preventive medicine

Incisional Hernia (Scar Hernia): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate an incisional hernia (scar hernia): Visible swelling/protrusion/nodule or palpable protrusion in the area of the surgical scar (in the majority of cases) Initial appearance e.g. after physical work, lifting heavy loads, sports – spontaneous disappearance at rest. Later persistent (persistent) Note: The examination must be performed with the … Incisional Hernia (Scar Hernia): Symptoms, Complaints, Signs

Eosinophilic Granulomatosis with Polyangiitis: Drug Therapy

Therapeutic Objective Risk reduction or prevention of complications. Therapy recommendations Therapy of bronchial asthma – see there! Therapy is based on the number of eosinophils (should be less than 700/ml). Cortisone therapy alone is indicated in the absence of cardiac involvement or severe inflammation of the peripheral nervous system. In case of manifestation in the … Eosinophilic Granulomatosis with Polyangiitis: Drug Therapy

Tobacco Dependence: Drug Therapy

Therapy goal Alleviation of withdrawal symptoms. Therapy recommendations Note any symptoms of tobacco withdrawal syndrome that may occur: First withdrawal symptoms after 1-2 h. Increase in symptoms in the first 6-12 h. Maximum of complaints after 1-3 days Persistence of complaints up to 3 weeks Typical withdrawal symptoms include craving (violent desire for tobacco), dysphoric … Tobacco Dependence: Drug Therapy

Tobacco Dependence: Micronutrient Therapy

An at-risk group indicates the possibility that the disease may be associated with the risk of micronutrient deficiency (vital substance deficiency). The complaint “Mental and behavioral disorders due to tobacco: dependence syndrome” indicates micronutrient deficiency for: Vitamins Vitamin A Vitamin E Vitamin C Riboflavin Trace elements Iodine Secondary plant substances Alpha-carotene Zeaxanthin The above vital … Tobacco Dependence: Micronutrient Therapy

Dry Mouth (Xerostomia): Prevention

To prevent xerostomia (dry mouth), attention must be paid to reducing individual risk factors.Behavioral risk factors Mouth breathing Stress Medication ACE inhibitors (benazepril, captopril, cilazapril, enalapril, fosinopril, imidapril, lisinopril, moexipril, perindopril, quinapril, ramipril, spirapril, trandolapril, zofenopril). Alpha-2 agonists (apraclonidine, brimonidine, clonidine). Alpha-1 receptor blockers (bunazosin, doxazosin, prazosin, terazosin). Anorectic (sibutramine). Anti-allergic (H1 antihistamines) Anticholinergics (ipratropium … Dry Mouth (Xerostomia): Prevention

Dandruff and Scalp Psoriasis Plaques: Medical History

Medical history (history of illness) represents an important component in the diagnosis of dandruff and plaques. Family History What is the general health of your relatives? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Is there any evidence of … Dandruff and Scalp Psoriasis Plaques: Medical History

Roux-En-Y Gastric Bypass

Roux-en-Y gastric bypass (synonyms: Roux-en-Y gastric bypass, RYGB, gastric bypass) is a surgical procedure in bariatric surgery. Gastric bypass may be offered for obesity with a BMI ≥ 35 kg/m2 or greater with one or more obesity-associated comorbidities when conservative therapy has been exhausted. Two different effects serve to reduce weight in Roux-en-Y gastric bypass: … Roux-En-Y Gastric Bypass

Padding the Cheekbones

Sunken-looking cheekbones appear more pronounced after padding (synonym: cheekbone padding), giving the face a more youthful appearance and attractiveness. Sunken cheekbones do not correspond to our ideal of beauty and make the face look unharmonious in profile. We perceive as more expressive and youthful a face whose cheekbones are higher and appear more pronounced. Indications … Padding the Cheekbones

Malignant Melanoma: 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 including use of a dermatoscope (reflected light microscope) [Leading symptoms: pigment moles that change (ABCD(E) rule according to Stolz): Asymmetry Boundary: irregular boundary Color (color): … Malignant Melanoma: Examination

Chlamydia: Causes

Pathogenesis (development of disease) Infections with Chlamydia trachomatis serotypes D-K are usually transmitted through unprotected sexual intercourse. The bacteria attach to and subsequently invade cells of the genitourinary tract (urinary and sexual tract) and/or respiratory tract (respiratory tract). There they multiply and form inclusion bodies. Later, the inclusion body ruptures (breaks open) and the bacteria … Chlamydia: Causes

White Spot Disease (Vitiligo)

Vitiligo (synonym: checkered skin; ICD-10 L80) is white spot disease, which is a chronic skin disorder associated with varying degrees of pigment loss (hypopigmentation). The disease is considered a T-cell mediated autoimmune disorder. Vitiligo can be localized (single foci) or generalized (vitiligo vulgaris vs vitiligo acrofacial): Vitiligo acrofacialis: patches are particularly localized on the face … White Spot Disease (Vitiligo)

White Spot Disease (Vitiligo): Medical History

Medical history (history of illness) represents an important component in the diagnosis of vitiligo (white spot disease). Family history Are there any diseases 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). Have you … White Spot Disease (Vitiligo): Medical History