CME ECG 68: Gender Specificities in Heart Rhythm Disorders
Praxis (Bern 1994). 2021;110(3):131-139. doi: 10.1024/1661-8157/a003656.ABSTRACTCME ECG 68: Gender Specificities in Heart Rhythm Disorders Abstract. Sex differences in heart rhythm disorders have been described, especially due to differences of hormone status in women and men. In general, women do have a higher baseline heart rate than men and shorter refractory periods of most structures in the conduction system, except the ventricles. This is particularly apparent in paroxysmal supraventricular tachycardias. The incidence of a dual AV nodal physiology is the same in both sexes. However, an AV-nodal reentry tachycardia is...
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Susanne Markendorf Ardan M Saguner Corinna B Brunckhorst Source Type: research

CME/Answers: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice
In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.PMID:33653105 | DOI:10.1024/1661-8157/a003636 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Gr égoire Wuerzner Bernard Waeber Source Type: research

Transient Loss of Consciousness at the Wheel - Helpful Tools to Support the Evaluation of Driving Ability and Fitness to Drive
This article is intendedas a guide to these proceedings.PMID:33653106 | DOI:10.1024/1661-8157/a003627 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Nicole Krenn Kristina Keller Source Type: research

Mit bariatrischer Chirurgie kann die Sterblichkeitsrate reduziert aber nicht «normalisiert» werden
Praxis (Bern 1994). 2021;110(3):164-165. doi: 10.1024/1661-8157/a003615.NO ABSTRACTPMID:33653107 | DOI:10.1024/1661-8157/a003615 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

Sonographic Wall Changes of the Stone-Free Gall Bladder - a Diagnostic and Therapeutic Dilemma
Praxis (Bern 1994). 2021;110(3):156-159. doi: 10.1024/1661-8157/a003618.ABSTRACTSonographic Wall Changes of the Stone-Free Gall Bladder - a Diagnostic and Therapeutic Dilemma Abstract. Various diseases frequently cause sonographic abnormalities of the gallbladder wall and its surroundings. The interpretation of these abnormalities is often a great challenge for the treating physician and will be briefly discussed here. In our patient these abnormalities are due to hepatitis A, which is responsible for multiple extrahepatic manifestations. Considering this etiology, gallbladder resection should be avoided in order to minimi...
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Maximilian Urban Irina Bergamin Joseph Osterwalder Source Type: research

Der Arzt, das Baby und das Kuscheltuch
Praxis (Bern 1994). 2021;110(3):117-119. doi: 10.1024/1661-8157/a003606.NO ABSTRACTPMID:33653109 | DOI:10.1024/1661-8157/a003606 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Rolf Adler Source Type: research

Accidents with Animals While Hiking in the Swiss Alps
Praxis (Bern 1994). 2021;110(3):151-155. doi: 10.1024/1661-8157/a003619.ABSTRACTAccidents with Animals While Hiking in the Swiss Alps Abstract. Mountain hiking is very popular. However, despite potential benefits, there are risks, also by animals. Retrospectively, all mountain hiking emergencies (n = 10 185) from the years 2009-2018 were analyzed using the registry of the Swiss Alpine Club (SAC), with 104 mountain emergencies caused by animals. The average NACA score was 3.2 ± 1.6, and more than half of the mountain emergencies had a NACA score>4, which can be associated with a life-threatening condition. More th...
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Benedikt Andreas Gasser Robin Schaub Source Type: research

CME: Harmful Alcohol Consumption in the Elderly
Praxis (Bern 1994). 2021;110(3):121-130. doi: 10.1024/1661-8157/a003650.ABSTRACTCME: Harmful Alcohol Consumption in the Elderly Abstract. Harmful alcohol consumption is an increasing clinical problem in many patients. Often excessive alcohol consumption is not addressed in clinical practice and there is still a high level of stigmatization around this topic. The early recognition and early therapeutic intervention are crucial for success. The general practitioner plays a key role in the (early) diagnosis, initiation and follow-up of alcohol-related problems. In this article the ideal procedures for the recognition of high-...
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Domenic Schnoz Paolo M Suter Source Type: research

