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[Nutri-Score : what can we tell patients about this current scientific topic?] [营养评分:我们能就这一当前的科学课题告诉患者什么?]
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2063
Emmanuelle Lüthi, Wafa Badran-Amstutz, Jacques Cornuz

Issues such as the Nutri-score is regularly in the media spotlight like those of PFAS and 5G which are discussed in a second article. The model of the physician possessing all medical knowledge is evolving. Patients now come to consultations with information from a variety of sources, some of which are exhaustive, some of which are not. How can we keep our knowledge up to date on recent scientific topics that are regularly in the spotlight and evolving? Where can we, as a healthcare professionals, find reliable, up-to-date information to discuss the subject during the consultation? This article summarizes information from a variety of solid sources, which we hope will serve as a knowledge base for your discussions.

营养评分等问题经常成为媒体关注的焦点,全氟辛烷磺酸和 5G 等问题将在第二篇文章中讨论。医生掌握所有医学知识的模式正在演变。现在,患者带着各种来源的信息前来就诊,其中有些信息详尽无遗,有些则不然。如何才能让我们的知识与时俱进,了解经常成为焦点并不断发展的最新科学课题?作为医护人员,我们在哪里可以找到可靠的、最新的信息,以便在会诊过程中讨论这一主题?本文总结了各种可靠来源的信息,希望能为您的讨论提供知识基础。
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引用次数: 0
[Red eye : common ocular pathologies in outpatient care]. [红眼病:门诊常见眼部病症]。
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2036
Ana-Camelia Vial, Diana Da Silva, Antonio Cabrera Aguilar, Sarah Grütter, Lazaros Kostantinidis, David Herren

Red eye is a common condition characterized by eye redness, often accompanied by itching, burning, pain, or discharge. This condition can be caused by a multitude of factors, ranging from minor irritations to severe infections. Red eyes are a frequent complaint in outpatient practice. Only a small percentage of patients with red eyes require urgent ophthalmological referral and treatment, while the vast majority can be managed by a general practitioner.

红眼病是一种常见病,其特征是眼睛发红,通常伴有瘙痒、烧灼感、疼痛或分泌物。造成这种症状的原因有很多,从轻微的刺激到严重的感染,不一而足。红眼病是门诊中的常见病。只有一小部分红眼病患者需要紧急转诊到眼科并接受治疗,而绝大多数红眼病患者可以由普通医生处理。
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引用次数: 0
Rappel anti-SARS-CoV-2 : important contre le Covid long. 抗严重急性呼吸系统综合症-CoV-2 号拉力赛:长期抗击 Covid 的重要手段。
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2087
Pascal Meylan
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引用次数: 0
[Nociplastic pain and associated functional disorders: Update, diagnostic tools, and communication strategies for the general practitioner]. [非痉挛性疼痛及相关功能障碍:更新、诊断工具和全科医生的沟通策略]。
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2054
Simon Carrel, Marc R Suter, Bernard Favrat, Konstantinos Tzartzas, Ioannis Kokkinakis

Nociplastic pain and associated non-pain symptoms are frequent health issues in primary care. Professionals may feel apprehensive about their management and face challenges due to the complexity and chronicity of the somatopsychic conditions. A thorough understanding of nociplastic mechanisms, associated clinical elements, and the biopsychosocial model are necessary for individualized evaluation, identifying affected patients, selecting dedicated treatments to desensitize the central nervous system, and building a solid partnership between the patient and the clinician.

非痉挛性疼痛和相关的非疼痛症状是初级保健中经常出现的健康问题。由于躯体心理症状的复杂性和长期性,专业人员在处理这些症状时可能会感到忧虑,并面临挑战。要进行个体化评估、识别受影响的患者、选择专门的治疗方法来解除中枢神经系统的敏感性,以及在患者和临床医生之间建立稳固的合作关系,就必须全面了解非躯体痉挛机制、相关临床要素和生物心理社会模型。
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引用次数: 0
[PFAS and 5G: what can we tell patients about these two current scientific topics?] [PFAS和5G:关于这两个当前的科学话题,我们能告诉患者什么?]
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2069
Emmanuelle Lüthi, David Vernez, Jacques Cornuz

Issues such as PFAS and 5G are regularly in the media spotlight like this of Nutri-Score which is discussed in a second article. The model of the physician possessing all medical knowledge is evolving. Patients now come to consultations with information from a variety of sources, some of which are exhaustive, some of which are not. How can we keep our knowledge up to date on recent scientific topics that are regularly in the spotlight and evolving? Where can we, as a healthcare professionals, find reliable, up-to-date information to discuss the subject during the consultation? This article summarizes information from a variety of solid sources, which we hope will serve as a knowledge base for your discussions.

