Læknablađiđ
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Here we describe two cases of HaNDL (Headache with Neurological Deficits and cerebrospinal fluid Lymphocytosis). A thirty year old man with episodes of headache with lateralizing symptoms and confusion and a 41 year old man with headache, aphasia and right hemiparesis. Symptoms resolved completely in both patients. ⋯ Although the cause of HaNDL is unknown, it is thought to be triggered by a viral infection by some. The prognosis is excellent and symptoms normally resolve within 1-3 weeks. It is important to rule out more serious etiologies like stroke, subarachnoid hemorrhage or central nervous system infections.
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Endometriosis is a chronic condition causing menstrual pain, irregular bleeding and infertility among women. Although usually in the pelvis, it can manifest in atypical places. We describe a 39-year old woman with a previous endometriosis diagnosis who presented three times on the second menstrual day with dyspnea and chest pain. ⋯ Histology was suggestive of endometriosis. After treatment with chemical pleurodesis and hormonal suppression she has remained symptom-free. Diagnosis should be obtained by concomitant thoraco- and laparoscopy with biopsies to verify the disease and give a basis for appropriate treatment.
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The aim of this study is to encourage a discussion on patient safety and public responses to serious incidents in healthcare. Triggered by the first of its kind in Iceland, it addresses the question what characterizes attitudes towards criminal charges for a serious incident in healthcare. ⋯ The results indicate that healthcare professionals, as represented by Icelandic nurses, do not seek to avoid accountability in serious patient incidents, but implicate the importance of distinguishing between the different nature of incidents. The results show that a more informed public debate on serious health-care incidents is needed in which appropriate measures protecting patient safety as well as professional safety are ensured.