Duodecim; lääketieteellinen aikakauskirja
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Balanitis, phimosis and foreskin adhesions are common indications for foreskin surgery during childhood. In phimosis, the foreskin cannot be drawn behind the glans penis because of the narrow external opening of the former. It is important to be able to distinguish between physiologic and pathologic phimosis, since their treatment is different. In adulthood, the need for surgery can be caused by phimosis, a difficult sequel of paraphimosis, recurrent inflammations of the glans penis and foreskin, diseases and cancers of the skin as well as difficulties at intercourse due to the shortness of the frenulum of the prepuce of the penis.
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The determination of troponin from a blood sample is the most sensitive means to prove a recent myocardial injury. An elevating troponin level associated with acute coronary syndrome indicates an increased risk of death and reinfarction, serving as an indication for an invasive investigation of coronary anatomy. ⋯ The use of troponin should be focused on situations involving a suspicion of myocardial ischemia on clinical grounds. We analyzed the causes of an elevated troponin level from the emergency discharge diagnoses of 301 patients referred to internal medicine emergency.