38,084 results match your criteria Nederlands Tijdschrift voor Geneeskunde [Journal]


[Acute colonic pseudo-obstruction after caesarean section; Ogilvie's syndrome].

Ned Tijdschr Geneeskd 2019 Feb 7;163. Epub 2019 Feb 7.

Ikazia Ziekenhuis, afd. Gynaecologie en Verloskunde, Rotterdam.

Background: Acute pseudo-obstruction of the colon - also known as Ogilvie's syndrome - is a rare clinical presentation in obstetrics. The syndrome is seen more often following caesarean section than vaginal delivery.

Case Description: We present a 38-year-old primigravida who developed Ogilvie's syndrome following secondary caesarean section. Read More

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February 2019
1 Read

[An elderly patient with severe peripheral vascular disease].

Ned Tijdschr Geneeskd 2019 Feb 1;163. Epub 2019 Feb 1.

Amsterdam UMC, locatie AMC, afd. Huisartsgeneeskunde.

Background: Peripheral arterial disease is a common condition in elderly patients. Cases of severe peripheral vascular disease can be treated with endovascular revascularization or bypass surgery. An amputation may be necessary if revascularization treatments fail. Read More

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February 2019
1 Read

[Hypertrophic cardiomyopathy].

Ned Tijdschr Geneeskd 2019 Feb 7;163. Epub 2019 Feb 7.

Erasmus MC, afd. Cardiologie, Rotterdam.

Hypertrophic cardiomyopathy (HCM) is the most common genetic heart disease. Its prevalence is estimated between 1:500 and 1:200. HCM is defined by left ventricular hypertrophy (wall thickness ≥ 15 mm) in absence of abnormal loading conditions such as hypertension. Read More

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February 2019
1 Read

[Are mental and neurological disorders related?]

Ned Tijdschr Geneeskd 2019 Feb 1;163. Epub 2019 Feb 1.

Bilthoven.

A recent article in Science reported the results of a genome-wide analysis of a variety of psychiatric and neurological conditions, conducted by an international consortium. Psychiatric disorders showed some degree of genetic risk sharing; conversely, the genetic risk profiles of neurological disorders lacked virtually any resemblance to each other as well as to mental diseases. Even though the spectrum of studied diseases was incomplete, the findings are unsurprising. Read More

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February 2019

[Neonatal hypotonia].

Ned Tijdschr Geneeskd 2019 Feb 1;163. Epub 2019 Feb 1.

Zuyderland Medisch Centrum, afd. Kindergeneeskunde, Heerlen.

Hypotonia in neonates is a relatively common symptom, and has a broad differential diagnosis. Despite advances in diagnostic techniques over the past few years, understanding where hypotonia in a neonate originates remains a challenge. Hypotonia can be a result of diseases of the central or peripheral nervous system; differentiation between a central or a peripheral origin is helpful as a first step in the diagnostic evaluation. Read More

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February 2019

[Cranial computed tomography, lumbar puncture and clinical deterioration in bacterial meningitis: a nationwide cohort study].

Ned Tijdschr Geneeskd 2019 Feb 7;163. Epub 2019 Feb 7.

Amsterdamse UMC, afd. Neurologie, locatie AMC.

Background: Investigate how often cerebral herniation occurs following lumbar puncture (LP) in patients with bacterial meningitis, and whether cranial computed tomography (CT) can be used to identify patients at a higher risk of cerebral herniation.

Study Design: Prospective, nationwide cohort study covering the period March 2006 - November 2014.

Method: We identified patients with community-acquired bacterial meningitis who showed signs of clinical deterioration, possibly caused by LP. Read More

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February 2019
1 Read

[Dyspnea and globus sensation after a minor head injury].

Ned Tijdschr Geneeskd 2019 Feb 1;163. Epub 2019 Feb 1.

LUMC, afd. Keel- Neus- en Oorheelkunde, Leiden.

A 91-year-old woman visited the emergency department with dyspnea and globus sensation after a minor head injury. A CT-scan of the spine showed a retropharyngeal swelling. MRI and fiberscopy revealed that the swelling was concordant with a retropharyngeal hematoma. Read More

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February 2019

[Strong genetic correlation between mental disorders].

Ned Tijdschr Geneeskd 2019 Feb 1;162. Epub 2019 Feb 1.

