Medical Semiology Guide of the Digestive System

461 Pages·2019·27.125 MB·English

by  Manuela Stoicescu

MEDICAL
SEMIOLOGY OF THE
DIGESTIVE SYSTEM
PART I
Dr. Manuela Stoicescu
ConsultantInternal Medicine
PhD,Assistant Professor
University ofOradea
FacultyofMedicine andPharmacy
Medical Disciplines Department
Romania
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About the Author
MANUELA STOICESCU
ConsultantInternalMedicinedoctor,PhD,AssistantProfessoratUniversityofOradea,FacultyofMedicineand
Pharmacy
Medical DisciplinesDepartment,
Romania
Education: Philology-History High School,Oradea, Chemistry e Biology e field High school diploma
University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca Faculty of Medicine and Pharmacy
Romania-PhysicianUniversityofMedicineandPharmacy“IuliuHatieganu”Cluj-NapocaRomania-Residency-
InternalMedicine 5years -Certificate-Internal Medicine Specialist Feb 1996eOct 2001
Pe´dagogie training department, ClujeNapoca, Romania e Psychope´dagogie Certificate.
Certificate of English languageproficiency
Residency e Internal Medicine Cluj Napoca e University of Medicine and Pharmacy ”Iuliu Hatieganu”
Cluj-NapocaRomania,DepartmentofMedicalSemiology,MedicalIICliniceClujNapocaeCityInternalMedicine
Department,Medical II ClinicClujNapoca City.
AssistantProfessor at the University ofOradea e Medical Semiology Department e2002epresent.
Consultant Internalmedicine doctor e 2006
Ph.D. thesis: "Hypertension in the young people -clinicalfeatures",
-publication date Jul 28, 2010 publication description Obtained the title of doctor of medicine according to the
Order of the Minister of Education, Research Nr.4542 on 28. 07. 2010. publication description Ph.D. Thesis:
"Hypertension in the young people - clinical features", original work, Obtained the title of doctor of medicine
according to the Orderof the Ministerof Education,Research, Youth andSports Nr.4542 on28.07. 2010. PhD
Consultant Internal Medicine doctor. PhD, Assistant Professor, University of Oradea, Faculty of Medicine and
Pharmacy, Medical Disciplines Department
DatesEmployed:Jan2001ePresent2019;EmploymentDuration:18years8months;Location:Oradea-Romania
She has been an invited speaker at 56 International Conferences in US and Europe, is Organizing Committee
Member(OCM)inInternationalConferencesinUSandEurope,published20articlesinprestigiousjournalsinUS
and is Editorial Board Member in two prestigious ISSN journals in US: Journal of Developing Drugs and Surgery:
CurrentResearch.
vii
Motto
.
“Each patient is unique We have to practice a personalized medicine”
“Semiology is a window that opens to the universe of internal medicine”
Thank you all my students!
Iwanttothankallmystudentsbecausetheyexist;inthiswayIcancontinuallyperfectmyself
and remain young together with them through their enthusiasm.
Scientific Activity
ACCOMPLISHMENTS
Publications 51
InvitedasspeakerandOrganizingCommittingMember(OCM)atthe24thAnnualCardiologistsConferenceat
Barcelona,SpainfromJune11e13,2018-ManuelaStoicescu-“ThecauseofayoungpatientwiththirddegreeAV
block”.
InvitedasspeakerandOrganizingCommittingMember(OCM)atthe25thAnnualCongressonCardiologyand
MedicalInterventionsJuly16e17,2018Atlanta,Georgia,USA-ManuelaStoicescue“Thehiddencardiovascular
disease at apatient with pain inthe left hypochondrium “
Invited as speaker ManuelaStoicescu at 17thAnnualConference on Nephrology” on December 04e05, 2017
Dallas, USA, publicationdates 04December, 2017 publicationdescription:”Atypicalurinary tractinfection to a
patientwith uniquekidney “.
Invited as speaker ManuelaStoicescu at “InternationalConference on Biomarkers & ClinicalResearch”
November 27e28, 2017Atlanta, USA, publication date November27, 2017, publication description: ”Non-
correlation between tumor biomarkers levels in peritoneal carcinomatosis”-volume 2,Issue4.
