Ugeskrift for laeger
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All patients with pain who are admitted to hospitals in Denmark must be assessed for levels of pain. However, it is not certain how pain should be measured. ⋯ Furthermore, other suitable methods are compared with VAS. VAS is particularly useful for clinical research, but for daily clinical practice it may be easier to use a numeric rating scale.
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Ugeskrift for laeger · Jun 2013
Case Reports[Survival after oral poisoning with insecticide against moles containing aluminium phosphide].
A 31-year-old man presented with abdominal pain and vomiting with a smell of garlic and rotten fish. He was brought to the ER being circulatory affected, metabolic acidotic and he developed more episodes of arrhythmia. ⋯ Treatment is symptomatic. To avoid contamination of the staff is it important to use air-tight containers for excretions and furthermore to use chemical clothing and breathing protection.
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Ugeskrift for laeger · Jun 2013
Case Reports[Poisoning with aluminumphosphide can be life-threatening for patients as well as health professionals].
Aluminumphosphide (AlP) is used worldwide as a rodenticide. Exposed patients are rare in northern Europe due to restricted use. ⋯ The treatment is symptomatic and no antidote is available. We present a case story of an intended poisoning in which initial treatment was postponed until proper safety measures for health professionals were available.
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Cirrhosis, ascites and renal impairment are associated with high morbidity and mortality. The hepatorenal syndrome (HRS) is a type of renal failure that affects patients with cirrhosis and ascites. This paper provides an update on evidence-based interventions in HRS. ⋯ The monitoring, prevention, early detection, and correct treatment of these are essential. Terlipressin combined with albumin is the first-line treatment of type 1 HRS. In type 2 HRS with refractory ascites, liver transplantation and TIPS should be considered.
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Abscesses of the tongue are rare and potentially life-threatening because of risk of airway obstruction. It is most often preceded by trauma. In this paper we present an otherwise healthy patient with an abscess in the tongue eleven days after a trauma involving the presence of an insect believed to be a spider in the mouth. ⋯ A computed tomography was used as a diagnostic tool. The abscess was successfully treated with incision and antibiotics. Abscess should be considered as a differential diagnosis in patients presenting with a swollen tongue.