Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Feb 2001
Review Historical Article[Auscultation of the lungs--still a useful examination?].
Auscultation of the lungs has been a central element in clinical examination since the early part of the nineteenth century. However, the role of the stethoscope in our diagnostic work-up has more and more been challenged by newer diagnostic equipment. ⋯ Electronic stethoscopes and computer-based analysis of digital lung sounds are now available. Lungs auscultation findings should be interpreted with caution and be related to the case history and other clinical findings.
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Tidsskr. Nor. Laegeforen. · Jan 2001
Case Reports[Air in the portal vein and necrosis of the ventricle].
Air in the portal vein is a serious sign, usually caused by enteric necrosis. ⋯ Differential diagnoses are discussed, and we conclude that the patient most probably died from ischaemic necrosis. In severely ill patients, hepatic portal venous gas is an indication for urgent laparotomy.
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"The two cultures", a concept launched by C. P. Snow in 1959, points to the schism between science and the humanities, two distinct professional cultures which not only has gone separate ways, but also developed deep tensions between them. ⋯ However, contemporary doctors see themselves first and foremost as scientists, and modern medicine leaves little scope for the tradition of the humanities. Including humanities in medical undergraduate, graduate and continuous education does not necessarily make doctors more humane, but insight in these disciplines may stimulate reflection and broaden their perspective on the practice of medicine. Given the expectations and pressures for efficiency to which doctors and other health care workers are subjected, a greater emphasis on the humanities in medicine may be of help to doctors in coping with their patients, society--and themselves.