An Unusual Case of Rhabdomyolysis
We present the case of a 52-year-old patient with accidental liquorice intoxication after consumption of liquorice tea. In the Arabic cultures the consumption of liquorice tea is very popular during Ramadan and is used to suppress thirst. In the described case this led to a severe case of pseudohyperaldosteronism. Because of the classic presentation of a hypertensive crisis, hypokalaemia and rhabdomyolysis, the patient needed intensive care. Typically, the symptoms last for up to seven days after discontinuation of liquorice and completely subside with time. The treatment consists only of supportive care.PMID:34231379 | DO...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Artur Dand örfer Michael Studhalter Source Type: research

X-Linked Adrenoleukodystrophy or the Management of Rare Diseases in the General Practice
We report on a 48-year-old patient with X-linked adrenoleukodystrophy with slowly progressive leg-accentuated spastic paraparesis, vegetative dysfunction with bladder and sexual dysfunction, and primary adrenal insufficiency. The diagnosis of adrenomyeloneuropathy, the adult form of adrenoleukodystrophy, and Addison's disease was made at the age of 20 by evidence of an increased concentration of long-chain fatty acids in the plasma. The therapy is symptom-oriented.PMID:34231380 | DOI:10.1024/1661-8157/a003674 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Svetlana Paunovic Wolfgang Koehler Beat Knechtle Source Type: research

COVID-19 in the Intensive Care Unit: Medical, Nursing, and Physical Therapy Challenges
This article deals with the difficulties during the first surge of patients with COVID-19. The suffering of the relatives who were not allowed to visit must also be considered.PMID:34231381 | DOI:10.1024/1661-8157/a003684 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Stephan M Jakob Karin Michel Angela Kindler Source Type: research

CME Sonography 99/Answers: Kidney Echo Changes
Praxis (Bern 1994). 2021 Jul;110(9):510-511. doi: 10.1024/1661-8157/a003676.ABSTRACTCME Sonography 99/Answers: Kidney Echo Changes Abstract. Normal kidneys have a smooth contour, kidney length 9-12 cm, volume 90-180 ml/1.73 m2 body surface, parenchyma width 13-18 mm and an echogenicity of the cortex which is hypoechoic compared to the liver and spleen, as well as medullary pyramids, which are again hypoechoic compared to the cortex. Digital ultrasound images enable the echogenicity to be measured between 0 (black) and 255 (white). A normal quotient between the echogenicity of the liver and the renal cortex is 1.0-1.4. A no...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Jan Tuma Source Type: research

COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization?
Praxis (Bern 1994). 2021 Jul;110(9):517-524. doi: 10.1024/1661-8157/a003686.ABSTRACTCOVID-19 in the Family Practice - Outpatient Treatment or Hospitalization? Abstract. Switzerland has been severely affected by the COVID-19 pandemic. The clinical spectrum of this disease in terms of its clinical presentation and course is very broad. A correct initial evaluation in the practice or in the emergency department is important and includes history-taking and clinical examination as well as imaging and laboratory tests. Most patients with COVID-19 can be treated as outpatients. Hospitalization may be necessary in patients with a ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Beat Lehmann Christine Baumgartner Anne-Kathrin Brill Gunar G ünther Susanne N üesch Daniel Ott Thomas D Ruder Maria Christine Thurnheer Z ürcher Hansjakob Furrer Source Type: research

CME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System
Praxis (Bern 1994). 2021 Jul;110(9):488-507. doi: 10.1024/1661-8157/a003712.ABSTRACTCME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System Abstract. The term "emergency sonography" refers to a focused sonography in emergency situations, also called emergency "Point of Care Ultrasound (POCUS)". The attending physician applies it specifically and directly to the patient. As an indispensable part of the physical examination, emergency ultrasound helps to answer simple clinical questions. The corresponding answers provide essential elements for diagnostic and therapeutic...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Joseph Osterwalder Giorgio Tamborrini Source Type: research