Rijksuniversiteit Groningen, afd. Psychiatrie, UMCG.

In clinical practice, psychiatric patients often receive two or even more diagnoses. Also, psychiatric diagnoses commonly change over time. Biomarkers to facilitate a differential diagnosis would be helpful, but the search to find such help has largely been in vain. Read More

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February 2019

[Societal valorisation of scientific knowledge].

Ned Tijdschr Geneeskd 2019 Feb 7;163. Epub 2019 Feb 7.

Erasmus Universiteit Rotterdam, Erasmus School of Social and Behavioural Science.

University medical centres are increasingly required to apply new knowledge for the benefit of society, and for the health and wellbeing of the general population in particular. 'Societal valorisation', as this is known, is a new challenge to researchers and universities which can, and should be, combined with excellent research. The valorisation process involves designing research around complex societal issues in collaboration with relevant stakeholders from outside the university. Read More

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February 2019

[New opportunities for preventing ovarian carcinoma].

Ned Tijdschr Geneeskd 2019 Feb 1;163. Epub 2019 Feb 1.

Erasmus MC, afd. Gynaecologische Oncologie, Rotterdam.

A large majority of patients with ovarian carcinoma does not carry a BRCA1/2 mutation, nor another known mutation that increases the risk of ovarian carcinoma. Screening for early ovarian carcinoma in this low-risk group is not efficient. It is, however, a known fact the risk for ovarian carcinoma decreases slightly, but to a statistically significant extent, following sterilisation via tubal occlusion. Read More

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February 2019
1 Read

[Two ominous hematomas of the abdominal wall].

Ned Tijdschr Geneeskd 2019 Feb 6;163. Epub 2019 Feb 6.

Zuyderland Medisch Centrum, afd. Chirurgie, Sittard-Geleen.

A 51 years old woman came to the emergency room with acute onset abdominal hematomas. She complained of vague abdominal pain without preceding trauma. Two large hematomas were present, one in the infra-umbilical region and one in the right flank, corresponding to Cullen's and Grey Turner's sign, respectively. Read More

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February 2019
2 Reads

[Drug-facilitated sexual assault; frequently used substances, symptoms and toxicological investigation].

Ned Tijdschr Geneeskd 2019 Jan 31;163. Epub 2019 Jan 31.

Radboudumc, afd. Eerstelijnsgeneeskunde, Vrouwenstudies Medische Wetenschappen, Nijmegen.

Drug-facilitated sexual assault (DFSA) is a term used to describe incidents of sexual assault in which the victim is incapacitated and/or unable to provide consent to the sexual act as a result of drug or alcohol consumption. There are two types: 'proactive' in which the victim is covertly administered an incapacitating or disinhibiting substance by an assailant for the purpose of sexual assault; and 'opportunistic' in which a perpetrator engages in sexual activity with a victim who is profoundly intoxicated by his or her actions, to the point of near or actual unconsciousness. Alcohol is the drug most commonly found in alleged sexual assault cases. Read More

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January 2019

[A neonate with rectal bleeding].

Ned Tijdschr Geneeskd 2019 Feb 7;163. Epub 2019 Feb 7.

Franciscus Gasthuis & Vlietland, locatie Franciscus Gasthuis, afd. Kindergeneeskunde, Rotterdam.

Background: Rectal bleeding in neonates is commonly associated with non-significant anal fissures or with the severe condition necrotising enterocolitis (NEC). A 'banal' bacterial colitis is often considered unlikely and, subsequently, diagnostics for this condition are usually not conducted.

Case Description: We describe the case of an otherwise healthy neonate who experienced rectal blood loss as a result of Campylobacterjejuni infection. Read More

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February 2019

[CT in patients suspected of bacterial meningitis? First antibiotics!]

Authors:
Korné Jellema

Ned Tijdschr Geneeskd 2019 Feb 7;163. Epub 2019 Feb 7.

Haaglanden Medisch Centrum, afd. Neurologie, Den Haag.

A lumbar puncture (LP) is often essential for the diagnosis of bacterial meningitis. An LP can worsen brain displacement in case of a space-occupying lesion. Therefore, in selected patients a CT scan of the brain is made prior to performing the LP. Read More

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February 2019
1 Read

[More and higher claims for damages: analysis of claims for damages in Dutch hospital care 2007-2016].

