Geburtsh Frauenheilk
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Geburtsh Frauenheilk · May 1992
Case Reports[Continuous ambulatory intravenous morphine infusion for pain therapy in advanced ovarian cancer].
We report on a female outpatient with cancer of the ovary, who received continuous intravenous morphine infusion for terminal pain control. The patient was treated over a period of 48 days with a morphine dosage ranging from 10 to 60 mg/h, which kept her free of pain. ⋯ At a later stage, we complemented the treatment with Diazepam and Haloperidol. No side-effects were observed over the whole period of morphine infusion.
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Geburtsh Frauenheilk · May 1992
Case Reports["Hospital tourism". Case report of Munchausen syndrome].
We report on a 29-year old patient, who was treated as an inpatient in 95 different hospitals (altogether 173 times) within 7 years. The gynaecologist can suspect Münchausen's syndrome, if the following aspects are recorded: dramatic clinical admissions patterns, (frequently out of the normal consultation time); a history of several operations and many short stays in different hospitals. Special care in diagnostics should be taken to avoid further unnecessary surgical interventions.