Anna Maria Kastner, Cecilia Lindnér, Ida Behrendt-Møller, Fie Pilsgaard, Maria Uggen Rasmussen, Eqbal Loaibi, Tine Wrønding, Emma Råsmark Roepke, Kilian Vomstein, Sofie Leisby Antonsen, Tanja Schlaikjær Hartwig, Jesper Friis Petersen
{"title":"[Treatment of threatened pregnancy loss].","authors":"Anna Maria Kastner, Cecilia Lindnér, Ida Behrendt-Møller, Fie Pilsgaard, Maria Uggen Rasmussen, Eqbal Loaibi, Tine Wrønding, Emma Råsmark Roepke, Kilian Vomstein, Sofie Leisby Antonsen, Tanja Schlaikjær Hartwig, Jesper Friis Petersen","doi":"10.61409/V07240474","DOIUrl":"https://doi.org/10.61409/V07240474","url":null,"abstract":"<p><p>Vaginal bleeding in the first trimester indicates threatened pregnancy loss and may be due to progesterone insufficiency. Vaginal micronised progesterone (400 mg vaginal tablets twice a day) can increase live birth rates and is recommended for women with threatened pregnancy loss and a history of three or more losses (number needed to treat = 8). It should be considered for women with one (number needed to treat = 20) or two losses. Insufficient data exist to recommend other treatments such as tranexamic acid and bed rest.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366068","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}
Natascha Fuglebjerg, Jesper Stovgaard, Henrik Laugesen
{"title":"Cerebral venøs luftemboli efter hovedtraume.","authors":"Natascha Fuglebjerg, Jesper Stovgaard, Henrik Laugesen","doi":"10.61409/V72058","DOIUrl":"https://doi.org/10.61409/V72058","url":null,"abstract":"","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366070","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}
Mathilde Mussmann von Arenstorff, Marie Louise Roed Rasmussen
{"title":"[Self-enucleation in a psychiatric patient].","authors":"Mathilde Mussmann von Arenstorff, Marie Louise Roed Rasmussen","doi":"10.61409/V08240531","DOIUrl":"https://doi.org/10.61409/V08240531","url":null,"abstract":"<p><p>Self-enucleation is a rare but severe self-inflicted eye injury linked to psychiatric disorders like schizophrenia and bipolar disorder as well as substance abuse. Treatment requires a multidisciplinary approach involving urgent medical and surgical care, followed by long-term psychiatric treatment. In this case report, a 32-year-old woman presented to an ophthalmic emergency department after self-enucleation and was later admitted to a psychiatric ward. This highlights the complexity of treating self-enucleation, necessitating coordinated efforts from emergency, ophthalmologic, and psychiatric teams.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"186 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923342","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":"[Hypoglossus paresis after tonsillectomy].","authors":"Mathias Barfred, Michael Frantz Howitz","doi":"10.61409/V07240481","DOIUrl":"https://doi.org/10.61409/V07240481","url":null,"abstract":"<p><p>This is a case report of a rare hypoglossal nerve paresis after tonsillectomy in a healthy 29-year-old woman. While she made a full recovery, she experienced 6-8 weeks of dysphagia, dysarthria and had to be readmitted because of dehydration. As direct intraoperative trauma is unlikely due to the protected course of the nerve, we discuss possible mechanisms and suggest precautions to avoid similar neuropraxia - such as avoiding overinflation of the laryngeal mask airway, regularly relieving the tongue pressure and using careful manipulation of the tongue base if necessary.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"186 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923341","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}
Sebastian Vigand Svendsen, Kristian Fredløv Mose, Anne Birgitte Simonsen, Mette Sommerlund, Jeanne Duus Johansen, Charlotte G Mørtz
{"title":"[Contact dermatitis in children].","authors":"Sebastian Vigand Svendsen, Kristian Fredløv Mose, Anne Birgitte Simonsen, Mette Sommerlund, Jeanne Duus Johansen, Charlotte G Mørtz","doi":"10.61409/V01240034","DOIUrl":"https://doi.org/10.61409/V01240034","url":null,"abstract":"<p><p>Contact dermatitis is a common skin condition in children caused by environmental exposure to irritants or allergens. Manifestation of common endogenous eczemas, e.g. atopic dermatitis, causes differential diagnostic challenges. The diagnostic workup includes symptoms, dermatitis patterns, and exposure history. Patch testing is the gold standard for diagnosing allergic contact dermatitis and distinguishing allergic from irritant contact dermatitis. This review aims to describe contact dermatitis in children, including diagnostic procedures, differential diagnoses, and management strategies.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"186 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923339","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}
Rasmus Strøm Risbjerg, Niels Kristian Aagaard, Lisbet Grønbæk, Signe Hertz Hansen, Katja Maretty Kongstad, Konstantin Kazankov
