PraxisPub Date : 2024-11-01DOI: 10.23785/PRAXIS.2024.10.010
Peter Schaub, C I Ursu, Peter Wiesli, Christine N Manser
{"title":"[A Somehow Different Cause of an Upper Gastrointestinal Bleeding].","authors":"Peter Schaub, C I Ursu, Peter Wiesli, Christine N Manser","doi":"10.23785/PRAXIS.2024.10.010","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.10.010","url":null,"abstract":"<p><strong>Introduction: </strong>We report a case of an 89-year-old patient, who presented with melena and physical degradation at the emergency department. As cause for his symptoms, we found an upper GI-bleeding from a metastasis of a follicular thyroid carcinoma, for which the patient was surgically treated in the year 1996.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 10","pages":"289-291"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2024-11-01DOI: 10.23785/PRAXIS.2024.10.004
Hasan Hadzalic, Selma Hasific, Christophe Wyss
{"title":"[Non-obstructive coronary diseases: ANOCA, INOCA and MINOCA in focus].","authors":"Hasan Hadzalic, Selma Hasific, Christophe Wyss","doi":"10.23785/PRAXIS.2024.10.004","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.10.004","url":null,"abstract":"<p><strong>Introduction: </strong>In addition to being the main cause of death and premature mortality in Europe, cardiovascular diseases are increasingly becoming a significant burden on public health, productivity and healthcare resources. At 34 %, coronary heart disease (CHD) represents the largest proportion of this spectrum (1). The traditional understanding of CHD, which focused almost exclusively on epicardial atherosclerotic stenoses, is now considered outdated. Although increasing attention is being paid to non-obstructive CAD, the mechanisms are largely unknown and the diagnosis may be underestimated in everyday practice. Therefore, itis crucial to recognize non-obstructive CHD in order to develop appropriate treatment strategies. The aim of this review is to provide an overview of the common definitions, causes and diagnostic steps of non-obstructive coronary artery disease.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 10","pages":"254-260"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2024-11-01DOI: 10.23785/PRAXIS.2024.10.006
Noemi R Simon, Yaël Hofmann, Katia Boggian, Delphine Glinz, Caesar Gallmann, Gisela Etter, Benedikt M Huber, Philipp Tarr
{"title":"[Fever in adults].","authors":"Noemi R Simon, Yaël Hofmann, Katia Boggian, Delphine Glinz, Caesar Gallmann, Gisela Etter, Benedikt M Huber, Philipp Tarr","doi":"10.23785/PRAXIS.2024.10.006","DOIUrl":"10.23785/PRAXIS.2024.10.006","url":null,"abstract":"<p><strong>Introduction: </strong>Fever is an important and common symptom. The science of fever is as old as humanity itself. Fever is often associated - by patients and healthcare professionals - with the need for antipyretics and antibiotics and can cause uncertainty and anxiety. However, fever per se is not dangerous and usually does not need to be treated. A step-by-step approach is worthwhile when working up fever.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 10","pages":"267-273"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2024-11-01DOI: 10.23785/PRAXIS.2024.10.007
Uwe Güth, Edouard Battegay, Ralf J Jox, Karim Abawi, Rolf Weitkunat, Andreas R Schneeberger
{"title":"[Assisted suicide in Switzerland (part 2): the «invisible» old age suicide].","authors":"Uwe Güth, Edouard Battegay, Ralf J Jox, Karim Abawi, Rolf Weitkunat, Andreas R Schneeberger","doi":"10.23785/PRAXIS.2024.10.007","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.10.007","url":null,"abstract":"<p><strong>Introduction: </strong>According to the Swiss Federal Statistical Office (FSO), there were 6608 assisted suicides in Switzerland in the 5-year period 2018-2022; of these, 4766 cases (72%) were assisted by team members of EXIT, the largest Swiss right-to-die organization. According to EXIT-data, age-related multimorbidity is the second most common disease group in assisted dying, accounting for 27 % of all cases. For formal reasons, these symptom-oriented cases of old age assisted suicide cannot be adequately recorded in the FSO's ICD-based cause of death statistics. This «statistical weakness» implies that Switzerland is unable to provide reliable data on the phenomenon of old age assisted suicide, which is the subject of controversial debate in medical ethics and social policy. It would therefore be advisable to set up a national registry that carefully documents all cases of assisted suicide and could also critically monitor certain cases.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 10","pages":"274-279"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2024-11-01DOI: 10.23785/PRAXIS.2024.10.005
Rebecca R Zachariah, Sören Lange, Nicole Keller, David Scheiner, Cornelia Betschart
