Blue-purple spots on the skin around the umbilicus
Introduction
Introduction In addition to the umbilical and lateral abdominal wall skin purple spots, there may also be skin lesions of the limbs, purple spots, blisters, necrosis, skin damage is one of the signs of critical illness. The abdominal wall of acute pancreatitis is a part of systemic diseases. Symptoms and signs such as abdominal wall edema, tenderness, and skin color changes can be seen clinically.
Cause
Cause
Such as various infectious diseases, such as biliary tract mites, viral infections, sepsis, mycoplasmal pneumonia and other diseases; prevention and treatment of metabolic disorders, such as hypercalcemia, hyperlipidemia, diabetes, etc.; prevent overfeeding and malnutrition; Poisoning, trauma, etc.
Examine
an examination
Related inspection
Physical examination of skin diseases abdominal skin examination
1. History and details of the location and nature of abdominal pain, with or without the back, scapular radiation pain, or waist-like bandage pain. Before the onset, there was no overeating (especially alcohol and greasy food), trauma, emotional agitation, nausea, vomiting aphid or blood in the stool. Have a similar history of disease, how to treat, with or without jaundice, cholelithiasis, biliary tract mites and hyperlipidemia, whether there is any history of contact with mumps patients or acute mumps before 3 weeks.
2. Physical examination pay attention to the sclera, whether the skin has yellow stains, whether there is shock, umbilical or lumbar back skin color cyanosis, edema and tenderness. Pay attention to the site of abdominal tenderness and rebound tenderness, the extent and extent of muscle tension, whether there is abdominal mass, ascites, bowel sounds weakened or disappeared, and whether the parotid gland and testicles have swelling or pain.
3. Test blood routine, urine routine, hematocrit, blood sugar, blood calcium, blood phosphorus, liver and kidney function, blood biochemistry, blood and urine amylase, and arterial blood gas analysis. When conditions are available, denatured hemoglobin, lipase, elastase, apolipoprotein A2 (Apo-A2), and C-reactive protein should be measured to aid in the diagnosis of pancreatic necrosis.
Diagnosis
Differential diagnosis
Hemorrhagic necrotic pancreatitis: systemic symptoms are critical, beginning irritability, followed by hypotension, shock, difficulty breathing, oliguria or anuria, consciously abdominal pain, inconsistent with signs of abdominal pain, umbilical and umbilical tenderness and peritoneal irritation. Some children have cyanotic blocks on the umbilical or lumbar skin. The former is called Cullen sign, and the latter is called Grey Turner sign. It is caused by overflowing pancreatic juice penetrating the abdomen and waist muscles, decomposing subcutaneous fat and causing capillary bleeding.
Edema-type pancreatitis: The main symptoms are upper abdominal pain, mostly persistent, and often accompanied by nausea and vomiting. The vomit is food and stomach, duodenal secretions. The heavier ones were accompanied by abdominal distension, and the upper abdomen tenderness (left or right on the umbilicus) was the only sign of the abdomen, and some patients had local muscle tension.
Edema-type pancreatitis: The main symptoms are upper abdominal pain, mostly persistent, and often accompanied by nausea and vomiting. The vomit is food and stomach, duodenal secretions. The heavier ones were accompanied by abdominal distension, and the upper abdomen tenderness (left or right on the umbilicus) was the only sign of the abdomen, and some patients had local muscle tension.
In addition to the umbilical and lateral abdominal wall skin purple spots, there may also be skin lesions of the limbs, purple spots, blisters, necrosis, skin damage is one of the signs of critical illness.
The abdominal wall of acute pancreatitis is a part of systemic diseases. Symptoms and signs such as abdominal wall edema, tenderness, and skin color changes can be seen clinically.
