Acta clinica Croatica
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Acta clinica Croatica · Mar 2010
Historical ArticleMedical expertise as a historical phenomenon and academic discipline.
Based on secondary literature, a survey of particular forms of medical expertise over history is presented. The state-to-individual interaction in terms of personality and physical integrity protection, health care, etc., was observed. It was only after the 16th century that the development of anatomy was found to have become a decisive argument for convincing expertise in various trials. ⋯ During centuries, medical expertise has been formed in conjunction with advances in medicine and science, and with the development of civil society. Medical expertise had gradually grown into a multidisciplinary field requiring high professionalism, ethical approach, continuous training and collaboration with various professions. This resulted in a compact and polyvalent discipline, in Croatia gradually formed as a special course in medical curriculum.
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Acta clinica Croatica · Mar 2010
Case ReportsWellens' syndrome in a female patient presenting to emergency room after resolving exercise-induced chest pain.
Wellens' syndrome, also known as the left anterior descending (LAD) coronary T wave syndrome, is a potentially under-recognized syndrome in emergency room, which can have potentially fatal consequences. It usually consists of typical electrocardiography (ECG) finding in precordial leads that represents significant stenosis of the proximal LAD. Although the syndrome is not included in indications for primary percutaneous coronary intervention (patients with typical ECG findings are usually pain free at the time of recording), every patient with suspicion of typical Wellens' syndrome should be seen by interventional cardiologist and considered for emergency cardiac catheterization. A case is reported of a patient with no previous medical history of coronary disease and with only one risk factor for cardiovascular disease that presented to emergency room with typical Wellens' syndrome.
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Acta clinica Croatica · Mar 2010
Detecting Baker's cyst: venous duplex scanning in ambulatory setting.
Popliteal cyst, also called Baker's cyst, is a popliteal fossa enlargement filled with synovial fluid. Baker's cysts can be symptomatic and cause considerable pathologies such as thrombophlebitis, compartment syndrome and even nerve entrapment. It is the most common nonvascular pathology seen in the popliteal fossa but clinically indistinguishable from deep vein thrombosis. ⋯ Baker's cysts are a rather common condition. When presenting with swollen and painful calf, it is impossible to differentiate it from deep vein thrombosis by simple clinical examination. Venous duplex scanning of lower extremity was found to be a useful imaging modality for detection of Baker's cysts, deep vein thrombosis and associated pathology.
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Acta clinica Croatica · Mar 2010
Biography Historical ArticleSestre milosrdnice University Hospital. Historical review.