Symptom of Ortner-Grekov: diagnosis of cholecystitis

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2018-03-24 20:21:07

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symptom of OrtnerSymptom of Ortner-Grekov is manifested in diseases that are associated with the liver or the biliary ways. Most frequently observe it in acute cholecystitis. The symptom is characterized by some tenderness on the right side with a light effleurage edge of his hand on the right costal arch. Compulsory effleurage with both sides in order to compare and evaluate the symptom of Ortner-Grekova. The pain occurs due to the fact that the doctor produces a slight concussion inflamed gallbladder. Under normal conditions, patients sometimes pain can not feel, feeling only a little uneasy on the right side under the ribs.

Acute cholecystitis

Acute cholecystitis, if you believe the statistics, diagnosed in 18% of patients who have acute surgical diseases abdominal cavity. In women, the probability of occurrence is three times higher. The causes of this disease are many, and chances to experience full symptom of Ortner-Grekova. These include:

  • Hypertension in the biliary tract;
  • Infection in them;
  • Changes in the blood vessels of the biliary tract;
  • Violation of the diet;
  • Cholelithiasis;
  • Reduction of nonspecific resistance of the organism;symptom of Grekova Ortner
  • Diseases of the stomach, which may be accompanied by dyscholia;
  • Morphological problems (e.g., liver - development of hyperbilirubenemia).

Almost 90% of cases of acute disease is often the result of complications of gallstones. 100% food-factor (diet) are the trigger. Such a disease can result in oily and spicy food, allergens. All this develops a spasm, which determines a symptom of Ortner-Grekova. But the diagnosis should be performed only by a physician.

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Disease causing cholecystitis

We have already discussed the problems with cholelithiasis and diet. We can talk about some other diseases that lead to problems with the gall bladder. So, for example, gastritis may be accompanied by decreased production of gastric juice and hydrochloric acid, also sometimes leads to the fact that when carrying out diagnostic procedures revealed a positive symptom Grekova-Ortnera that sometimes leads to incorrect diagnosis.

positive symptom of OrtnerThe definition of the disease and its extent

The stage of development of the disease depends more on what changes have taken place in the gallbladder as a start have experienced any complications. In the case of the occurrence of the last characteristic not only positive symptom of Ortner-Grekova, but there is a radiating pain in the shoulder, shoulder, supraclavicular region.

Other symptoms

Among the concomitant symptoms of acute cholecystitis, nausea, vomiting with bile, bitter taste in the mouth, dull pain at the initial stage and progression of the disease. Body temperature can rise to 38 degrees with the presence of fever. Occurs increased heart rate, in some cases, there is tachycardia. Can also manifest jaundice. The tongue becomes dry and coated. All care must be prescribed by a doctor. Launched cholecystitis may cause comorbidities with subsequent failure of the affected organs. 


Article in other languages:

AR: https://tostpost.com/ar/health/3402-ortner-grekov.html

BE: https://tostpost.com/be/zdaro-e/5995-s-mptom-ortnera-grekava-dyyagnostyka-halecystytu.html

DE: https://tostpost.com/de/gesundheit/5994-symptom-ortner-grekov-die-diagnostik-der-cholezystitis.html

ES: https://tostpost.com/es/la-salud/6000-el-s-ntoma-ortner-grekova-el-diagn-stico-de-la-colecistitis-aguda.html

HI: https://tostpost.com/hi/health/3404-ortner-grekov.html

JA: https://tostpost.com/ja/health/3403-ortner-grekov.html

KK: https://tostpost.com/kk/densauly/5997-simptom-ortnera-grekova-diagnostika-holecistitt.html

PL: https://tostpost.com/pl/zdrowie/5999-objaw-ortnera-grekova-diagnostyka-zapalenia-p-cherzyka-ciowego.html

PT: https://tostpost.com/pt/sa-de/5995-o-sintoma-ortnera-grekova-diagn-stico-de-colecistite.html

TR: https://tostpost.com/tr/sa-l-k/6001-belirti-ortnera-grekova-kolesistit-tan.html

UK: https://tostpost.com/uk/zdorov-ya/5999-simptom-ortnera-grekova-d-agnostika-holecistitu.html

ZH: https://tostpost.com/zh/health/3684-ortner-grekov.html






Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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