Mandatory medical device diagnostics. Computed tomography of the skull (cranial CT, cranial CT or cCT); native (ie. without contrast medium), with bone window – for focus search (focal diagnosis); obligatory on admission day Note: In case of neurological deficit, decrease in vigilance or epileptic seizure, cranial computed tomography (cCT) is performed within 30 min after … Bacterial Meningitis: Diagnostic Tests
Classification according to main symptoms Classification Dominant symptoms PMS-A (Anxiety = Anxiety) Anxiety, nervousness, irritability, anger and aggression. PMS-C (Craving = craving) Cravings (especially for sweets)/carbohydrate cravings, increase in appetite, fatigue, lassitude, and headaches PMS-D (depression) Depressed mood, tearfulness, lethargy, and sleep disturbance (insomnia) PMS-H (hyperhydration = water retention. Edema (water retention), weight gain, and … Premenstrual Syndrome: Classification
Obligatory medical device diagnostics. Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina) – to evaluate the genital organs. Abdominal sonography (ultrasound examination of the abdominal organs) – mainly to assess the kidneys, adrenal glands and ovaries (ovaries). Optional medical device diagnostics -depending on the results of the history, physicalexamination, laboratory diagnostics … Polymenorrhea: Diagnostic Tests
The following symptoms and complaints may indicate herpes zoster (shingles): Prodromal stage (early phase of disease in which nonspecific symptoms occur; about 5 days): First, nonspecific general symptoms (fatigue, impaired performance, fever, and aching limbs) occur. Then local pruritus (itching) and paresthesias (sensory disturbances). Then appearance of typical zoster vesicles (herpetiform vesicles; centrally forked, usually … Shingles (Herpes Zoster): Symptoms, Complaints, Signs
1st order laboratory parameters – obligatory laboratory tests. Small blood count [MCV ↑ in alcohol abuse and myxedema] Differential blood count Inflammatory parameter – CRP (C-reactive protein) Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics … Delirium: Test and Diagnosis
Cardiovascular System (I00-I99). Coronary artery disease (CAD) – disease of the coronary arteries. Myocardial infarction (heart attack) Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Diffuse esophageal spasm – neuromuscular dysfunction of esophageal muscles with intermittent retrosternal (located behind the sternum) pain. Hypercontractile esophagus (nutcracker esophagus). Gastric ulcer (stomach ulcer) Esophagitis (inflammation of the … Esophageal Cancer: Or something else? Differential Diagnosis
1st-order laboratory parameters-obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT). Alkaline phosphatase Laboratory parameters 2nd order (for follow-up). SCC, Cyfra (for: squamous cell carcinoma; … Esophageal Cancer: Test and Diagnosis
The following are the most important diseases or complications that may be contributed to by polymorphous light dermatosis: Skin and subcutaneous (L00-L99). Polymorphous light dermatosis often occurs seasonally in a chronic, recurrent fashion
1st order Staple surgery: Partial or complete surgical removal of the stapes: Stapedotomy (partial stapes removal) [gold standard]. Stapedectomy (stapes removal). Stapes replacement prostheses Note: Hearing improvement sought through surgery cannot be guaranteed to the patient preoperatively! Possible complications of stapesplasty Complete deafness (due to surgical work on the entry port to the inner ear!). … Otosclerosis: Surgical Therapy
Pathogenesis (development of disease) The cause of otosclerosis has not been conclusively determined. The disease runs in families. Otosclerosis results in bone remodeling processes at the ossicles with fixation of the stapes at the oval window. The result is a conductive hearing loss (middle ear hearing loss). If the otosclerosis affects the cochlea (snail), a … Otosclerosis: Causes
Primary hyperparathyroidism Pathogenesis (disease development) Primary hyperparathyroidism is the term used when there is a primary disease of the parathyroid glands (lat. : glandulae parathyroideae) with increased production of parathyroid hormone and resulting hypercalcemia (calcium excess). When the extracellular calcium level is increased, the parathyroid gland reacts by reducing the production and secretion (secretion) of … Parathyroid Hyperfunction (Hyperparathyroidism): Causes
General measures Root Cause Remediation: Stool regulation Sitz baths (increase patient comfort but are not thought to affect healing rates). Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program. Conventional non-surgical … Anal Fissure: Therapy