hi chng suy t bo gan:
- Vng da, mt mi, n km
- Cholesterol gim:
+ T s Chole.este/Chole.TP gim
- Serit gim: Serit/Globulin < 1.
- Phc Prothrombin gim, NH3 mu tng
- Nghim php gy i Galactose niu ko di
- Nghim php Natri benzoat thy
20.Hi chng suy tim phi:
Kh th, ph 2 chi di, phn hi gan tm c + , gan to, tnh mch c ni, P ph.
21. Hi chng suy tim tri:
kh th NYHA 3.
22. Hi chng suy tim ton b:
- Kh th NYHA IV, au tc HSP
- HA 100/80 mmHg, rale m ri rc 2 y phi, TM c ni r, gan to 10cm DBS, phn hi Gan-
TMC (+), tiu 300ml/ngy, nc tiu sm mu.
- Mm tim LS VI ng nch trc, du hiu Hartzer (+), T2 mnh, tch i cnh c tri,
TTT 3/6 mm lan ra nch, TTT 3/6 mi c.
23. Hi chng suy h hp:Nhp th 25l/p, co ko cc c h hp ...
24. Hi chng ph qun:
- Ho
- au ngc
- Rn phi c Rale m, rale n
- X quang rn phi m
25. Hi chng mt mui nc:
- Ph
- i t
26. Hi chng tr tiu tun hon:
- Kh th tng cn
- Ho khan, ho ra mu
- y phi c rale m
- X quang rn phi m
27. Hi chng tr i tun hon:
- Kh th thng xuyn
- Ph hon ton
- Gan to, tnh mch c ni
- Phn hi Gan - Tnh mch c (+)
- i t
28. Hi chng xung huyt:
- Ph mm
- i tiu tin ra mu
- Chy mu chn thng
- Xut huyt vng da
- i ngoi phn en
29. Hi chng Ure mu:
- Kh th, ri lon nhp th
- Hn m
- Ri lon tun hon
- Us tng
30. Hi chng 3 gim:
- Rung thanh gim hoc mt
- R ri ph nang gim hoc mt
- G c trong vim mng phi khng dy dnh.
31. Hi chng khi u
- Gan to
- Lch to
- Hch to
32. Hi chng van tim
- T1 anh - m
- T2 vang m - tch i
- Thi tm thu - Rung tm trng
- Clack m van hai l
- Thi tm trng - Rung Fling
33. Hi chng tc mt
- Nim mc vng
- Nc tiu vng, phn bc mu
- Bilirubin mu tng
- Thng t trng c mt
- Nghim php Murphy (+), ti mt to
- Cholesterol, P.atase kim tng
34. Hi chng kh
- Lng ngc di ng km
- Khoang lin sn gin rng
- G vang, r ro ph nang gim, rung thanh gim
- Xquang: rn phi sng hn bnh thng
35. Hi chng mui nc
- Ph, i t
- Na+mu tng
36. Hi chng lot d dy - t trng
- au bng vng thng v
- Ri lon tiu ha
- Nn, chua
37. Hi chng vim i trng
- au qun, mt rn
- Phn c nhy mu m
38. Hi chng vng da
- Nim mc vng
- Bilirubin mu tng cao
- Nc tiu c sc t mt, mui mt
39. Hi chng suy gan
- Chn n, n kh tiu, s m
- au bng
- Vng da
- Ph (ch hai chi di)
- Xut huyt, vng da, chy mu cam
- Xut huyt nim mc hnh sao
40. Hi chng vim a khp
- Ty c nhiu hng cu non
- St tng cn
- Bilirubin mu tng
- Sterchobilin trong phn tng
- Hb, hng cu li tng
41. Hi chng b thp
- Lit 1/2 ngi
- Nghim php Babinski (+)
42. Hi chng mng no
- Nhc u, nn, s nh sng
- To bn ngi ln, a chy tr em
- Gy cng (+), Kecnic (+)
- Vch mng no (+)
43. Hi chng cng tuyn gip
- Tim nhanh, chn tay run
- Gy st, mt li, bu gip
- Glucose mu tng
- Chuyn ha c s tng
- Cholesterol mu gim
44. Tam chng Basedow
- Bu gip mch
- Mt li
- Run tay, chn
45. Hi chng Banti
- Lch to, cng lch
- Gan to chc, u, nhn n khng au
- Tng p lc tnh mch ca