Ned Tijdschr Geneeskd 2018 Jan 11;162. Epub 2018 Jan 11.

Maastricht UMC+, afd. Raad van bestuur, Maastricht.

Objective: To investigate the number and extent of claims concerning hospital care at a national level, thereby affording insight to the profession.

Design: A quantitative, descriptive and comparative study.

Method: We used anonymised data on all claims for damages from regular hospital care that were submitted to Centramed and MediRisk between 1 January 2007 and 31 December 2016. Read More

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January 2018
1 Read

[Apparent thyrotoxicosis in a patient with multiple sclerosis: biochemical assay interference due to high dose biotin use].

Ned Tijdschr Geneeskd 2018 Feb 14;162. Epub 2018 Feb 14.

Stichting Certe Medische Diagnostiek en Advies, divisie Klinische Chemie, Locatie Laboratorium Leeuwarden.

Background: Supraphysiological doses of biotin are being tested in patients with multiple sclerosis. Biotin can cause interference with laboratory assessment of thyroid function, and therefore give a false suggestion of thyrotoxicosis.

Case Description: A 64-year-old patient was referred for assessment of thyrotoxicosis, due to Graves' disease. Read More

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February 2018
1 Read

[Hybrid operating room is indispensable for minimally invasive surgery].

Ned Tijdschr Geneeskd 2018 Mar 24;162. Epub 2018 Mar 24.

Maasstad Ziekenhuis, afd. Vaatchirurgie, Rotterdam.

The hybrid operating room is on the rise in the Netherlands. In this sterile room, more and more complex patients can be treated with minimally invasive techniques, supported by advanced image-guided technology, with special care for the safety of the patient and the operating team. This sterile room offers many possibilities for various specialties such as vascular surgery, interventional radiology, cardiology, oncology and traumatology. Read More

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March 2018
1 Read

[Follow-up diagnostics, referral and follow-up of hepatitis B and C patients].

Ned Tijdschr Geneeskd 2018 Jan 24;162. Epub 2018 Jan 24.

Erasmus MC, Instituut Maatschappelijke Gezondheidszorg, Rotterdam.

Objective: To study the extent to which follow-up diagnostics, referral to secondary care and follow-up are in accordance with the practice guideline of the Dutch College of General Practitioners 'Viral hepatitis and other liver disorders' after a hepatitis B (HBV) or C (HCV) infection has been diagnosed at the general practice.

Design: Retrospective cohort study.

Method: Patient records were obtained from the Dutch 'Integrated primary care information' (IPCI) database which contains data from patients from general practices. Read More

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January 2018
1 Read

[An unexpected cause of nausea].

Ned Tijdschr Geneeskd 2019 Jan 30;163. Epub 2019 Jan 30.

Zaans Medisch Centrum, afd. Interne Geneeskunde, Zaandam.

An 88-year old woman had a sudden onset of nausea and vomiting. She had an end colostomy following a curative resection of rectal cancer six years earlier. As we suspected a high gastrointestinal obstruction, an abdominal CT scan was made. Read More

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January 2019
1 Read

[A girl with a deviated index finger].

Ned Tijdschr Geneeskd 2019 Jan 25;163. Epub 2019 Jan 25.

OLVG, locatie Oost, afd. Plastische, Reconstructieve en Handchirurgie, Amsterdam.

A 7-year-old girl was seen at the ER with severe pain of her index finger after twisting her hand whilst performing a handstand. Physical examination and X-rays showed an isolated dorsal dislocation of the metacarpophalangeal joint, also known as a Kaplan's lesion. A Kaplan's lesion is a complex dislocation with volar plate interposition. Read More

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January 2019
1 Read

[Medicinal treatment of pain in the elderly: 10 tips from clinical pharmacology]].

Ned Tijdschr Geneeskd 2019 Jan 24;163. Epub 2019 Jan 24.

Amsterdam UMC, locatie VUmc, afd. Huisartsgeneeskunde en Ouderengeneeskunde.

Although many older patients use analgesics from time to time, little is known about the safety and efficacy of these medicines in older people. The balance between effectiveness and side effects may be totally different from what is expected. Physiological and pathophysiological changes can cause the pharmacokinetics and pharmacodynamics of medicines to change. Read More

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January 2019

[Acquired undescended testes: treatment and consequences for future fertility].

