PraxisPub Date : 2024-09-01DOI: 10.23785/PRAXIS.2024.08.005
Andrea Rosemann, Isabell Witzel, Matthias R Meyer, Stefan Neuner-Jehle, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn
{"title":"[Diagnosis and treatment of venous thrombosis - part 2].","authors":"Andrea Rosemann, Isabell Witzel, Matthias R Meyer, Stefan Neuner-Jehle, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn","doi":"10.23785/PRAXIS.2024.08.005","DOIUrl":"10.23785/PRAXIS.2024.08.005","url":null,"abstract":"<p><strong>Introduction: </strong>The subject of this guideline from the Institute of Family Medicine at the University of Zurich (IHAMZ) is the management of venous thrombosis. The review summarizes the current evidence and recommendations from international guidelines (1-6). The IHAMZ-guidelines focus on primary care, they also provide guidance on the coordination of general and specialist medical care as well as on the transition between outpatient and hospital care taking into account the special features of the Swiss healthcare system. The guideline is devided in two parts. Part 1 discusses the diagnosis and treatment of deep vein thrombosis (DVT). A validated algorithm is recommended for the diagnostic process, which begins with the assessment of the clinical probability. With the inclusion of the D-dimer test, the need for subsequent imaging diagnostics can be reduced. The differences between the evaluation of an initial and recurrent DVT are shown and the indications and scope of evidence-based environmental diagnostics (thrombophilia and tumor search) are presented. All patients with DVT should receive anticoagulation (AC) for 3-6 months, as there is a high risk of recurrence with AC 3 months. The duration of the subsequent secondary prophylaxis depends on the presumed risk of recurrence on the one hand and the risk of bleeding on the other. Part 2 is dedicated to special thrombosis situations such as isolated distal thrombosis of the deep and muscle veins (idDVT, iMVT), shoulder-arm vein thrombosis (SAVT), cancer-associated thrombosis (CAT) and superficial vein thrombosis (SVT). The article on hormone- and pregnancy-associated DVT, developed together with the Department of Gynecology at the University Hospital of Zurich, discusses the importance of hormonal contraception and menopausal hormone replacement therapy (HRT) as thrombogenic risk factor as well as special features in the diagnosis and treatment of thrombosis in pregnancy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 8","pages":"202-209"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605491","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 : 2024-09-01DOI: 10.23785/PRAXIS.2024.08.002
Thomas Rosemann, Andrea Rosemann
{"title":"Ältere US-Amerikaner nehmen immer noch zu häufig Aspirin zur kardiovaskulären Primärprophylaxe ein.","authors":"Thomas Rosemann, Andrea Rosemann","doi":"10.23785/PRAXIS.2024.08.002","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.08.002","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 8","pages":"186"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605515","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 : 2024-09-01DOI: 10.23785/PRAXIS.2024.08.007
Vincent Jendly, Nora Schwotzer, Jérôme Voegeli, Francisco J Gomez, Sébastien Kissling, Lorenzo Alberio
{"title":"[Acquired von Willebrand syndrome: case report and literature review].","authors":"Vincent Jendly, Nora Schwotzer, Jérôme Voegeli, Francisco J Gomez, Sébastien Kissling, Lorenzo Alberio","doi":"10.23785/PRAXIS.2024.08.007","DOIUrl":"10.23785/PRAXIS.2024.08.007","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 8","pages":"213-218"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605484","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 : 2024-07-01DOI: 10.23785/PRAXIS.2024.06.002
Andrea Rosemann, Isabell Witzel, Matthias R Meyer, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn
{"title":"[Diagnosis and treatment of venous thrombosis].","authors":"Andrea Rosemann, Isabell Witzel, Matthias R Meyer, Giuseppe Pichierri, Thomas Rosemann, Oliver Senn","doi":"10.23785/PRAXIS.2024.06.002","DOIUrl":"10.23785/PRAXIS.2024.06.002","url":null,"abstract":"<p><strong>Introduction: </strong>The subject of this guideline from the Institute of Family Medicine at the University of Zurich (IHAMZ) is the management of venous thrombosis. The review summarizes the current evidence and recommendations from international guidelines (1-6). The IHAMZ-guidelines focus on primary care, they also provide guidance on the coordination of general and specialist medical care as well as on the transition between outpatient and hospital care taking into account the special features of the Swiss healthcare system. The guideline is devided in two parts. Part 1 discusses the diagnosis and treatment of deep vein thrombosis (DVT). A validated algorithm is recommended for the diagnostic process, which begins with the assessment of the clinical probability. With the inclusion of the D-dimer test, the need for subsequent imaging diagnostics can be reduced. The differences between the evaluation of an initial and recurrent DVT are shown and the indications and scope of evidence-based environmental diagnostics (thrombophilia and tumor search) are presented. All patients with DVT should receive anticoagulation (AC) for 3-6 months, as there is a high risk of recurrence with AC 3 months. The duration of the subsequent secondary prophylaxis depends on the presumed risk of recurrence on the one hand and the risk of bleeding on the other. Part 2 is dedicated to special thrombosis situations such as shoulder-arm vein thrombosis (SAVT), cancer-associated thrombosis (CAT) and superficial vein thrombosis (SVT). The article on hormone- and pregnancy-associated DVT, developed together with the Department of Gynecology at the University Hospital of Zurich, discusses the importance of hormonal contraception and menopausal hormone replacement therapy (HRT) as a thrombogenic risk factor as well as special features in the diagnosis and treatment of thrombosis in pregnancy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"148-159"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018329","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 : 2024-07-01DOI: 10.23785/PRAXIS.2024.06.003