{"title":"[Fatal hepatitis after pembrolizumab in combination therapy with carboplatin and pemetrexed].","authors":"Rasmus Strøm Risbjerg, Niels Kristian Aagaard, Lisbet Grønbæk, Signe Hertz Hansen, Katja Maretty Kongstad, Konstantin Kazankov","doi":"10.61409/V06240442","DOIUrl":"https://doi.org/10.61409/V06240442","url":null,"abstract":"<p><p>Immunotherapy-induced hepatitis is a well-known and relatively common side effect of immune checkpoint inhibitors. It is usually mild to moderate and responds well to corticosteroids with a full recovery. However, in rare cases, severe liver injury may develop, leading to fulminant liver failure. In this case report, we present a case of acute fulminant liver failure with a fatal outcome despite adequate treatment in a 67-year-old male following a combination therapy of carboplatin, pemetrexed, and pembrolizumab for metastatic lung cancer.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"186 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923340","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}
Helle Al-Hakem Falk, Merete Storgaard, Lars Kjøbsted Markvardsen
{"title":"Neuroborreliose med MR-forandringer.","authors":"Helle Al-Hakem Falk, Merete Storgaard, Lars Kjøbsted Markvardsen","doi":"10.61409/V72061","DOIUrl":"https://doi.org/10.61409/V72061","url":null,"abstract":"","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"186 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923343","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":"[Christmas article: Importance of seniority and daily variation for the flattening of academic medical language].","authors":"Rasmus Hvidbjerg Gantzel, Henning Grønbæk","doi":"10.61409/V20248","DOIUrl":"https://doi.org/10.61409/V20248","url":null,"abstract":"<p><strong>Introduction: </strong>In the medical community Greek and Latin form a cornerstone of our daily professional communication. The use of correct terminology is under pressure, although the extent of incorrect terminology is unknown, particularly regarding the Greek suffix »-itis«, which indicates inflammation. It has been observed that the correct »-itis« suffix is being reduced to »-it« (e.g., »hepatitis« vs. »hepatit«).</p><p><strong>Methods: </strong>We investigated the extent of this based on observations from medical conferences in the Department of Hepatology and Gastroenterology at Aarhus University Hospital, Denmark.</p><p><strong>Results: </strong>Senior doctors more often use »-itis« correctly compared to junior doctors (59 vs. 39%), but there is generally room for improvement in both groups. A significant difference is observed between morning and midday conferences, with more errors occurring in the morning.</p><p><strong>Conclusion: </strong>There is a tendency toward a reduction in the use of the »-itis« suffix, which can negatively impact clinical communication and patient safety. The study suggests targeted efforts to maintain correct linguistic practices in clinical settings.</p><p><strong>Funding: </strong>None, con amore.</p><p><strong>Trial registration: </strong>Not relevant.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"186 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802353","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":"Histopatologisk verifikation af mandel i risalamande.","authors":"Danny Mortensen","doi":"10.61409/V72031","DOIUrl":"https://doi.org/10.61409/V72031","url":null,"abstract":"","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"186 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802355","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}
Carina Kirstine Klarskov, Mikkel Laustsen Jensen, Linus Daniel Leonhard Duchstein, Bo Zerahn
{"title":"[Christmas article: From diagnosis to delicacy: using MR and DXA scanners to roast Christmas duck].","authors":"Carina Kirstine Klarskov, Mikkel Laustsen Jensen, Linus Daniel Leonhard Duchstein, Bo Zerahn","doi":"10.61409/V20246","DOIUrl":"https://doi.org/10.61409/V20246","url":null,"abstract":"<p><strong>Introduction: </strong>The holiday season poses a unique challenge for hospital staff, especially on night shifts, who must juggle their duties with preparing a festive Christmas meal. This study investigates the novel idea of using hospital MRI scanners to cook duck breasts during shifts. MRI scanners, which use magnetic fields and radiofrequency (RF) pulses for imaging, also generate heat, potentially suitable for cooking.</p><p><strong>Method: </strong>To explore this hypothesis, we performed DXA scans on duck breasts to determine tissue composition and identify any metallic objects, such as shotgun pellets, that could pose risks in the MRI environment. We examined the Specific Absorption Rate (SAR), which measures RF energy absorbed by tissue. Given the similar water content between duck muscle and human tissue, we used human SAR values for our calculations.</p><p><strong>Results: </strong>Our findings suggest that with careful adjustment of RF amplitude, magnetic field strength, and scan duration, it is theoretically possible to cook a duck breast to an internal temperature of 62°C within a standard 8-hour hospital shift.</p><p><strong>Conclusion: </strong>While the idea of using MRI scanners for cooking is intriguing, patient care must remain the priority. The limited availability of MRI scanners for culinary use may limit its practical application. Further research could explore cooking other holiday dishes and address logistical challenges for broader implementation.</p><p><strong>Funding: </strong>None.</p><p><strong>Trial registration: </strong>None.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"186 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802352","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}
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