Ned Tijdschr Geneeskd 2019 Jan 25;163. Epub 2019 Jan 25.

Erasmus MC, Sophia Kinderziekenhuis, afd. Urologie-Andrologie, Rotterdam.

1-3% of boys develop an acquired undescended testes (UDT), meaning that the testes cannot be returned into the scrotum after previously having been located in a stable scrotal position. Fertility issues for patients with acquired UDT are comparable to those for patients with congenital UDT. Hypothetically speaking, patients with acquired UDT are at lower risk of testicular cancer than patients with congenital UDT. Read More

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January 2019

[A body packer with cannabis].

Ned Tijdschr Geneeskd 2019 Jan 24;163. Epub 2019 Jan 24.

Erasmus MC, afd. Ziekenhuisapotheek, Rotterdam.

Background: In recent years, numerous reports have been published on body packers, i.e. people who use their own body to transport drugs. Read More

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January 2019
1 Read

[Lower respiratory tract infections unravelled].

Ned Tijdschr Geneeskd 2019 Jan 29;163. Epub 2019 Jan 29.

Star-shl, Etten-Leur.

Global initiatives to tackle the rise of antimicrobial resistance highlight the need to invest in the development and use of new, rapid diagnostic tools in routine patient care to differentiate bacterial from viral infections. Selective use may enhance antibiotic stewardship, but should be based on evidence for the target populations. The landmark study of Ieven et al. Read More

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January 2019
1 Read

[A young woman with acute pain in the lower right abdomen].

Ned Tijdschr Geneeskd 2019 Jan 25;163. Epub 2019 Jan 25.

Rode Kruis Ziekenhuis, afd. Chirurgie, Beverwijk.

A 19-year old woman with acute pain in the lower right quadrant of the abdomen was seen in the emergency room. Because we suspected an anomaly of the appendix, we performed a laparoscopy. We unexpectedly found a torsion of a Hydatid of Morgagni, a stalked cyst of the fallopian tube. Read More

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January 2019

[Blood pressure measurement using pulse transit time].

Ned Tijdschr Geneeskd 2019 Jan 24;163. Epub 2019 Jan 24.

Cooper University Hospital, afd. Anesthesiologie, Camden, Verenigde Staten.

Blood pressure has been measured with a cuff for over a 100 years. Recently, various devices and smart phone applications that measure blood pressure without a cuff using pulse transit time (PTT) have become available. These measurements are based on the inverse relationship between blood pressure and PTT. Read More

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January 2019

[A woman with shoulder pain after surgery abroad].

Ned Tijdschr Geneeskd 2019 Jan 30;163. Epub 2019 Jan 30.

St.-Antonius Ziekenhuis, afd. Radiologie, Midden-Nederland.

A 58-year-old woman came to the outpatient clinic with exacerbation of chronic shoulder pain following a shoulder accident two week before. After the accident, she had been treated abroad with percutaneous K-wire fixation following the diagnosis of a displaced greater tuberosity fracture. X-ray images of the shoulder, however, showed calcification of the supraspinatus tendon fixed to the humerus, rather than a greater tuberosity fracture. Read More

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January 2019

[Ring-shaped lesions on a lung scan].

Ned Tijdschr Geneeskd 2019 Jan 30;163. Epub 2019 Jan 30.

Radboudumc, afd. Hematologie, Nijmegen.

A 25-year-old man was treated with pembrolizumab for a relapsed-refractory primary mediastinal large B-cell lymphoma. On an evaluation PET-CT scan multiple 'reversed halo signs' were noticed. No infectious cause was established and we diagnosed the lesions as pembrolizumab-induced pneumonitis, an immune-related adverse event. Read More

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January 2019
2 Reads

[Advisory statement of the Health Council of the Netherlands on vaccination against meningococcal disease: a missed opportunity?]

Ned Tijdschr Geneeskd 2019 Jan 24;163. Epub 2019 Jan 24.

UMC Utrecht, Julius Centrum voor Gezondheidswetenschappen en Huisartsgeneeskunde, afd. Epidemiologie.

