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General Internal Medicine

1708 posts
  • This content is machine translated Proton pump inhibitors

No prescription without correct indication

At the 55th Continuing Medical Education in Davos in January 2016, a workshop focused on the correct use of proton pump inhibitors (PPI). Prof. Dr. med. Christoph Beglinger, Claraspital Basel,…
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  • 6 min
  • This content is machine translated "Therapy-resistant" hypertension

What are the reasons?

The definition of refractory hypertension is very precise (tab. 1): Blood pressure in the physician’s office is >140/90 mmHg despite triple combination therapy in appropriate dosage (including a diuretic). In the case…
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  • 9 min
  • This content is machine translated Hypertension in the elderly

Does lowering blood pressure provide any benefit at all, and how low should you go?

With increasing age, systolic blood pressure rises continuously, whereas diastolic blood pressure rises until the sixth decade of life and then falls again. Thus, in old age, isolated systolic hypertension…
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  • 6 min
  • This content is machine translated Statin therapy

Lipid lowering in old age – does it make sense?

The benefits of statin therapy in secondary prevention should not be denied in principle to older patients at risk. Currently, statins have no value in primary prophylaxis in old age.…
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  • 4 min
  • This content is machine translated Chronic hepatitis C

New drugs are expensive, but cure many patients

Chronic hepatitis C is one of the most common causes of advanced liver disease and liver transplantation in Switzerland. For people with chronic HCV infection, however, the situation has improved…
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  • 7 min
  • This content is machine translated General allergic reactions

Emergency management – anaphylaxis is too rarely recognized

The most common triggers of anaphylaxis in adults are drugs and insect bites, and food in children. The development and dynamics of anaphylaxis are unpredictable. According to the WAO recommendation…
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  • 7 min
  • This content is machine translated 1st Swiss Symposium on Psychosomatics

Fatigue – fate of our time?

At the 1st Swiss Symposium for Psychosomatics at the Giesserei in Zurich-Oerlikon, the topic was “Exhaustion, Burnout and the Tired Society”. Are we really getting more and more tired and…
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  • 9 min
  • This content is machine translated AHA Congress 2015 in Orlando

Big News: Do we need to rethink blood pressure targets?

The dominant topic at the AHA Congress was the SPRINT trial and its implications for future hypertension treatment. Is it prognostically meaningful to target lower systolic blood pressure values in…
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  • 6 min
  • This content is machine translated When is which imaging procedure appropriate?

CT or MRI – decision-making aids for the practice

Although there are clear guidelines on which investigational modality is used for which question, the decision is plurifactorial. If in doubt, you can ask the radiologist for advice. Medical history…
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  • 7 min
  • This content is machine translated Drowsiness in road traffic

Stop, have a coffee, take a short nap – and keep going

10-15% of the population suffer from daytime sleepiness. Causes include socially induced sleep deprivation, shift work, or diseases such as sleep apnea syndrome, narcolepsy and other hypersomnias, restless legs syndrome,…
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  • 7 min
  • This content is machine translated Long-term therapy for restless legs syndrome

Restless legs are common and usually persist for life

Restless legs syndrome is a common and usually chronic condition whose treatment needs to be adjusted repeatedly during its course. In recent years, studies and recommendations on long-term therapy have…

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