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Netherlands Journal of Medicine

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https://www.readbyqxmd.com/read/27966443/answer-to-photo-quiz-a-black-umbilicus-in-a-patient-with-a-decompensated-liver-cirrhosis
#1
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27966442/a-black-umbilicus-in-a-patient-with-a-decompensated-liver-cirrhosis
#2
J H Smalberg, T R Hendriksz, P Honkoop
No abstract text is available yet for this article.
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27966441/a-novel-mutation-in-mitochondrial-dna-in-a-patient-with-diabetes-deafness-and-proteinuria
#3
A Y Adema, M C H Janssen, J W van der Heijden
Maternally inherited deafness and diabetes (MIDD) is characterised by a defect in insulin secretion and bilateral hearing impairment. The m.3243A>G mutation is the most reported in mitochondrial DNA (mtDNA) causing MIDD, although other, rare, mtDNA point mutations have also been mentioned. We report on a 28-year-old Caucasian woman with a history of diabetes, kidney disease, deafness, diarrhoea, myopathy and fatigue. The diagnosis of mitochondrial disease was made in this patient, which resulted from a novel 09155A>G mutation in the mtDNA...
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27966440/actinomycosis-of-the-abdominal-wall-after-cholecystectomy-transferral-theory
#4
E-J Kooi, P J de Vries, A W W van Geloven, H V Stel, P J Kingma
Abdominal actinomycosis is a rare disease caused by Gram-positive anaerobic Actinomyces bacteria. Here, we present a patient with an intrauterine contraceptive device who developed a long lasting and unexplained recurrent, painful abdominal swelling a few months after a laparoscopic cholecystectomy.
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27966439/ganciclovir-induced-ataxia-and-encephalopathy
#5
M C Möhlmann, J Stiksma, M H H Kramer
BACKGROUND: Ganciclovir can be used to treat a primary cytomegalovirus (CMV) infection, however it can cause side effects. CASE DESCRIPTION: We describe a 60-year-old immunocompromised woman with a primary CMV infection who was treated with ganciclovir. She developed an encephalopathy which resolved after discontinuation of ganciclovir. CONCLUSION: A reversible encephalopathy as a side effect of ganciclovir.
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27966438/never-ignore-extremely-elevated-d-dimer-levels-they-are-specific-for-serious-illness
#6
T Schutte, A Thijs, Y M Smulders
BACKGROUND: D-dimer is routinely measured as part of the clinical diagnosis algorithms for venous thromboembolism (VTE). In these algorithms, low D- dimer cut-off values are used to generate a dichotomous test result that is sensitive, but very non-specific for VTE. A consequence of any test dichotomisation is loss of information that is hidden in the continuous spectrum of results. For D-dimer, the information conveyed by extremely elevated results may be particularly relevant. Our aim was to assess the differential diagnosis of extremely elevated D-dimer levels in a hospital setting...
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27966437/physician-consensus-on-preventability-and-predictability-of-readmissions-based-on-standard-case-scenarios
#7
L S van Galen, T Cooksley, H Merten, M Brabrand, C B Terwee, C H Nickel, C P Subbe, R Kidney, J Soong, L Vaughan, I Weichert, M H H Kramer, P W B Nanayakkara
BACKGROUND: Policy makers struggle with unplanned readmissions as a quality indicator since integrating preventability in such indicators is difficult. Most studies on the preventability of readmissions questioned physicians whether they consider a given readmission to be preventable, from which conclusions on factors predicting preventable readmissions were derived. There is no literature on the interobserver agreement of physician judgement. AIM: To assess the degree of agreement among physicians regarding predictability and preventability of medical readmissions...
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27966436/investigating-screening-for-diabetes-in-women-with-a-history-of-gestational-diabetes
#8
H S Brink, M Alkemade, A J van der Lely, J van der Linden
BACKGROUND: Type 2 diabetes mellitus (T2DM) is encountered more frequently in women with a history of gestational diabetes (GD). Screening for T2DM after pregnancy is, therefore, recommended every ≥ 1-3 years in this population. Early detection could allow for timely intervention strategies, especially in women of childbearing age. Data on adherence to diabetes screening recommendations and the prevalence of T2DM in this population are not available in the Dutch population. AIM: To investigate the T2DM screening rate and evaluate the risk of T2DM in the five-year period following GD pregnancy...
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27966435/screening-for-complications-after-pregnancy-related-disorders-don-t-restrict-to-gestational-diabetes
#9
P L A van Daele
No abstract text is available yet for this article.
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27966434/clindamycin-induced-acute-generalised-exanthematous-pustulosis-five-cases-and-a-review-of-the-literature
#10
T J L Smeets, N Jessurun, L Härmark, S H Kardaun
Acute generalised exanthematous pustulosis (AGEP) is a rare but serious cutaneous adverse drug reaction, often related to antibiotics such as beta-lactams or macrolides. However, it is rarely associated with clindamycin which belongs to the lincosamide antibiotics. The Netherlands Pharmacovigilance Centre Lareb received five reports of AGEP associated with the use of clindamycin. We present these five cases and provide support for this association from the Lareb database, the database of the WHO Collaborating Centre for International Drug Monitoring (Vigibase™), the database of the European Medicine Agency (Eudravigilance), and from a mini review of the literature...
