Deutsche medizinische Wochenschrift
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The use of red blood cell concentrates must follow the dictates of a rational indication. To further ensure this, the "Cross-Sectional Guidelines for Therapy with Blood Components and Plasma Derivatives" 1 of the German Medical Association, published in 2009 and last revised in part in 2014, were systematically revised in 2020. This article presents them.
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Dtsch. Med. Wochenschr. · Jun 2022
[Artificial ulcer with perforating bone defect on the scalp due to repeated - scratching attacks in dementia syndrome].
We report on a 72-year-old demented patient with a palm-sized skin defect on the scalp, who has been manipulating her head several times a day with her fingers but also with sharp objects for many months. ⋯ Due to the lack of evidence of tumorigenesis in a follow-up period of two years, we evaluate the lesion as an artificial ulcer with perforating bone defect caused by repeated scratching attacks in the context of dementia syndrome.
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Pericardial disease represents a large diversity of inflammation related injury of the pericardium. Multifactorial causes may contribute to acute and recurrent pericarditis, pericardial effusion without major hemodynamic compromise, cardiac tamponade or constrictive pericarditis. Currently, inflammatory pericardial pathologies are observed in cases of SARS-CoV-2-infection or after vaccination. Beside established anti-inflammatory therapeutic strategies with NSAID, corticosteroids and colchicine, auto-inflammation and inflammasomes seam to offer more specific targets for advanced treatment options.
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Malaria remains one of the most important infectious diseases worldwide. The annual number of cases is currently estimated at around 240 million globally, of which more than 500,000 cases are fatal. The majority of malaria cases in Europe are imported from the African continent. ⋯ The treatment of choice for severe malaria is parenteral artesunate. For all patients presenting with febrile illness after a stay in a malaria-endemic area malaria must be ruled out immediately. Microscopy of the thick drop remains the gold standard for diagnosis in clinical routine.
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Dtsch. Med. Wochenschr. · Jun 2022
[Physicians with cancer: when doctors get a life-changing diagnosis].
We doctors often have a detached approach to our relationship to patients: we see ourselves as healthy helpers of the sick, needy patients. But some of us are, or have been, patients, and many of us have treated colleagues who were ill. What happens when a doctor becomes seriously ill? In this paper, we describe the change of perspective that resulted from our experience with cancer, and how it has shaped our attitude toward modern medicine.