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In Reply. 在回答。
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3238/arztebl.m2024.0199
Nils Schulz
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引用次数: 0
Movement-Induced Throat Irritation in Sternoclavicular Dislocation. 胸锁关节脱位的运动性咽喉刺激。
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3238/arztebl.m2024.0103
Cornelius Sebastian Fischer, Tina Histing, Gabriel Keller
{"title":"Movement-Induced Throat Irritation in Sternoclavicular Dislocation.","authors":"Cornelius Sebastian Fischer, Tina Histing, Gabriel Keller","doi":"10.3238/arztebl.m2024.0103","DOIUrl":"https://doi.org/10.3238/arztebl.m2024.0103","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"121 22","pages":"753"},"PeriodicalIF":6.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Methemoglobinemia After Accidental Dermal Absorption of P-Chloroaniline. 皮肤意外吸收对氯苯胺后的高铁血红蛋白血症。
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3238/arztebl.m2023.0279
Bernd Herber
{"title":"Methemoglobinemia After Accidental Dermal Absorption of P-Chloroaniline.","authors":"Bernd Herber","doi":"10.3238/arztebl.m2023.0279","DOIUrl":"https://doi.org/10.3238/arztebl.m2023.0279","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"121 22","pages":"755"},"PeriodicalIF":6.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Differential Diagnosis of Leg Ulcers. 腿部溃疡的鉴别诊断。
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3238/arztebl.m2024.0133
Joachim Dissemond, Jan-Malte Placke, Maurice Moelleken, Knut Kröger

Background: Chronic wounds on the leg (below the knee) are called leg ulcers. They have many causes, and thus patients with leg ulcers are treated by many different kinds of medical specialist. Appproximately 80% of sufferers have chronic venous insufficiency (CVI) and/ or peripheral arterial occlusive disease (PAOD). Knowledge of the relevant differential diagnoses is important for appropriate treatment, particularly for patients with atypical findings or an intractable course.

Methods: This article is based on publications retrieved by a selective search in PubMed, including current guidelines and expert recommendations.

Results: The diagnostic evaluation of a leg ulcer can be structured according to the ABCDE rule. This involves individualized, targeted history-taking (anamnesis); bacteriological testing; clinical exami - nation; ancillary testing, particularly for perfusion (defective vascular system); and extras, such as biopsies. Specifically, we present in this article the main aspects of the complex diagnostic evaluation of venous leg ulcers, arterial leg ulcers, vasculitis, vasculopathy, calciphylaxis, pyoderma gangrenosum, necrobiosis lipoidica, ecthyma, and squamous cell carcinoma. There remain many unsolved problems, including interactions between the various areas of clinical treatment and the relative paucity of relevant highquality research.

Conclusion: A timely differential-diagnostic evaluation for the many diseases that can cause leg ulcers, which require treatment from representatives of many different medical specialties and health professions, is a prerequisite for their effective individualized treatment.