CME Sonography 98/Answers: Chest Ultrasound
Praxis (Bern 1994). 2021 Jul;110(9):508-509. doi: 10.1024/1661-8157/a003681.ABSTRACTCME Sonography 98/Answers: Chest Ultrasound Abstract. Chest sonography has long been an important part of ultrasound diagnostics. Historically, the first evidence found in chest sonography were pleural effusions. Peripheral consolidations (pneumonia, tumors, pulmonary embolism) and pneumothorax were added later. The COVID-19 pandemic with often massive lung infestation has significantly increased the interest in thoracic sonography. The partially specific changes caused by COVID-19 are presented in this article.PMID:34231385 | DOI:10.1024/1...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Tobias B ürge Jan Tuma Source Type: research

Periphere arterielle Verschlusskrankheit: wenn Gehtraining, dann intensives Gehtraining
Praxis (Bern 1994). 2021 Jul;110(9):536-537. doi: 10.1024/1661-8157/a003707.NO ABSTRACTPMID:34231386 | DOI:10.1024/1661-8157/a003707 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

CME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction
Praxis (Bern 1994). 2021 Jul;110(9):479-487. doi: 10.1024/1661-8157/a003691.ABSTRACTCME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction Abstract. Disulfiram is an alcohol-aversive agent for pharmacological relapse prevention in alcohol dependency. When combined with alcohol, disulfiram induces a disulfiram-ethanol reaction (DER), causing mild to severe symptoms. While the anticipated adverse effects should support abstinence, failed abstinence can be potentially lethal. Since there is no specific antidote, early recognition and supportive treatment are vital. The aim of this article is to illustrate the ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Luzia H üsser Doris Eis Source Type: research

An Unusual Case of Rhabdomyolysis
We present the case of a 52-year-old patient with accidental liquorice intoxication after consumption of liquorice tea. In the Arabic cultures the consumption of liquorice tea is very popular during Ramadan and is used to suppress thirst. In the described case this led to a severe case of pseudohyperaldosteronism. Because of the classic presentation of a hypertensive crisis, hypokalaemia and rhabdomyolysis, the patient needed intensive care. Typically, the symptoms last for up to seven days after discontinuation of liquorice and completely subside with time. The treatment consists only of supportive care.PMID:34231379 | DO...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Artur Dand örfer Michael Studhalter Source Type: research

X-Linked Adrenoleukodystrophy or the Management of Rare Diseases in the General Practice
We report on a 48-year-old patient with X-linked adrenoleukodystrophy with slowly progressive leg-accentuated spastic paraparesis, vegetative dysfunction with bladder and sexual dysfunction, and primary adrenal insufficiency. The diagnosis of adrenomyeloneuropathy, the adult form of adrenoleukodystrophy, and Addison's disease was made at the age of 20 by evidence of an increased concentration of long-chain fatty acids in the plasma. The therapy is symptom-oriented.PMID:34231380 | DOI:10.1024/1661-8157/a003674 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Svetlana Paunovic Wolfgang Koehler Beat Knechtle Source Type: research

COVID-19 in the Intensive Care Unit: Medical, Nursing, and Physical Therapy Challenges
This article deals with the difficulties during the first surge of patients with COVID-19. The suffering of the relatives who were not allowed to visit must also be considered.PMID:34231381 | DOI:10.1024/1661-8157/a003684 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Stephan M Jakob Karin Michel Angela Kindler Source Type: research

CME Sonography 99/Answers: Kidney Echo Changes
Praxis (Bern 1994). 2021 Jul;110(9):510-511. doi: 10.1024/1661-8157/a003676.ABSTRACTCME Sonography 99/Answers: Kidney Echo Changes Abstract. Normal kidneys have a smooth contour, kidney length 9-12 cm, volume 90-180 ml/1.73 m2 body surface, parenchyma width 13-18 mm and an echogenicity of the cortex which is hypoechoic compared to the liver and spleen, as well as medullary pyramids, which are again hypoechoic compared to the cortex. Digital ultrasound images enable the echogenicity to be measured between 0 (black) and 255 (white). A normal quotient between the echogenicity of the liver and the renal cortex is 1.0-1.4. A no...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Jan Tuma Source Type: research

COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization?
Praxis (Bern 1994). 2021 Jul;110(9):517-524. doi: 10.1024/1661-8157/a003686.ABSTRACTCOVID-19 in the Family Practice - Outpatient Treatment or Hospitalization? Abstract. Switzerland has been severely affected by the COVID-19 pandemic. The clinical spectrum of this disease in terms of its clinical presentation and course is very broad. A correct initial evaluation in the practice or in the emergency department is important and includes history-taking and clinical examination as well as imaging and laboratory tests. Most patients with COVID-19 can be treated as outpatients. Hospitalization may be necessary in patients with a ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Beat Lehmann Christine Baumgartner Anne-Kathrin Brill Gunar G ünther Susanne N üesch Daniel Ott Thomas D Ruder Maria Christine Thurnheer Z ürcher Hansjakob Furrer Source Type: research

CME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System
Praxis (Bern 1994). 2021 Jul;110(9):488-507. doi: 10.1024/1661-8157/a003712.ABSTRACTCME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System Abstract. The term "emergency sonography" refers to a focused sonography in emergency situations, also called emergency "Point of Care Ultrasound (POCUS)". The attending physician applies it specifically and directly to the patient. As an indispensable part of the physical examination, emergency ultrasound helps to answer simple clinical questions. The corresponding answers provide essential elements for diagnostic and therapeutic...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Joseph Osterwalder Giorgio Tamborrini Source Type: research

CME Sonography 98/Answers: Chest Ultrasound
Praxis (Bern 1994). 2021 Jul;110(9):508-509. doi: 10.1024/1661-8157/a003681.ABSTRACTCME Sonography 98/Answers: Chest Ultrasound Abstract. Chest sonography has long been an important part of ultrasound diagnostics. Historically, the first evidence found in chest sonography were pleural effusions. Peripheral consolidations (pneumonia, tumors, pulmonary embolism) and pneumothorax were added later. The COVID-19 pandemic with often massive lung infestation has significantly increased the interest in thoracic sonography. The partially specific changes caused by COVID-19 are presented in this article.PMID:34231385 | DOI:10.1024/1...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Tobias B ürge Jan Tuma Source Type: research

Periphere arterielle Verschlusskrankheit: wenn Gehtraining, dann intensives Gehtraining
Praxis (Bern 1994). 2021 Jul;110(9):536-537. doi: 10.1024/1661-8157/a003707.NO ABSTRACTPMID:34231386 | DOI:10.1024/1661-8157/a003707 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

CME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction
Praxis (Bern 1994). 2021 Jul;110(9):479-487. doi: 10.1024/1661-8157/a003691.ABSTRACTCME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction Abstract. Disulfiram is an alcohol-aversive agent for pharmacological relapse prevention in alcohol dependency. When combined with alcohol, disulfiram induces a disulfiram-ethanol reaction (DER), causing mild to severe symptoms. While the anticipated adverse effects should support abstinence, failed abstinence can be potentially lethal. Since there is no specific antidote, early recognition and supportive treatment are vital. The aim of this article is to illustrate the ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Luzia H üsser Doris Eis Source Type: research

An Unusual Case of Rhabdomyolysis
We present the case of a 52-year-old patient with accidental liquorice intoxication after consumption of liquorice tea. In the Arabic cultures the consumption of liquorice tea is very popular during Ramadan and is used to suppress thirst. In the described case this led to a severe case of pseudohyperaldosteronism. Because of the classic presentation of a hypertensive crisis, hypokalaemia and rhabdomyolysis, the patient needed intensive care. Typically, the symptoms last for up to seven days after discontinuation of liquorice and completely subside with time. The treatment consists only of supportive care.PMID:34231379 | DO...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Artur Dand örfer Michael Studhalter Source Type: research