CME/Answers: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice
In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.PMID:33653100 | DOI:10.1024/1661-8157/a003640 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Gr égoire Wuerzner Bernard Waeber Source Type: research

Sudden Paralysis in an American Football Player! Monster Football?
Praxis (Bern 1994). 2021;110(3):160-163. doi: 10.1024/1661-8157/a003621.ABSTRACT This case of ascending paralysis, following an episode of diarrhea, was initially misinterpreted as Guillain-Barré syndrome. The prominent hypokalemia led to the search for other differential diagnoses, initially interpreted as a rare case of periodic hypokalemic paralysis, which usually occurs in Asians after intake of large amounts of starch foods, such as Spaghetti, or rest after heavy exercise. In this case, the reason for the hypokalemia with associated paralysis was caused by a hyperhyreosis factitia through denied intake of T3.PM...
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Corinne Chmiel Christian Giambarba Johannes Trachsler Source Type: research

Edoxaban, tief dosiert, bei «sehr alten» Menschen mit Vorhofflimmern
Praxis (Bern 1994). 2021;110(3):166-167. doi: 10.1024/1661-8157/a003620.NO ABSTRACTPMID:33653102 | DOI:10.1024/1661-8157/a003620 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

CME Sonography 96/Answers: Spleen Changes
Praxis (Bern 1994). 2021;110(3):143-144. doi: 10.1024/1661-8157/a003631.ABSTRACTCME Sonography 96/Answers: Spleen Changes Abstract. The spleen is a somewhat neglected organ but there are some changes that must not be neglected. Splenomegaly, caused worldwide most commonly by malaria, can occur in other infections, in portal vein thrombosis or in portal hypertension in the context of liver cirrhosis. An accessory spleen is also often found. Sometimes after splenectomy, small remains are found which may later hypertrophy. Where focal changes are concerned, we differentiate between various forms of spleen cysts, lymphomas, me...
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Jan Tuma Source Type: research

CME ECG 68: Gender Specificities in Heart Rhythm Disorders
Praxis (Bern 1994). 2021;110(3):131-139. doi: 10.1024/1661-8157/a003656.ABSTRACTCME ECG 68: Gender Specificities in Heart Rhythm Disorders Abstract. Sex differences in heart rhythm disorders have been described, especially due to differences of hormone status in women and men. In general, women do have a higher baseline heart rate than men and shorter refractory periods of most structures in the conduction system, except the ventricles. This is particularly apparent in paroxysmal supraventricular tachycardias. The incidence of a dual AV nodal physiology is the same in both sexes. However, an AV-nodal reentry tachycardia is...
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Susanne Markendorf Ardan M Saguner Corinna B Brunckhorst Source Type: research

CME/Answers: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice
In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.PMID:33653105 | DOI:10.1024/1661-8157/a003636 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Gr égoire Wuerzner Bernard Waeber Source Type: research

Transient Loss of Consciousness at the Wheel - Helpful Tools to Support the Evaluation of Driving Ability and Fitness to Drive
This article is intendedas a guide to these proceedings.PMID:33653106 | DOI:10.1024/1661-8157/a003627 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Nicole Krenn Kristina Keller Source Type: research

Mit bariatrischer Chirurgie kann die Sterblichkeitsrate reduziert aber nicht «normalisiert» werden
Praxis (Bern 1994). 2021;110(3):164-165. doi: 10.1024/1661-8157/a003615.NO ABSTRACTPMID:33653107 | DOI:10.1024/1661-8157/a003615 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