The recent outbreak of serogroup W meningococcal disease in the Netherlands, and the start of the vaccination campaign for adolescents in response, dominated the national headlines in 2018. During this time, the Health Council of the Netherlands prepared an advisory statement, which was released in December 2018, on how meningococcal disease caused by various serogroups could be controlled in the future. The Counsel recommends to include vaccination against serogroups A, C, W and Y for infants and adolescents in the Dutch National Immunization Programme. Read More

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January 2019
1 Read

[Optimal timing of a hip fracture operation].

Ned Tijdschr Geneeskd 2019 Jan 29;163. Epub 2019 Jan 29.

LUMC, afd. Traumachirurgie, Leiden.

There is an ongoing discussion about optimal timing of hip fracture surgery and much has been published about this subject. There is no literature-based consensus regarding the timeframe in which a hip fracture patient should be operated on; nonetheless, the National Health Care Institute in the Netherlands has been using 'time to operation' as a quality indicator since 2017. Analysis of the data from the Health and Youth Care Inspectorate on the quality indicator 'Percentage of patients operated on within one calendar day' showed that in Dutch hospitals 93% of the ASA grade 1-2 patients and 86% of the ASA grade > 2 patients were operated on within one calendar day. Read More

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January 2019
1 Read

[Cardiac screening in young top athletes: don't do it!]

Ned Tijdschr Geneeskd 2019 Jan 24;163. Epub 2019 Jan 24.

Meander Medisch Centrum, afd. Cardiologie, Amersfoort.

One out of 14 players who were screened needed extensive further cardiac evaluation, which is associated with morbidity and loss of quality of life, while no sudden cardiac death was prevented. Therefore, cardiac screening of 15-17-year-old potentially professional soccer players in order to prevent sudden cardiac death is not recommended. Instead, it is advisable to put effort in enhancement of possibilities for quickly starting cardiopulmonary resuscitation in case of cardiac arrest in athletes. Read More

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January 2019
1 Read

[Incidental detection of maternal malignancy in non-invasive prenatal test].

Ned Tijdschr Geneeskd 2019 Jan 24;163. Epub 2019 Jan 24.

Erasmus MC, afd. Klinische Genetica, Rotterdam.

Since 2017, the non-invasive prenatal test (NIPT) has been offered to all pregnant woman in the Netherlands in the context of the TRIDENT-2 study, which has been implemented as a trial within the Dutch national screening programme for Down's, Edwards' and Patau's syndrome. The NIPT examines cell-free DNA in maternal blood. A small proportion of this DNA is of placental origin, but a vast proportion originates from the expectant mother. Read More

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January 2019

[Consider the diagnosis 'Bell's palsy' carefully].

Ned Tijdschr Geneeskd 2019 Jan 24;163. Epub 2019 Jan 24.

Radboudumc, afd. Keel-Neus-Oorheelkunde en Heelkunde van het Hoofd-Halsgebied, Nijmegen.

Patients with facial palsy present with both cosmetic and functional symptoms. When a facial palsy develops quickly (within 72 hours) with no other symptoms, and no cause can be identified, it is probably an idiopathic facial palsy or 'Bell's palsy'. The diagnosis Bell's palsy is, thus, to a certain extent a diagnosis 'per exclusionem'. Read More

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January 2019

How healthy is ‘striving for excellence’?

Authors:
Pieter Barnhoorn

Ned Tijdschr Geneeskd 2018 Apr 23;162. Epub 2018 Apr 23.

huisarts-docent-onderzoeker, LUMC, afd. Public Health en Eerstelijnsgeneeskunde, Leiden.

According to the CanMEDS, physicians should demonstrate a lifelong commitment to excellence. However, striving for excellence might not be without risks. The first commandment of medicine, placing the best interests of patients at the centre of everything we do, could be put at risk, because excellent top doctors might imagine they are at the centre of the medical universe. Read More

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[Male or female general practitioner; do patients have a preference?]

Ned Tijdschr Geneeskd 2019 Jan 14;163. Epub 2019 Jan 14.

Erasmus MC, afd. Inwendige Geneeskunde, Rotterdam.

Objective: To determine whether and when patients prefer a female or male general practitioner (GP).

Design: Questionnaire survey.

Method: A total of 24,430 patients registered in the Care Panel [Zorgpanel] of the Dutch patient federation [Patiëntenfederatie Nederland] received an e-mail with a questionnaire. Read More

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January 2019
3 Reads

[Application of new glucose lowering drugs: DPP-4 inhibitors, GLP-1 receptor agonists and SGLT-2 inhibitors].