X-Linked Adrenoleukodystrophy or the Management of Rare Diseases in the General Practice
We report on a 48-year-old patient with X-linked adrenoleukodystrophy with slowly progressive leg-accentuated spastic paraparesis, vegetative dysfunction with bladder and sexual dysfunction, and primary adrenal insufficiency. The diagnosis of adrenomyeloneuropathy, the adult form of adrenoleukodystrophy, and Addison's disease was made at the age of 20 by evidence of an increased concentration of long-chain fatty acids in the plasma. The therapy is symptom-oriented.PMID:34231380 | DOI:10.1024/1661-8157/a003674 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Svetlana Paunovic Wolfgang Koehler Beat Knechtle Source Type: research

COVID-19 in the Intensive Care Unit: Medical, Nursing, and Physical Therapy Challenges
This article deals with the difficulties during the first surge of patients with COVID-19. The suffering of the relatives who were not allowed to visit must also be considered.PMID:34231381 | DOI:10.1024/1661-8157/a003684 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Stephan M Jakob Karin Michel Angela Kindler Source Type: research

CME Sonography 99/Answers: Kidney Echo Changes
Praxis (Bern 1994). 2021 Jul;110(9):510-511. doi: 10.1024/1661-8157/a003676.ABSTRACTCME Sonography 99/Answers: Kidney Echo Changes Abstract. Normal kidneys have a smooth contour, kidney length 9-12 cm, volume 90-180 ml/1.73 m2 body surface, parenchyma width 13-18 mm and an echogenicity of the cortex which is hypoechoic compared to the liver and spleen, as well as medullary pyramids, which are again hypoechoic compared to the cortex. Digital ultrasound images enable the echogenicity to be measured between 0 (black) and 255 (white). A normal quotient between the echogenicity of the liver and the renal cortex is 1.0-1.4. A no...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Jan Tuma Source Type: research

COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization?
Praxis (Bern 1994). 2021 Jul;110(9):517-524. doi: 10.1024/1661-8157/a003686.ABSTRACTCOVID-19 in the Family Practice - Outpatient Treatment or Hospitalization? Abstract. Switzerland has been severely affected by the COVID-19 pandemic. The clinical spectrum of this disease in terms of its clinical presentation and course is very broad. A correct initial evaluation in the practice or in the emergency department is important and includes history-taking and clinical examination as well as imaging and laboratory tests. Most patients with COVID-19 can be treated as outpatients. Hospitalization may be necessary in patients with a ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Beat Lehmann Christine Baumgartner Anne-Kathrin Brill Gunar G ünther Susanne N üesch Daniel Ott Thomas D Ruder Maria Christine Thurnheer Z ürcher Hansjakob Furrer Source Type: research

CME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System
Praxis (Bern 1994). 2021 Jul;110(9):488-507. doi: 10.1024/1661-8157/a003712.ABSTRACTCME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System Abstract. The term "emergency sonography" refers to a focused sonography in emergency situations, also called emergency "Point of Care Ultrasound (POCUS)". The attending physician applies it specifically and directly to the patient. As an indispensable part of the physical examination, emergency ultrasound helps to answer simple clinical questions. The corresponding answers provide essential elements for diagnostic and therapeutic...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Joseph Osterwalder Giorgio Tamborrini Source Type: research

CME Sonography 98/Answers: Chest Ultrasound
Praxis (Bern 1994). 2021 Jul;110(9):508-509. doi: 10.1024/1661-8157/a003681.ABSTRACTCME Sonography 98/Answers: Chest Ultrasound Abstract. Chest sonography has long been an important part of ultrasound diagnostics. Historically, the first evidence found in chest sonography were pleural effusions. Peripheral consolidations (pneumonia, tumors, pulmonary embolism) and pneumothorax were added later. The COVID-19 pandemic with often massive lung infestation has significantly increased the interest in thoracic sonography. The partially specific changes caused by COVID-19 are presented in this article.PMID:34231385 | DOI:10.1024/1...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Tobias B ürge Jan Tuma Source Type: research