Sonographic Wall Changes of the Stone-Free Gall Bladder - a Diagnostic and Therapeutic Dilemma
Praxis (Bern 1994). 2021;110(3):156-159. doi: 10.1024/1661-8157/a003618.ABSTRACTSonographic Wall Changes of the Stone-Free Gall Bladder - a Diagnostic and Therapeutic Dilemma Abstract. Various diseases frequently cause sonographic abnormalities of the gallbladder wall and its surroundings. The interpretation of these abnormalities is often a great challenge for the treating physician and will be briefly discussed here. In our patient these abnormalities are due to hepatitis A, which is responsible for multiple extrahepatic manifestations. Considering this etiology, gallbladder resection should be avoided in order to minimi...
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Maximilian Urban Irina Bergamin Joseph Osterwalder Source Type: research

Der Arzt, das Baby und das Kuscheltuch
Praxis (Bern 1994). 2021;110(3):117-119. doi: 10.1024/1661-8157/a003606.NO ABSTRACTPMID:33653109 | DOI:10.1024/1661-8157/a003606 (Source: Praxis)
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Rolf Adler Source Type: research

Accidents with Animals While Hiking in the Swiss Alps
Praxis (Bern 1994). 2021;110(3):151-155. doi: 10.1024/1661-8157/a003619.ABSTRACTAccidents with Animals While Hiking in the Swiss Alps Abstract. Mountain hiking is very popular. However, despite potential benefits, there are risks, also by animals. Retrospectively, all mountain hiking emergencies (n = 10 185) from the years 2009-2018 were analyzed using the registry of the Swiss Alpine Club (SAC), with 104 mountain emergencies caused by animals. The average NACA score was 3.2 ± 1.6, and more than half of the mountain emergencies had a NACA score>4, which can be associated with a life-threatening condition. More th...
Source: Praxis - March 3, 2021 Category: General Medicine Authors: Benedikt Andreas Gasser Robin Schaub Source Type: research

A Non-Traumatic Avulsion Fracture of the Lesser Trochanter: Other Diagnosis Not to Be Missed
Praxis (Bern 1994). 2021 Feb;110(2):105-107. doi: 10.1024/1661-8157/a003614.ABSTRACT In adults, an isolated non-traumatic fracture of the lesser trochanter should arouse strong suspicion of an underlying malignant pathology. In this article, we present the case of a 55-year-old male patient who presented with a non-traumatic isolated fracture of the lesser trochanter secondary to a delayed diagnosis of metastases of bronchial carcinoma.PMID:33530775 | DOI:10.1024/1661-8157/a003614 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Serdar Ko çer Simone Gr ácio Pierre Molnar L éa Baumgartner Source Type: research

Fr ühe Rhythmuskontrolle ist bei Vorhofflimmern wirksamer als alleinige Frequenzkontrolle
Praxis (Bern 1994). 2021 Feb;110(2):114-115. doi: 10.1024/1661-8157/a003613.NO ABSTRACTPMID:33530776 | DOI:10.1024/1661-8157/a003613 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

CME: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice
In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.PMID:33530777 | DOI:10.1024/1661-8157/a003635 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Gr égoire Wuerzner Bernard Waeber Source Type: research

An Itching Pleasure
Praxis (Bern 1994). 2021 Feb;110(2):108-110. doi: 10.1024/1661-8157/a003426.ABSTRACTAn Itching Pleasure Abstract. A 50-year-old female patient presents in the emergency department with an itchy, acneiform exanthema on the trunk and malaise for two days. Laboratory testing showed no abnormalities. After further questioning, the patient reported frequent use of her new whirlpool. Based on the medical history and the clinic we suspected a pseudomonas folliculitis. A bacterial culture of the pustules showed growth of Pseudomonas aeruginosa, which confirmed the diagnosis. Systemic antibiotics were not necessary in the absence o...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Gioia Braun-Meyre Corinne Marbet Marcel Blickenstorfer Hamid Khani Source Type: research

Je unklarer der Befund, desto eher braucht es eine diagnostische Eskalation
Praxis (Bern 1994). 2021 Feb;110(2):59. doi: 10.1024/1661-8157/a003616.NO ABSTRACTPMID:33530779 | DOI:10.1024/1661-8157/a003616 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Hans-Peter Simmen Source Type: research

