From the first medical contact of a patient to the ECG diagnosis, a maximum of only ten minutes may pass! Obligatory medical device diagnostics Electrocardiogram (ECG; recording of the electrical activity of the heart muscle)* – during and after the occurrence of an infarction, in many cases it is evident on the ECG, primarily by … Myocardial Infarction (Heart Attack): Diagnostic Tests
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Abetalipoproteinemia (synonym: homozygous familial hypobetalipoproteinemia, ABL/HoFHBL) – genetic disorder with autosomal recessive inheritance; severe form of familial hypobetalipoproteinemia characterized by deficiency of apolipoprotein B48 and B100; defect in the formation of chylomicrons leading to fat digestion disorders in children, resulting in malabsorption (disorder of food absorption). Endocrine, nutritional … Fatty Liver (Steatosis Hepatis): Or something else? Differential Diagnosis
An oral ulcer or oral ulcer (synonyms: Aphthae; Aphthe; ICD-10-GM K13.-: Other diseases of the lip and oral mucosa) is a superficial injury to the oral mucosa (tunica mucosa oris) and the oral pharynx. An oral ulcer can be a symptom of many diseases (see under “Differential diagnoses”). The lifetime prevalence (disease incidence throughout life) … Mouth Ulcer
Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used to prevent myocardial infarction (heart attack): Vitamins C, E, beta-carotene, B6, B12, and folic acid. Mineral magnesium Trace element selenium Omega-3 fatty acids docosahexaenoic acid and eicosapentaenoic acid Isoflavones genistein, daidzein, glycitein; flavonoids hesperitin and naringenin. Dietary fiber Coenzyme Q10 … Myocardial Infarction (Heart Attack): Micronutrient Therapy
The following are the most important diseases or complications that may be contributed to by steatosis hepatis (fatty liver): Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus type 2 – 2 out of 3 diabetic patients have a fatty liver. Metabolic syndrome – clinical name for the symptom combination of obesity (overweight), hypertension (high blood … Fatty Liver (Steatosis Hepatis): Complications
Medical history (history of illness) represents an important component in the diagnosis of oral ulcer. Family history What is the general health of your family members? Are there any diseases in your family that are common? Social history What is your profession? Are you exposed to harmful working substances in your profession? Current medical history/systemic … Mouth Ulcer: Medical History
After an infarction, patients must first receive intensive medical care. This is followed by primary percutaneous coronary intervention (PCI) of the infarct artery (= the causative coronary stenosis; see below) in the case of STEMI. Ideally, the time to PCI should be less than 90 minutes. The decisive factor is the time at which the … Myocardial Infarction (Heart Attack): Surgical Therapy
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of the eye), with attention to skin and mucous membrane color and hydration status. Abdomen (abdomen) Shape of the abdomen? Skin color? … Fatty Liver (Steatosis Hepatis): Examination
Blood, blood-forming organs – immune system (D50-D90). Agranulocytosis – absence of granulocytes (immune defense cells). Iron deficiency anemia – anemia caused by a lack of iron. Endocrine, nutritional and metabolic diseases (E00-E90). Folic acid deficiency Vitamin B12 deficiency Skin and subcutaneous tissue (L00-L99) Bullous erythema exsudativum multiforme (disc rose) – acute inflammation occurring in the … Mouth Ulcer: Or something else? Differential Diagnosis
To prevent myocardial infarction (heart attack), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Excessive caloric intake and high-fat diet (high intake of saturated fatty acids, trans fatty acids – found especially in convenience foods, frozen foods, fast foods, snacks). Increased homocysteine due to deficiency of vitamin B6, B12 and … Myocardial Infarction (Heart Attack): Prevention
Laboratory parameters of 1st order – obligatory laboratory tests. Small blood count (alcohol consumption: MCV ↑). Fasting glucose (fasting blood glucose, fasting plasma glucose; preprandial plasma glucose; venous). HbA1c (long-term blood glucose value) Ferritin (iron stores) [ferritin ↑, in 29-50% of cases]. Triglycerides Total cholesterol and LDL/HDL ratio Liver parameters – alanine aminotransferase (ALT, GPT), … Fatty Liver (Steatosis Hepatis): Test and Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes [ulcer (ulcer)?, ulcers (ulcers)?, mucosal pallor] Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing knocking pain?) … Mouth Ulcer: Examination