46. Tam chng Galia
- R ro ph nang gim hoc mt
- Rung thanh gim hoc mt
- G vang
47. Hi chng hang
- Rung thanh gim
- R ro ph nang gim
- Rale m to, nh ht
- G c
- Ting thi hang u, trm
48. Hi chng try tim mch
- Chn tay lnh, v m hi
- Mch nhanh nh, kh bt
- Huyt p gim
49. Hi chng hp mn v
- au bng
- Nn ra thc n c
- Lc c ch lc i
50. Hi chng ri lon th dch
- Protid mu gim
- Cholesterol, lipid mu tng
51. Hi chng kh ph qun thy
- Lng ngc hnh thng
- Khoang lin sn gin rng
- Ngn tay di trng
- R ro ph nang gim, rale m
- G vang
- Rung thanh gim
52. Hi chng Hano
- Lch to
- Vng da tng t
- Gan to, chc, khng au
53. Hi chng Demosmeigh
- U nang bung trng
- Trn dch mng phi
- C trng
54. Hi chng vim gan
- Da nim mc vng
- Gan hi to v au
55. Hi chng thn kinh
- M sng, ht hong
- Hi chng mng no
- Chc d nc no ty c bch cu lympho
56. Hi chng Widect
(Trong suy thn c BC thiu mu)
- Hi chng nhim trng mu
- TK: mi mt nhc u
- Tiu ha: chn n, phn lng, bun nn, ur tng
- Hi chng tng huyt p: au ngc tri, THA
- Ri lon nc tiu: TB tr, cn, BC tng
- Hi chng mui nc: Ph, i t
57. Hi chng ri lon bi tit
- i t
- Ri lon thnh phn nc tiu: Pr, HC, BC, tr ht, tr trong
58. Hi chng tng ng mu
- Lm sng: i nhiu, ung nhiu, gy nhiu
- Chuyn ha ng mu tng
- Chuyn ha ng niu gim
59. Hi chng suy dinh dng
- Thiu mu, thiu vitamin
- Gy, ph nhiu
- Da kh, bong vy
- Lng tc mng kh, rng nhiu
60. Hi chng m ng tit niu
- i t, nc tiu c
- Thn to, st cao, rt run
- Albumin, bch cu, TB m
61. Hi chng tng Nit mu
- Ur tng
- Tng huyt p
- Ting T2 tch i
- Da kh
62. Hi chng h hp
- Th mi NH3
- Ri lon nhp th Cheyner.Stock/Kusmons
- Hn m
63. Hi chng vim t chc lin kt
- in di Globulin tng ( Globulin l ch yu)
- Gross
64. Hi chng tiu ha
- n khng ngon, y bng, chng hi
- Bun nn, a lng.
- Li en, nim mc ming lot, c gi mc mu xanh
65. Hi chng Parkinson
- Run khi yn tnh, tng phn x
- i li chm chp, kh khn
- Tay khng ve vy, c cng khi hot ng
- Run mt khi hot ng
66. Hi chng Pik
- Tnh mch c ni to
- Gan to cng
- C chng dch thm
- Tng p lc tnh mch ca
- Vim mng ngoi tim, tim co tht
67. Hi chng chn p tnh mch ch trn
- Nhc u, kh th, lm vic chng mt
- Tm mt, tnh mch c ni
- Ph o khoc (c, ngc, mt)
- Tng p lc tnh mch ch trn
- Tun hon bng h ni r c, lng, ngc, bng.
68. Hi chng chn p tnh mch ch di
- Tun hon bng h ni r ngc, bng
- Ph hai chi di
- Gan to
- Tng p lc tnh mch ch di
69. Hi chng tiu no
- i li long chong
- Gim trng lc c
- Run khi lm vic
- Ri lon ting ni (git nhn cu)
70. Hi chng vim a dy thn kinh
- Ri lon cm gic:
+ T but nh kin b
+ Tng cm gic au
+ Bn tay r xung
71. Hi chng trung tht trn
- mu tnh mch ch trn
- Ph tm, ngc c
- tun hon bng h ngc bng, ph chi di, tng p lc tnh mch ch di
72. Hi chng trung tht di
mu tnh mch ch doi, gan to , ph 2 chi di, tun hon bng h bng
73. Hi chng trung tht sau
kh nut, trn dng chp mng phi