CME/Answers: Elevated Creatine Kinase as a Diagnostic Parameter of Rhabdomyolysis
Praxis (Bern 1994). 2021 Feb;110(2):75-76. doi: 10.1024/1661-8157/a003626.ABSTRACTCME/Answers: Elevated Creatine Kinase as a Diagnostic Parameter of Rhabdomyolysis Abstract. Elevated CK values with or without symptoms require clarification in order to rule out possible secondary complications. Adequate hydrogenation, discontinuation of possibly triggering drugs and noxious agents, and close laboratory controls are decisive for the outcome. Acute rhabdomyolysis can have various causes, which can generally be classified as traumatic or atraumatic. In case of recurrent occurrence, genetic or autoimmunological diseases must al...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Hasan Hadzalic Aline Herzog Dagmar I Keller Source Type: research

CME: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice
In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.PMID:33530781 | DOI:10.1024/1661-8157/a003639 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Gr égoire Wuerzner Bernard Waeber Source Type: research

Recommendations for the Prevention, Diagnostics and Therapy of Addiction Disorders in the Elderly
Praxis (Bern 1994). 2021 Feb;110(2):79-93. doi: 10.1024/1661-8157/a003609.ABSTRACTRecommendations for the Prevention, Diagnostics and Therapy of Addiction Disorders in the Elderly Abstract. Although the chronic consumption of alcohol and sedatives, and increasingly opioids, represents a major problem in old age with consequential damage for those affected, little attention has been paid to the substance abuse disorders in old age. The aim of the present recommendations, a collaboration work of the Swiss Society for Geriatric Psychiatry and Psychotherapy (SGAP), Swiss Nurses Association (SBK) and Swiss Society of Addiction ...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Egemen Savaskan Andreas Fuchs Ulrich Hemmeter Bernd Ibach Esther Indermaur Stefan Kl öppel Sabrina Laimbacher Thomas Leyhe Claudia L ötscher Julius Popp Tilo Stauch Gerhard Wiesbeck Alexander Wopfner Daniele Zullino Source Type: research

Vitamin D Deficiency in Sports
Praxis (Bern 1994). 2021 Feb;110(2):94-104. doi: 10.1024/1661-8157/a003550.ABSTRACTVitamin D Deficiency in Sports Abstract. A deficiency in vitamin D is very common in the general population as well as in athletes. The aim of this overview is to assess the level of knowledge about the importance of vitamin D for athletes. A deficiency in vitamin D is present in up to 90 % of athletes. Risk groups are young athletes, female athletes, athletes with a limitation such as paraplegia, vegetarians, athletes with a resorption disorder such as celiac disease, athletes training and competing indoors (e.g. ice hockey, basketball, box...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Beat Knechtle Zbigniew Jastrz ębski Pantelis T Nikolaidis Source Type: research

CME Sonography 96: Spleen Changes
Praxis (Bern 1994). 2021 Feb;110(2):65-74. doi: 10.1024/1661-8157/a003630.ABSTRACTCME Sonography 96: Spleen Changes Abstract. The spleen is a somewhat neglected organ but there are some changes that must not be neglected. Splenomegaly, caused worldwide most commonly by malaria, can occur in other infections, in portal vein thrombosis or in portal hypertension in the context of liver cirrhosis. An accessory spleen is also often found. Sometimes after splenectomy, small remains are found which may later hypertrophy. Where focal changes are concerned, we differentiate between various forms of spleen cysts, lymphomas, metastas...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Jan Tuma Source Type: research

CME Rheumatology 22/Answers: Rheumatological Cases
Praxis (Bern 1994). 2021 Feb;110(2):77-78. doi: 10.1024/1661-8157/a003611.ABSTRACTCME Rheumatology 22/Answers: Rheumatological Cases Abstract. With the help of various cases, frequent and less frequent causes of painful or swollen joints are illustrated. Usually, the medical history and precise clinical examination already leads us in the right diagnostic direction. The further clarifications such as laboratory analyses or imaging procedures are used in a targeted manner, taking into account the clinic.PMID:33530785 | DOI:10.1024/1661-8157/a003611 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Giorgio Tamborrini Source Type: research

