Ugeskrift for laeger
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The purpose of this article was to review the existing evidence on emergency treatment of chemical eye burns. Clinical studies show that patients receiving prompt eye irrigation after chemical burns had a significantly better clinical outcome. ⋯ Two of three studies showed that tap water significantly lowered pH as well, but only if it was administered within 60 seconds after exposure. Saline, however, did not cause any significant decrease in pH at all.
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Ugeskrift for laeger · Dec 2013
Case Reports[Caecal diverticulitis in a young woman with suspected acute appendicitis].
Colonic diverticular disease is common amongst the western population in the left hemicolon while right-sided involvement is rare. This case concerns a 20-year-old female, who was hospitalized with suspected acute appendicitis. ⋯ Histopathological examinations revealed a single inflamed diverticulum of the caecum. The case illustrates the pre- and perioperatively differential diagnostic problems of caecal diverticulitis, which can lead to more radical surgery than needed.
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Ugeskrift for laeger · Dec 2013
Case Reports[Left-sided appendicitis due to intestinal malrotation].
Left-sided appendicitis due to malrotation is a rare condition with an atypical presentation. We report a history of a 31-year-old man who had four days of right-sided abdominal pain, moving across lower abdomen and tenderness in both right and left side on examination. ⋯ Appendix was removed and the patient recovered uneventfully. Presentations, diagnostic procedures and operation techniques are discussed.
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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.