chronic face
Introduction
Introduction The face is looking at the expression of the face. Human facial muscles and blood supply are very rich, and twelve pairs of cranial nerves are concentrated here. Healthy people should have a natural expression and a pleasant look. The proportion of organs and organs is moderate and reasonable. When the body is sick, it will be troubled by the pain, especially when the disease develops to a certain extent, some characteristic faces and expressions will appear. Therefore, observing facial facial expressions and expressions will undoubtedly provide important clues for the diagnosis of certain diseases. Chronic face: The face is gray or pale, the face is stunned, and the eyes are dim.
Cause
Cause
Common in chronic wasting diseases, such as cirrhosis, malignant tumors, severe tuberculosis. These diseases generally consume excessive amounts of body energy and cause a negative balance of energy.
The disease changes the metabolism of the body through various ways, so that the body can not absorb nutrients from the outside. The tumor builds itself from the body's inherent fat and protein, so the body loses a lot of nutrients, especially essential amino acids and vitamins. Protein is formed by decomposition). The oxidation process in the body is weakened, the oxidized incomplete products are accumulated, and the nutrients cannot be fully utilized, resulting in a waste-based metabolism-based state, insufficient calories, which in turn causes loss of appetite, weight loss, anemia, weakness, and a negative balance of energy supply to the body. In the face, the reaction is faint, pale or dull, and gaze.
Examine
an examination
Related inspection
Skin color liver function test
His face was gray or pale, his face was stunned, his eyes were dim. The face of a healthy person should be a god with two eyes, a delicate eyebrow and a shiny skin. The face examination is based on consultation and palpation. Observe the patient's consciousness, expression, skin elasticity, complexion, etc. Through the complexion and expression, the degree of anemia of the patient is judged. Some chronic diseases such as cirrhosis have dull complexion, poor skin elasticity, dry and rough, and especially dark eyes. During the active period of tuberculosis, the face is pale and the cheeks are red like rouge. The basic physical condition of the patient is judged roughly by the face.
Diagnosis
Differential diagnosis
Differential diagnosis of chronic face:
1, acute face: face flushing, happy and uneasy, expression pain, is an acute fever, such as lobar pneumonia, malaria and other performance.
2, bitter smile face: tetanus is caused by the toxins of Clostridium tetani to the nervous system syndrome. Patients with local or systemic muscles or tonic spasm, often affected by facial and neck muscles, closed jaws and "smiley face".
3, scarlet hot face: the face of the person, not only the "stage" of the seven emotions, but also the "window" reflecting the diseases in the body. Therefore, it is an important and simple method to detect diseases in the early stage. Scarlet hot face: facial congestion and redness, the skin color around the nose and mouth is obviously pale.
4, hyperthyroidism face: facial muscle loss, eyeballs, gaze shining with a frightened expression, increased eye cracks and less blinking, accompanied by happy, irritated and irritated performance is common in patients with exophthalmia hyperthyroidism. Expressed as a horrified face, it is very horrified by the small sounds of the outside world; the eyeballs are convex, similar to the goldfish eyes; excited, irritated and irritable. This is a typical manifestation of hyperthyroidism.
5, measles face: two eyes are red and afraid of light, increased secretions in the eyes, nasal obstruction, accompanied by fever and cough.
6, anemia face: pale and dull, eyelids, lips and tongue light, expression tired and weak.
7, dementia face: head large neck short, small eye cracks, wide nose, flat nose, hypertrophy of the nose, thick tongue and often stretch out of the mouth, common in patients with small patients.
8, typhoid face: apathy, slow response, showing no desire. Mostly, the face of patients with high fever and fever, such as typhoid fever, encephalitis, and meningitis.
9, cachexia quality face: face is extremely thin, pale complexion, skin elasticity is poor, more common in patients with chronic wasting diseases, such as tuberculosis, advanced cancer and so on.
10, mask face: facial expression is dull, like wearing a mask, common in patients with encephalitis, tremor paralysis.
11, liver disease face: gray complexion, thin cheeks, brown pigmentation on the forehead and cheeks.
12, acromegaly face: the skull is enlarged, the face is long, the jaw is large and protruding forward, the two bones are raised, the ear and nose are enlarged, the lips and tongue are thickened, and it is common in patients with pituitary tumors.
13, half-sided face: semi-lateral muscles irregular paroxysmal convulsions, sometimes only for sputum or mouth twitching, common in patients with facial nerve spasm sequelae and trigeminal neuralgia, central nervous system disorders.
His face was gray or pale, his face was stunned, his eyes were dim. The face of a healthy person should be a god with two eyes, a delicate eyebrow and a shiny skin.
