precaution

Fatty Liver (Steatosis Hepatis): Test and Diagnosis

Laboratory parameters of 1st order – obligatory laboratory tests. Small blood count (alcohol consumption: MCV ↑). Fasting glucose (fasting blood glucose, fasting plasma glucose; preprandial plasma glucose; venous). HbA1c (long-term blood glucose value) Ferritin (iron stores) [ferritin ↑, in 29-50% of cases]. Triglycerides Total cholesterol and LDL/HDL ratio Liver parameters – alanine aminotransferase (ALT, GPT), … Fatty Liver (Steatosis Hepatis): Test and Diagnosis

Heartburn (Pyrosis): Micronutrient Therapy

Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy of heartburn: Calcium Potassium Magnesium The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only clinical … Heartburn (Pyrosis): Micronutrient Therapy

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

Shingles (Herpes Zoster): Test and Diagnosis

The diagnosis is usually made clinically. 2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Direct virus detection using PCR (polymerase chain reaction) from vesicle contents, skin biopsies, cerebrospinal fluid* , or blood – for detection of varicella zoster virus infection [sensitivity and specificity … Shingles (Herpes Zoster): Test and Diagnosis

Schönlein-Henoch Purpura: 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). Of the skin, mucous membranes [purpura (spontaneous, small-spotted hemorrhages of the skin, subcutaneous tissue, or mucous membranes); petechial hemorrhages (pinpoint hemorrhages of the skin), especially on … Schönlein-Henoch Purpura: Examination

Hypothyroidism (Hypoparathyroidism): Test and Diagnosis

1st-order laboratory parameters-obligatory laboratory tests. Parathyroid hormone (PTH intact) [↓] Electrolytes Calcium [in serum ↓; in urine ↓] Magnesium [in serum ↓] Phosphate [in serum ↑; in urine ↓] CAMP (cyclic adenosine monophosphate) [in urine ↓] Further notes Primary hypoparathyroidism is considered highly probable when hypocalcemia (calcium deficiency) and hyperphosphatemia (phosphate excess) have been demonstrated … Hypothyroidism (Hypoparathyroidism): Test and Diagnosis

Anal Fissure: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate anal fissure (anal fissure): Leading symptoms Defecation-dependent anal pain: pain in the anal area/anorectal pain (severe, stabbing), especially during defecation. Anal spasm Pruritus (itching) at the anus Bright bloody stool deposits (or bright red blood on the toilet paper). Note: if necessary, presence of higher-grade hemorrhoidal disease with … Anal Fissure: Symptoms, Complaints, Signs

Spinal Muscular Atrophy: 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; further: Inspection Skin (Normal: intact; abrasions/wounds, redness, hematomas, scars) and mucous membranes. Posture [free sitting possible?, standing possible?, frog leg posture (bending of legs, angling of knees outward as … Spinal Muscular Atrophy: Examination

Tobacco Dependence: Diagnostic Tests

Medical device diagnostics are generally not indicated for mental and behavioral disorders related to tobacco dependence. Diseases – see self-history – that can be or are a consequence of atherosclerosis (arteriosclerosis, hardening of the arteries) – as a consequence of tobacco dependence – require diagnostic clarification according to the guidelines of Evidence Based Medicine. Optional … Tobacco Dependence: Diagnostic Tests

Incisional Hernia (Scar Hernia)

In incisional hernia – colloquially called incisional hernia – (Latin: hernia cicatrica; ICD-10-GM K43.0: incisional hernia with incarceration, without gangrene; ICD-10-GM K43.1: incisional hernia with gangrene; ICD-10-GM K43.2: incisional hernia without incarceration and without gangrene), the hernial orifice is formed by a scar that passes through all abdominal wall layers. Under stress, this diverges due … Incisional Hernia (Scar Hernia)

Incisional Hernia (Scar Hernia): Medical History

Medical history (history of the patient) represents an important component in the diagnosis of incisional hernia (incisional hernia). Family history Social history What is your occupation? Do you work physically hard? Current medical history/systemic history (somatic and psychological complaints). Do you have frequent pain in the area of the surgical scar? Have you noticed any … Incisional Hernia (Scar Hernia): Medical History