Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Apr 1995
[Chronic arthralgia: not a precursor of rheumatoid arthritis, but part of fibromyalgia syndrome].
To determine the characteristics and the course of chronic arthralgia (CA) and the differences from newly diagnosed rheumatoid arthritis (RA). ⋯ CA for more than 3 years does not predict inflammatory rheumatic disease. In contrast, RA develops in a short period and the diagnosis is made in 96% within 1 year. CA can be considered a feature of the fibromyalgia syndrome.
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Ned Tijdschr Geneeskd · Feb 1995
Case Reports[Trans-esophageal contrast echocardiography in suspicion of paradoxal embolism].
In two patients, women of 35 and 74 years old, paradoxical embolism was diagnosed. Patient A presented with multiple pulmonary embolism. Transoesophageal echocardiography demonstrated a thrombus mass which protruded from the right atrium through a patent foramen ovale into the left atrium: explicit proof of the possibility of paradoxical embolism. ⋯ During hospitalisation multiple pulmonary embolism occurred. With the use of transoesophageal contrast echocardiography a patent foramen ovale was observed, the probable cause of paradoxical embolism. Both patients were treated with intravenous heparin and oral anticoagulants.
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Ned Tijdschr Geneeskd · Feb 1995
Randomized Controlled Trial Comparative Study Clinical Trial[Less headache following lumbar puncture with the use of an atraumatic needle; double-blind randomized study].
To investigate the difference in frequency of headache after lumbar puncture with a standard needle or an atraumatic needle. ⋯ In comparison with a standard needle, there is significantly less postpuncture headache after lumbar puncture with an atraumatic needle.
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Ned Tijdschr Geneeskd · Jan 1995
Randomized Controlled Trial Clinical Trial[Diagnosis of pneumothorax not improved by additional roentgen pictures of the thorax in the expiration phase].
To evaluate whether an expiratory chest roentgenogram adds anything to the results obtained by a standard inspiratory chest roentgenogram in patients with a pneumothorax. ⋯ Expiratory chest roentgenograms are not indicated as a routine investigation for patients in whom pneumothorax is suspected.