Krásné Vánoce

Mons. Jan Graubner

Interní Med. 2010; 12(12): 575  

Treatment of osteoporosis - current opportunity

MUDr.Petr Hrdý, MUDr.Pavel Novosad

Interní Med. 2010; 12(12): 579-582  

Osteoporosis is valid medical problem implicated millions fractures of sicks in the whole world. Currently indications to therapy result from bone density measured by densitometry or result from presence of typical osteoporotic fracture in patient´s anamnesis too. Next decision-making algorithms are detected to indicate therapy (FRAX™). Current therapy consists of non-pharmacological and pharmacological parts, which are complemented necessarily. The pharmacological therapy can be divided into two groups on principle – anticatabolic and osteoanabolic. Financially exacting therapy would be reserved for hardest groups of patiens with...

Diabetes as pancreatic cancer risk factor

MUDr.Dagmar Horáková, Ph.D., doc.MUDr.Helena Kollárová, Ph.D., MUDr.Dalibor Pastucha, Ph.D., Mgr.Kateřina Skřejpková, prof.MUDr.Vladimír Janout, CSc.

Interní Med. 2010; 12(12): 583-584  

Pancreatic cancer is one of the most severe and fastest-spreading disease. The incidence is rising in the Czech republic and pancreatic cancer is the eighth most common type of cancer. In the most cases pancreatic cancer is diagnosed at an advanced stage. Recently attention has been given to diabetes, which is emerging shortly before the diagnosis of cancer. Odds ratio for pancreatic cancer at diabetics is in epidemiological studies placed in the range of 1.2 to 5.8. Diabetes is often the first manifestation of previously asymptomatic ongoing malignancy.

The specifics of non-invasive testing in women with suspected ischemic heart disease

MUDr.Aleš Tomášek, doc.MUDr.Stanislav Janoušek, CSc., doc.MUDr.Petr Němec, CSc.

Interní Med. 2010; 12(12): 585-589  

Coronary artery disease (CAD) is the leading cause of cardiovascular mortality in developed countries. The occurence of CAD is delayed in women. The women´s CAD symptoms are often atypical or they are completely lacking. The noninvasive examination methods including some imaging procedures have a specific pitfalls in women. Therefore the identification of CAD in females is more difficult and there is a higher risk of misdiagnostic in them with potential fatality, especially in acute coronary syndromes.

Wound healing in diabetes mellitus

MUDr.Vladimíra Fejfarová, Ph.D., prof.MUDr.Alexandra Jirkovská, CSc., MUDr.Robert Bém, Ph.D.

Interní Med. 2010; 12(12): 590-593  

In our daily life we usually meet diabetic patients whose are treated in special working places for different types of wounds, mostly for the diabetic foot. The approach to wound management should be multifactorial in such type of patients, since a range of other factors except diabetes should be taken into consideration. These factors could be impaired directly by diabetes and they could influence the wound healing in direct or indirect way. Following article is focused on these factors and their therapeutic influence.

Olomouc kazuistická - dobrý nápad s budoucností

Mgr. Iva Daňková

Interní Med. 2010; 12(12): 609  

Rheumatosurgery of the foot

doc.MUDr.Stanislav Popelka, CSc.

Interní Med. 2010; 12(12): 594-597  

Foot deformities in patients with rheumatoid arthritis are very common. The transverse and longitudinal arches of the foot decline due to inflammation. The metatarsal heads protrude in the sole of the foot. Painful swelling may result, making it impossible to wear standard shoes. The goal of foot surgery is to achieve plantigrade foot posture, enable the patient to wear standard or custom made shoes, provide pain-free walking and standing as well as prevent asymmetric overstress on adjacent joints.

Sonographically guided ethanol sclerotherapy of thyroid cysts - an effective alternative to surgery

MUDr.Milan Halenka, Ph.D., MUDr.David Karásek, Ph.D., doc.MUDr.Zdeněk Fryšák, CSc., MUDr.Dagmar Mayerová

Interní Med. 2010; 12(12): 598-601  

Sonographically guided ethanol sclerotherapy is nonsurgical approach for the therapy of benign, symptomatic and recurrent thyroid cysts. The technique is low-cost, effective, safe and can be performed on outpatient basis. Side effects of ethanol instillation are mild and transient.

Acute pulmonary embolism in district hospital

MUDr.Viktor Talafa, MUDr.Dalibor Pastucha, Ph.D., MUDr.Ivo Pavlas

Interní Med. 2010; 12(12): 602-605  

Venous thromboembolism is a relatively common disease especially with elderly and high risk patients such as those with cancer, immobilized due to injury or carriers of thrombophilic gene mutations. The incidence is 0.8 to 2 in 1000 patients/year. In our review we analyzed the incidence of pulmonary embolism, risk factors, hemodynamic severity, treatment strategy and its efficacy with patients hospitalizated for acute pulmonary embolism in a district hospital. We analyzed the data of a group of 657 in-patients, who were admitted to the Department of Internal Medicine in Frýdek-Místek Hospital for pulmonary embolism in the period between January...

Short introduction to acute pulmonology

MUDr.Pavel Turčáni

Interní Med. 2010; 12(12): 606-608  

Acute pulmonary disease is often accompanied by dyspnoea, haemoptysis, chest pain or respiratory insufficiency. Being familiar with the differential diagnosis of these symptoms is the main condition for good-quality diagnosis and treatment that are dealt with in the first part of the paper. The second part deals with several acute pulmonary conditions including acute asthma, acute COPD exacerbation and acute pneumothorax, the management of which as well as the differential diagnosis of symptoms are presented with an emphasis on the extent and clarity of the text.

Autodidaktický test 10/2010

Interní Med. 2010; 12(12): 610