For The Majority Of The Doctors Interested In

For the majority of the doctors interested in correct estimation Syncope a main role plays concept "unconsciousness". As soon as it has been established and documentary that syncope Has actually occurred, at least unitary (on the basis of the detailed Estimations of medical history and indications of witnesses), the doctor should To differentiate between a syndrome syncop and not conditions. The most frequent reasons (= sudden weakness or consciousness loss): Establishment of the reason or the reasons syncope Pursues two main objectives: statement the diagnosis that Solves also problems of the forecast and risk of repetition of a condition. And in second, Finding out the concrete reasons , the unique way is defined To provide accuracy of recommendations for treatment. Some questions to patients, conditions -- * How it is frequent at you there is a weakness? * that you do, when comes Weakness? * you ever fainted? * weakness occurs Suddenly? * in what position there is a weakness is more often? Whether * noticed You with what, for example, weakness is connected with a chest pain, irregular Heart rhythm, nausea, hunger, , or tolerance In finitenesses and ? Definition most plausible reasons for the concrete patient - often enough difficult problem.

There Is A Set Criteria For Diagnosing Of

There is a set Criteria for diagnosing of a syndrome of an angry thick gut (), but their accuracy is a little known in clinical practice. The regular review of the literature on identification and research Accuracy of the accepted diagnostic criteria for syndrome (Roman Criteria 1, 11 and III) and computer modelling while (October 2007) Have not confirmed unequivocal interpretation of many signs of syndrome . So, estimating characteristics of symptoms at 2355 Patients, the diagnosis of syndrome by estimations of modelling of the computer with By the Roman criteria 111 has been put as unique at 1526 patients [Sensitivity of 84 % (from 74 to 92 %) and specificity of 88 % (95 % CI from 77 to 96 %]. At 574 patients with use of the Roman criteria 11 Sensitivity has appeared 78 % (from 62 to 90 %) and specificity of 72 % ( From 55 to 87 %). And, at last, the diagnosis using the Roman criteria 1 on To syndrome (1 studying, 602 patients) had sensitivity of 71 % (from 66 to 76 %) and specificity of 85 % (from 80 to 89 %).

The Roman III Criteria These Conditions Are Defined

The Roman III criteria These conditions are defined as: * a pain syndrome in epigastrii - on To extreme measure 3 months from the beginning or at least 6 months to Pain occurrences, presence of sensation of burning in , at least Once in week and not having propensities to distribution or To restriction in other area (a stomach or a breast), not connected with , criteria of diseases of a bilious bubble or Oddi. Diagnostic criteria for a syndrome stress: * at least 3 months from the beginning or in Current 6 months presence of 1st or quantities of the following Signs: sensation of early saturation or feeling After usual volume of the eaten food, there is it once a week Or more often that forces to finish regular food intake. Other essential change for the new Treatments of some syndromes the committee recognised that criteria Include or can have an accompanying heartburn or syndrome . It is recognised that sensation of early saturation or feeling After usual volume of the eaten food, represent the separate The group of patients which is distinct from patients with symptoms of a nausea and vomiting.