Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Oct 1998
Case Reports[Fever in intensive care: keep medications in mind at all times].
In two patients, men aged 35 and 69 years admitted postoperatively to the intensive care unit, fever of unknown origin developed. One had been admitted because aspiration was suspected. ⋯ No cause for the fever was detected, but it quickly subsided after discontinuation of the amoxicillin-clavulanic acid and the norfloxacine, respectively. When encountering fever of unknown origin in intensive care patients it is always important to think of drug fever.
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Ned Tijdschr Geneeskd · Sep 1998
Comparative Study Clinical Trial[The ear thermometer; not a good replacement for the rectal thermometer].
To compare the measurements of body temperature with the tympanic infrared thermometer and the digital rectal thermometer. ⋯ The low sensitivity of the tympanic measurement to establish fever renders the tympanic infrared thermometer unsuitable for use as a fever thermometer.
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Ned Tijdschr Geneeskd · Sep 1998
Comparative Study[Migrants in family practice: their symptoms and diagnoses differ from the Dutch].
To determine to what extent Turks, Moroccans and Surinamese differ from the Dutch in health problems, while taking the impact of relevant background characteristics into account. ⋯ In some areas ethnic minorities have more health problems than Dutch patients who are comparable with them in background characteristics. This clearly suggests an 'ethnic' factor.
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Three women, aged 54, 69 and 73 years, respectively, developed diplopia together with ptosis of an upper eyelid during light exercise or fatigue or continuous; in one patient the diplopia was followed by headache and vomiting. The diagnoses made were 'intracranial aneurysm', 'myasthenia gravis' and 'temporal arteritis'. Diplopia may be a symptom of a disorder timely diagnosis and treatment of which may prevent serious consequences.