vital substance additional requirements by medicines

Hyperinsulinism: Medical History

Medical history (history of illness) represents an important component in the diagnosis of hyperinsulinemia. Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). What symptoms have you noticed? Are you experiencing dizziness, weakness, cravings, nausea, sweating, and/or impaired consciousness* ? Do you suffer from palpitations and heart palpitations? How long has this symptomatology … Hyperinsulinism: Medical History

Nail Formation Disorders: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Congenital heart defects, unspecified Heart valve defects Respiratory system (J00-J99) Asbestosis – lung disease belonging to the pneumoconioses (dust lung diseases), said to result from inhaled asbestos dust. Bronchiectasis (synonym: bronchiectasis) – permanently existing irreversible saccular or cylindrical dilatation of the bronchi (medium-sized airways), which may be congenital … Nail Formation Disorders: Or something else? Differential Diagnosis

Skin Rash (Exanthema): Symptoms, Complaints, Signs

The following forms of exanthema (skin rash) can be distinguished: According to localization: Generalized Localized By type: Erythematous – associated with a reddening of the skin. Hemorrhagic – accompanied by bleeding Macular – associated with the formation of spots Morbilliform – accompanied by a rash similar to measles. Papular – accompanied by the formation of … Skin Rash (Exanthema): Symptoms, Complaints, Signs

Urinary Incontinence: Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment. Urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity / resistance) – to exclude infectionMan: midstream urine; woman: catheter urine. Laboratory parameters 2nd order – depending on the results … Urinary Incontinence: Test and Diagnosis

Premature Ejaculation (Ejaculatio Praecox): Symptoms, Complaints, Signs

Symptoms of ejaculatio praecox include premature ejaculation: Suffering of the man and the partner. The definition of ejaculatio praecox is difficult. There are currently several attempts at definition. Among the most important is the definition about the deviation from “normal values of intravaginal ejaculation latency time (intravaginal ejaculation latency (IELT))”. This describes the time from … Premature Ejaculation (Ejaculatio Praecox): Symptoms, Complaints, Signs

Somatopause: Therapy

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). Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis. BMI ≥ 25 → participation in a medically supervised weight … Somatopause: Therapy

Vulvitis: Or something else? Differential Diagnosis

Since the differential diagnoses according to the ICD 10 are partly not recorded, e.g. burning, vesicles or only unclear, and clinically not practicable to present, a differential diagnosis under clinically relevant aspects according to symptoms is presented under the item “Further”, whereby a strict separation between vulva and vagina is not possible and also not … Vulvitis: Or something else? Differential Diagnosis

Otoacoustic Emissions

Otoacoustic emissions (OAE) testing refers to the measurement of sound emissions from the outer hair cells of the inner ear. OAEs can be used to specifically test the function of the cochlea (hearing cochlea).This examination is one of the objective tests of hearing ability. Indications (areas of application) Hearing screening in newborns (first screening up … Otoacoustic Emissions

Glutamate Dehydrogenase (GLDH)

Glutamate dehydrogenase (GLDH) essentially plays a catabolic role (“breakdown of metabolites”) by catalyzing the excretion of nitrogen from the organism via the release of ammonia from glutamate. GLDH elevation is an indicator of severe parenchymal cell damage (parenchyma: part of the liver containing hepatocytes/liver cells) and is a marker of liver disease with cell necrosis … Glutamate Dehydrogenase (GLDH)

Cor Pulmonale: 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) due topossible: Neck vein congestion? Signs of increased right ventricular filling pressure include jugular venous congestion (JVD) or increased jugular venous pressure (JVP). Elevated JVD is commonly seen in … Cor Pulmonale: Examination

Enlargement of the Heart (Cardiomegaly): Diagnostic Tests

Obligatory medical device diagnostics. Electrocardiogram (ECG; recording of the electrical activity of the heart muscle). Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. X-ray of the thorax (X-ray thorax/chest), in two planes – to exclude pulmonary congestion; determination of heart … Enlargement of the Heart (Cardiomegaly): Diagnostic Tests