Periphere arterielle Verschlusskrankheit: wenn Gehtraining, dann intensives Gehtraining
Praxis (Bern 1994). 2021 Jul;110(9):536-537. doi: 10.1024/1661-8157/a003707.NO ABSTRACTPMID:34231386 | DOI:10.1024/1661-8157/a003707 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

CME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction
Praxis (Bern 1994). 2021 Jul;110(9):479-487. doi: 10.1024/1661-8157/a003691.ABSTRACTCME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction Abstract. Disulfiram is an alcohol-aversive agent for pharmacological relapse prevention in alcohol dependency. When combined with alcohol, disulfiram induces a disulfiram-ethanol reaction (DER), causing mild to severe symptoms. While the anticipated adverse effects should support abstinence, failed abstinence can be potentially lethal. Since there is no specific antidote, early recognition and supportive treatment are vital. The aim of this article is to illustrate the ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Luzia H üsser Doris Eis Source Type: research

An Unusual Case of Rhabdomyolysis
We present the case of a 52-year-old patient with accidental liquorice intoxication after consumption of liquorice tea. In the Arabic cultures the consumption of liquorice tea is very popular during Ramadan and is used to suppress thirst. In the described case this led to a severe case of pseudohyperaldosteronism. Because of the classic presentation of a hypertensive crisis, hypokalaemia and rhabdomyolysis, the patient needed intensive care. Typically, the symptoms last for up to seven days after discontinuation of liquorice and completely subside with time. The treatment consists only of supportive care.PMID:34231379 | DO...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Artur Dand örfer Michael Studhalter Source Type: research

X-Linked Adrenoleukodystrophy or the Management of Rare Diseases in the General Practice
We report on a 48-year-old patient with X-linked adrenoleukodystrophy with slowly progressive leg-accentuated spastic paraparesis, vegetative dysfunction with bladder and sexual dysfunction, and primary adrenal insufficiency. The diagnosis of adrenomyeloneuropathy, the adult form of adrenoleukodystrophy, and Addison's disease was made at the age of 20 by evidence of an increased concentration of long-chain fatty acids in the plasma. The therapy is symptom-oriented.PMID:34231380 | DOI:10.1024/1661-8157/a003674 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Svetlana Paunovic Wolfgang Koehler Beat Knechtle Source Type: research

COVID-19 in the Intensive Care Unit: Medical, Nursing, and Physical Therapy Challenges
This article deals with the difficulties during the first surge of patients with COVID-19. The suffering of the relatives who were not allowed to visit must also be considered.PMID:34231381 | DOI:10.1024/1661-8157/a003684 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Stephan M Jakob Karin Michel Angela Kindler Source Type: research

CME Sonography 99/Answers: Kidney Echo Changes
Praxis (Bern 1994). 2021 Jul;110(9):510-511. doi: 10.1024/1661-8157/a003676.ABSTRACTCME Sonography 99/Answers: Kidney Echo Changes Abstract. Normal kidneys have a smooth contour, kidney length 9-12 cm, volume 90-180 ml/1.73 m2 body surface, parenchyma width 13-18 mm and an echogenicity of the cortex which is hypoechoic compared to the liver and spleen, as well as medullary pyramids, which are again hypoechoic compared to the cortex. Digital ultrasound images enable the echogenicity to be measured between 0 (black) and 255 (white). A normal quotient between the echogenicity of the liver and the renal cortex is 1.0-1.4. A no...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Jan Tuma Source Type: research

COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization?
Praxis (Bern 1994). 2021 Jul;110(9):517-524. doi: 10.1024/1661-8157/a003686.ABSTRACTCOVID-19 in the Family Practice - Outpatient Treatment or Hospitalization? Abstract. Switzerland has been severely affected by the COVID-19 pandemic. The clinical spectrum of this disease in terms of its clinical presentation and course is very broad. A correct initial evaluation in the practice or in the emergency department is important and includes history-taking and clinical examination as well as imaging and laboratory tests. Most patients with COVID-19 can be treated as outpatients. Hospitalization may be necessary in patients with a ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Beat Lehmann Christine Baumgartner Anne-Kathrin Brill Gunar G ünther Susanne N üesch Daniel Ott Thomas D Ruder Maria Christine Thurnheer Z ürcher Hansjakob Furrer Source Type: research