Ned Tijdschr Geneeskd 2019 Jan 14;163. Epub 2019 Jan 14.

Nederlands Huisartsen Genootschap, Utrecht.

A comprehensive review of the literature on DPP-4 inhibitors, GLP-1 receptor agonists and SGLT-2 inhibitors has resulted in small changes to the medication roadmap of the type 2 diabetes mellitus standard of the Dutch College of General Practitioners. SGLT-2 inhibitors and GLP-1 receptor agonists may have benefits related to cardiovascular outcomes in patients with high cardiovascular risk, especially in those who have experienced a cardiovascular event. However, ascribing effectiveness related to cardiovascular outcomes on the basis of a single cardiovascular safety trial is premature. Read More

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January 2019
1 Read

[Paroxysmal hypothermia in multiple sclerosis].

Ned Tijdschr Geneeskd 2019 Jan 14;163. Epub 2019 Jan 14.

MS Centrum Amsterdam, Amsterdam UMC, locatie VUmc, afd. Neurologie.

Background: Multiple sclerosis (MS) can be accompanied by paroxysmal symptoms. These are diverse in nature and often not well known.

Case Description: In the emergency department, we repeatedly saw a 49-year-old man with secondary progressive MS with recurrent episodes of hypothermia, loss of consciousness, thrombocytopenia and worsening of pre-existing neurological deficits. Read More

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January 2019
2 Reads

[Acute fatty liver of pregnancy].

Ned Tijdschr Geneeskd 2019 Jan 14;162. Epub 2019 Jan 14.

Ziekenhuis Gelderse Vallei, afd. Gynaecologie & Verloskunde, Ede.

Background: Acute fatty liver of pregnancy (AFLP) is a rare complication of pregnancy which is potentially fatal to mother and child.

Case Description: A primigravida at term with gestational diabetes presented at hospital complaining mainly of nausea and vomiting. Test results were consistent with acute fatty liver of pregnancy (AFLP). Read More

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January 2019
4 Reads

[Towards personalized treatment of type 2 diabetes].

Authors:
Erik Serné

Ned Tijdschr Geneeskd 2019 Jan 14;163. Epub 2019 Jan 14.

Amsterdam UMC, afd. Vasculaire Geneeskunde en Diabetes Centrum.

The purpose of type 2 diabetes treatment is to reduce the risk of diabetic complications and, as a result, improve the quality and, possibly, quantity of life. This requires control of blood glucose levels and cardiovascular risk factor management in a patient-centred approach. Careful consideration of patient factors and preferences helps the process of individualising treatment strategies and goals. Read More

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January 2019
1 Read

[Chronic diarrhoea in daily practice; article for education and training purposes].

Ned Tijdschr Geneeskd 2019 Jan 14;163. Epub 2019 Jan 14.

Haaglanden Medisch Centrum, afd. Maag-, Darm- en Leverziekten, Den Haag.

Chronic diarrhoea occurs in patients of all ages and is a very common reason for patient visits to a general practitioner or medical specialist. The differential diagnosis of chronic diarrhoea is extensive and identification of the underlying cause can be challenging. In this article we answer 12 topical questions concerning the management of chronic diarrhoea in practice. Read More

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January 2019
1 Read

[Amendments of medical disciplinary law].

Authors:
Johan Legemaate

Ned Tijdschr Geneeskd 2019 Jan 3;163. Epub 2019 Jan 3.

Amsterdam UMC, locatie AMC, afd. Sociale Geneeskunde: prof.mr. J. Legemaate, gezondheidsjurist.

In the first half of 2019, the Dutch medical disciplinary law will be amended. Changes include court fees to be paid by people filing complaints, the introduction of an information officer and the possibility to order a health professional to stop his activities during disciplinary proceedings. Some of these amendments are mainly intended to prevent 'complaints of minor importance' from being filed with the disciplinary court. Read More

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January 2019
5 Reads

[A recrute with blisters on the cheek].

Ned Tijdschr Geneeskd 2019 Jan 3;163. Epub 2019 Jan 3.

Rijnstate, afd. Heelkunde, Arnhem.