诸如 PFAS 和 5G 等问题经常成为媒体关注的焦点,如 Nutri-Score 的问题将在第二篇文章中讨论。医生掌握所有医学知识的模式正在演变。现在,患者带着各种来源的信息前来就诊,其中有些信息详尽无遗,有些则不然。我们怎样才能让自己的知识与时俱进,了解经常成为焦点并不断发展的最新科学课题?作为医护人员,我们在哪里可以找到可靠的、最新的信息,以便在会诊过程中讨论这一主题?本文总结了各种可靠来源的信息,希望能为您的讨论提供知识基础。
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引用次数: 0
[Uremic pericarditis in a not-so-terminal chronic kidney disease]. [并非终末期慢性肾病的尿毒症性心包炎]。
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2081
Zeinabou Coulibaly, Nadine Ngatchou, James Tataw

A 90-year-old patient with chronic kidney disease (stage G4) was diagnosed with pneumonia and congestive heart failure. Despite treatment with levofloxacin and furosemide, his condition deteriorated. A CT scan of the chest revealed pericardial effusion, leading to the suspicion of uremic pericarditis. Daily hemodialysis was started, resulting in significant clinical and biological improvement. Uremic pericarditis due to accumulation of uremic toxins resulting in pericardial effusion is common in end-stage renal disease. Diagnosis is guided by clinical and paraclinical findings and a high index of suspicion. Early recognition and treatment remain critical to prevent complications even in pre-end stage renal disease.

一名 90 岁的慢性肾病患者(G4 期)被诊断出患有肺炎和充血性心力衰竭。尽管他接受了左氧氟沙星和呋塞米治疗,但病情仍然恶化。胸部 CT 扫描发现心包积液,怀疑是尿毒症性心包炎。患者开始每日进行血液透析,临床和生物学状况明显改善。尿毒症心包炎是终末期肾病的常见病,是由于尿毒症毒素蓄积导致心包积液。诊断需要临床和辅助检查结果以及高度怀疑。即使是终末期肾病前期,早期识别和治疗对于预防并发症仍然至关重要。
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引用次数: 0
[Acute abdominal pain in general practice]. [全科急性腹痛]。
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2048
Elodie Zahnd, Reda Djerdjar, Judit Soto, Michael Schneider, Charlène Mauron, Caroline Surchat

Acute abdominal pain (AAP) represents the 9th most common complaint in general practice. The etiologies are multiple: a third are non-specific, but around 10% require hospital treatment. An accurate history enables a correct diagnosis in 76% of cases, and abdominal palpation can detect a possible surgical abdomen. This article summarizes the intra- and extra-abdominal causes of AAP, the diagnostic strategies, and the most appropriate complementary examinations. It lists the most common causes in general practice, as well as their management and reviews the warning signs not to be missed.

急性腹痛(AAP)是全科最常见的第九大主诉。病因多种多样:三分之一为非特异性病因,但约有 10%需要住院治疗。准确的病史可使 76% 的病例得到正确诊断,腹部触诊可发现可能的手术腹部。本文总结了引起腹痛的腹内和腹外原因、诊断策略和最合适的辅助检查。文章列举了全科最常见的病因及其处理方法,并回顾了不容错过的警示信号。
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引用次数: 0
[Hand infections : when to consult a hand surgeon ?] [手部感染:何时咨询手外科医生?]
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2076
Nathanaël Pouget, Julie Mercier, Nicolas Balagué, Cindy Bouvet

The hand is an anatomical site frequently affected by infection due to its central role in all daily activities. It is therefore regularly the site of wounds (contused, penetrating, insect stings, bites, etc.), all of which are potential entry points for infections. Recognition by the general practitioner of the red flags requiring an urgent specialist consultation is therefore essential in order to improve the patient's functional prognosis, determined by the initial management. In this article, we focus on the most frequent situations encountered in primary care.

手部是一个经常受到感染影响的解剖部位,因为它在所有日常活动中起着核心作用。因此,手部经常出现伤口(挫伤、贯穿伤、昆虫蛰伤、咬伤等),这些伤口都是潜在的感染入口。因此,全科医生必须认识到需要紧急专科会诊的危险信号,以便根据最初的治疗方案改善患者的功能预后。在本文中,我们将重点讨论初级医疗中最常见的情况。
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引用次数: 0
Saisissante rencontre. 扣人心弦的邂逅
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2084
Michèle Gennart
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引用次数: 0
Effets des approches basées sur la pleine conscience contre les douleurs chroniques. 以正念为基础的慢性疼痛治疗方法的效果。
Q4 Medicine Pub Date : 2024-11-06 DOI: 10.53738/REVMED.2024.20.894.2084
Jérémie Samusure
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引用次数: 0
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