Parathyroid Hyperfunction (Hyperparathyroidism): Therapy

The therapy of secondary as well as tertiary hyperparathyroidism depends mainly on the underlying disease. General measures Review of permanent medication due topossible effect on existing disease. In secondary hyperparathyroidism: adequate outdoor exposure (UV exposure for vitamin D synthesis). Regular check-ups Regular medical checkups Nutritional medicine Nutritional counseling based on nutritional analysis Nutritional recommendations according … Parathyroid Hyperfunction (Hyperparathyroidism): Therapy

Vulvovaginal Atrophy, Genital Menopause Syndrome: 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 (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection (speculum) Vulva (external, primary female sex organs) [fluorine discharge)?, color?, foetor?, inflammation?, … Vulvovaginal Atrophy, Genital Menopause Syndrome: Examination

Splayfoot (Pes Transversoplanus): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Gait pattern (fluid, limping) Body or joint posture (upright, bent, relieving posture). Malpositions (deformities, contractures, shortenings). Muscle atrophies (side comparison!, if necessary circumference measurements). Joint(abrasions/wounds, swelling (tumor), redness (rubor), hyperthermia … Splayfoot (Pes Transversoplanus): Examination

Plague: Drug Therapy

Therapeutic targets Elimination of the pathogens Avoidance of complications Therapy recommendations Antibiosis (antibiotic therapy). Chemoprophylaxis: doxycycline (up to 7 days after exposure/exposure). Prevention: vaccination against plague exists but is not recommended by health authorities.

Gastroesophageal Reflux Disease: Therapy

In infants, parent counseling is usually sufficient for physiologic gastroesophageal reflux (GÖR). The following recommendations pertain to children/adults unless otherwise indicated. General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day); reflux symptoms are triggered in particular by acidic white … Gastroesophageal Reflux Disease: Therapy

Vomiting of Blood (Hematemesis): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Differential blood count Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT), alkaline phosphatase, bilirubin. Coagulation parameters – PTT, Quick Laboratory parameters 2nd order – depending on the results of the history, … Vomiting of Blood (Hematemesis): Test and Diagnosis

Hyposensitization Treatment

Hyposensitization (obsolete: desensitization), also called specific immunotherapy (SIT) or allergy vaccination, is a procedure used in allergology. This form of therapy is used to treat or cure allergies and is considered their only causal treatment. An allergy is a congenital or acquired change in the immune system‘s response pattern to foreign, harmless substances. These substances … Hyposensitization Treatment

Leukoplakia of Oral Mucosa: Therapy

General measures Consistently avoid causal external irritants (skin-damaging irritants): Cheek or lip chewing Poorly fitting dentures Nicotine restriction (refraining from tobacco use). Alcohol restriction (renunciation of alcohol consumption) Avoidance of psychosocial stress: Morsicatio (habitual cheek chewing). Avoidance of environmental stress: UV radiation (lip area) Regular checkups Regular medical checkups Nutritional medicine Nutritional counseling based on … Leukoplakia of Oral Mucosa: Therapy

Achalasia: Symptoms, Causes, Treatment

Achalasia (synonyms: esophageal motility disorder; esophageal achalasia; cardiaspasm; cardia achalasia; ICD-10-GM K22.0: achalasia of the cardia) is a disorder belonging to the group of esophageal motility disorders. On the one hand, there is a relaxation disorder of the lower esophageal sphincter (UES; esophageal sphincter/gastric inlet), meaning that the lower esophageal muscle does not relax during … Achalasia: Symptoms, Causes, Treatment