Ugeskrift for laeger
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Ugeskrift for laeger · Apr 1999
[Treatment of delirium in a psychogeriatric university hospital department. Etiology, treatment concept and outcome].
The purposes of the study were to account for aetiology, treatment concept, outcome of treatment, and discharge destination of delirious elderly inpatients. During one year all patients in a psychogeriatric university department were assessed on admission and at discharge with a selection of assessments measuring psychopathology, behavioural disorders, depressive symptoms, intellectual functioning, activities of daily living, and gait. ⋯ Delirious patients improved their health status significantly in all the assessments, and 86% of patients admitted from independent living were discharged to independent living. It is concluded that elderly inpatients with severe or prolonged delirium profit significantly from the treatment concept in all of the rated health aspects.
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Ugeskrift for laeger · Apr 1999
Case Reports[Spigelian hernia. A case of typical Spigelian hernia in an elderly man].
A case of typical Spigelian hernia in an elderly patient successfully treated with operation is reported. A Spigelian hernia, protrusion of preperitoneal fat and peritoneal sac through the Spigelian aponeurosis, may present with uncharacteristic abdominal pain and a palpable mass along the Spigelian aponeurosis. ⋯ Ultrasound examination is a valuable diagnostic tool both in palpable and nonpalpable Spigelian hernias. The treatment is surgical, with excellent results and low risk of recurrence.
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A 71-year old man who had had severe rheumatoid arthritis for many years involving all the joints suddenly developed stridor caused by immobilisation of both the vocal cords. Arthritis of the cricoarytenoid joints of the larynx was suspected, and the patient was successfully treated with prednisolone.