Ugeskrift for laeger
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Ugeskrift for laeger · Aug 1999
Case Reports[Acute hemolytic anemia caused by glucose-6-phosphate dehydrogenase deficiency].
Glukose-6-phosphate dehydrogenase (G6PD) is essential in protecting the red cell from oxidative damage. We report a case of acute haemolysis in a child with G6PD deficiency. ⋯ Acute haemolytic attacks are induced by certain drugs, by infections or, in the Mediterranean variant, by ingestion of fava beans (favism). Increased awareness of this condition is necessary in Denmark because of increased immigration.
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Ugeskrift for laeger · Aug 1999
[Many patients treated in the emergency department could be treated by a general practitioner on call].
Misuse of accident and emergency (A&E) departments is a problem throughout the world. Staffing A&E departments with general practitioners has been reported as successful in a few prospective studies. A medical audit of all A&E charts during one week was carried out. ⋯ There was substantial agreement between audit-panel groups that 57% of attenders could visit the general practitioner instead. Ten percent of attenders received no treatment in the A&E department, but were transferred to other departments within the hospital. It is concluded that two-thirds of the A&E department attenders could have visited the general practitioners instead, for treatment or for referral to the relevant hospital department.
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Hypothenar Hammer Syndrome (HHS) is a rare injury. It usually occurs in the dominant hand of middle-aged men whose occupational or recreational activities require the use of the hypothenar of the hand as a hammer. ⋯ Ultrasound duplex and colour scanning revealed an aneurysm with thrombosis of the ulnar artery adjacent to the hook of the hamate. Ligation of the ulnar artery was performed which eliminated the flow in the pseudoaneurysm and prevented further microembolisation to the fingers.
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Ugeskrift for laeger · Aug 1999
Editorial Comparative Study[Equal access to health care for immigrants and refugees?].