aesthetic medicine

Bacterial Meningitis: Drug Therapy

Therapeutic targets Elimination of the pathogens Avoidance of complications Therapy recommendations In case of suspicion, immediate hospitalization (emergency) → Collection of two blood cultures. Bacterial meningitis: antibiosis (antibiotic therapy) after pathogen determination and resistogram (test for sensitivity to antibiotics)Before final diagnosis, immediate calculated or empirical antibiotic therapy + dexamethasone 10 mg i.v. must be started! … Bacterial Meningitis: Drug Therapy

Splayfoot (Pes Transversoplanus)

Drop-splayfoot (pes planotransversus; ICD-10 M21.67: Other acquired deformities of the ankle and foot) is one of the acquired foot deformities. Shape deformities of the feet can also be congenital (ICD-10 Q66.8: Other congenital deformities of the feet). Mainly, flat splayfoot does not occur congenitally. Along with splayfoot, it is one of the most common acquired … Splayfoot (Pes Transversoplanus)

Bacterial Meningitis: Diagnostic Tests

Mandatory medical device diagnostics. Computed tomography of the skull (cranial CT, cranial CT or cCT); native (ie. without contrast medium), with bone window – for focus search (focal diagnosis); obligatory on admission day Note: In case of neurological deficit, decrease in vigilance or epileptic seizure, cranial computed tomography (cCT) is performed within 30 min after … Bacterial Meningitis: Diagnostic Tests

Splayfoot (Pes Transversoplanus): Medical History

The anamnesis (medical history) represents an important component in the diagnosis of fallen splayfoot. Family history Are there any conditions in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Do you often wear shoes with high heels? Current medical history/systemic history (somatic and psychological … Splayfoot (Pes Transversoplanus): Medical History

Bacterial Meningitis: Prevention

Vaccinations against Haemophilus-influenzae-b (Hib), meningococci (serogroups A, B, C), and pneumococci are important and effective preventive measures.Furthermore, to prevent bacterial meningitis (bacterial meningitis), attention must be paid to reducing risk factors. Behavioral risk factors Listeria meningitis – consumption of contaminated food such as milk or raw meat. Post-exposure prophylaxis (PEP) Post-exposure prophylaxis (here because of … Bacterial Meningitis: Prevention

Bacterial Meningitis: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate bacterial meningitis (bacterial meningitis): Leading symptoms Severe headache (> 5 on the visual analog scale (VAS); approximately 90% of cases). Septic fever (> 38.5 °C; 50-90% of cases) Meningismus (painful neck stiffness) (about 80% of cases; need not occur in children, unlike adults) [late symptom]. Impaired consciousness ranging … Bacterial Meningitis: Symptoms, Complaints, Signs

Myelodysplastic Syndrome: Drug Therapy

Therapeutic targets Symptom relief Preservation and improvement of the quality of life Prolongation of survival time Therapy recommendations Therapy of low-risk myelodysplastic syndrome. In the presence of low-grade cytopenia (decrease in cell count) and depending on age and comorbidities (concomitant diseases), it is sufficient to initially observe or wait (“watch and wait”) in these patients. … Myelodysplastic Syndrome: Drug Therapy

Bacterial Meningitis: Causes

Pathogenesis (development of disease) Bacterial meningitis is usually transmitted by droplet infection. Approximately 2.5 cases of the disease occur per 100,000 population annually. Most are infections caused by the bacteria Streptococcus pneumoniae (so-called pneumococci), Neisseria meningitidis (so-called meningococci; a good two-thirds of all cases by serogroup B, about a quarter of all cases by serogroup … Bacterial Meningitis: Causes

Polymenorrhea: Drug Therapy

Therapeutic target Normalization of the cycle interval when polymenorrhea is perceived as a burden, leads to anemia (anemia), contraceptive desire (desire to use birth control), chronic anovulation (failure to ovulate), or desire to have children. Therapy recommendations Contraceptive desire (estrogen-progestin combinations: e.g., birth control pills). Chronic anovulation and desire to normalize the cycle interval (progestogen … Polymenorrhea: Drug Therapy

Myocardial Infarction (Heart Attack): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (observation) [among other things, because of possible secondary disease: heart failure (cardiac insufficiency)] Skin and mucous membranes [cold sweat, pallor]. Neck vein congestion? Auscultation (listening) of the heart [to exclude … Myocardial Infarction (Heart Attack): Examination