Diagnostika a léčba ve schématech

Med. Pro Praxi 2009; 6(5)  

Hippokratova přísaha v praxi

Mgr. Hana Reichelová

Med. Pro Praxi 2009; 6(5): 227  

Deep vein thrombosis - minimum for general practitioners

MUDr. Dalibor Musil Ph.D

Med. Pro Praxi 2009; 6(5): 231-234  

The article is in brief and digestedly dealing with basics of the diagnosis, therapy and prophylaxis of deep venous thrombosis, which are needed for everyday general practice. All basic informations are summarize in synoptical tables.

Immunoprophylaxis of recurrent herpes simplex infections

RNDr. Marek Petráš

Med. Pro Praxi 2009; 6(5): 235-238  

Recurrent herpes simplex infections are a persistent and distressing disease for which there has been no causal treatment. Currently, immunoprophylaxis with Lupidon vaccines specific for type 1 or type 2 HSV is one of the many options available. Despite significant improvement, immunoprophylaxis cannot be considered to be causal treatment that results in curing the patient.

The specificities of cardiovascular diseases in the eldery

MUDr. Marián Felšöci, MUDr. Ondřej Toman, prof. MUDr. Jindřich Špinar CSc

Med. Pro Praxi 2009; 6(5): 240-242  

Cardiovascular diseases are the most common diagnosis in the elderly and are the main cause of mortality of men and women older than 65 years. A rate of older population in the society is increasing. At the level of cardiovascular and other organ systems functional and anatomical changes occur. Pharmacokinetics and pharmacodynamics of the drugs are also changing. The aim of this report is to give a short review about common problems of cardiovascular diseases in the elderly, their patophysiology, diagnostics and treatment.

Pain treatment in osteoarthritis

MUDr. Marta Olejárová CSc

Med. Pro Praxi 2009; 6(5): 243-248  

Joint pain is the most serious symptom of osteoarthritis (OA) which needs to be paid enough attention to in the clinical practice since it is this symptom that significantly affects the functional capacity as well as quality of life of OA patients. The pain in OA can be managed nonpharmacologically (education, lifestyle modifications, regular exercise, physiotherapy, supportive and orthopaedic devices) or with pharmacotherapy. Paracetamol remains the analgesic of choice; given their toxicity, nonsteroid anti-inflammatory drugs are indicated as second-choice analgesics. Particular caution must be taken in persons with an increased gastrointestinal...

Pheochromocytoma - clinical aspects

MUDr. Branislav Štrauch, Ph.D, doc. MUDr. Tomáš Zelinka, CSc

Med. Pro Praxi 2009; 6(5): 249-253  

Pheochromocytomas and functional paragangliomas are catecholamine-producing tumors presenting with various clinical symptoms, but mostly with headache, sweating, palpitations, and hypertension. Biochemical testing for pheochromocytoma should be performed not only in symptomatic subjects or in subjects with adrenal incidentaloma but also in subjects with a genetic predisposition for pheochromocytoma (multiple endocrine neoplasia type 2, von Hippel-Lindau syndrome, neurofibromatosis type 1 and mutations of succinate dehydrogenase genes). Once a pheochromocytoma is proven, computed tomography, magnetic resonance imaging and functional imaging with...

Neurological disorders and essential principles of pharmacotherapy in elderly

prof. MUDr. Zdeněk Ambler, DrSc

Med. Pro Praxi 2009; 6(5): 254-257  

The growing interest in health problems of the elderly is the result of changes in the population age distribution. The birth rate decline and extended life expectancy result in the overall ageing of the population and this is accompanied by the increased consumption of social and health services. In this country the proportion of citizens of the age of 65+ amounts to 14.6 % and according to the demographic trend this percentage will increase each year. Simultaneously, the number of diseases directly associated with the old age grows as well. Typically cardiovascular diseases and tumors are mostly involved, but mental diseases and neurological...

What is the typical present man with erectile disfunction like?

MUDr. Libor Zámečník FEBU

Med. Pro Praxi 2009; 6(5): 258-259  

Sexual activity is an important part of the partnership. The most frequent obstruction to succesfull coitus is achieving and maintenance of erection. Three diferent materials listed in the PDE-5 inhibitors are available in the treatment of erectile disfunction.

