Nederlands tijdschrift voor geneeskunde
-
Ned Tijdschr Geneeskd · Oct 2007
[Prospective comparison of the flow chart for laboratory investigations for anaemia from the Dutch College of General Practitioners' guideline 'Anaemia' with a self-developed, substantive and logistical alternative flow chart].
To compare the flow diagram for the diagnosis of anaemia from the guideline 'Anaemia' from the Dutch College of General Practitioners (NHG) with a substantive and logistical alternative protocol. ⋯ Using the NHG flow diagram a large percentage of patients could not be assigned to a particular category. Using the alternative flow diagram, which procedure is easier to carry out in the laboratory, it was possible to make multiple diagnoses.
-
Ned Tijdschr Geneeskd · Oct 2007
Case Reports[Limping in toddlers due to disorders of the spine and spinal cord].
Limping is a frequent symptom during childhood and can be caused by a variety ofdiseases, the most common causes being trauma and infections of the bones or joints. The authors describe three cases of limping in toddlers caused by infrequent spinal diseases. The toddlers presented with limping without a preceding trauma. ⋯ In the last patient, a 19-month-old girl, the limping was caused by an intraspinal intramedullary astrocytoma. She recovered after partial resection of the tumour. In young children presenting with limping, diagnoses involving the spine should also be considered because early intervention can influence the prognosis favourably.
-
Ned Tijdschr Geneeskd · Oct 2007
Comment[A flow chart for the laboratory diagnosis of anaemia as requested by general practice].
Anaemia is a common problem in primary care. It can be a symptom of an underlying disease such as a malignancy, and should therefore not be ignored. The diagnosis of anaemia is laboratory-based and is defined as a haemoglobin concentration below the lower reference value. ⋯ In general practice, the initial diagnosis of anaemia could be based on a reliable haemoglobin measurement which would establish if anaemia is or is not present. Consequently, a simple laboratory diagnosis algorithm could be applied to frequently occurring causes of anaemia, such as iron deficiency. Should the cause be a rarer one, then a specialist should be consulted.
-
Ned Tijdschr Geneeskd · Oct 2007
Biography Historical Article[Dirk Klinkert, editor-in-chief of the Dutch Journal of Medicine January 1947-July 1947].
Dirk Klinkert (1882-1947) was a general practitioner in Rotterdam. From 1930 onwards he edited a series of books for general practitioners called Aanwinsten op diagnostisch en therapeutisch gebied [Improvements in the realm ofdiagnostics and therapeutics]. Shortly after he was appointed editor-in-chief of the Nederlandsch Tijdschrift voor Geneeskunde (Dutch Journal of Medicine) in 1947 at the age of 65, he proved to be terminally ill. He died 6 months later and remains the shortest-reigning editor-in-chief in the history of the Journal to date.