InvitedasspeakerManuelaStoicescuandCommittingOrganizingMemberat“21stInternationalConferenceon
Clinical&ExperimentalCardiology”November06e07,2017LasVegas,USA,publicationdateNovember06,2017
publicationdescription:“TheriskofantidepressantsdrugsinpatientswithprolongedcongenitalQTsyndrome“,
volume 8, Issue 11, ISSN 2155e9880.
Invited as speaker ManuelaStoicescu and Committing Organizing Member at “19th Annual Cardiology
Conference” August 31 -September 01, 2017 Philadelphia, USA publication date August31, 2017 publication
description:“Silent ischemic heart disease- an ignored problem?!”
Invited as speaker ManuelaStoicescu “15th InternationalConference on Nephrology” 28e30 August 2017
Philadelphia USA.Publication date August 30,2017 publication description: “Asimplerenal cyst is really an
innocent issue?”Volume3,Issue3: ISSN: 2472-1220.
(cid:129) Edit publicationThe riskof nitroglycerin drug administrationin chronic diabetic patients
Invited as speaker Manuela Stoicescu “4th Annual Congress on Drug Discovery & Designing” July 03e05,
Bangkok, Thailand 2017 Publication title: “The risk of nitroglycerindrugadministration in chronic diabetic
patients” publicationdate July 3, 2017,Volume 6,Issue3, ISSN: 2169-0138.
(cid:129) Edit publication The Liver-Avictim attheMiddle-due toAssociationoforalAntidiabetics Drugs with Statin
Publicationtitle-article“TheLiver-AvictimattheMiddle-duetoAssociationoforalAntidiabeticsDrugswith
Statin”ManuelaStoicescuPublicationdateMay11,2017publicationdescriptionJournalofDevelopingDrugsISSN
2329-6631 USA IF¼ 0,97
(cid:129) Editpublication“Surgicaltreatmentofatrialfibrillationbetweenbenefitandrisk”-ManuelaStoicescu-invitedas
speaker-“15th World CardiacSurgery&Angiology Conference” December08e09, 2016 in Philadelphia, USA.
InvitedasspeakerManuelaStoicescu“15thWorldCardiacSurgery&AngiologyConference”December08e09,
2016 inPhiladelphia, USA. Publication title “Surgicaltreatment of atrial fibrillation between benefitand risk”
Publicationdate Dec 8, 2016 publication descriptionDecember 2016, Volume 7 Issue 10, ISSN: 2155-9880.
(cid:129) Editpublication“Thesurpriseofdiagnosisofafluidcollectionaroundthespleen”-ManuelaStoicescu-Invited
as speaker- 5th InternationalConferenceand Exhibition onSurgery- November7e8, 2016 Alicante, Spain
xiii
xiv
ScientificActivity
InvitedasspeakerManuelaStoicescu“5thInternationalConferenceandExhibitiononSurgery”-November7-8,
2016 Alicante,SpainPublication title “The surprise of diagnosis ofa fluid collection aroundthe spleen”-
Publication date November7, 2016, Alicante Spain.
