{"title":"[Diagnosis and management of peritonsillar abscess].","authors":"Julie Bertin, Nicolas Dulguerov","doi":"10.53738/REVMED.2025.21.933.47742","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.933.47742","url":null,"abstract":"<p><p>A peritonsillar abscess is a common infection in young adults. Clinical signs often include unilateral pharyngodynia, a \"hot potato\" voice, unilateral swelling with uvular deviation, asymmetric palatal contraction, and trismus. Complications include infections of the deep neck spaces and mediastinitis, which require prompt recognition due to their severity. Rapid diagnosis is essential. While not consistently used, CT scanning provides excellent specificity. The management of a peritonsillar abscess is based on an individualized approach that combines antibiotic therapy with interventional procedures (aspiration, incision and drainage, or hot tonsillectomy). Although no clear consensus has emerged, a thorough clinical assessment remains central to guiding treatment.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 933","pages":"1725-1728"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207569","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}
Noémi Brügger, Marcella Pucci, Andrea Bartoli, Manel Mejbri, Anne-Laure Rougemont, Basile Landis, Nils Guinand
{"title":"[Gorham-Stout disease : a rare entity].","authors":"Noémi Brügger, Marcella Pucci, Andrea Bartoli, Manel Mejbri, Anne-Laure Rougemont, Basile Landis, Nils Guinand","doi":"10.53738/REVMED.2025.21.933.47732","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.933.47732","url":null,"abstract":"<p><p>Gorham-Stout disease (GSD) is a rare disorder of unknown etiology, characterized by progressive osteolysis due to abnormal proliferation of lymphatic and vascular tissue within the bone. It can affect the entire skeleton. Symptoms may include bone pain, swelling, and fractures. Diagnosis relies mainly on imaging and histology. Treatment may include bisphosphonates (osteoclast inhibitors), sirolimus (mTOR (mechanistic Target Of Rapamycin) inhibitor), radiotherapy, and surgery. The prognosis is uncertain and depending on the location and severity of the lesions, the condition may be life-threatening. This article reviews the current knowledge about this disease and illustrates it with a clinical case.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 933","pages":"1744-1748"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207594","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}
{"title":"[Acute and transitional care : comparative analysis between five cantons].","authors":"Natalie Aberer, Philipp Trein, Veronika Schoeb","doi":"10.53738/REVMED.2025.21.933.47320","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.933.47320","url":null,"abstract":"<p><p>Acute and transitional care was introduced in 2011 by an article in the Federal Health Insurance Act. This provision of the law stipulates that mandatory health insurance covers these necessary post-hospitalization care services for a period of 14 days. In the context of an aging population and hospital overload, these care services seem essential to maintain the health of the population. However, in practice, the use of acute and transitional care remains low and sometimes even absent in certain cantons. This article compares the implementation of acute and transitional care in five Swiss cantons to understand the reasons for this low utilization, as well as the differences related to cantonal leeway. It examines cantonal regulations, the use of this type of care, and the institutions offering this service.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 933","pages":"1754-1757"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207616","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}
{"title":"Dose et durée des prescriptions initiales d’opioïdes associées à leur usage à long terme.","authors":"Darius A Rastegar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 933","pages":"1763"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207550","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}
{"title":"[Adenoid hypertrophy in children: diagnosis and management].","authors":"Pranvera Feka-Homsy, Hélène Cao Van","doi":"10.53738/REVMED.2025.21.933.47701","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.933.47701","url":null,"abstract":"<p><p>Adenoid hypertrophy is a common cause of nasopharyngeal obstruction in children. The gold standard for diagnosis is nasal endoscopy, which allows for direct assessment of obstruction severity and therapeutic guidance. First-line treatment includes intranasal corticosteroids, which show short-term effectiveness. Surgery (adenoidectomy) is considered in case of treatment failure or severe obstruction. Although endoscopic techniques enable more complete tissue removal, no significant clinical benefit over conventional curettage has been clearly demonstrated.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 933","pages":"1729-1732"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207613","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}
Laurence Di Benedetto, Lyka Cissé, Ralf Jox, Sarah Depallens
{"title":"[Convention on the rights of the child. How to support youth participation in healthcare].","authors":"Laurence Di Benedetto, Lyka Cissé, Ralf Jox, Sarah Depallens","doi":"10.53738/REVMED.2025.21.932.47149","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.932.47149","url":null,"abstract":"<p><p>A global, systemic approach enables healthcare professionals to support the child's rights. Three articles of the United Nations Convention on the Rights of the Child support children's participation in medical matters affecting him: The right to Respect the best interest of the child (art. 3), The right to express his or her own views freely and to be heard (art. 12). The right to enjoy the highest attainable standard of health (art. 24). Including the child's opinion in decisions concerning him or her is a complex process, requiring the implementation of programs designed to make the child a player regarding the own health. The aim of this article is to support professionals in applying the Convention on the Rights of the Child in the field of health care, and to support young people's participation in health-related issues.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 932","pages":"1713-1717"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138542","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}
Hiba El Masri, Marianna Broccolo, Belén Ponte, Cédric Gillabert, Yves Jackson
{"title":"[Arterial hypertension in 2025: what's new for primary care physicians?]","authors":"Hiba El Masri, Marianna Broccolo, Belén Ponte, Cédric Gillabert, Yves Jackson","doi":"10.53738/REVMED.2025.21.932.47737","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.932.47737","url":null,"abstract":"<p><p>Hypertension is the most important modifiable cardiovascular risk factor. Its prevalence increases with age, and it affects approximately one in three adults, 50% of whom are undiagnosed. Moreover, only half of diagnosed patients receive drug treatment. Of those, half achieve the recommended blood pressure targets. Hypertension is responsible for significant morbidity and mortality, particularly due to its cardiovascular, cerebrovascular, and renal complications. The role of the primary care physician is central in the screening, primary and secondary prevention, treatment initiation, and overall management of hypertensive patients. This article aims to assist primary care physicians by summarizing the main changes and new developments resulting from the latest European guidelines.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 932","pages":"1686-1689"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138572","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}