Posts Tagged ‘Yakov Bogatin’

Yakov Bogatin:Crohn’s disease – the beginning

August 21, 2010

Crohn’s disease – a chronic inflammatory bowel disease of autoimmune nature, having the character of transmural (affecting all layers of the intestine). The most frequent complications are irreversible changes in the intestine (intestinal segment stenosis, strictures, fistulas) also for this disease is characterized by numerous abenteric defeat.

Yakov Bogatin admits that the first symptoms of Crohn’s disease usually appear in young age (15-35 years), and this may be as intestinal and abenteric manifestations.
It is very important to diagnose Crohn’s disease in time and to start treatment, because if diagnosed and treatment started later than 3 years after diagnosis of the first symptoms, complications develop in 100% of cases.

Symptoms of Crohn’s disease:

• in lesions of the colon – abdominal pain, rumbling, bloating, diarrhea;
• cramping;
• patients lose weight, there appear signs of polyhypovitaminosis, metabolic disorders of varying severity.

Crohn’s disease with predominant syndrome AHD

Variant of the disease occurring with a lesion of the small intestine and the development of syndrome of enteric disease (AHD). According to Yakov Bogatin for this variant of the disease is characteristic of the combination of enteral insufficiency syndrome with the syndrome of partial intestinal obstruction. In these cases, patients complain on pain, spastic character in different parts of the abdomen, bloating, often vomiting. You can identify a Wahl symptom, when there is a local abdominal distension and visible peristalsis of small intestine loops in this area. Sometimes Yakov Bogatin says that when auscultation at a height hyperperistalsis bloated intestinal loop can hear rumbling, after which the swelling is reduced and often diarrhea (a symptom Koenig).


Yakov Bogatin: Degrees of frostbites

January 20, 2010

I degree of frostbite (easiest) usually comes at short influence of a cold. The amazed site of a skin pale, after warming reddened, in some cases has a purple-red shade; the hypostasis develops. According to Yakov Bogatin skin necrosis does not arise. By a weekend after frostbite the insignificant peeling of a skin is sometimes observed. Full recover comes to 5 – to 7 day after the frostbite. First signs such of such a frostbite – feeling of burning, pricking with the subsequent numbness of the amazed site. Then appear a skin itch and pains which can be both insignificant, and sharply expressed.

II degree of frostbite arises at more long influence of a cold. In an initial stage is available paleness, the cold snap, sensitivity loss, but these phenomena are observed at all degrees of frostbite. Therefore the most typical sign – formation in the first days after a trauma of the bubbles filled with transparent contents. Yakov Bogatin is sure that a full restoration of integrity of an integument occurs during 1 – 2 weeks, granulations and hems are not formed.

At the II degree of frostbite after pain warming more intensively and more for a long time, than at the 1st degree of frostbite, disturb a skin itch, burning. At III degree of frostbite duration of the period of cold influences and temperature decrease in tissues increases. Bubbles formed in an initial stage are filled with bloody by contents, their bottom sine-crimson, tolerant to irritations. There is a destruction of all elements of a skin to development in an outcome of frostbite granulations and hems. The descended nails do not grow again or grow rather deformed. Tearing away of the died off tissues comes to an end on 2 – 3rd week then there comes scarring which proceeds till 1 month. Intensity and duration of painful sensations is more expressed, than at the second degree of frostbite.

IV degree of frostbite arises at long influence of a cold, temperature decrease in tissues at it the greatest. Yakov Bogatin reports that this type of frostbite is quite often combined with frostbites of III and even II degrees. All layers of soft tissues die and quite often even bones and joints are affected as well.