CME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System
Praxis (Bern 1994). 2021 Jul;110(9):488-507. doi: 10.1024/1661-8157/a003712.ABSTRACTCME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System Abstract. The term "emergency sonography" refers to a focused sonography in emergency situations, also called emergency "Point of Care Ultrasound (POCUS)". The attending physician applies it specifically and directly to the patient. As an indispensable part of the physical examination, emergency ultrasound helps to answer simple clinical questions. The corresponding answers provide essential elements for diagnostic and therapeutic...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Joseph Osterwalder Giorgio Tamborrini Source Type: research

CME Sonography 98/Answers: Chest Ultrasound
Praxis (Bern 1994). 2021 Jul;110(9):508-509. doi: 10.1024/1661-8157/a003681.ABSTRACTCME Sonography 98/Answers: Chest Ultrasound Abstract. Chest sonography has long been an important part of ultrasound diagnostics. Historically, the first evidence found in chest sonography were pleural effusions. Peripheral consolidations (pneumonia, tumors, pulmonary embolism) and pneumothorax were added later. The COVID-19 pandemic with often massive lung infestation has significantly increased the interest in thoracic sonography. The partially specific changes caused by COVID-19 are presented in this article.PMID:34231385 | DOI:10.1024/1...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Tobias B ürge Jan Tuma Source Type: research

Periphere arterielle Verschlusskrankheit: wenn Gehtraining, dann intensives Gehtraining
Praxis (Bern 1994). 2021 Jul;110(9):536-537. doi: 10.1024/1661-8157/a003707.NO ABSTRACTPMID:34231386 | DOI:10.1024/1661-8157/a003707 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

CME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction
Praxis (Bern 1994). 2021 Jul;110(9):479-487. doi: 10.1024/1661-8157/a003691.ABSTRACTCME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction Abstract. Disulfiram is an alcohol-aversive agent for pharmacological relapse prevention in alcohol dependency. When combined with alcohol, disulfiram induces a disulfiram-ethanol reaction (DER), causing mild to severe symptoms. While the anticipated adverse effects should support abstinence, failed abstinence can be potentially lethal. Since there is no specific antidote, early recognition and supportive treatment are vital. The aim of this article is to illustrate the ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Luzia H üsser Doris Eis Source Type: research

An Unusual Case of Rhabdomyolysis
We present the case of a 52-year-old patient with accidental liquorice intoxication after consumption of liquorice tea. In the Arabic cultures the consumption of liquorice tea is very popular during Ramadan and is used to suppress thirst. In the described case this led to a severe case of pseudohyperaldosteronism. Because of the classic presentation of a hypertensive crisis, hypokalaemia and rhabdomyolysis, the patient needed intensive care. Typically, the symptoms last for up to seven days after discontinuation of liquorice and completely subside with time. The treatment consists only of supportive care.PMID:34231379 | DO...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Artur Dand örfer Michael Studhalter Source Type: research

X-Linked Adrenoleukodystrophy or the Management of Rare Diseases in the General Practice
We report on a 48-year-old patient with X-linked adrenoleukodystrophy with slowly progressive leg-accentuated spastic paraparesis, vegetative dysfunction with bladder and sexual dysfunction, and primary adrenal insufficiency. The diagnosis of adrenomyeloneuropathy, the adult form of adrenoleukodystrophy, and Addison's disease was made at the age of 20 by evidence of an increased concentration of long-chain fatty acids in the plasma. The therapy is symptom-oriented.PMID:34231380 | DOI:10.1024/1661-8157/a003674 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Svetlana Paunovic Wolfgang Koehler Beat Knechtle Source Type: research

