Acute Abdominal Pain

One of the causes of greater income in the rooms of emergencia or of the medical consultations is the acute abdominal pain sudden appearance and without apparent cause. The same begins in the central high part of the abdomen (epigastrio) of slight intensity of oppressive type in ocaciones or urente in others, that with the passage of the 4 to 6 hours next the pain migrates towards the right low part (it moats iliac right) in ocaciones begins in is site, but of slight intensida that increases. In this part of the clinical picture he is crucial, the majority of patients and relatives of the same is automedican or gone to the pharmacy where it recommends to him: analgesic, antispasmodic, digestive enzymes or antibiotic, reason why the presentation stops following its evolution so what is, that is to say, is covered it and the symptoms disappear by hours. The recommendation is that before a picture of acute abdominal pain it goes to his doctor of confidence or the nearer medical center for his clinical valuation, physical and of complemantarios examinations to discard Acute Appendicitis that is the most frequent cause of episodes of acute abdominal pain and abdominal operations. The Acute Appendicitis is characterized by: pain to the palpation in the right low part (McBurney+), pain when decompressing abruptly in the same area (Blumberg +), migration of the pain in ocaciones from epigastrio to the right iliac grave, nausea, vomit by a ocacin, lack of appetite (hiporexia), to the examination of blood in an acute abdominal pain is: Leucocytosis (greater to 10,000) with Neutrofilia (greater to 75%), oral temperature major to 37C, pain to the passive movement the right leg (sign of psoas and adductive +) or when walking. Between the complementary examinations also we have the ecosonografa that is of great value to arrive at a diagnosis of the cause of the acute abdominal pain, that in combination with the physical examination and the complemenatarios examinations of the patient we will have to act immediately, or of clinical or surgical treatment. The most fatal complication by reterdar itself in the diagnosis by pain abdominal acute it is a Peritonitis that is the rupture of the appendix with exit of lees and the contamination of the abdominal cavity, complicando the surgery and its hospitable demurrage that in ocaciones puts in risk the life of the patient.

Therefore, before an acute abdominal pain he is better not to automedicar itself and to acuder more soon to its doctor of confidence or the center of health, to avoid ominous consequences and the best thing is to receive tratameinto opportune surgical doctor if it deserves therefore it. Dr. Thin Jorge P.

Obesity And Illness

The adult obesity still has the beginning in the second infancy. The children who have easiness to gain weight, with frequency become adult with overweight, having complications as hipercolesterolemia, hipertenso and cardiac illness (MACRDLE et al, 2008). The increased corporal mass is associated with the risk of development of some illnesses, as: osteoartrite, melito diabetes not insulino dependent, hiperlipidemia, cardiac illness, cerebral vascular accident, hipertenso, some types of cancer, alimentary illness of the biliary vesicle, drop, riots, riots of sleep and riots of mood (BRAY, 2003; ACMS, 2000). Moreover, the quality of life related to the health of adolescents with weight excess is significantly lower of what the ones that are in a band of normal weight (KUNKEL, 2007). The damages of this illness in the health can persisitir in the adult life. Here, supermodel expresses very clear opinions on the subject. Contundo, still exists few studies on the consequences for the health in long stated period in children and adolescents of the masculine sex, exactly thus is citizens the biggest possibilities of death, when to be adult. The studies with the feminine sex are rare, and consequences in long stated period of the weight excess, seem to be less serious of what in the men.

The children and adolescents with overweight have two times more possibilities of if becoming an adult above of the weight (MUST, 1996). Many scholars try to explain the causes of this exaggerated increase of the excess of weight in the infantile population. The explanations most probable are classified in three categories: the genetics; the influence of the environment and the combination of the two (TADDEI, 1995). As Damaso (2001) the causes are divided in: internal causes, as the genetic factors; the external causes as sedentarismo, bad alimentary habits and psychological problems. Therefore, as the cited studies, the questions influenced for the environment, as the alimentary level of physical activity and habits currently seem to be great the responsible ones for the extreme increase of the prevalence of the obesidade.