Problems of benign prostatatic hyperplasia at the general practice

MUDr. Ondřej Kaplan, MUDr. Kamil Belej, Ph.D., FEBU

Med. Pro Praxi 2009; 6(5): 260-264  

The care for patients with benign prostatatic hyperplasia (BPH) is in our circumstances in the hands of the urologist. Despite that, the essential knowledge of the etiopatogenesis, diagnostics and treatment can be useful for the general practitioner’s, it can facilitate their care for these patients and improve their collaboration with the specialist. The article summarises the contemporary view on that problems and provides with practical information about the strategy of the care for patients with this most common male urological disease.

Treatment of acute attack of primary headache

MUDr. Věra Peterová

Med. Pro Praxi 2009; 6(5): 265-269  

Tension headache is the most often primary headache, which is astringent, dull and diffuse. Treatment includes analgesics, non-steroidal antirheumatics (NSA) and anxiolytics, resp. myorelaxants. Migraine is a primary headache with repeated seizures predominantly of hemicrania type accompanied with nausea, vomiting, photophobia or other additive symptoms. Treatment of acute attack is oral if patient is not vomitting mostly by analgesics or NSA. Serotonine receptor agonists – triptans represent specific treatment. If patient vomits antiemetics are recommended or parenteral treatment is necessary. Cluster headache and paroxysmal hemicrania are...

Diabetic retinopathy

doc. MUDr. Tomáš Sosna CSc

Med. Pro Praxi 2009; 6(5): 270-275  

Diabetic retinopathy is a serious microangiopathic complication of diabetes. The fundamental basis of treatment is prevention. Prevention needs close collaboration between diabetologists, endocrinologists, general practitioners and educational nurses with the ophthalmologist and the patient. Besides, a perfect knowledge of the disease is necessary for the success of this collaboration. Therefore, the article briefly summarizes the epidemiology and pathophysiology of the disease. The clinical manifestations and therapeutic procedures are presented. The risk factors, prognosis and screening practice are discussed. In conclusion, the article defines...

Severe osteoporosis at woman incurred post partum

MUDr. Hana Jarošová, MUDr. Jan Rosa

Med. Pro Praxi 2009; 6(5): 279-280  

Patient after parturition had back pain. She had done MRI and denzitometry after several months. Résume was serious osteoporosis with spine compressive fractures. She had pharmacotherapy and nonpharmacotherapy treatment (physiotherapy, physical therapy, prosthetic care). BMD was improved. Physician would be thinking about osteoporosis when young women after parturition has back pain.

Palliative care

MUDr. Zuzana Grofová

Med. Pro Praxi 2009; 6(5): 276-278  

Incurably ill patients are provided palliative care including a proper hydration and nutrition. A nutritional support is focused on a prevention of undernutrition based complications and leads to maintaining of a quality of life. Nutritional support differs in a palliative and a terminal care. A peroral food is stressed as a basic approach. All kinds of a nutritional support can be used including artificial nutrition which is however considered to be a treatment that can be ceased if it brings no more benefits to patients. Ethical aspects in palliative care are based on common ethic principles and on a current level of knowledge.

Intravenous implantable ports in the hematooncology

Bc. Monika Labudíková, MUDr. Jaromír Hubáček, Ph.D, Bc. Andrea Jablunková, Jana Lišková

Med. Pro Praxi 2009; 6(5): 281-283  

The article reviews the knowledge about intravenous implantable ports. We are using this methods since 1997. The diagnosis non-Hodgkin’s lymphoma is first of candidates to implantation intravenous implantable ports. The article in detail describe the methods of implantation and describe various complications. Infection is the most frequent and serious complication associated with intravenous therapy. The education (client preparation) before achievement is necessery, improve the comfort of patiens. Nursing staff must be know the routine sterile procedures, must be assessment complications to the improving long time existence of port.

What you should be careful about when using the insulin pump for therapy

Lucie Bezděková, MUDr. Jarmila Raidová

Med. Pro Praxi 2009; 6(5): 284-285  

Treatment with insulin pump is among the modern methods of diabetes management, allowing for the most natural way of delivering insulin into the patient‘s subcutis. For some persons with diabetes it is the only option of how to achieve good compensation. The paper summarizes the basic information that needs to be highlighted repeatedly as part of education since patients tend to simplify the issue, which may result in acute and, subsequently, late diabetic complications.

Autodidaktický test 5/2009

Med. Pro Praxi 2009; 6(5): 286