Premenstrual Syndrome: Classification

Classification according to main symptoms Classification Dominant symptoms PMS-A (Anxiety = Anxiety) Anxiety, nervousness, irritability, anger and aggression. PMS-C (Craving = craving) Cravings (especially for sweets)/carbohydrate cravings, increase in appetite, fatigue, lassitude, and headaches PMS-D (depression) Depressed mood, tearfulness, lethargy, and sleep disturbance (insomnia) PMS-H (hyperhydration = water retention. Edema (water retention), weight gain, and … Premenstrual Syndrome: Classification

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

Scarlet Fever (Scarlatina): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Bacteriology: cultural pathogen detection, usually from tonsil or wound swabs and possibly blood culture for pathogen (Β-haemolytic streptococci) and resistance. Serology: AK against streptococci (anti-streptolysin; anti-streptokinase, anti-streptodornase [=anti-DNAse B]).

Hypothyroidism (Hypoparathyroidism): 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, mucous membranes Hair [due tosecondary disease: alopecia (hair loss)] Nails [due tosecondary disease: brittle nails] Extremities [obstetric position of the lower extremities; due tosequelae: brachymetacarpy (shortening of single … Hypothyroidism (Hypoparathyroidism): Examination

Tobacco Dependence: Diagnostic Tests

Medical device diagnostics are generally not indicated for mental and behavioral disorders related to tobacco dependence. Diseases – see self-history – that can be or are a consequence of atherosclerosis (arteriosclerosis, hardening of the arteries) – as a consequence of tobacco dependence – require diagnostic clarification according to the guidelines of Evidence Based Medicine. Optional … Tobacco Dependence: Diagnostic Tests

Corneal Ulcer: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Ophthalmic examination – slit lamp examination: In most cases, the cornea is severely swollen, grayish-yellow and uneven. By means of fluorescent dye may be able to detect erosions If necessary, flushing … Corneal Ulcer: Examination

Incisional Hernia (Scar Hernia): Complications

The following are the most important diseases or complications that may be contributed to by an incisional hernia (scar hernia): Skin and subcutaneous (L00-L99). Skin lesions over the hernia sac Mouth, esophagus (food pipe), stomach, and intestines (M00-M67; M90-M93). Inflammatio herniae (hernia inflammation). Ileus (intestinal obstruction) Incarceration – entrapment of the hernia with the risk … Incisional Hernia (Scar Hernia): Complications

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

Heart Muscle Inflammation (Myocarditis): Classification

In 1998, the Dallas criteria were established, allowing standardized diagnosis of myocarditis by endomyocardial biopsy (tissue samples taken from the inner surface of the heart muscle (myocardium)). First endomyocardial biopsy Active myocarditis Myocytolysis (disintegration of muscle cells) and myocyte necrosis (death of muscle cells) Lymphomonocytic infiltrate (pathologic: >5 lymphocytes/severe enlargement (400-fold)). Interstitial edema (fluid accumulation … Heart Muscle Inflammation (Myocarditis): Classification

Anal Vein Thrombosis: Drug Therapy

Therapeutic target Pain relief Therapy recommendations Analgesic/pain reliever (nonsteroidal anti-inflammatory drugs, NSAIDs). Without therapy, spontaneous perforation (“opening without external action”) with emptying of the coagulum (blood clot) often occurs. See also under “Surgical therapy” and “Further therapy”. Further note Acute hemorrhoidal thrombosis should primarily be treated conservatively. Note: Anal vein thrombosis refers to thrombosis of … Anal Vein Thrombosis: Drug Therapy

Cushing’s Disease: Medical History

Medical history (history of illness) represents an important component in the diagnosis of Cushing’s disease. Family history Is there a frequent history of metabolic disease in your family? Social anamnesis Current medical history/systemic medical history (somatic and psychological complaints). Have you noticed any changes in your appearance (full moon face (moon face), bull neck or … Cushing’s Disease: Medical History