health consultation

Cholecystography (Cholecystocholangiography)

Cholecystography (synonym: cholecystocholangiography) is a contrast-enhanced radiographic method for imaging the gallbladder and biliary system. Two primary variations of the procedure are distinguished: Oral cholecystography (gallbladder imaging) and intravenous cholecystocholangiography (imaging of the gallbladder and bile ducts). These are procedures that are performed with high radiation exposure, so the patient must be informed in detail … Cholecystography (Cholecystocholangiography)

Splayfoot (Pes Transversoplanus): Drug Therapy

Therapy target Reduction of pain Therapy recommendations Analgesia (analgesia) during diagnosis until definitive therapy according to WHO staging scheme: Non-opioid analgesic (paracetamol, first-line agent). Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic. High-potency opioid analgesic (eg, morphine) + non-opioid analgesic. If necessary, anti-inflammatory drugs (non-steroidal anti-inflammatory drugs, NSAIDs; anti-inflammatory drugs), e.g. acetylsalicylic acid (ASS), ibuprofen. … Splayfoot (Pes Transversoplanus): Drug Therapy

Splayfoot (Pes Transversoplanus): Surgical Therapy

In rare cases, surgical therapy becomes necessary. This should be considered if conservative measures have not led to the desired success, the pain is severe or persistent, or there are concomitant toe deformities. The following measures may be considered, depending on the symptoms: Soft tissue intervention for correction at the tendon course. Corrective osteotomy (conversion … Splayfoot (Pes Transversoplanus): Surgical Therapy

Cystic Kidney Disease: Diagnostic Tests

Obligatory medical device diagnostics. Renal ultrasonography (ultrasound examination of the kidneys) – for basic diagnosis. [Polycystic kidney disease: multiple, echo-poor, smoothly circumscribed, cystic structures with typical dorsal sound enhancement; regular sizing of the kidneys by magnetic resonance imaging (MRI) using a standardized protocol in specialized clinics is required to determine the risk of progression (“risk … Cystic Kidney Disease: Diagnostic Tests

Adrenopause: Complications

The following are the most important diseases or complications that may be contributed to by adrenopause:Psyche – Nervous System (F00-F99; G00-G99). Chronic fatigue syndrome Insomnia (sleep disorders) Cognitive deficits – memory impairment, concentration and attention deficits. Reduced performance, fatigue, lack of drive. Erectile dysfunction (ED). Libido disorders Further Immune senescence Sweating, heat exhaustion Altered body … Adrenopause: Complications

Nail Fungus (Onychomycosis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate onychomycosis (nail fungus): Yellowish discoloration of the nail Onycholysis – detachment of the nail plate. Grooving in the area of the nail plate Subungual hyperkeratosis – cornification disorder occurring under a fingernail or toenail. Thickened nails Deformed nails Decay of the nail Note: An exclusive clinical diagnosis of … Nail Fungus (Onychomycosis): Symptoms, Complaints, Signs

Hoarseness (Dysphonia): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin and mucous membranes Lymph node stations in the neck including palpation [lymphadenopathy (lymph node enlargement)?] Thyroid gland incl. Palpation (palpation) [thyroid carcinoma (thyroid cancer)] Auscultation … Hoarseness (Dysphonia): Examination

Irritable Bladder (Urethral Syndrome)

In urethral syndrome – colloquially called irritable bladder – (synonyms: Frequency-urgency syndrome; hyperactive bladder; hyperreflexive bladder; hyperreflexive urinary bladder; irritable bladder; menopausal irritable bladder; psychosomatic urethral syndrome; irritable bladder syndrome;urethral pain syndrome; urethral syndrome (Engl. urethral pain syndrome; vegetative irritable bladder syndrome; ICD-10 N32.8: Other specified diseases of the urinary bladder) is an irritable condition … Irritable Bladder (Urethral Syndrome)

Polyarthrosis: Diagnostic Tests

Obligatory medical device diagnostics. Radiographs of the affected joints Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification. Computed tomography (CT; sectional imaging procedure (X-ray images from different directions with computer-based evaluation), particularly well suited for the depiction … Polyarthrosis: Diagnostic Tests

Dengue Fever: Therapy

General measures In case of severe course inpatient treatment! Observance of general hygiene measures! Nicotine restriction (refrain from tobacco use). Alcohol restriction (abstaining from alcohol) Conventional non-surgical therapy methods In dengue hemorrhagic fever, intensive medical treatment is required immediately. If the hematocrit (percentage of cellular components in the volume of blood) increases > 20%, early … Dengue Fever: Therapy

Splenic Rupture: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate a ruptured spleen (splenic rupture): Unilateral splenic rupture Abdominal pain in the left upper quadrant (left upper abdomen). Possibly local defensive tension (acute abdomen). Possibly radiation of pain into the left shoulder (= Kehr sign). Possibly pressure painfulness of the “spleen point”: left side of the neck (located … Splenic Rupture: Symptoms, Complaints, Signs