(cid:129) Edit publication “Early Predictive Markers Of Atherosclerosis In The Young”Manuela Stoicescu
Publication title-article -“EarlyPredictive MarkersOf Atherosclerosis In The Young” ManuelaStoicescu
publication date September30, 2016 publication description International Journal of Development Research-
ThomsonReuters-Impactfactor4,25publicationdescriptionVolume06Issue09,September2016,ISSN:2230-9926
(cid:129) Edit publication “The Riskof Sudden Decreaseof SevereArterial Hypertension”Manuela Stoicescu
Publicationtitleearticle-“TheRiskofSuddenDecreaseofSevereArterialHypertension”ManuelaStoicescu
Publication date July 31, 2016 publicationdescriptionJournal of Clinical &Experimental Cardiology. USA, ISSN:
2155-9880 JournalImpactFactor 1.219*; 1.97*(5 Year Impact Factor)
(cid:129) Edit publication “AcanthosisNigricans -earlymarker in cancer” Manuela Stoicescu
Publication titlee article-“Acanthosis Nigricans -early marker in cancer” Manuela Stoicescu Publication date
July 15, 2016 publication description Asian Academic Research Journal ofMultidisciplinary ISSN: 2319-2801
ThomsonReuters- IF¼ 2,015 publicationdescription Volume 3, Issue7, July 2016
(cid:129) Edit publication “Controversial in Menopausal Hormone Replacement Therapy” ManuelaStoicescu
Publication title earticle -“ControversialinMenopausal HormoneReplacementTherapy”ManuelaStoicescu
publicationdateJuly11,2016publicationdescriptionJournalofDevelopingDrugs-USA.ISSN2329-6631,IF¼1,32
(cid:129) Edit publication “The Unusual Cause of DangerousArrhythmiasat the Young” ManuelaStoicescu
Publication title -article-“The Unusual Cause of Dangerous Arrhythmias atthe Young” Manuela Stoicescu
publicationdate April 30,2016 publication description Journalof Clinical &ExperimentalCardiology USA,ISSN:
2155-9880Journal Impact Factor 1.219*; 1.97* (5Year ImpactFactor)
(cid:129) Edit publication “Acute Pancreatitis after therapywith GABARAN”Manuela Stoicescu
Publicationtitle-article-“AcutePancreatitisaftertherapywithGABARAN”ManuelaStoicescupublicationdate
December24, 2015 publicationdescription Journal of Developing Drugs - USA. ISSN2329-6631, IF¼ 1,32
(cid:129) Edit publication LAUNCH BOOK: “ Suddencardiacin the young” - Manuela Stoicescu
InvitedasspeakerManuelaStoicescu“8thGlobalCardiologistsandEchocardiographyAnnualMeeting”-July
18-20,2016Berlin,Germany-LAUNCHBOOK:“Suddencardiacintheyoung”-ManuelaStoicescu:publication
date December15, 2015 publicationdescriptionbook“Sudden cardiac inthe young”LAMBERTACADEMIC
PUBLISHING-LAP-GERMANYISBN:978-3-659-81,073-2Berlin,GermanyJuly2016Volume7,Issue6,ISSN:2155-
9880.
InvitedasspeakerManuelaStoicescuandCommittingOrganizingMemberat“6thInternationalConferenceon
Clinical&ExperimentalCardiology”November30-December02,2015SanAntonio,USA,-“TheChestPainwith
Normal EKG”, publication date November30, 2015, San Antonio, USA.
(cid:129) Edit publication The Chest Pain with Normal EKG
InvitedasspeakerManuelaStoicescuandOrganizingCommitteeMemberat”4thInternationalConferenceand
Exhibition on Surgery”-October05e07,2015 Dubai, UAE
(cid:129) Publicationtitle“NodularFormationsFromTheHairSkinOfTheHead”,publicationdateOctober3,2015Dubai,
UAE.
https://www.linkedin.com/in/manuela-stoicescu-07974841/edit/publication/1478911795/
Invited as speaker ManuelaStoicescu - Workshop - OrganizingCommittee Member at”4th International
Conference on Nephrology &Therapeutics”- September 14e16, 2015Baltimore, USA, Publication Workshop
title:”HowWeCanProtectTheKidneyAboutTheSideEffectsOfDrugs?-publicationdateSeptember14,2015,
(cid:129) Edit publication An Unusual Risk Factor in the BreastCancer
xv
ScientificActivity
Invited as speaker Manuela Stoicescu and Organizing CommitteeMember-“World Congress on Cancer and
PreventionMethods”-August27e29,2015,Dubai,UAE,Publicationtitle“AnUnusualRiskFactorintheBreast
Cancer”, publicationdate August 27, 2015, Dubai, UAE.
(cid:129) Edit publicationThe CauseOf The LeftBundleBranch Block at aYoung Patient
Invited as speaker Manuela Stoicescu atthe “5th International Conference on Clinical &Experimental
Cardiology“-April27e29,2015Philadelphia,USA,Publicationtitle“TheCauseOfTheLeftBundleBranch
Blockat a Young Patient:publication date April 29,2015 Philadelphia, USA
Invited as speaker Manuela Stoicescu and Organizing CommitteeMember-“Global Conference on Vaccines” -
April13e15,2015,Dubai,UAE,Publicationtitle:“TheVitalImportanceofBCGVaccinationattheNewborns”:
publication date April 13, 2015, Dubai,UAE.
