Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Sep 2008
Case Reports[A 68-year-old woman with iron deficiency anemia].
A 68-year-old woman with iron deficiency anemia (due to gastrointestinal bleeding) was evaluated. Over a period of two years she received iron supplementation perorally and intravenously, as well as multiple blood transfusions, but the hemoglobin level did not exceed 10 g/dL. The investigations included upper endoscopy, duodenoscopy with side optical view, ileocolonoscopy, capsule endoscopy, antegrad single-balloon enteroscopy and conventional angiography of the abdominal vessels. ⋯ The recognized treatment options are iron supplementation, proton pump inhibition and fundoplication. In our case we decided to start treatment with pantoprazole. Her hemoglobin level had normalized within an observational period of three months.
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Survivors from the Tsunami in South East Asia 2004 and their next of kin were examined during the first year after the event with respect to trauma, symptoms and function, and satisfaction with the help they had been offered. ⋯ Survivors after the Tsunami experienced substantial psychological distress at 13 months follow-up. Their relatives had similar levels of symptoms, but functioned better in general.