Esanum is the medical platform on the Internet. Here, doctors have the opportunity to get in touch with a multitude of colleagues and to share interdisciplinary experiences. Discussions include both cases and observations from practice, as well as news and developments from everyday medical practice.
esanum ist die Ärzteplattform im Internet. Hier haben Ärzte die Möglichkeit, mit einer Vielzahl von Kollegen in Kontakt zu treten und interdisziplinär Erfahrungen auszutauschen. Diskussionen umfassen sowohl Fälle und Beobachtungen aus der Praxis, als auch Neuigkeiten und Entwicklungen aus dem medizinischen Alltag.
Esanum est la plate-forme médicale sur Internet. Ici, les médecins ont la possibilité de prendre contact avec Une multitude de collègues et de partager des expériences interdisciplinaires. Les discussions portent à la fois sur les Observations de la pratique, ainsi que des nouvelles Et les développements de la pratique médicale quotidienne.
The Federal Institute for drugs and medical devices and manufacturers have given out warnings on February 19, 2008 for the treatment of wounds with Octenisept.\n\nOccasional massive swelling and tissue necrosis were observed in the antiseptic treatment of stab wounds in the hand area. The edema persistierten for weeks and were usually operational interventions required. All cases was common that Octenisept under pressure had been brought up in the injection channel and could flow again.\n\nThe local reactions were probably caused by poor systemic absorption and evolved without exception at flushing englumiger down - or soft-tissue injuries, in which Octenisept was incorporated for the purpose of rinsing under increased pressure and a free flow of the antiseptic was not guaranteed. Such wounds tab, drainage etc should be inserted absolutely!
The following exhibition which shows the resident German Museum of medical history of the 13.03.08-27.07-08 guests could be might be very interesting for all doctors in the District of Ingolstadt.\n\n"Etruscan body part Votives from the antiquity collector at the Justus-Liebig-University of Giessen (Foundation Ludwig Stieda)\n\nMarch 13 to 27 July 2008\n\nIt is the first time that a thematic complex of ancient is issued, which includes the entire collection of anatomical terracottas, which acquired the important anatomist Ludwig Stieda (1837-1918) in Italy and donated to the University of Gießen. Enriched by various ceramic vessels with mythological figures, the exhibition offers a fascinating insight into the religious and heilkundlichen notions of the Etruscans, which are detectable as the first civilization in Italy by the 9th to 1st century BC. They went up 396 BC gradually after the conquest of their famous city of Veii by the Romans in the Roman Empire, the cults but lived on for a long time. Also the body part Votives shaped from clay, which were offered to the gods in the temple as Exvotos are from Veii. They impressively reflect concepts of health and disease. In the exhibition collector personality finds Ludwig Stieda, through appreciation of appropriate documents to his life and scientific work. As a versatile educated scholar, he worked not only in the medical field, but emerged also as an archaeologist and historian of medicine.\nThe loans of the Antikensammlung at the Justus-Liebig-University of Gießen be supplemented by pieces from the collections of the universities of Bonn, Göttingen and Tübingen and offer also an insight into the otherwise not publicly accessible collections of traditional German universities.\nFor the exhibition a catalogue will be published."\n\nLink: https://www.ingolstadt.de/dmm/?page_id=9\n\nIf you have the opportunity to visit the exhibition, so we would be happy about a short comment.\n\nYour Esanum-team!\n
One of my patients got four hours after a laryngeal mask anesthesia (in gynäkologischem action) most intense ear pain, twelve hours later tympanic membrane perforation. Diagnosis of severe combined inner and middle ear infection. Previously in the ENT area without specifics. No such complication mentioned in the anesthesia information sheet. Is there a link?
Ladies and gentlemen\nWhat would you vaccinate your family? For Government and military, Pandemrix for all other Germans but not for pregnant women, who get Celvapan Panvax. Celtura and Pandemrix in the entire United States. Who sees through there?\nMrs Merkel wants to be also vaccinated with Pandemrix, one of few because 87% of the Germans (according to Emnid end October) want to ever not vaccinated.\n\nNow apart from government recommendations and (above all) contracts with the individual federal States, what would you vaccinate?\n\nHere a small overview:\n\nPandemrix (Glaxo) with active amplifier AS03 produced. Germany has already ordered 50Mio doses. In the Switzerland, the vaccine not in pregnant patients and children is approved, it can be used in the United States only in patients aged 65 and over. Just the active amplifier has reverse heaps to side effects and thus criticism.\n\nCelvapan (Baxter) full virus killed off and contains no active amplifier. Relatively new and so far only sporadically used. The Federal Government and military have ordered 200,000 doses. The Professional Association of children and youth doctors plans to use the vaccine in children and pregnant women encounter criticism.\n\nCeltura (Novartis) with active amplifier is relatively new and little tested. Vaccine produced only on the basis of cell cultures and thus an alternative to egg white allergy sufferers. Increasingly, the United States vaccinated with this vaccine.\n\nPanvax also contains no active amplifier. The Federal Government has ordered 150,000 doses and want to vaccinate to one-third of pregnant women.\n\nAre you considering a vaccination at all?\n
Ladies\n\na question about the treatment of osteoporosis with vitamin D and calcium in women after menopause or who are otherwise healthy:\n\nWhy not sufficient a balanced full diet and exercise during the day for prophylaxis, especially from the United States exist results that indicate a strengthening of atherosclerosis of the vessels of the brain.\n\nI'm looking forward to your answers!
