Nederlands tijdschrift voor geneeskunde
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A 51-year old male was admitted to the hospital with complaints of fever, a productive cough and exercise-related shortness of breath. These complaints were caused by a pneumatocele, which was successfully treated with antibiotics.
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An 82-year-old woman presented with dyspnoea and palpitations. The patient was admitted to the cardiology ward on suspicion of atrial fibrillation and reduced cardiac output. Examination revealed position-dependent deoxygenation. ⋯ Curative treatment consisted of percutaneous closure of the foramen ovale. A persistent asymptomatic foramen ovale is common and can be revealed in later life. Platypnea-orthodeoxia syndrome is a relatively unfamiliar disorder.
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Ned Tijdschr Geneeskd · Jan 2010
Case Reports[Diagnostic image. A man with tongue deviation following a motorcycle accident].
A 49-year-old man complained of headache, dysarthria and difficulty in swallowing following a motorcycle accident. He had a tongue deviation to the right due to a traumatic lesion of the right hypoglossal nerve which was caused by a right occipital condyle fracture.
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Ned Tijdschr Geneeskd · Jan 2010
['Advanced triage' improves patient flow in the emergency department without affecting the quality of care].
To investigate whether 'advanced triage' improved patient flow among self-referred patients in the emergency department of a level 1 trauma centre and, most importantly, whether the quality of medical care was maintained. In advanced triage, the triage nurse initiates additional diagnostic investigations independently. ⋯ The implementation of advanced triage improved patient flow for self-referred patients in the emergency department without affecting the quality of medical care. Advanced triage was successful in the Dutch system, too.
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A 4-year-old boy visited the emergency department with a painful foot. We diagnosed osteochondrosis of the tarsal navicular, also known as Köhler's disease. The patient was successfully treated with a plaster bandage for 4 weeks.