A Non-Traumatic Avulsion Fracture of the Lesser Trochanter: Other Diagnosis Not to Be Missed
Praxis (Bern 1994). 2021 Feb;110(2):105-107. doi: 10.1024/1661-8157/a003614.ABSTRACT In adults, an isolated non-traumatic fracture of the lesser trochanter should arouse strong suspicion of an underlying malignant pathology. In this article, we present the case of a 55-year-old male patient who presented with a non-traumatic isolated fracture of the lesser trochanter secondary to a delayed diagnosis of metastases of bronchial carcinoma.PMID:33530775 | DOI:10.1024/1661-8157/a003614 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Serdar Ko çer Simone Gr ácio Pierre Molnar L éa Baumgartner Source Type: research

Fr ühe Rhythmuskontrolle ist bei Vorhofflimmern wirksamer als alleinige Frequenzkontrolle
Praxis (Bern 1994). 2021 Feb;110(2):114-115. doi: 10.1024/1661-8157/a003613.NO ABSTRACTPMID:33530776 | DOI:10.1024/1661-8157/a003613 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

CME: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice
In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.PMID:33530777 | DOI:10.1024/1661-8157/a003635 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Gr égoire Wuerzner Bernard Waeber Source Type: research

An Itching Pleasure
Praxis (Bern 1994). 2021 Feb;110(2):108-110. doi: 10.1024/1661-8157/a003426.ABSTRACTAn Itching Pleasure Abstract. A 50-year-old female patient presents in the emergency department with an itchy, acneiform exanthema on the trunk and malaise for two days. Laboratory testing showed no abnormalities. After further questioning, the patient reported frequent use of her new whirlpool. Based on the medical history and the clinic we suspected a pseudomonas folliculitis. A bacterial culture of the pustules showed growth of Pseudomonas aeruginosa, which confirmed the diagnosis. Systemic antibiotics were not necessary in the absence o...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Gioia Braun-Meyre Corinne Marbet Marcel Blickenstorfer Hamid Khani Source Type: research

Je unklarer der Befund, desto eher braucht es eine diagnostische Eskalation
Praxis (Bern 1994). 2021 Feb;110(2):59. doi: 10.1024/1661-8157/a003616.NO ABSTRACTPMID:33530779 | DOI:10.1024/1661-8157/a003616 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Hans-Peter Simmen Source Type: research

CME/Answers: Elevated Creatine Kinase as a Diagnostic Parameter of Rhabdomyolysis
Praxis (Bern 1994). 2021 Feb;110(2):75-76. doi: 10.1024/1661-8157/a003626.ABSTRACTCME/Answers: Elevated Creatine Kinase as a Diagnostic Parameter of Rhabdomyolysis Abstract. Elevated CK values with or without symptoms require clarification in order to rule out possible secondary complications. Adequate hydrogenation, discontinuation of possibly triggering drugs and noxious agents, and close laboratory controls are decisive for the outcome. Acute rhabdomyolysis can have various causes, which can generally be classified as traumatic or atraumatic. In case of recurrent occurrence, genetic or autoimmunological diseases must al...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Hasan Hadzalic Aline Herzog Dagmar I Keller Source Type: research

CME: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice
In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.PMID:33530781 | DOI:10.1024/1661-8157/a003639 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Gr égoire Wuerzner Bernard Waeber Source Type: research

Recommendations for the Prevention, Diagnostics and Therapy of Addiction Disorders in the Elderly
Praxis (Bern 1994). 2021 Feb;110(2):79-93. doi: 10.1024/1661-8157/a003609.ABSTRACTRecommendations for the Prevention, Diagnostics and Therapy of Addiction Disorders in the Elderly Abstract. Although the chronic consumption of alcohol and sedatives, and increasingly opioids, represents a major problem in old age with consequential damage for those affected, little attention has been paid to the substance abuse disorders in old age. The aim of the present recommendations, a collaboration work of the Swiss Society for Geriatric Psychiatry and Psychotherapy (SGAP), Swiss Nurses Association (SBK) and Swiss Society of Addiction ...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Egemen Savaskan Andreas Fuchs Ulrich Hemmeter Bernd Ibach Esther Indermaur Stefan Kl öppel Sabrina Laimbacher Thomas Leyhe Claudia L ötscher Julius Popp Tilo Stauch Gerhard Wiesbeck Alexander Wopfner Daniele Zullino Source Type: research

