Silicon: Food

Foods of plant origin are particularly rich in silicon. Foods of animal origin, on the other hand, have low amounts of the trace element. In particular, high levels of silicon – but with poor bioavailability – are found in fiber-containing cereals, such as barley and oats. Beer is also rich in silicon (30-60 mg/l), which … Silicon: Food

Manganese: Symptoms of Deficiency

Signs of manganese deficiency as observed in experimental animals – include retarded or slowed growth, poor sexual or reproductive function, abnormalities of the bony skeleton, impaired glucose tolerance, and impaired lipid metabolism. To date, no deficiency symptoms have been observed in humans that could be clearly attributed to a manganese deficiency. For the Federal Republic … Manganese: Symptoms of Deficiency

Iodine: Supply Situation

In the National Nutrition Survey II (NVS II, 2008), the dietary behavior of the population was investigated for Germany and it was shown how this affects the average daily nutrient intake with macro- and micronutrients (vital substances). The intake recommendations (D-A-CH reference values) of the German Nutrition Society (DGE) are used as the basis for … Iodine: Supply Situation

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

Systemic Inflammatory Response Syndrome (SIRS): Test and Diagnosis

1st-order laboratory parameters-obligatory laboratory tests. Small blood count [platelets (thrombocytes) ↓] Inflammatory parameter – PCT (procalcitonin)/Guidelines recommend determination of PCT [procalcitonin increases within a few hours (2-3 h) and reaches its maximum after only 24 hours; PCT concentrations: <0.5 ng/mL exclude severe sepsis or septic shock with high probability > 2 ng/mL make severe sepsis … Systemic Inflammatory Response Syndrome (SIRS): Test and Diagnosis

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

Malignant Melanoma: Or something else? Differential Diagnosis

Skin and subcutaneous (L00-L99). Lentigo senilis (senile spot). Neoplasms – tumor diseases (C00-D48) Angiokeratoma (blood wart) Angiosarcoma – malignant vascular change: sarcoma, i.e., a malignant tumor of supporting and connective tissues originating from the endothelium of blood vessels Benign juvenile melanoma – benign skin tumor that occurs mainly in young children. Glomus tumor – malignant … Malignant Melanoma: Or something else? Differential Diagnosis

Heart Muscle Inflammation (Myocarditis): Test and Diagnosis

A therapy-relevant diagnosis can only be made myocardially (infectious or noninfectious myocarditis), taking into account the biopsy guidelines! All patients with etiologically unclear heart failure (cardiac insufficiency) must be clarified myocardially by myocardial biopsy.Laboratory parameters 1st order – obligatory laboratory tests. Small blood count [leukocyte count ↑ if applicable] Differential blood count Inflammatory parameters – … Heart Muscle Inflammation (Myocarditis): Test and Diagnosis

Sinuatrial Block: Therapy

General measures Review of permanent medication due topossible effect on existing disease. Vaccinations The following vaccinations are advised: Flu vaccination Pneumococcal vaccination Regular checkups Regular medical checkups Psychotherapy If necessary, psychotherapy for anxiety disorders resulting from the disease. Detailed information on psychosomatics (including stress management) can be obtained from us.

Tension Headache: Symptoms, Complaints, Signs

The International Headache Society gives the following symptoms for tension headache: Pain usually bilateral (often fronto-occipital; toward forehead (frontal), occiput (occipital); sometimes headband-like). Pain character: dull, pressing and pulling pain. Pain intensity: mild to moderately intense pain. Attack frequency: usually occurs over days or weeks. The pain leads to most sufferers that performance and well-being … Tension Headache: Symptoms, Complaints, Signs

Double Vision, Diplopia: Diagnostic Tests

Obligatory medical device diagnostics. Slit-lamp examination (slit-lamp microscope; viewing of the eyeball under appropriate illumination and high magnification). Ophthalmoscopy (ocular fundus examination). Visual acuity testing (examination of visual acuity). Optional medical device diagnostics – depending on the results of the medical history, physical examination, laboratory diagnostics and mandatory medical device diagnostics – for differential diagnostic … Double Vision, Diplopia: Diagnostic Tests

Cushing’s Disease: Symptoms, Causes, Treatment

In Cushing’s disease (thesaurus synonyms: ACTH [adrenocorticotropic hormone]-pituitary hypersecretion; ACTH [adrenocorticotropic hormone]-pituitary hypersecretion; obesity osteoporotica endocrinica; alcohol-induced pseudo-Cushing’s syndrome; Apert-Cushing’s syndrome; artificial Cushing’s syndrome; drug-induced Cushing’s syndrome; Basophilic hyperpituitarism; Basophilism; Cortico-adrenal basophilism; Crooke-Apert-Gallais syndrome; Cushing’s basophilism; Cushing’s disease; Cushing’s syndrome; Cushing’s syndrome due to ectopic ACTH [adrenocorticotropic hormone]-producing tumor; Dyscorticism; Ectopic ACTH [adrenocorticotropic hormone] syndrome; … Cushing’s Disease: Symptoms, Causes, Treatment