Pub Date : 2022-02-01Epub Date: 2022-02-08DOI: 10.1007/s00108-021-01215-6
J Walthelm-Hösel, F Joa
{"title":"[44/f-Dyspnea and fatigue : Preparation for the medical specialist examination: part 103].","authors":"J Walthelm-Hösel, F Joa","doi":"10.1007/s00108-021-01215-6","DOIUrl":"https://doi.org/10.1007/s00108-021-01215-6","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39602980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01Epub Date: 2021-11-11DOI: 10.1007/s00108-021-01201-y
M Merk
{"title":"[63/f-Increasing cough and mild hemoptysis : Preparation for the medical specialist examination: part 107].","authors":"M Merk","doi":"10.1007/s00108-021-01201-y","DOIUrl":"https://doi.org/10.1007/s00108-021-01201-y","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39610905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01Epub Date: 2022-02-14DOI: 10.1007/s00108-021-01244-1
U R Fölsch, G Ertl
{"title":"[Medical specialist training in internal medicine-The fifth special edition is here! : Case-related learning based on the new model specialty training regulations].","authors":"U R Fölsch, G Ertl","doi":"10.1007/s00108-021-01244-1","DOIUrl":"https://doi.org/10.1007/s00108-021-01244-1","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8852856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39613702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01Epub Date: 2021-09-29DOI: 10.1007/s00108-021-01152-4
M Abba, S Saußele
{"title":"[55/m-Fatigue and upper abdominal complaints : Preparation for the medical specialist examination: part 101].","authors":"M Abba, S Saußele","doi":"10.1007/s00108-021-01152-4","DOIUrl":"https://doi.org/10.1007/s00108-021-01152-4","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39491918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01Epub Date: 2021-10-26DOI: 10.1007/s00108-021-01180-0
Tiago de Castro, Christoph Beier, Christoph Terkamp, Lucia Oehler, Bernhard M W Schmidt, Johannes Heck, Dirk Stichtenoth, Heiner Wedemeyer, Holger Leitolf
A 69-year-old female patient was referred to the Medical University of Hanover for further diagnostic evaluation of recurrent severe hypoglycemia. The patient had previously been started on clopidogrel after arterial stenting for peripheral arterial obstructive disease (PAOD). The presence of an insulinoma and paraneoplastic syndrome was excluded. Increased serum insulin and insulin autoantibodies levels were confirmed, despite normal to low blood sugar levels. An insulin autoimmune syndrome was diagnosed, most likely induced by the prior intake of clopidogrel. Treatment with immunoadsorption was initiated, achieving a significant reduction in hypoglycemic events and a lasting response to treatment over 3 months.
{"title":"[Insulin autoimmune syndrome : A rare, but important differential diagnosis of hypoglycemia].","authors":"Tiago de Castro, Christoph Beier, Christoph Terkamp, Lucia Oehler, Bernhard M W Schmidt, Johannes Heck, Dirk Stichtenoth, Heiner Wedemeyer, Holger Leitolf","doi":"10.1007/s00108-021-01180-0","DOIUrl":"https://doi.org/10.1007/s00108-021-01180-0","url":null,"abstract":"<p><p>A 69-year-old female patient was referred to the Medical University of Hanover for further diagnostic evaluation of recurrent severe hypoglycemia. The patient had previously been started on clopidogrel after arterial stenting for peripheral arterial obstructive disease (PAOD). The presence of an insulinoma and paraneoplastic syndrome was excluded. Increased serum insulin and insulin autoantibodies levels were confirmed, despite normal to low blood sugar levels. An insulin autoimmune syndrome was diagnosed, most likely induced by the prior intake of clopidogrel. Treatment with immunoadsorption was initiated, achieving a significant reduction in hypoglycemic events and a lasting response to treatment over 3 months.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8813699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39560009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2021-09-29DOI: 10.1007/s00108-021-01157-z
S Hipp, W von der Emde, C Kulke, M Schlotter, J Schmidt, J Kikhney, A G M Hopf, A Moter, E Eszlari, W Eichinger, M Hinterseer
A 24-year-old female patient from Sierra Leone was referred to the authors' hospital after several unclear intracerebral bleeding events and an echogenic structure on the aortic valve. The patient was receiving oral anticoagulation therapy due to paroxysmal atrial fibrillation and left ventricular noncompaction. Fluorescence in situ hybridization in combination with polymerase chain reaction and sequencing revealed infective endocarditis of the mitral and aortic valve caused by Bartonella quintana. In retrospect, the intracerebral bleeding events could be identified as septic emboli with secondary haemorrhagic transformation under anticoagulation therapy. The patient showed significant clinical improvement and no further bleeding events occurred after receiving biological mitral and aortic valve replacement and several weeks of doxycycline and gentamicin antibiotic therapy.
{"title":"[Recurrent intracerebral haemorrhage in a 24-year-old female patient].","authors":"S Hipp, W von der Emde, C Kulke, M Schlotter, J Schmidt, J Kikhney, A G M Hopf, A Moter, E Eszlari, W Eichinger, M Hinterseer","doi":"10.1007/s00108-021-01157-z","DOIUrl":"https://doi.org/10.1007/s00108-021-01157-z","url":null,"abstract":"<p><p>A 24-year-old female patient from Sierra Leone was referred to the authors' hospital after several unclear intracerebral bleeding events and an echogenic structure on the aortic valve. The patient was receiving oral anticoagulation therapy due to paroxysmal atrial fibrillation and left ventricular noncompaction. Fluorescence in situ hybridization in combination with polymerase chain reaction and sequencing revealed infective endocarditis of the mitral and aortic valve caused by Bartonella quintana. In retrospect, the intracerebral bleeding events could be identified as septic emboli with secondary haemorrhagic transformation under anticoagulation therapy. The patient showed significant clinical improvement and no further bleeding events occurred after receiving biological mitral and aortic valve replacement and several weeks of doxycycline and gentamicin antibiotic therapy.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39491916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2021-09-28DOI: 10.1007/s00108-021-01160-4
Marlene Stellrecht, Horst Wedekind
This case report describes the case of a patient that developed suddenly dyspnea, cough and hemoptysis while swimming. Under the clinical presentation of pulmonary edema she required short-term invasive ventilation. Initially, echocardiography showed globally highly reduced systolic left ventricular function, which rapidly normalized. After exclusion of other pulmonary or cardiac causes swimming-induced pulmonary edema was diagnosed. This should be considered in cases of pulmonary edema, particularly in patients practicing sports with contact to water.
{"title":"[Sudden-onset dyspnea, cough and hemoptysis in a previously healthy 46-year-old female swimmer].","authors":"Marlene Stellrecht, Horst Wedekind","doi":"10.1007/s00108-021-01160-4","DOIUrl":"https://doi.org/10.1007/s00108-021-01160-4","url":null,"abstract":"<p><p>This case report describes the case of a patient that developed suddenly dyspnea, cough and hemoptysis while swimming. Under the clinical presentation of pulmonary edema she required short-term invasive ventilation. Initially, echocardiography showed globally highly reduced systolic left ventricular function, which rapidly normalized. After exclusion of other pulmonary or cardiac causes swimming-induced pulmonary edema was diagnosed. This should be considered in cases of pulmonary edema, particularly in patients practicing sports with contact to water.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39464936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2022-02-28DOI: 10.1007/s00108-022-01292-1
{"title":"Kongresse des BDI.","authors":"","doi":"10.1007/s00108-022-01292-1","DOIUrl":"https://doi.org/10.1007/s00108-022-01292-1","url":null,"abstract":"","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8883235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40669204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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