COVID-19 in the Intensive Care Unit: Medical, Nursing, and Physical Therapy Challenges
This article deals with the difficulties during the first surge of patients with COVID-19. The suffering of the relatives who were not allowed to visit must also be considered.PMID:34231381 | DOI:10.1024/1661-8157/a003684 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Stephan M Jakob Karin Michel Angela Kindler Source Type: research

CME Sonography 99/Answers: Kidney Echo Changes
Praxis (Bern 1994). 2021 Jul;110(9):510-511. doi: 10.1024/1661-8157/a003676.ABSTRACTCME Sonography 99/Answers: Kidney Echo Changes Abstract. Normal kidneys have a smooth contour, kidney length 9-12 cm, volume 90-180 ml/1.73 m2 body surface, parenchyma width 13-18 mm and an echogenicity of the cortex which is hypoechoic compared to the liver and spleen, as well as medullary pyramids, which are again hypoechoic compared to the cortex. Digital ultrasound images enable the echogenicity to be measured between 0 (black) and 255 (white). A normal quotient between the echogenicity of the liver and the renal cortex is 1.0-1.4. A no...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Jan Tuma Source Type: research

COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization?
Praxis (Bern 1994). 2021 Jul;110(9):517-524. doi: 10.1024/1661-8157/a003686.ABSTRACTCOVID-19 in the Family Practice - Outpatient Treatment or Hospitalization? Abstract. Switzerland has been severely affected by the COVID-19 pandemic. The clinical spectrum of this disease in terms of its clinical presentation and course is very broad. A correct initial evaluation in the practice or in the emergency department is important and includes history-taking and clinical examination as well as imaging and laboratory tests. Most patients with COVID-19 can be treated as outpatients. Hospitalization may be necessary in patients with a ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Beat Lehmann Christine Baumgartner Anne-Kathrin Brill Gunar G ünther Susanne N üesch Daniel Ott Thomas D Ruder Maria Christine Thurnheer Z ürcher Hansjakob Furrer Source Type: research

CME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System
Praxis (Bern 1994). 2021 Jul;110(9):488-507. doi: 10.1024/1661-8157/a003712.ABSTRACTCME Sonography 100: Emergency Ultrasound of the Soft Tissues and the Musculoskeletal System Abstract. The term "emergency sonography" refers to a focused sonography in emergency situations, also called emergency "Point of Care Ultrasound (POCUS)". The attending physician applies it specifically and directly to the patient. As an indispensable part of the physical examination, emergency ultrasound helps to answer simple clinical questions. The corresponding answers provide essential elements for diagnostic and therapeutic...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Joseph Osterwalder Giorgio Tamborrini Source Type: research

CME Sonography 98/Answers: Chest Ultrasound
Praxis (Bern 1994). 2021 Jul;110(9):508-509. doi: 10.1024/1661-8157/a003681.ABSTRACTCME Sonography 98/Answers: Chest Ultrasound Abstract. Chest sonography has long been an important part of ultrasound diagnostics. Historically, the first evidence found in chest sonography were pleural effusions. Peripheral consolidations (pneumonia, tumors, pulmonary embolism) and pneumothorax were added later. The COVID-19 pandemic with often massive lung infestation has significantly increased the interest in thoracic sonography. The partially specific changes caused by COVID-19 are presented in this article.PMID:34231385 | DOI:10.1024/1...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Tobias B ürge Jan Tuma Source Type: research

Periphere arterielle Verschlusskrankheit: wenn Gehtraining, dann intensives Gehtraining
Praxis (Bern 1994). 2021 Jul;110(9):536-537. doi: 10.1024/1661-8157/a003707.NO ABSTRACTPMID:34231386 | DOI:10.1024/1661-8157/a003707 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

