Bacterial Meningitis: Drug Therapy

Therapeutic targets Elimination of the pathogens Avoidance of complications Therapy recommendations In case of suspicion, immediate hospitalization (emergency) → Collection of two blood cultures. Bacterial meningitis: antibiosis (antibiotic therapy) after pathogen determination and resistogram (test for sensitivity to antibiotics)Before final diagnosis, immediate calculated or empirical antibiotic therapy + dexamethasone 10 mg i.v. must be started! … Bacterial Meningitis: Drug Therapy

Bacterial Meningitis: Diagnostic Tests

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

Bacterial Meningitis: Prevention

Vaccinations against Haemophilus-influenzae-b (Hib), meningococci (serogroups A, B, C), and pneumococci are important and effective preventive measures.Furthermore, to prevent bacterial meningitis (bacterial meningitis), attention must be paid to reducing risk factors. Behavioral risk factors Listeria meningitis – consumption of contaminated food such as milk or raw meat. Post-exposure prophylaxis (PEP) Post-exposure prophylaxis (here because of … Bacterial Meningitis: Prevention

Bacterial Meningitis: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate bacterial meningitis (bacterial meningitis): Leading symptoms Severe headache (> 5 on the visual analog scale (VAS); approximately 90% of cases). Septic fever (> 38.5 °C; 50-90% of cases) Meningismus (painful neck stiffness) (about 80% of cases; need not occur in children, unlike adults) [late symptom]. Impaired consciousness ranging … Bacterial Meningitis: Symptoms, Complaints, Signs

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

Splayfoot (Pes Transversoplanus)

Drop-splayfoot (pes planotransversus; ICD-10 M21.67: Other acquired deformities of the ankle and foot) is one of the acquired foot deformities. Shape deformities of the feet can also be congenital (ICD-10 Q66.8: Other congenital deformities of the feet). Mainly, flat splayfoot does not occur congenitally. Along with splayfoot, it is one of the most common acquired … Splayfoot (Pes Transversoplanus)

Fatty Liver (Steatosis Hepatis): Complications

The following are the most important diseases or complications that may be contributed to by steatosis hepatis (fatty liver): Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus type 2 – 2 out of 3 diabetic patients have a fatty liver. Metabolic syndrome – clinical name for the symptom combination of obesity (overweight), hypertension (high blood … Fatty Liver (Steatosis Hepatis): Complications

Heartburn (Pyrosis): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnosis or to rule out complications Esophago-gastro-duodenoscopy (EGD; endoscopy of esophagus, stomach, and duodenum)* – for suspected Barrett’s esophagus as chromoendoscopy by applying acetic acid or methylene blue to the mucosa … Heartburn (Pyrosis): Diagnostic Tests

Premenstrual Syndrome: Drug Therapy

Therapeutic target Improvement of symptoms and thus increase in well-being. Therapy recommendations According to the diverse symptomatology of premenstrual syndrome (PMS), there are a variety of different therapeutic measures: Estrogen-progestin combinations (drospirenone (progestin) first-line agent). Selective serotonin reuptake inhibitors (application: second half of the cycle or only on the days of discomfort or also as … Premenstrual Syndrome: Drug 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

Premenstrual Syndrome: Micronutrient Therapy

Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for prevention (prevention): Vitamin D Calcium In the context of micronutrient medicine (vital substances), the following vital substances (macro- and micronutrients) are used for supportive therapy: Vitamin B6 Magnesium Gamma-linolenic acid and linoleic acid Amino acid tryptophan Isoflavones daidzein and … Premenstrual Syndrome: Micronutrient Therapy