December 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905314/dutch-guideline-on-food-allergy
#11
M S van Maaren, A E J Dubois
The diagnosis of food allergy is established in cases where an immediate allergic reaction has occurred in the last year to a clearly identifiable allergenic food combined with sensitisation to this allergenic food. In all other cases, a food challenge test is required to establish or reject the diagnosis of food allergy. Although the double-blind placebo-controlled food challenge (DBPCFC) test is considered the gold standard, false-positive and false-negative outcomes occur. The incidence of false-positive outcomes is unknown because the results of DBPCFC tests cannot be further confirmed by other tests...
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905313/answer-to-photo-quiz-recurrent-lesions-after-taking-an-oral-drug
#12
(no author information available yet)
No abstract text is available yet for this article.
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905312/recurrent-lesions-after-taking-an-oral-drug
#13
F Tous-Romero, V Velasco-Tamariz, A Calleja-Algarra, V Gargallo-Moneva
No abstract text is available yet for this article.
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905311/answer-to-photo-quiz-limb-weakness-and-pain-in-a-patient-with-primary-sj%C3%A3-gren-syndrome
#14
(no author information available yet)
No abstract text is available yet for this article.
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905310/limb-weakness-and-pain-in-a-patient-with-primary-sj%C3%A3-gren-syndrome
#15
C Bachmeyer, B Fédida, T Maisonobe, S Abbara, A Lecadet, S Georgin-Lavialle
No abstract text is available yet for this article.
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905309/an-impressive-response-to-pazopanib-in-a-patient-with-metastatic-endometrial-carcinoma
#16
M J van der Steen, Y R P de Waal, A Westermann, B Tops, W Leenders, P B Ottevanger
The incidence of endometrial carcinoma is rising and the patients with distant metastases have a poor prognosis, especially when progression of disease occurs after systemic treatment with hormonal therapy or chemotherapy. Pazopanib, a multi-targeted inhibitor of several oncogenic receptor tyrosine kinases, has been investigated in patients with chemotherapy-resistant endometrial carcinoma or patients for whom chemotherapy is contraindicated. In this report we will describe a spectacular response to pazopanib in a patient with recurrent metastatic endometrial carcinoma...
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905308/a-case-of-extreme-hypokalaemia
#17
L M Ten Bos, T C Veenstra, B D Westerhof, F H Bosch
Hypokalaemia is a common clinical problem. It can lead to severe disturbances in cardiac, neurological and muscle function. We present the case of a 45-year-old woman who was transported to our hospital with cardiac arrest following ventricular fibrillation. Blood sampling revealed severe acidosis (pH 7.02) and extreme hypokalaemia (0.9 mmol/l). The low serum potassium level was most likely caused by the combination of a very deficient diet and use of a thiazide diuretic. She never reported any symptoms. An acute intracellular shift of potassium due to epinephrine and perhaps also the cathecholamines in Red Bull may have further decreased the serum potassium concentration...
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905307/oriental-cholangiohepatitis-recurrent-pyogenic-cholangitis-a-case-series-from-the-netherlands-and-brief-review-of-the-literature
#18
K E Verweij, H van Buuren
Oriental cholangiohepatitis is a condition occurring in the Asian population, characterised by recurrent bacterial cholangitis and presence of calculi within the intrahepatic bile ducts, biliary strictures and an increased risk for cholangiocarcinoma. It is an uncommon disease in the West that may not always be considered. The therapeutic approach is multidisciplinary and highly individual, and includes antibiotic therapy, endoscopic and percutaneous biliary drainage with stone removal and dilation of strictures, and in selected cases surgical resection of affected liver segments...
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905306/introduction-of-day-care-thyroid-surgery-in-a-dutch-non-academic-hospital
#19
R R Dulfer, K S de Valk, F Gilissen, T M van Ginhoven, P C Smit
OBJECTIVE: Hemithyroidectomy is the most common endocrine surgical procedure and is performed with low complication rates. Multiple international reports indicate that thyroid surgery in the day care setting is feasible and safe. Despite these results, day care thyroid surgery has not yet been implemented in the Netherlands. The objective of this study is to assess the safety of thyroid surgery in our institution and, when deemed safe, implement day care thyroid surgery. METHODS: All patients who underwent hemithyroidectomy in our institution between January 2010 and December 2014 were included in the retrospective analysis...
November 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27905305/regional-variation-in-the-practice-of-euthanasia-and-physician-assisted-suicide-in-the-netherlands
#20
J J E Koopman, H Putter
BACKGROUND: The practice of euthanasia and physicianassisted suicide has been compared between countries, but it has not been compared between regions within the Netherlands. This study assesses differences in the frequencies, characteristics, and trends of euthanasia and physician-assisted suicide between five regions in the Netherlands and tries to explain the differences by demographic, socioeconomic, and health-related differences between these regions. METHODS: Data on the frequencies, characteristics, and trends of euthanasia and physician-assisted suicide for each region and each year from 2002 through 2014 were derived from the annual reports of the Regional Review Committees...
November 2016: Netherlands Journal of Medicine
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