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eosinophilic gastroenteritis <radiology> Eosinophilic infiltration of mucosa, submucosa, and muscularis of small bowel with or without stomach, stomach (almost always limited to antrum): enlarged gastric rugae, cobblestone nodules, polyps (=mucosal type), rigid wall with narrowed antrum/pylorus, bulky inramural mass up to 9 cm (=muscular type), wet stomach, ulcers rare, may have ascites, small bowel (predominantly jejunum), thickening and distortion of folds (=mucosal type), effacement of mucosa and narrowing of lumen (=muscular type), prognosis: tendency to spontaneous remission, treatment: steroids; removal of sensitizing agent
(12 Dec 1998)
epidemic gastroenteritis virus A RNA virus, about 27 nm in diameter, which has not been cultured in vitro; it is the cause of epidemic nonbacterial gastroenteritis; at least five antigenically distinct serotypes have been recognised, including the Norwalk agent. These viruses are probably classified with the Caliciviruses in the family Caliciviridae.
Synonym: gastroenteritis virus type A.
(05 Mar 2000)
epidemic nonbacterial gastroenteritis An epidemic, highly communicable but rather mild disease of sudden onset, caused by the epidemic gastroenteritis virus (especially Norwalk agent), with an incubation period of 16 to 48 hours and a duration of 1 to 2 days, which affects all age groups; infection is associated with some fever, abdominal cramps, nausea, vomiting, diarrhoea, and headache, one or another of which may be predominant.
Synonym: acute infectious nonbacterial gastroenteritis.
(05 Mar 2000)
abdomen, acute Clinical syndrome characterised by abdominal pain of great severity associated with other symptoms and signs, usually those of acute peritonitis, which might well be the result of a ruptured abdominal viscus or a similar abdominal catastrophe requiring urgent surgical operation.
(12 Dec 1998)
acute 1. Sharp, poignant.
2. Having a short and relatively severe course.
Origin: L. Acutus = sharp
(18 Nov 1997)
acute abdomen Any serious acute intra-abdominal condition (such as appendicitis) attended by pain, tenderness, and muscular rigidity, and for which emergency surgery must be considered.
Synonym: surgical abdomen.
(05 Mar 2000)
acute abscess A recently formed abscess with little or no fibrosis in the wall of the cavity.
Synonym: hot abscess.
(05 Mar 2000)
acute adrenal crisis <endocrinology> An abrupt life-threatening state which is caused by insufficient production of cortisol by the adrenal gland.
A typical finding in Addison's disease. Individuals who have been taking corticosteroids (glucocorticoids) for a prolonged period of time (weeks to months) are at risk for acute adrenal crisis if the medication is stopped abruptly. For this reason, corticosteroid medication are withdrawn slowly on a diminishing dosing schedule.
Symptoms include low blood pressure (shock), weakness, headache, vomiting, fever chills, tachycardia and sweating.
Treatment includes blood pressure support and intravenous hydrocortisone.
(27 Sep 1997)
acute adrenocortical insufficiency Severe adrenocortical insufficiency when an intercurrent illness or trauma causes an increased demand for adrenocortical hormones in a patient with adrenal insufficiency due to disease or use of relatively large amounts of similar hormones as therapy; characterised by nausea, vomiting, hypotension, and frequently hyperthemia, hyponatraemia, hyperkalaemia, and hypoglycaemia; can be fatal if untreated.
Synonym: addisonian crisis, adrenal crisis, Bernard-Sergent syndrome.
(05 Mar 2000)
acute African sleeping sickness A disease of humans caused by Trypanosoma brucei rhodesiense in eastern Africa from Ethiopia and Uganda south to Zimbabwe; it is clinically similar to Gambian trypanosomiasis but of shorter duration and more acute in form; patients suffer repeated episodes of pyrexia, become anaemic, and die commonly from cardiac failure.
Synonym: acute African sleeping sickness, acute trypanosomiasis, East African sleeping sickness, East African trypanosomiasis.
(05 Mar 2000)
acute alcoholism A temporary deterioration in mental function, accompanied by muscular incoordination and paresis, induced by the rapid ingestion of alcoholic beverages.
Synonym: intoxication.
(05 Mar 2000)
acute angle Any angle less than 90
acute angle closure glaucoma <ophthalmology> An increase in pressure within the anterior chamber of the eye. There are two forms of glaucoma: acute angle closure and open angle glaucoma.
(27 Sep 1997)
acute anterior poliomyelitis Inflammation of the anterior cornua of the spinal cord; an acute infectious disease caused by the poliomyelitis virus and marked by fever, pains, and gastroenteric disturbances, followed by a flaccid paralysis of one or more muscular groups, and later by atrophy.
Synonym: acute atrophic paralysis, myogenic paralysis.
(05 Mar 2000)
acute aortic dissection <cardiology> A condition in which a weakened portion of the thoracic aorta begins to tear along the longitudinal axis of the vessel.
Symptoms include sudden, severe chest pain that may radiate to the back accompanied by nausea, sweating and difficulty breathing. A common risk factor for this event is atherosclerotic vascular disease and-or hypertension. Advanced cases of syphilis (syphilitic aortitis) can also result in acute thoracic dissection as a complication of infection with Treponema pallidum.
(27 Sep 1997)
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