Heartburn (Pyrosis): Symptoms, Complaints, Signs

The following symptoms and complaints of heartburn may indicate reflux esophagitis (esophagitis): Leading symptoms Dull pain or burning sensation or pressure behind the breastbone. Acid regurgitation, usually related to the type and amount of food eaten and often occurring at night during sleep Reflux of acid gastric juice into the mouth possible Reflux especially when … Heartburn (Pyrosis): Symptoms, Complaints, Signs

Polymenorrhea: 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 Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vagina) Cervix uteri (cervix), or portio (cervix; transition … Polymenorrhea: Examination

Heartburn (Pyrosis): Causes

Pathogenesis (development of disease) The following pathophysiologic mechanisms may contribute to heartburn (pyrosis): Aggressive gastric juice Impaired self-cleaning powers of the esophagus (food pipe). Insufficiency (weakness) lower esophageal sphincter (lower sphincter of the esophagus) (about 20% of cases are due to anatomical and functional changes). Delayed gastric emptying Change in the anatomical location of the … Heartburn (Pyrosis): 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

Sport during Pregnancy

Before or during pregnancy, every woman asks herself which activities and ways of spending her free time represent a source of danger for the unborn child (fetus). There is often uncertainty as to whether it is acceptable to engage in sports during pregnancy. Moreover, for many women it is uncertain how much and, above all, … Sport during Pregnancy

Polymenorrhea: Surgical Therapy

1st order Abrasio – scraping of the mucosa of the uterus so that it can then be examined histologically. Surgical removal of fibroids (benign tumors) or polyps (mucosal outpouchings of the endometrium). Gold net method (endometrial ablation) – gentle and low-complication removal of the endometrium for the treatment of excessive menstrual bleeding(s) with completed family … Polymenorrhea: Surgical Therapy

AIDS (HIV): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight [unintentional weight loss], height; furthermore: Inspection (viewing). Skin, mucous membranes, pharynx (throat), and sclera (white part of the eye) [exanthema (rash), pharyngitis (pharyngitis), mucosal ulcerations (ulcers on the mucous membranes), hairy … AIDS (HIV): Examination

AIDS (HIV): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. X-ray of the chest (X-ray thorax/chest), in two planes – for suspected pneumonia (pneumonia), tuberculosis. Computed tomography of the skull (cranial CT, cranial CT or cCT) – if sinusitis … AIDS (HIV): Diagnostic Tests

Myocardial Infarction (Heart Attack): Classification

According to ECG manifestations, acute coronary syndrome (AKS; acute coronary syndrome, ACS) is classified as follows (modified from): Non-ST elevation Unstable angina* (UA; ” chest tightness”/heart pain with inconsistent symptoms) or NSTEMI* * – English non-ST-elevation myocardial infarction. This type is smaller than a myocardial infarction with ST-segment elevation, but NSTEMI mostly affects high-risk patients … Myocardial Infarction (Heart Attack): Classification