cachexia face
Introduction
Introduction Looking at the face is to look 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. Cachehic face: The face is extremely thin, the complexion is sallow, and the skin is less elastic.
Cause
Cause
More common in patients with chronic wasting diseases, such as tuberculosis, advanced cancer and so on.
It is a tumor that 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. Formed by decomposition of fatty proteins). 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, can only enter a small amount of diet or can not eat at all, extremely thin, skinny Only the bone shelf is left, like a sputum, anemia, weakness, complete bed rest, life can not take care of themselves, extreme pain, systemic failure and other syndromes.
Examine
an examination
Related inspection
Tumor markers detect tumor-associated antigen facial expression
1, hair loss, face extreme weight loss, expression pain, pale complexion, high cheekbones, deep eye sockets, severe anemia face. The face of a healthy person should be a god with two eyes, a delicate eyebrow and a shiny skin.
2, orbital metastatic tumor sphenoid bone wing bone is a good site for the transfer of systemic malignant tumors to the eyelids, bone destruction is severe, often accompanied by soft tissue masses. The patient's general condition is poor, the cachexia is good, and the condition progresses rapidly.
3, physical nutritional status check: gradual weight loss in March, weight loss than the original weight (diagnosed) 7.5%, or IBM index <80%.
4, history data: accompanied by loss of appetite (poor appetite, food intake is reduced by 1/3 than healthy), fatigue.
5, blood test: total protein <55g / l, albumin <35g / l, prealbumin <250mg / l.
Diagnosis
Differential diagnosis
Differential diagnosis of cachexia 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, chronic face: face gray or pale, face stunned, gaze. Common in chronic wasting diseases, such as cirrhosis, malignant tumors, severe tuberculosis.
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, mucinous edema face: the characteristic face of hypothyroidism in adulthood. Chinese medicine believes that it belongs to spleen qi deficiency and kidney yang deficiency syndrome. Western medicine believes that it is more common in hypothyroidism. This type of face can also be seen in testicular and pituitary dysfunction.
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.
14, hyperthyroidism face: facial muscle weight 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, and the eyeballs are protruding, similar to the goldfish eyes; excited, irritated and irritable. This is a typical manifestation of hyperthyroidism.
