Ugeskrift for laeger
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Ugeskrift for laeger · Nov 2013
Review[The perioperative management of myasthenia gravis patients].
Myasthenia gravis (MG) is a disease affecting the acetylcholine receptor in the neuromuscular junction. Symptoms of MG are muscle weakness and fatigue. ⋯ Most anaesthetic drugs are well tolerated by MG patients, but benzodiazepines and opiates may only be used with caution. For neuromuscular blockade rocuronium seems to be the best choice as it can be antagonized with sugammadex at end of the surgical procedure.
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Ugeskrift for laeger · Nov 2013
Review[The frequencies of both urinary tract infection and asymptomatic bacteriuria increase with age].
Urinary tract infection is common in the elderly, and the prevalence increases with age due to pathological changes in the urinary tract and common use of bladder catheter. The increasing incidence of asymptomatic bacteriuria, together with fewer classical dysuria symptoms complicates the diagnosis in the elderly. ⋯ Treatment duration is seven days; 14 days in patients with pyelonephritis. Adverse effects are notably higher in the elderly.
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Ugeskrift for laeger · Nov 2013
Review[Malfunction of the inner ear is the most frequent cause of dizziness].
Half of all dizziness patients suffer from a malfunction of the inner ear and benign paroxysmal positional vertigo causes 25-30% of these malfunctions. During the latest two decades new vestibular test equipment has been developed and has made it possible to refine the vestibular diagnoses and consequently treat patients more efficiently. This brief overview describes the benefit of Epley's Omniax Chair, video head impulse tests and the Vestibular Autorotation Test. The need for vestibular rehabilitation programmes and for a closer collaboration between physicians and the social authorities is pointed out.