Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · May 2000
Case Reports[Hypocalcemia as a cause of reversible heart failure].
A 72-year-old woman with therapy resistant congestive heart failure presented with severe hypocalcaemia due to hypoparathyroidism after strumectomy more than 25 years before. After suppletion of calcium her complaints resolved and there was considerable improvement in left ventricular function. Our case report suggests that hypocalcaemia induced cardiomyopathy should be considered in the differential diagnosis of therapy resistant heart failure and that myocardial impairment is reversible after administration of calcium.
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Ned Tijdschr Geneeskd · May 2000
Comparative Study[Link between indication for cesarean section and need for resuscitation of the neonate].
To study the relationship between the indication for caesarean section (CS) and the need for resuscitation of the infant. ⋯ Based on the indication for a CS, a paediatrician or physician experienced in neonatal resuscitation is required for a high-risk CS (foetal malposition, placental dysfunction, foetal distress, and general anaesthesia).
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Ned Tijdschr Geneeskd · May 2000
Editorial[Terminologia anatomica: a new reference work for anatomy].
The Nomina anatomica (6th edition in 1989) was the standard anatomical nomenclature until recently. It has been succeeded by the Terminologia anatomica (TA) by resolution of the International Federation of Associations of Anatomists in 1999. By now the TA has been published as a book and on cd-rom. ⋯ The use of eponyms is discouraged, but a list of well-known ones is appended to facilitate accessibility of older literature. Relevant suggestions about amendments are eagerly awaited and a broad basis of endorsement among the medical scientific world is hoped for. This journal will adopt the TA/IAT from now on as the work of reference regarding anatomical terms.
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Three men aged 52, 60, and 38 years, complained of dysuria and recurrent cystitis. One patient mentioned pneumaturia, a feature which later appeared to be present in all three. Ultrasound examination showed air in the bladder, and demonstrated the fistulous tract in two cases. ⋯ The key to the diagnosis of enterovesical fistula is to think of it. Pneumaturia and faecaluria are pathognomonic symptoms. Both ultrasound and computed tomography may be helpful in the diagnosis.
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Ned Tijdschr Geneeskd · Apr 2000
Review[Panic disorder in patients with chest pain and palpitations: an often unrecognized relationship].
The prevalence of panic disorder in patients who present with chest pain or palpitations to a First Heart Aid setting varies in the literature between 0%-59%. In a high percentage of cases, panic disorder is not recognized by the cardiologist in patients who present initially with chest pain or palpitations. ⋯ A selective serotonin reuptake inhibitor and/or cognitive therapy appear to be good treatment of panic disorder in patients who present initially with chest pain or palpitations. A CO2 challenge test elicits the symptoms in patients with panic disorder with high sensitivity and specificity but this test has not been validated in patients who present initially with chest pain or palpitations and in whom the diagnosis 'panic disorder' is not yet established.