Disorders of Consciousness: Somnolence, Sopor and Coma

Disorders of consciousness (synonyms: Drowsiness; Unconsciousness; Clouding of consciousness; Coma; Coma cardiale; Coma cerebrale; Coma hypercapnicum; Coma prolonge; Irritable syndrome of the mesodiencephalon; Coma; Coma-like disorder; Comatose state; Precoma; Drowsiness; Somnolence; Sopor; Stupor; Cerebral coma; ICD-10 R40.-: Somnolence, Sopor and Coma) refer to changes in ordinary everyday or normal consciousness. One can distinguish quantitative from … Disorders of Consciousness: Somnolence, Sopor and Coma

Myelodysplastic Syndrome: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate myelodysplastic syndrome (MDS): Symptoms due to cytopenia (decrease in the number of cells in the blood) (80%). Anemia symptoms (70-80%). Exertional dyspnea (shortness of breath during exertion). Exercise tachycardia (rapid heartbeat under stress). Paleness of the skin and mucous membranes Headache Tiredness and fatigue Dizziness Decreased physical and … Myelodysplastic Syndrome: Symptoms, Complaints, Signs

Disorders of Consciousness: Somnolence, Sopor and Coma: Medical History

Medical history (history of illness) represents an important component in the diagnosis of disorders of consciousness* . Family History Are there any disorders in your family that are common? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints) [third-party history, … Disorders of Consciousness: Somnolence, Sopor and Coma: Medical History

Myelodysplastic Syndrome: Causes

Pathogenesis (disease development) Myelodysplastic syndrome disorders are clonal disorders of hematopoiesis (blood formation), meaning that there are qualitative and quantitative changes in hematopoiesis as well as peripheral cytopenia (decreased number of cells in the blood). The defect is in the pluripotent stem cell (stem cells that can differentiate into any cell type of an organism) … Myelodysplastic Syndrome: Causes

Disorders of Consciousness: Somnolence, Sopor and Coma: Or something else? Differential Diagnosis

Conditions that may cause disorders of consciousness: Respiratory System (J00-J99) Coma hypercapnium – coma caused by a marked increase in the level of carbon dioxide in the blood. Endocrine, nutritional and metabolic diseases (E00-E90). Addison’s crisis – decompensated Addison’s disease; this describes primary adrenocortical insufficiency resulting in, among other things, failure of cortisol production. Coma … Disorders of Consciousness: Somnolence, Sopor and Coma: Or something else? Differential Diagnosis

Myelodysplastic Syndrome: Therapy

Supportive therapy Supportive therapy refers to measures that are used in a supportive manner. They are not intended to cure the disease, but to accelerate the healing process and alleviate symptoms. If there is a deficiency of erythrocytes (red blood cells) or platelets (thrombocytes) in the peripheral blood, blood transfusions may be considered: Transfusion of … Myelodysplastic Syndrome: Therapy

Tendon Calcification (Tendinosis Calcarea): Drug Therapy

Therapeutic targets Reduction of pain Increase in the ability to move Therapy recommendations Anti-inflammatory drugs (drugs that inhibit inflammatory processes; non-steroidal anti-inflammatory drugs, NSAIDs), e.g. acetylsalicylic acid (ASA), ibuprofen. If necessary, injection of local anesthetics (local anesthesia) and / or steroids (glucocorticoids) under the acromion (subacromial infiltration). See also under “Further therapy“. Further notes The … Tendon Calcification (Tendinosis Calcarea): Drug Therapy

Neuroblastoma

Neuroblastoma (ICD-10-GM C74.-: Malignant neoplasm of the adrenal gland) is a malignant neoplasm (malignant neoplasm) of the autonomic nervous system. Neuroblastoma is the second most common malignant neoplasm in children behind acute lymphoblastic leukemia (ALL). Sex ratio: girls and boys are affected with approximately equal frequency. Frequency peak: the disease occurs in childhood. In 90% … Neuroblastoma

Tendon Calcification (Tendinosis Calcarea): Diagnostic Tests

Obligatory medical device diagnostics. Radiograph of the affected tendon or region, in two planes – to localize the calcific deposit and to assess its extent. Sonography (ultrasound examination) of the affected tendon or affected region – to localize the calcific deposit and to assess the extent. Optional medical device diagnostics – depending on the results … Tendon Calcification (Tendinosis Calcarea): Diagnostic Tests

Neuroblastoma: Medical History

The medical history (history of the patient) represents an important component in the diagnosis of neuroblastoma. Family history Is there a frequent history of cancer in your family? Social history Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? How long have these changes existed? Does your child feel tired, weak? … Neuroblastoma: Medical History

Sleep Disorders: Sleep Hygiene Tips for Good Sleep

Sleep Duration Recommended sleep duration for all ages: Ages Ideal sleep duration Newborn (0-3 months) 14-17 Infants (4-11 months) 12-15 Infants (1-2 years 11-14 Kindergarten children (3-5 years) 10-13 School children (6-13 years) 9-11 Teenagers (14-17 years) 8-10 Young adults (18-25 years 7-9 Adults (26-64 years) 7-9 Seniors (≥ 65 years) 7-8 Behaviors that promote … Sleep Disorders: Sleep Hygiene Tips for Good Sleep