Abnormal Reflexes

A reflex refers to an automatic, involuntary response of an organ tissue, such as a muscle or gland, to a stimulus. One can distinguish physiologic (“natural” or age-appropriate) reflexes from pathologic (abnormal) reflexes (ICD-10-GM R29.2 abnormal reflexes) as well as primitive reflexes. Physiological reflexes, in turn, can be divided into intrinsic and extrinsic reflexes. In … Abnormal Reflexes

Head Lice Infestation (Pediculosis Capitis): Examination

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) of skin (especially scalp) [due tosymptoms: erythematous (“accompanied by redness of the skin”) papules (lat.: papula “vesicle”), occasionally regional lymphadenopathy (enlargement of lymph nodes)] Square brackets [ ] indicate … Head Lice Infestation (Pediculosis Capitis): Examination

Abnormal Reflexes: Medical History

The medical history (history of the patient) represents an important component in the diagnosis of abnormal reflexes. 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? Current medical history/systemic history (somatic and psychological complaints). What changes have you … Abnormal Reflexes: Medical History

Abnormal Reflexes: Or something else? Differential Diagnosis

Certain conditions originating in the perinatal period (P00-P96). Physiologic in neonates (pyramidal tract not yet fully formed). Cardiovascular system (I00-I99) Vascular disease such as apoplexy (stroke) or intracranial hemorrhage (bleeding within the skull; parenchymal, subarachnoid, sub- and epidural, and supra- and infratentorial hemorrhage) Neoplasms – tumor diseases (C00-D48). Brain tumors, unspecified Psyche – nervous system … Abnormal Reflexes: Or something else? Differential Diagnosis

Head Lice Infestation (Pediculosis Capitis): Drug Therapy

Therapeutic target Removal of the lice and the nits (eggs of the head louse). Therapy recommendations Optimal therapy: combination of chemical, mechanical and physical principles of action. Safe killing of nits is not given by pediculocides (group of active substances for pharmacological therapy of head lice infestation; usually pyrethroids and organophosphates; very neurotoxic). Therefore, the … Head Lice Infestation (Pediculosis Capitis): Drug Therapy

Heart Pain (Cardialgia): Or something else? Differential Diagnosis

The following are differential diagnoses of cardiac pain-ordered into cardiac and noncardiac conditions: In bold, the most common adult differential diagnoses; in square brackets [children, adolescents], the most common child and adolescent differential diagnoses. A. Cardiac disease (approximately 30% of all cases) Cardiovascular (I00-I99). Acute aortic syndrome (AAS): clinical pictures that can lead to rupture … Heart Pain (Cardialgia): Or something else? Differential Diagnosis

Heart Pain (Cardialgia): 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 (viewing). Skin and mucous membranes Auscultation (listening) of the heart [due todifferential diagnoses: Angina pectoris (“chest tightness”; sudden onset of pain in the region of the heart). Aortic aneurysm – … Heart Pain (Cardialgia): Examination

Heart Pain (Cardialgia): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Highly sensitive cardiac troponin T (hs-cTnT) or troponin I (hs-cTnI) – for suspected myocardial infarction (heart attack). D-dimers – for suspected thrombosis or pulmonary embolism. Laboratory parameters 2nd order – depending … Heart Pain (Cardialgia): Test and Diagnosis

Inhalation Therapy

In inhalation, certain substances are atomized and inhaled using a special inhalation device (e.g., nebulizer). Saline solutions, medications, or essential oils are inhaled. Inhalation therapy is primarily used for: Moistening of the respiratory tract Loosening of secretions and liquefaction of bronchial secretions. Solution of cramps (spasmolysis) of the bronchial muscles. Relieve swelling and inflammation of … Inhalation Therapy