Der Internist
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Case Reports
[Intermittent disturbances of perception during fasting in a 46-year-old female patient].
We report the case of a 46-year-old female patient who presented in the emergency department with intermittent disturbances of perception when fasting. ⋯ If multiple symptoms of hypoglycemia are present, an insulinoma as the cause must be considered in the differential diagnostics.
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In an international comparison, Germany is in the top group for health care. Not only since the economic burdens of the corona pandemic, however, has there been agreement of the necessity of exploiting the considerable efficiency and effectiveness reserves that also exist in this area. Particularly in the interface area between outpatient and inpatient care, increasingly divergent development paths are beeing discusssed. Despite scientific findings to the contrary, integrative cooperative structures threaten to fall behind.