A 37-year-old recrute in the Royal Dutch Army developed blisters on the right cheek approximately 30 minutes after a boot camp exercise in the mangroves of the island of Curaçao. This bullous dermatitis was caused by direct contact with sap from the bark of the manzanilla tree (Hippomane mancinella). As a member of the family Euphorbiaceae, all parts of this tree are highly toxic. Read More

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January 2019
2 Reads

[Changes of little consequence].

Authors:
Martin Appelo

Ned Tijdschr Geneeskd 2019 Jan 3;163. Epub 2019 Jan 3.

Den Andel.

In this article, I explain why the amendments to Dutch disciplinary law, as summarised by Professor Johan Legemaate, are absolutely insufficient to obtain the central goal of this law: improving the quality of professional health care. Dutch disciplinary law is inflexible and creates an atmosphere of anxiety and repression in which positive developments are impossible. This is why this law should be subjected to a comprehensive and fundamental revision. Read More

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January 2019
3 Reads

[A newborn with abdominal distention and bilious vomiting].

Ned Tijdschr Geneeskd 2019 Jan 9;163. Epub 2019 Jan 9.

Maastricht UMC+, afd. Neonatologie.

A newborn girl presented within the first 24 hours after birth with a distended abdomen and bilious vomiting. These symptoms resolved spontaneously after a contrast enema, which showed obstruction of the left colon. This finding and the fact that the mother had been diagnosed with gestational diabetes mellitus led to the diagnosis of neonatal small left colon syndrome. Read More

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January 2019
1 Read

[Dynamic compression brace for pectus carinatum: 5 years on].

Ned Tijdschr Geneeskd 2019 Jan 9;163. Epub 2019 Jan 9.

Amsterdam UMC, locatie AMC-UvA, afd. Kinderchirurgie.

Pectus carinatum is a congenital chest-wall deformity with a prevalence of 0.3-0.7%. Read More

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January 2019
3 Reads

[An out-patient clinic for filler complications].

Ned Tijdschr Geneeskd 2019 Jan 3;163. Epub 2019 Jan 3.

Erasmus MC, afd. Dermatologie, Rotterdam.

The use of fillers for cosmetic improvement is increasing. As a result, the number of complications is rising too. Being confronted with facial nodules of unknown origin, many doctors who are not involved in cosmetic medicine are not inclined to consider filler complication as part of a differential diagnosis. Read More

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January 2019
2 Reads

[A man with a painful shoulder and numb hand].

Ned Tijdschr Geneeskd 2019 Jan 3;163. Epub 2019 Jan 3.

Diakonessenhuis, afd. Chirurgie.

A 57-year-old man suffered from an anterior luxation of the left shoulder with a dislocated fracture of the greater humeral tubercle after a fall. His left hand was cold, numb and no arterial pulsations could be detected. After shoulder reposition, the hand became warmer and the numbness disappeared. Read More

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January 2019
2 Reads

[Proximal humerus fractures; conservative or surgical treatment?]

Ned Tijdschr Geneeskd 2019 Jan 3;163. Epub 2019 Jan 3.

Luzerner Kantonsspital, afd. Traumachirurgie, Luzern, Zwitserland.

There is an increasing incidence of proximal humerus fractures. Patients with proximal humerus fractures have traditionally been treated conservatively. During the past decades, however, various new osteosynthetic and prosthetic implants have been developed for the shoulder and surgical treatment of proximal humerus fractures has increased. Read More

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January 2019
1 Read

[A marathon runner with rhabdomyolysis].

Ned Tijdschr Geneeskd 2019 Jan 9;163. Epub 2019 Jan 9.

Erasmus MC, afd. Spoedeisende Hulp, Rotterdam.

Background: Serious complications after running a marathon are relatively rare. We saw a patient at the emergency department (A&E) who developed acute renal failure as a result of rhabdomyolysis after excessive exertion.

Case Description: A 31-year-old, healthy male was referred to the A&E by the GP service two days after running a marathon because of a CK level of 131,900 U/l. Read More

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January 2019
5 Reads

[An adolescent with knee pain].

Ned Tijdschr Geneeskd 2019 Jan 7;163. Epub 2019 Jan 7.

Gelre ziekenhuizen, afd. Orthopedie, Apeldoorn.

A 16-year-old male presented with acute knee pain due to focal periphyseal oedema of the distal femur. This is a physiological reaction during skeletal maturation. Read More

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January 2019
2 Reads