{"title":"[Female urinary incontinence - diagnostics and therapies].","authors":"Rebecca R Zachariah, Sören Lange, Nicole Keller, David Scheiner, Cornelia Betschart","doi":"10.23785/PRAXIS.2024.10.005","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.10.005","url":null,"abstract":"<p><strong>Introduction: </strong>Urinary incontinence is a common complaint of both general practitioners and specialists. An accurate basic diagnosis with a structured medical history and bladder diary, urine analysis, gynaecological examination including pelvic floor assessment and a full bladder cough test can be supplemented by sonography, cystoscopy and urodynamic testing. This will help to differentiate between the different types of urinary incontinence, such as urge incontinence, stress incontinence and overflow incontinence. Treatment should be based on the type of urinary incontinence. Conservative treatments such as pelvic floor physiotherapy and pessaries can be supplemented by electrical stimulation for OAB and overflow incontinence, and various procedures such as TVT or bulking agents for stress incontinence, sacral neurostimulation for OAB and overflow incontinence.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 10","pages":"261-266"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2024-10-01DOI: 10.23785/PRAXIS.2024.09.006
Armgard Büchel-Boekstegers, Markus Koster, Sven Lieberherr, Antonio Cozzio, Stefan Bilz
{"title":"[A rare side effect of antithyroid drug therapy].","authors":"Armgard Büchel-Boekstegers, Markus Koster, Sven Lieberherr, Antonio Cozzio, Stefan Bilz","doi":"10.23785/PRAXIS.2024.09.006","DOIUrl":"10.23785/PRAXIS.2024.09.006","url":null,"abstract":"<p><strong>Introduction: </strong>We report a case of Graves' disease in a patient who initially received carbimazole therapy, which was switched to propylthiouracil due to adverse effects. After 14 months of propylthiouracil therapy, the patient developed cutaneous ANCA-associated vasculitis. Prompt cessation of propylthiouracil and topical treatment led to complete resolution of the skin lesions.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 9","pages":"245-248"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2024-10-01DOI: 10.23785/PRAXIS.2024.09.002
Kaspar Truninger, Karl Heinimann
{"title":"[Familial occurrence of colorectal cancer: prevention, aftercare and genetic counseling].","authors":"Kaspar Truninger, Karl Heinimann","doi":"10.23785/PRAXIS.2024.09.002","DOIUrl":"10.23785/PRAXIS.2024.09.002","url":null,"abstract":"<p><strong>Introduction: </strong>Colorectal cancer (CRC) is the third most common type of cancer in Switzerland in terms of annual new cases and cancer deaths. Since most cantons have an organized screening program, more people are recorded with a positive family history of CRC. In the majority, the familial form of CRC is present, a hereditary form is much less common. Relatives of patients with CRC are a heterogeneous group whose CRC risk varies. A good assessment of disease risk can optimize the benefit-risk ratio for more intensive prevention. These recommendations («expert opinion statement») are intended to serve as a basis in clinical practice for planning preventative care, monitoring and human genetic counseling in the presence of a family history positive for CRC.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 9","pages":"221-229"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2024-10-01DOI: 10.23785/PRAXIS.2024.09.004
Laura Giezendanner, Franziska Vogler, Andrea Hausammann
{"title":"[Muscle weakness after intravenous iron replacement].","authors":"Laura Giezendanner, Franziska Vogler, Andrea Hausammann","doi":"10.23785/PRAXIS.2024.09.004","DOIUrl":"10.23785/PRAXIS.2024.09.004","url":null,"abstract":"<p><strong>Introduction: </strong>After a young female patient received an intravenous iron infusion for severe symptomatic iron-deficiency-anemia, a severe hypophosphatemia was diagnosed with associated mild muscle weakness. With renal phosphate loss and elevated serum FGF23 (Fibroblast Growth Factor 23), the diagnosis of a hypophosphatemia caused by ferric carboxymaltose was made. Upregulation of FGF23 inhibits renal phosphate reabsorption and also the activation of vitamin D, which additionally reduces intestinal phosphate absorption. The symptoms of hypophosphatemia may be masked after iron replacement.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 9","pages":"235-237"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2024-10-01DOI: 10.23785/PRAXIS.2024.09.003
Uwe Güth, Eduard Battegay, Ralf J Jox, Karim Abawi, Rolf Weitkunat, Andres R Schneeberger
{"title":"[Assisted suicide in Switzerland (part 1): Medical-ethical controversies and the dilemma of the sorcerer's apprentice].","authors":"Uwe Güth, Eduard Battegay, Ralf J Jox, Karim Abawi, Rolf Weitkunat, Andres R Schneeberger","doi":"10.23785/PRAXIS.2024.09.003","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.09.003","url":null,"abstract":"<p><strong>Introduction: </strong>Based on the cases in which assisted suicide (AS) has taken place in Switzerland in the context of a mental disorder or dementia, we discuss whether the slippery slope argument often brought up by opponents of assisted dying is justified. Long-term data from the Swiss Federal Statistical Office shows that while the number of cases with these «indications» is increasing (1999-2017: on average 21 cases/year vs. 2018-2022: n = 73 cases/year), the percentage share of these diseases in the total number of all AS cases has remained unchanged at around 5 %. Opponents of assisted dying believe that the slippery slope argument is already fulfilled by the fact that these cases occur at all. However, the still limited prevalence of these specific indications which still represent only a minority of assisted suicide cases over time, may be used by advocates of assisted dying to weaken the opposing viewpoint.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 9","pages":"230-234"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}