(cid:129) Edit publicationBeta-Human ChorionicGonadotrophin (B-HCG total) asa tumormarker inpregnancy
InvitedasspeakerManuelaStoicescu“5thWorldCongressonCell&StemCellResearch”-March23e25,2015
DoubleTreebyHiltonChicagoeNorthShore,USA,Publicationtitle:“Beta-HumanChorionicGonadotrophin
(B-HCG total) asa tumor marker in pregnancy”,publication date March23, 2015 ChicagoeNorthShore,USA.
(cid:129) Edit publication“Therealcause of a patient with abdominal pain”
InvitedasspeakerManuelaStoicescuandOrganizingCommitteeMemberofthe“3rdInternationalConference
on Surgery and Anesthesia” from November17e192014 at ChicagoeNorth Shore USA, Publication title: “The
real cause ofapatientwithabdominalpain”, publication dateNovember17,2014atChicagoeNorthShoreUSA
Invited as speaker Manuela Stoicescu at“4thWorld Congress on Cell Science &Stem Cell Research “e June
24e16,2014Valencia ConferenceCentre,Valencia,Spain.
s”-InvitedasspeakerInPublicationtitle:“Diagnosistrapsinararehematologicdisease”-publicationdateJune24,
2014Valencia, Spain.
(cid:129) Edit publication-“Therisk of coarctation of theaorta in pregnancy”-
Invited as speaker Manuela Stoicescu at“4th InternationalConference on Clinical&Experimental
Cardiology” -April14e16, 2014 Hilton San AntonioAirport, TX, USA.
Publication title -“Therisk of coarctation ofthe aorta inpregnancy”-, publicationdate April 14, 2014 San
Antonio,TX, USA.
Publication title - article - “Osteogenesis Imperfecta”- Manuela Stoicescu - Journal of Molecular and Genetic
Medicine, USA., PublishedDate: February 26,2014,ISSN: 1747-0862
InvitedasspeakerManuelaStoicescuat“3rdWorldCongressonCancerScience&Therapy”October21-23,2013
DoubleTreebyHiltonHotelSanFranciscoAirport,CA,USAPublicationtitle:“Theriskofexcessivevaccination
in medullarthyroid carcinoma”, publicationdate October 21, 2013, San Francisco USA.
(cid:129) Edit publication“Onset ofacute pancreatitis with transitorytypeII IN diabetes mellitus”
InvitedasspeakerManuelaStoicescuat“2ndInternationalConferenceonSurgeryandAnesthesia,September
16-18, 2013, Hampton Inn Tropicana,LasVegas,NV,USA.Publication title “Onset ofacutepancreatitis with
transitory typeII IN diabetes mellitus”, publication date September16, 2013, Las Vegas, Nevada, USA,
(cid:129) Edit publication“TheRisk of administration plasma”
Publication title-article -“The Risk of administration plasma”- Manuela Stoicescu, publicationdateJuly23, 2013
publication description JOURNAL OFDEVELOPING DRUGS -ISSN 2329e6631, 2:106. https://doi.org/10.4172/
2329-6631.1000106Published July 23,2013USA.
(cid:129) Edit publication“Diagnosis Traps in Polyarteritis Nodosa”
Publication title - article -“DiagnosisTraps in Polyarteritis Nodosa”- Manuela Stoicescu, publication date July
2013,publicationdescriptionJOURNALOFLIFESCIENCES”-DavidPublishingCompanyeJuly2013,Vol.7,No.
7,pp. 749e753 ISSN 1934-7391, USA
xvi
ScientificActivity
(cid:129) Edit publication “The Riskof BreastCarcinoma with InterferonPlus Ribavarin Therapy during Treatment of
ChronicHepatitis CVirus Infection”
Publication title -article -“The Risk of Breast Carcinoma after therapy with Interferon Plus Ribavarin during
TreatmentofChronicHepatitisCVirusInfection”-ManuelaStoicescuPublishedMay27,2013.USA.JOURNAL
OFDEVELOPINGDRUGS-ISSN:2329e6631,Volume2,Issue1,2:102.https://doi.org/10.4172/2329-6631.1000102.