According to competent pharmacologist post must be, expected today after intravenous administration of Novalgin most severe, long-lasting and even irreversible waste of blood pressure and shock equivalent up to one hour injectionem even then, if the injection is very slow, regardless of whether there is an allergy to the drug. Therefore, the ABDA database now not only warns the agranulocytosis risk of Metamizole, but is also the information that anaphylactoid reactions can develop even hours after the injection and a RR waste with or without full of shock may occur especially after parenteral application of substance. The current Red List aims the Bill by pointing out that the conditions for a shock treatment must be given in parenteral application of Novalgin. But, this means that the patient should be observed after Novalgin injection at least an hour in shock ready. This requirement is unrealistic but when the doctor as an outpatient or emergency house visiting Novalgin i.v. splashes about treating a kidney or Biliary colic. Therefore, the consequence must be reasons not to allow at least the outpatient intravenous application of Metamizole/Novalgin. Moreover, the likelihood of such shock States is apparently dose-dependent, at least those vials Novalgin/Metamizole-containing more than 2 ml = 1000 mg should be taken entirely from the market. -\nI personally know two deaths that were caused by the i.v. injection of Novalgin almost certainly. In one case, the no longer controllable shock it occurred until 15 minutes after the injection of the agent. -\nNovalgin is an Analgeticum that is very effective, in many cases also well-tolerated, and therefore popular. Nevertheless, it is incomprehensible that a so dangerous drug (s. risk of agranulocytosis!) is even approved in Germany. The Anglo-Saxon States, Sweden and other countries with modern health systems come out entirely without Metamizole/dipyrone. From today's perspective, it is only right not to understand that one 1991 turned down the request for waiver of the marketing authorisation of Metamizole one by Prof. Dr. Peter Schönhöfer.\nIt would be helpful if colleagues who have had similar experiences and documents, would report this the German medical profession at the drug Commission, so that the necessary conclusions can be finally: at least the registration limitations, better a total ban. \n\nR. Müller
Ladies and gentlemen\nHave a 34-year-old patient that repeats about bds. Sciatica while jogging complained. Healthy, athletic young man, the almost daily. 15 and 30 km jogs and participates regularly in marathons. What can the patient, however, do?\nIdeas and suggestions, I am very grateful.\n\nMfG
The National Council of the College of physicians has recently published its "Atlas of medical demography" version 2008.\n\nIt shows that despite the increase in the total number of doctors and "governmental incentives", large disparities persist.\nGeographical firstly: South, the île-de-France and Alsace are all averaging more than 340 physicians per 100,000 inhabitants. The regions around the île-de-France have they less than 300 physicians for the same population (the Picardy being less well subdivided with 269 doctors)\n\nMoreover, the order says that new registrants "remained in the cities, near the hospitals (CHU)".\n\nThese new registered "settle more and later and 66% are headed for a salaried activity, so that only 10% choose the exclusive liberal activity".\n\nThe order concluded that "before launch of coercive measures", it would be more desirable to open "the medicine of some salaried physicians care" and facilitate the access of youth to General Medicine.\n\nThe entire study is available on the website of the National Council of the College of physicians: www.conseil-national.medecin.fr under the heading: practice of medicine / demographics\n
Ladies and gentlemen\n\nwould like to make a slightly different, "delicate" question to you all today: do you have experience with reputable dating agencies? Little encouraging experiences made with relevant popular portals.\n\nIn the medical journal I had read times specifically by an Internet portal for people in the health industry, doctor Dating.de. The home page looks like to but uninviting and promising. Does anyone of the colleagues here have experience, or can give me some tips? Can anyone recommend me a sophisticated page otherwise?\n\nThank you!\n
Ladies and gentlemen\none of my patients, 27J., normal weight, non-smokers, had an IUFT of etiology in the 37 week. The pregnancy was normal until on a Parvovirusinfektion in the 9 week. The mother has released the child not to the autopsy, so that I have no information what it has been. In the literature is the the Parvov. Infection only approximately 8 weeks-long effects on the SS has. She was fine Diagnostics in the 22 week and everything was ok. The CTG BB´s carried out a week were all o.p.B.\nMy question, now must I take more diagnosis before again SS? I was thinking such as clotting factors. The Pat. want to get pregnant soon again. How would you proceed?\nThank you very much