CME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction
Praxis (Bern 1994). 2021 Jul;110(9):479-487. doi: 10.1024/1661-8157/a003691.ABSTRACTCME: Early Recognition and Prevention of a Disulfiram-Ethanol Reaction Abstract. Disulfiram is an alcohol-aversive agent for pharmacological relapse prevention in alcohol dependency. When combined with alcohol, disulfiram induces a disulfiram-ethanol reaction (DER), causing mild to severe symptoms. While the anticipated adverse effects should support abstinence, failed abstinence can be potentially lethal. Since there is no specific antidote, early recognition and supportive treatment are vital. The aim of this article is to illustrate the ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Luzia H üsser Doris Eis Source Type: research

An Unusual Case of Rhabdomyolysis
We present the case of a 52-year-old patient with accidental liquorice intoxication after consumption of liquorice tea. In the Arabic cultures the consumption of liquorice tea is very popular during Ramadan and is used to suppress thirst. In the described case this led to a severe case of pseudohyperaldosteronism. Because of the classic presentation of a hypertensive crisis, hypokalaemia and rhabdomyolysis, the patient needed intensive care. Typically, the symptoms last for up to seven days after discontinuation of liquorice and completely subside with time. The treatment consists only of supportive care.PMID:34231379 | DO...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Artur Dand örfer Michael Studhalter Source Type: research

X-Linked Adrenoleukodystrophy or the Management of Rare Diseases in the General Practice
We report on a 48-year-old patient with X-linked adrenoleukodystrophy with slowly progressive leg-accentuated spastic paraparesis, vegetative dysfunction with bladder and sexual dysfunction, and primary adrenal insufficiency. The diagnosis of adrenomyeloneuropathy, the adult form of adrenoleukodystrophy, and Addison's disease was made at the age of 20 by evidence of an increased concentration of long-chain fatty acids in the plasma. The therapy is symptom-oriented.PMID:34231380 | DOI:10.1024/1661-8157/a003674 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Svetlana Paunovic Wolfgang Koehler Beat Knechtle Source Type: research

COVID-19 in the Intensive Care Unit: Medical, Nursing, and Physical Therapy Challenges
This article deals with the difficulties during the first surge of patients with COVID-19. The suffering of the relatives who were not allowed to visit must also be considered.PMID:34231381 | DOI:10.1024/1661-8157/a003684 (Source: Praxis)
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Stephan M Jakob Karin Michel Angela Kindler Source Type: research

CME Sonography 99/Answers: Kidney Echo Changes
Praxis (Bern 1994). 2021 Jul;110(9):510-511. doi: 10.1024/1661-8157/a003676.ABSTRACTCME Sonography 99/Answers: Kidney Echo Changes Abstract. Normal kidneys have a smooth contour, kidney length 9-12 cm, volume 90-180 ml/1.73 m2 body surface, parenchyma width 13-18 mm and an echogenicity of the cortex which is hypoechoic compared to the liver and spleen, as well as medullary pyramids, which are again hypoechoic compared to the cortex. Digital ultrasound images enable the echogenicity to be measured between 0 (black) and 255 (white). A normal quotient between the echogenicity of the liver and the renal cortex is 1.0-1.4. A no...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Jan Tuma Source Type: research

COVID-19 in the Family Practice - Outpatient Treatment or Hospitalization?
Praxis (Bern 1994). 2021 Jul;110(9):517-524. doi: 10.1024/1661-8157/a003686.ABSTRACTCOVID-19 in the Family Practice - Outpatient Treatment or Hospitalization? Abstract. Switzerland has been severely affected by the COVID-19 pandemic. The clinical spectrum of this disease in terms of its clinical presentation and course is very broad. A correct initial evaluation in the practice or in the emergency department is important and includes history-taking and clinical examination as well as imaging and laboratory tests. Most patients with COVID-19 can be treated as outpatients. Hospitalization may be necessary in patients with a ...
Source: Praxis - July 7, 2021 Category: General Medicine Authors: Beat Lehmann Christine Baumgartner Anne-Kathrin Brill Gunar G ünther Susanne N üesch Daniel Ott Thomas D Ruder Maria Christine Thurnheer Z ürcher Hansjakob Furrer Source Type: research