背景介绍腿部(膝盖以下)的慢性伤口称为腿部溃疡。造成腿部溃疡的原因很多,因此腿部溃疡患者需要接受多种专科治疗。约 80% 的患者患有慢性静脉功能不全(CVI)和/或外周动脉闭塞症(PAOD)。了解相关的鉴别诊断对于适当的治疗非常重要,尤其是对于检查结果不典型或病程顽固的患者:本文基于在PubMed上选择性检索的出版物,包括现行指南和专家建议:结果:腿部溃疡的诊断评估可根据 ABCDE 规则进行。这包括个性化、有针对性的病史采集(病史);细菌学检测;临床检查;辅助检查,尤其是灌注检查(血管系统缺陷);以及额外检查,如活检。具体而言,我们将在本文中介绍对腿部静脉溃疡、腿部动脉溃疡、血管炎、血管病变、钙化病、坏疽性脓皮病、类脂样坏死、外伤性溃疡和鳞状细胞癌进行复杂诊断评估的主要方面。目前仍有许多问题尚未解决,包括不同临床治疗领域之间的相互作用以及相关的高质量研究相对较少:结论:及时对可能导致腿部溃疡的多种疾病进行鉴别诊断评估是有效进行个性化治疗的先决条件。
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引用次数: 0
Sometimes Less Is More. 有时候少即是多。
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3238/arztebl.m2024.0140
Nicolaus Dahlmann, Dietrich Klingmüller
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引用次数: 0
The Caseload Requirement for Renal Transplantation—An Analysis of German Hospital Quality Assurance Data from 2013–2021. 肾移植的病例量需求——2013-2021年德国医院质量保证数据分析
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3238/arztebl.m2024.0139
Philipp Reimold, Cem Aksoy, Jonas Beckmann, Aristeidis Zacharis, Christer Groeben, Philipp Karschuck, Nicole Eisenmenger, Josef Geks, Rainer Koch, Luka Flegar, Johannes Huber
{"title":"The Caseload Requirement for Renal Transplantation—An Analysis of German Hospital Quality Assurance Data from 2013–2021.","authors":"Philipp Reimold, Cem Aksoy, Jonas Beckmann, Aristeidis Zacharis, Christer Groeben, Philipp Karschuck, Nicole Eisenmenger, Josef Geks, Rainer Koch, Luka Flegar, Johannes Huber","doi":"10.3238/arztebl.m2024.0139","DOIUrl":"https://doi.org/10.3238/arztebl.m2024.0139","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"121 22","pages":"746-747"},"PeriodicalIF":6.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Reply. 在回答。
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3238/arztebl.m2024.0085
Susanne Singer
{"title":"In Reply.","authors":"Susanne Singer","doi":"10.3238/arztebl.m2024.0085","DOIUrl":"https://doi.org/10.3238/arztebl.m2024.0085","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"121 22","pages":"752-753"},"PeriodicalIF":6.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Not Enough Information. 信息不足。
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3238/arztebl.m2024.0198
Stephan Knipping
{"title":"Not Enough Information.","authors":"Stephan Knipping","doi":"10.3238/arztebl.m2024.0198","DOIUrl":"https://doi.org/10.3238/arztebl.m2024.0198","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"121 22","pages":"756"},"PeriodicalIF":6.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emphysema Following Dissection of the Glottic Synechia in Concealed Anterior Laryngeal Cleft. 隐蔽性喉前裂声门粘连解剖后的肺气肿。
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-18 DOI: 10.3238/arztebl.m2024.0076
Philipp P Caffier, Dirk Mürbe, Tadeus Nawka
{"title":"Emphysema Following Dissection of the Glottic Synechia in Concealed Anterior Laryngeal Cleft.","authors":"Philipp P Caffier, Dirk Mürbe, Tadeus Nawka","doi":"10.3238/arztebl.m2024.0076","DOIUrl":"https://doi.org/10.3238/arztebl.m2024.0076","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"121 21","pages":"695"},"PeriodicalIF":6.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Prevalence of Cystic Fibrosis—a Comparison of Patient Registry Data and Billing Data Within the German Statutory Health Insurance System. 囊性纤维化的患病率——德国法定健康保险系统内患者登记数据和计费数据的比较。
IF 6.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-18 DOI: 10.3238/arztebl.m2024.0126
Lutz Naehrlich, Christian Gallowitz, Manuel Burkhart, Diana Kurch-Bek
{"title":"The Prevalence of Cystic Fibrosis—a Comparison of Patient Registry Data and Billing Data Within the German Statutory Health Insurance System.","authors":"Lutz Naehrlich, Christian Gallowitz, Manuel Burkhart, Diana Kurch-Bek","doi":"10.3238/arztebl.m2024.0126","DOIUrl":"https://doi.org/10.3238/arztebl.m2024.0126","url":null,"abstract":"","PeriodicalId":11258,"journal":{"name":"Deutsches Arzteblatt international","volume":"121 21","pages":"712-713"},"PeriodicalIF":6.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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