(cid:129) Edit publication “Uncommon cardiac malformation ina raregeneticdisease”
Publication title -article -“Uncommon Cardiac Malformation in aRare Genetic Disease”-ManuelaStoicescu
publicationdate Apr 15, 2013: publicationdescription JOURNAL OFCLINICAL& EXPERIMENTAL
CARDIOLOGY SCOPUSU.S.A.JClinExp Cardiolog 2013,4:51,000,244, ISSN:2155e9880 JCEC,. 4:5 https://doi.
org/10.4172/2155-9880.1000244, Volume 4, Issue5, 1000244, ISSN:2155e9880 JCEC.
Publicationtitle e article -“KidneyTumor in Pregnancy” -Manuela Stoicescu
publicationdate: July 29, 2013 publicationdescription JOURNAL OFNEPHROLOGY &THERAPEUTICS3: 138,
https://doi.org/10.4172/2161-0959.1000138 2013 USA. ISSN: 2161-0959.
(cid:129) Edit publication “Leyden V Syndrome andHashimoto Thyroiditis”-originalcase report
Invited as speaker ManuelaStoicescu at “Asian ClinicalCongress”-Bangkok, Thailand, January28e2013,
Publication title: “Leyden V Syndromeand Hashimoto Thyroiditis”- publicationdate:January 28, 2013
InvitedasspeakeronlineConference-ManuelaStoicescu.at”Targetmeeting,DraftConferenceProgram,TM’S
2 sworldonlineConference, January 8-11 2013, Innsbruck st, Bellaire, Texas,USA.-Publication title:”The real
cause of a severely anemiasyndrome”, Publicationdate January 8, 2013
Publication title -article -“The real intraoperativediagnosis of apatient with lipothymia and arterial
hypotension”- Manuela Stoicescu, publication date November26,2012 publication description JOURNALOF
TRANSPLANTATIONTECHNOLOGIES & RESEARCH- ISSN 2161-0991.U SA
(cid:129) Edit publication -“Avoiding Nephrectomyin an Unexpected Diagnosis inCase of Urographic Lack of Kidney
Function”
Publication title-article-“Avoiding Nephrectomy in an Unexpected Diagnosis inCaseof Urographic Lack of
Kidney Function”- ManuelaStoicescu - publication date November22, 2012, USA.
(cid:129) Edit publication “High blood pressurein theyoung e aignoredproblem?! ”
Publicationtitle“Highbloodpressureintheyoungeaignoredproblem?!“ManuelaStoicescupublicationdate
October29, 2012 publication description University of Oradea Publishing House publication description
Monography published: “High blood pressurein the young e a ignoredproblem?!”. ISBN: 978-606-10-0755-4.
(cid:129) Edit publication “Carcinogenic risk of anabolicsteroidsin young athletes”
Invitedasspeaker-ManuelaStoicescu-“Montreal2012InternationalAnticancerForum”eAugust27e30,2012.,
Publicationtitle:“Carcinogenicriskofanabolicsteroidsinyoungathletes”,Publicationdate:August27e30,2012,
Montreal, Canada
Invited as speaker- Manuela Stoicescu -“8th InternationalStroke Summit(ISS8) World Stroke Organization
(WSO)”, July 6-82012 Nanjing,China, Publication title “Neurologicalmanifestations insystemic vasculitis”
Publicationdate July 6, 2012Nanjing, China.
Publicationtitle:“Clinicalmanifestationsinprimaryerythrocytosis“-ManuelaStoicescuPublicationdateJune9,
2012 Xuzhou 2012International Forumon Modern Medicine e June9e10 2012, XuzhouChina.
Invited as speaker- Manuela Stoicescu at“Montreal InternationalEndoscopy Forum -International Forum on
Biotechnology andMedicine” -May24e25,2012Montreal, Quebec, Canada, Publication titlee“The role of
endoscopyin the diagnosisof Von Recklinghausen dissease” publicationdate May 24, 2012.
(cid:129) Edit publication -“Transiet ischaemicstrokeattack at young age”-original case report-
Publicationtitle-“Transientischemicstrokeattackatyoungage”publicationdateMarch15,2012,publication
description International Neuroscience ConferenceMarch15e16, 2012, Toho University Omori Medical Center
Tokyo,Japan.PublicationdescriptionInvitedasspeakerManuelaStoicescu-“Transientischemicstrokeattackat