Slovo úvodem

doc.MUDr.Romana Ryšavá, CSc.

Med. praxi. 2010;7(2):51  

Diagnosis and treatment of lymphoedema

MUDr.Kateřina Klauzová, MBA

Med. praxi. 2010;7(2):53-57  

The lymphatic system is part of the circulatory and immune system. Clinical failure of the lymphatic system arises lymphedema and is caused by imbalances between the transport capacity of the lymphatic system and the resulting volume of lymph. Lymphoedema is a serious, ongoing chronic disease, and are particularly affected limb. The causes of lymphoedema are congenital (primary) and acquired (secondary). Reliable and objective method is the three-phase radionuclide lymphography (lymphoscintigraphy). Treatment of lympho edema is complex, includes manual lymph drainage, intermittent pneumatic compression, bandaging and rehabilitation. Lymphoedema...

Complex treatment of a diabetic patient in a GP‘s surgery

MUDr.Igor Karen, MUDr.Zdeněk Hamouz

Med. praxi. 2010;7(2):58-63  

In recent years, diabetes mellitus (DM) has been an increasing public health problem in both developed and developing countries. More often than not, it feels like a cliché to me. The Czech Republic is way behind in the care of the diabetic patient. Beginning this year, GPs (general practitioners) can treat uncomplicated type 2 diabetic patients in their practice. Up to now, they have not been paid for this work and, what is more, it has not been considered by health insurance companies in terms of regulations. Paradoxically enough, sometimes GPs were even penalized by higher costs for laboratories and drugs. In an overall effect, it was rather...

A cause of anemia by gastro-intestinae tract diseases

MUDr.Oldřich Stibůrek

Med. praxi. 2010;7(2):64-68  

Anemia is one of the most common human diseases. According to their origin we recognize two types of anemia: hemoglobin or erythrocytes formation disorder and increased erythrocytes loss. Both types occur often at GI diseases. A cause of anemia can be the iron, vitamin B12 and/or folic acid deficiency. We can also meet anemia at hypersplenism as an liver cirrhosis result. GI bleeding is the frequent cause of anemia, and sometimes can be even fatal. Despite the fact, that anemia (especially the asymptomatic one) is sometimes underestimated, it is necessary to diagnose its cause and treat it.

Specifics of Peripheral Vascular Disease by the diabetics

MUDr.Jarmila Indráková

Med. praxi. 2010;7(2):69-73  

Peripheral Vascular Disease (PVD) affects estimatedly up to 20 % of the patients over 70 years. In its less advanced stages (stage I and II of the Fontain classification) is chiefly a predictor of increased cardiovascular mortality due to a high probability of collateral ischemic heart and brain disease. The more advanced stages of the disease limit the prognostically ill person significantly and they principally threaten the quality of life, not only by the possibly amputation of the limb. There is 5 times more risk of PVD and possibility of gangrene 20 times more in diabetic patients than in nondiabetic patiens. Incidence of PVD in population...

Perioral dermatitis

MUDr.Andrea Hradiská

Med. praxi. 2010;7(2):74-75  

Perioral dermatitis is a chronic condition characterized by formation of red papules, pustules or papulopustules on erythematous base. The patients subjectively report sensations of tension, burning and itching. The aetiology is not completely elucidated. The mainstay of treatment is elimination of the causative agent, particularly withdrawal of local corticosteroids.

Specific features and differences in the examination of and approach to patients with acute or chronic pain

prof.MUDr.Jaroslav Opavský, CSc.

Med. praxi. 2010;7(2):76-79  

Acute pain is a symptom which provides an information about nociception. It does not change (for a long time) the psychological and social state of the patient with an acute pain syndrome. On the other hand, chronic pain represents a situation with a complex involvement of the bio-psycho-social integrity of patients with long-lasting pain syndromes. It often leads to changes in psychological and social fields of these patients. Chronic pain is associated with specific pathophysiological changes and it requires a knowledge of the pathophysiological classification of pain. Taking the personal medical history of a patient and stating the diagnosis...

Selected acute conditions in otorhinolaryngology

MUDr.Pavla Urbánková, MUDr.Libor Urbánek

Med. praxi. 2010;7(2):80-83  

Some acute diseases in otolaryngology can lead to life-threatening situation in very short time. Typical symptoms and most usefull steps in treatment are described in the paper with accent on primary care and prehospital treament phase.

The case of bronchitis with prolonged course

MUDr.Šárka Pokorná

Med. praxi. 2010;7(2):84-85  

The patiens often suffer from cough and breathlesness, when they visit practitioners or specialists. The differential diagnose is very broad and include the diseases of respiratory system, cardiovascular and nervous or haematopoetic system etc. The physician can deduce the most propably causes of illness from the first contact with the patient, which he specifies by targeted questions and insures by physical examination and other methods. These seemly properly formulated questions can take away the right diagnose and so miss the potential life threatening event, as it was in this reported case.

Aneuryzma břišní aorty

MUDr.Miroslav Chochola, CSc.

Med. praxi. 2010;7(2):86-87  

CT - basic of survey, indications, contra-indication, possibilities, practical experience

MUDr.Věra Peterová, CSc.

Med. praxi. 2010;7(2):90-94  

Computerized tomography examination (CT) is based on the measurement of absorption of X-ray beam in a thin layer of the investigated area of the body. CT machine consists of a system of rotating X-ray tube and sector of detectors localized on the ring of examination circle of CT device (gantry). Mathematical calculation determines the amount of X-ray absorption shown in shades of gray. To determine the density range (extent of absorption of radiation and scattering radiation) in the area Hounsfield´s units (HU) are used. The article discusses types of CT examinations, its indications in different parts of the body, preparation of the patient...

Psychosocial support for patients with autoimmune disease - rheumatoid arthritis

PhDr.Jana Haluzíková, Ph.D., PhDr.Zdeňka Římovská, Ph.D.

Med. praxi. 2010;7(2):88-89  

Rheumatoid arthritis (RA) is a chronic inflammatory disease with inflammatory affliction of joints. It is accompanied by pain and morning stiffness. In the course of the disease, complications occur, partly as side effects of therapy. Joint deformities and various other organ afflictions develop. The objective of RA therapy is to alleviate clinical symptoms of joint inflammation and organic changes, rehabilitation and psychosocial approach to sufferers being a part of the treatment process.

Autodidaktický test 2/2010

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Med. praxi. 2010;7(2):95