Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Percutaneous drainage of abdominal abscesses has proved to be one of the most successful and gratifying of all interventional radiology procedures. Collections of intra-abdominal fluid can be detected easily with computer tomography and sonography. Diagnostic aspiration is done under guidance of sonography or computer tomography. ⋯ The procedure is carried out under local anaesthesia. Most complications are minor and can be treated conservatively. Coagulation abnormalities must be corrected, but there are no other contraindications to these image-guided percutaneous procedures.
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Tidsskr. Nor. Laegeforen. · Sep 1994
Review[Polymyalgia rheumatica and temporal arteritis. New aspects of diagnosis, treatment, prognosis and risk of cancer].
The incidence of polymyalgia rheumatica and temporal arteritis is increasing, mainly in elderly people. The risk of cancer during a lifetime is high in patients with positive biopsy of the temporal artery, but polymyalgia rheumatica and temporal arteritis are not to be considered as paraneoplastic syndromes. Temporal arteritis can appear in patients under treatment for polymyalgia rheumatica, and polymyalgia rheumatica can be accompanied by arthritis. Various new aspects of diagnoses and treatment are discussed.
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Tidsskr. Nor. Laegeforen. · Sep 1994
Case Reports[Delirium (acute confusion) among elderly patients after admission to a medical department].
Delirium is a common mental disorder among the elderly. In this study we examined the prevalence of delirium among patients older than 75 years of age who had been admitted to an acute medical ward. 14 of 58 patients (24%) received a diagnosis of delirium. ⋯ The large number of possibly contributing factors precludes a definite conclusion regarding precipitating factors. Mini-Mental State Examination, which is a commonly used screening-instrument for detecting cognitive impairment, was of minor value in detecting delirium.
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Tidsskr. Nor. Laegeforen. · Aug 1994
[Patients with burns admitted to hospitals in 1992. Fewer cases and shorter length of stay also in Norway?].
Patients admitted for care of acute burns in Norway in 1992 were compared with patients in an earlier national survey in 1977. In 1992, 635 patients were admitted for acute burns in Norway, 20% less than in 1977. 8,975 hospital days were spent on care of acute burns, a 45% reduction compared with 1977. 58 patients (10% of all burn cases admitted to hospital) were referred to the National Burn Centre in Bergen. ⋯ Despite a moderate reduction in the total number of burns we found no evidence of a significant reduction in the number of severe burns. To achieve optimal functional and cosmetic results, extensive burns still deserve the special care offered in a regional Burn Centre.
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We review techniques and approaches used in the resuscitation of newborns. Charts and tables are provided with respect to what equipment is needed, length of catheter and tube, and drug doses. ⋯ This training is an integral part of quality control measures. The present article is intended as an aid in the training of medical personnel, and may be used to support other means of instruction such as audiotapes, videotapes, lectures, and hands-on exercises.