Vitamin D Deficiency in Sports
Praxis (Bern 1994). 2021 Feb;110(2):94-104. doi: 10.1024/1661-8157/a003550.ABSTRACTVitamin D Deficiency in Sports Abstract. A deficiency in vitamin D is very common in the general population as well as in athletes. The aim of this overview is to assess the level of knowledge about the importance of vitamin D for athletes. A deficiency in vitamin D is present in up to 90 % of athletes. Risk groups are young athletes, female athletes, athletes with a limitation such as paraplegia, vegetarians, athletes with a resorption disorder such as celiac disease, athletes training and competing indoors (e.g. ice hockey, basketball, box...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Beat Knechtle Zbigniew Jastrz ębski Pantelis T Nikolaidis Source Type: research

CME Sonography 96: Spleen Changes
Praxis (Bern 1994). 2021 Feb;110(2):65-74. doi: 10.1024/1661-8157/a003630.ABSTRACTCME Sonography 96: Spleen Changes Abstract. The spleen is a somewhat neglected organ but there are some changes that must not be neglected. Splenomegaly, caused worldwide most commonly by malaria, can occur in other infections, in portal vein thrombosis or in portal hypertension in the context of liver cirrhosis. An accessory spleen is also often found. Sometimes after splenectomy, small remains are found which may later hypertrophy. Where focal changes are concerned, we differentiate between various forms of spleen cysts, lymphomas, metastas...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Jan Tuma Source Type: research

CME Rheumatology 22/Answers: Rheumatological Cases
Praxis (Bern 1994). 2021 Feb;110(2):77-78. doi: 10.1024/1661-8157/a003611.ABSTRACTCME Rheumatology 22/Answers: Rheumatological Cases Abstract. With the help of various cases, frequent and less frequent causes of painful or swollen joints are illustrated. Usually, the medical history and precise clinical examination already leads us in the right diagnostic direction. The further clarifications such as laboratory analyses or imaging procedures are used in a targeted manner, taking into account the clinic.PMID:33530785 | DOI:10.1024/1661-8157/a003611 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Giorgio Tamborrini Source Type: research

A Non-Traumatic Avulsion Fracture of the Lesser Trochanter: Other Diagnosis Not to Be Missed
Praxis (Bern 1994). 2021 Feb;110(2):105-107. doi: 10.1024/1661-8157/a003614.ABSTRACT In adults, an isolated non-traumatic fracture of the lesser trochanter should arouse strong suspicion of an underlying malignant pathology. In this article, we present the case of a 55-year-old male patient who presented with a non-traumatic isolated fracture of the lesser trochanter secondary to a delayed diagnosis of metastases of bronchial carcinoma.PMID:33530775 | DOI:10.1024/1661-8157/a003614 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Serdar Ko çer Simone Gr ácio Pierre Molnar L éa Baumgartner Source Type: research

Fr ühe Rhythmuskontrolle ist bei Vorhofflimmern wirksamer als alleinige Frequenzkontrolle
Praxis (Bern 1994). 2021 Feb;110(2):114-115. doi: 10.1024/1661-8157/a003613.NO ABSTRACTPMID:33530776 | DOI:10.1024/1661-8157/a003613 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Johann Steurer Source Type: research

CME: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice
In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.PMID:33530777 | DOI:10.1024/1661-8157/a003635 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Gr égoire Wuerzner Bernard Waeber Source Type: research