Annina Seiler, Caroline Hertler, Sophia Rose Evstigneev, Markus Schettle, Steffen Eychmüller, Jan Gärtner, Sandra Eckstein, Cristian Camartin, Beat Müller, Mirjam Buschor-Bichsel, Tanja Fusi-Schmidhauser, Christa Hauswirth Siegenthaler, Brigitte Boothe, Simon Peng-Keller, David Blum
{"title":"[Can we learn to die?]","authors":"Annina Seiler, Caroline Hertler, Sophia Rose Evstigneev, Markus Schettle, Steffen Eychmüller, Jan Gärtner, Sandra Eckstein, Cristian Camartin, Beat Müller, Mirjam Buschor-Bichsel, Tanja Fusi-Schmidhauser, Christa Hauswirth Siegenthaler, Brigitte Boothe, Simon Peng-Keller, David Blum","doi":"10.23785/PRAXIS.2024.06.003","DOIUrl":"10.23785/PRAXIS.2024.06.003","url":null,"abstract":"<p><strong>Introduction: </strong>The topic of death and the dying is a crucial aspect of patient care, especially for individuals with terminal illnesses. However, discussions about death and dying are often avoided during patient interactions. In this article, our aim is to explore the reasons behind our fear of death and dying and to assess the importance of addressing these issues in shaping and cultivating relationships with our patients and in our personal lives. We argue that being open to impermanence is a valuable tool in our work with patients and their families and should be integrated into conversations with them. Furthermore, discussions about death and dying should play a central role in medical and nursing education as well as professional development.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"160-168"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018328","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 : 2024-07-01DOI: 10.23785/PRAXIS.2024.06.001
Johann Steurer
{"title":"Blutdrucksenkung bei Patienten mit Schlaganfall in der Prähospitalisationsphase nicht wirksam.","authors":"Johann Steurer","doi":"10.23785/PRAXIS.2024.06.001","DOIUrl":"https://doi.org/10.23785/PRAXIS.2024.06.001","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"147"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018332","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 : 2024-07-01DOI: 10.23785/PRAXIS.2024.06.006
Pavla Tlapa, Reto Nüesch
{"title":"[Erythema and flu symptoms of a hunter with pre-existing conditions].","authors":"Pavla Tlapa, Reto Nüesch","doi":"10.23785/PRAXIS.2024.06.006","DOIUrl":"10.23785/PRAXIS.2024.06.006","url":null,"abstract":"<p><strong>Introduction: </strong>A hunter with a history of oncology, flu-like symptoms and ring-shaped erythema was treated with doxycycline in an outpatient setting on suspicion of a tick-borne disease. After obtaining a positive Francisella tularensis serology, antibiotic treatment was continued for a total of 21 days, followed by freedom of symptoms and falling CRP, but without prompt serological follow-up. In contrast to the previously described tularemia cases in Switzerland, the article shows less pronounced local finding without palpable lymphadenopathy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"179-182"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018330","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 : 2024-07-01DOI: 10.23785/PRAXIS.2024.06.004
Sena Özkaratufan, Julia Velz, Luca Regli, Daniel Kirschenbaum, Diane Möller-Goede, Urs Eriksson
{"title":"[28-year-old male patient with headaches on the left side and facial pain].","authors":"Sena Özkaratufan, Julia Velz, Luca Regli, Daniel Kirschenbaum, Diane Möller-Goede, Urs Eriksson","doi":"10.23785/PRAXIS.2024.06.004","DOIUrl":"10.23785/PRAXIS.2024.06.004","url":null,"abstract":"<p><strong>Introduction: </strong>A 28-year-old male suffers for two weeks from new-onset very severe headache located on his left temple radiating to his jaw. He also complains about left sided retroorbital pain and chewing aggravated symptoms. In addition, nausea and emesis in the mornings during the past six months were reported. Clinical examination revealed tender swelling over the left temple, but laboratory results showed no signs of inflammation, normal electrolytes, kidney and liver values. A CT-scan revealed a circumscriptive osteolytic lesion in the left os temporale.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"169-173"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018327","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 : 2024-07-01DOI: 10.23785/PRAXIS.2024.06.005
Jonas Micheroli, Markus Schneemann, Thomas Brack
{"title":"[Snakebite in Switzerland - a potentially life-threatening event?]","authors":"Jonas Micheroli, Markus Schneemann, Thomas Brack","doi":"10.23785/PRAXIS.2024.06.005","DOIUrl":"10.23785/PRAXIS.2024.06.005","url":null,"abstract":"<p><strong>Introduction: </strong>A 39-year-old healthy patient accidentally stepped barefoot on an adder and was then bitten into the foot. After initially only local complaints, severe systemic symptoms developed within 10-15 minutes with swelling of the lips and soft palate, recurrent vomiting, bradycardia, weakly palpable peripheral pulse, hypotension, dyspnea and intermittent somnolence. The potentially life-threatening consequences of this severe poisoning could be avoided by using adequate emergency measures and immediate intravenous administration of antivenin.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"113 6-7","pages":"174-178"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018331","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}