This content is machine translated From symptom to diagnosis Joint diagnostics: dorsal heel pain – dorsal heel spur and Haglund’s heel. Haglund’s heel (Haglund’s exostosis) is a ganglion at the upper edge of the heel bone. Dorsal calcaneal spur is an ossification of the attachment of the Achilles tendon to the…
View Post 3 min This content is machine translated From symptom to diagnosis Joint diagnostics: plantar heel pain – fasciitis plantaris The plantar fascia is a strand of connective tissue that runs from the lower heel bone to the metatarsophalangeal joint. Inflammation of the tendon plate on the sole of the…
View Post 3 min This content is machine translated From symptom to diagnosis Joint diagnostics: plantar heel pain – plantar heel spur A heel spur is a thorn-shaped bone outgrowth on the heel bone (calcaneus). This is diagnosed by means of a lateral X-ray of the heel. Etiological factors include overuse due…
View Post 5 min This content is machine translated Advanced Parkinson's disease Effective use of pump therapy A 64-year-old Parkinson’s disease patient developed massive effect fluctuations and severe worsening of symptoms under conventional therapy. Only the use of a continuous intrajejunal dopaminergic stimulation by pump therapy led to…
View Post 4 min This content is machine translated From symptom to diagnosis Joint diagnostics: Osteochondrosis dissecans of the ankle joint In a late stage of the disease, there may be detachment and expulsion of a piece of bone-cartilage (dissekat or articular mouse) from its bearing (mouse bed) into the joint…
View Post 3 min This content is machine translated From symptom to diagnosis Joint diagnostics: Osteochondrosis dissecans of the knee joint Osteochondrosis dissecans is a circumscribed disease of the subchondral bone with localized circulatory disturbance, often a consequence of excessive repetitive mechanical stress. Predilection sites are areas of convex joint structures…
View Post 4 min This content is machine translated Reflux Cases Heartburn during pregnancy – good advice is expensive A 32-year-old female patient with known GERD presents to her primary care physician’s office at 27 weeks’ gestation with increasing heartburn and regurgitation while lying down. She used to have…
View Post 4 min This content is machine translated Alpha-1 antitrypsin deficiency It does not always have to be obstruction A 52-year-old female patient has been suffering from recurrent infections for years and requires recurrent antibiotics. No other diseases are present. The reason was alpha-1 antitrypsin deficiency. Bronchiectasis can lead…
View Post 2 min This content is machine translated Bullous pemphigoid: case report Immuno-serological evidence led to the diagnosis An elderly patient with therapy-resistant exanthematous skin lesions was diagnosed with bullous pemphigoid on the basis of ELISA IgG antibody determination. Serological detection of BP180 has high diagnostic sensitivity and…
View Post 4 min This content is machine translated From symptom to diagnosis Joint diagnostics: Degenerative knee joint changes – Meniscus rupture A meniscal lesion is a degenerative or traumatic injury to the medial or lateral meniscus. A typical symptom is sudden pain that intensifies when walking. If a meniscal rupture is…
View Post 4 min This content is machine translated From symptom to diagnosis Joint diagnostics: Degenerative knee joint changes – Cartilage damage Cartilage damage in the area of the knee joint is a very common clinical picture. There are many causes and numerous symptoms up to chronic pain. For accurate cartilage diagnosis,…