An Itching Pleasure
Praxis (Bern 1994). 2021 Feb;110(2):108-110. doi: 10.1024/1661-8157/a003426.ABSTRACTAn Itching Pleasure Abstract. A 50-year-old female patient presents in the emergency department with an itchy, acneiform exanthema on the trunk and malaise for two days. Laboratory testing showed no abnormalities. After further questioning, the patient reported frequent use of her new whirlpool. Based on the medical history and the clinic we suspected a pseudomonas folliculitis. A bacterial culture of the pustules showed growth of Pseudomonas aeruginosa, which confirmed the diagnosis. Systemic antibiotics were not necessary in the absence o...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Gioia Braun-Meyre Corinne Marbet Marcel Blickenstorfer Hamid Khani Source Type: research

Je unklarer der Befund, desto eher braucht es eine diagnostische Eskalation
Praxis (Bern 1994). 2021 Feb;110(2):59. doi: 10.1024/1661-8157/a003616.NO ABSTRACTPMID:33530779 | DOI:10.1024/1661-8157/a003616 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Hans-Peter Simmen Source Type: research

CME/Answers: Elevated Creatine Kinase as a Diagnostic Parameter of Rhabdomyolysis
Praxis (Bern 1994). 2021 Feb;110(2):75-76. doi: 10.1024/1661-8157/a003626.ABSTRACTCME/Answers: Elevated Creatine Kinase as a Diagnostic Parameter of Rhabdomyolysis Abstract. Elevated CK values with or without symptoms require clarification in order to rule out possible secondary complications. Adequate hydrogenation, discontinuation of possibly triggering drugs and noxious agents, and close laboratory controls are decisive for the outcome. Acute rhabdomyolysis can have various causes, which can generally be classified as traumatic or atraumatic. In case of recurrent occurrence, genetic or autoimmunological diseases must al...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Hasan Hadzalic Aline Herzog Dagmar I Keller Source Type: research

CME: Hypertension and the COVID-19 Pandemic: What to Consider in Medical Practice
In conclusion, there is no reason to implement changes in the care of hypertensive patients due to the pandemic.PMID:33530781 | DOI:10.1024/1661-8157/a003639 (Source: Praxis)
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Gr égoire Wuerzner Bernard Waeber Source Type: research

Recommendations for the Prevention, Diagnostics and Therapy of Addiction Disorders in the Elderly
Praxis (Bern 1994). 2021 Feb;110(2):79-93. doi: 10.1024/1661-8157/a003609.ABSTRACTRecommendations for the Prevention, Diagnostics and Therapy of Addiction Disorders in the Elderly Abstract. Although the chronic consumption of alcohol and sedatives, and increasingly opioids, represents a major problem in old age with consequential damage for those affected, little attention has been paid to the substance abuse disorders in old age. The aim of the present recommendations, a collaboration work of the Swiss Society for Geriatric Psychiatry and Psychotherapy (SGAP), Swiss Nurses Association (SBK) and Swiss Society of Addiction ...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Egemen Savaskan Andreas Fuchs Ulrich Hemmeter Bernd Ibach Esther Indermaur Stefan Kl öppel Sabrina Laimbacher Thomas Leyhe Claudia L ötscher Julius Popp Tilo Stauch Gerhard Wiesbeck Alexander Wopfner Daniele Zullino Source Type: research

Vitamin D Deficiency in Sports
Praxis (Bern 1994). 2021 Feb;110(2):94-104. doi: 10.1024/1661-8157/a003550.ABSTRACTVitamin D Deficiency in Sports Abstract. A deficiency in vitamin D is very common in the general population as well as in athletes. The aim of this overview is to assess the level of knowledge about the importance of vitamin D for athletes. A deficiency in vitamin D is present in up to 90 % of athletes. Risk groups are young athletes, female athletes, athletes with a limitation such as paraplegia, vegetarians, athletes with a resorption disorder such as celiac disease, athletes training and competing indoors (e.g. ice hockey, basketball, box...
Source: Praxis - February 3, 2021 Category: General Medicine Authors: Beat Knechtle Zbigniew Jastrz ębski Pantelis T Nikolaidis Source Type: research