Nederlands tijdschrift voor geneeskunde
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We admitted a 43-year-old comatose man with known liver cirrhosis and hyperintense subarachnoid spaces on brain CT, suggestive of subarachnoid hemorrhage. He died shortly thereafter. Autopsy did not show signs of subarachnoid hemorrhage, but revealed extensive cerebral edema. Pseudo-subarachnoid hemorrhage due to metabolic disturbances was diagnosed.
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A 89-year-old woman came to the hospital with abdominal pain, vomiting and melaena. A CT-scan showed the complaints were caused by a hernia obturatoria incarcerata. After surgery the woman recovered uneventfully.
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Ned Tijdschr Geneeskd · Jan 2011
Case Reports[A young child with respiratory acidosis and hypoxia from mechanical ventilation with equipment made for adults].
During mechanical ventilation of young children, problems may arise due to the additional dead space of the ventilation circuit. This may lead to respiratory acidosis and even hypoxia in the child. ⋯ As a rule of thumb, an additional dead space of 1.5-2 ml/kg body weight is acceptable in young children. Emergency wards for young children should have specific equipment to mechanically ventilate them, and have a protocol paying explicit attention to the dead space.
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Ned Tijdschr Geneeskd · Jan 2011
[Multimorbidity and comorbidity in the Dutch population--data from general practices].
To present an overview of the prevalence of multimorbidity and comorbidity of chronic diseases in the Dutch population. ⋯ Multimorbidity was identified in over two-thirds of the elderly with frequently occurring chronic diseases. Comorbidity encompassed many different combinations of chronic diseases. In light of an ageing population, multimorbidity should increasingly be taken into account when delivering healthcare, in medical research and in defining healthcare policies.
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A 50-year-old woman developed Mees' lines on her nails after chemotherapy for infiltrating lobulair carcinoma of the breast.