Rkungen In Opioid-Naive Patients Are Common Side Effects Occurring At Baseline Sedation And Mental Clouding Nausea And Vomiting Itching Respiratory Depression (Rare

when appropriate doses are given) Since stable plasma levels are not reached before passage of 4-5 half-lives involve drugs with long half-life (v. a. levorphanol and methadone) a risk for delayed toxicity with increasing plasma levels. Retarded opioids typically require several days until uniform level reaches. In older opioids tend to have more side effects (often constipation and sedation or mental clouding). Falls are a particular risk in the elderly….

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Retinitis Pigmentosa

The retinitis pigmentosa is a slowly progressive, bilateral degeneration of the retina and the retinal pigment epithelium caused by different genetic mutations. Symptoms include night blindness and loss of peripheral vision. The diagnosis is made by fundoscopy showing a pigmentation in knochenbälkchenartiger configuration in the area of ??the retinal equator, a narrowing of the retinal arteries, a waxy pallor of optic disc, a posterior subcapsular cataract, and cells in the…

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Retinoblastoma

Retinoblastoma is a malignant tumor that starts from the immature retina. The symptoms and findings often include a leukocoria (cat’s eye, a white spot on the pupil) and strabismus and, less frequently, inflammation and vision problems one. The diagnosis is made by means of ophthalmological examination, ultrasound, computed tomography or magnetic resonance imaging. The treatment of small tumors and bilateral disease can be carried out with photocoagulation, cryotherapy and radiation….

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Rocky Mountain Spotted Fever

(Spotted fever, tick bite fever, tick typhus) The Rocky Mountain Spotted Fever is caused by Rickettsia rickettsii and transmitted by Ixodeszecken. The disease is characterized by high fever, severe headache and a rash. The Rocky Mountain Spotted Fever is a rickettsial disease. The Rocky Mountain Spotted Fever is caused by Rickettsia rickettsii and transmitted by Ixodeszecken. The disease is characterized by high fever, severe headache and a rash. The Rocky…

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Retinopathy Of Prematurity

(Retrolental fibroplasia) The retinopathy of prematurity is a bilateral disease with abnormal vascularization of the retina in premature infants, v. a. those with low birth weight. It may therefore come to the restitutio ad integrum to a normal vision, but also to blindness. The diagnosis is made by ophthalmoscopy. The treatment of the heavy RPM with cryotherapy, laser photocoagulation or bevacizumab; other measures are required for the treatment of complications…

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Retropharyngeal

Retropharyngealabszesse are most common in young children and can cause sore throat, fever, stiff neck and stridor. The diagnosis can be made based on the clinical picture, but usually an ultrasound or CT scan is required. The treatment consists of an abscess drainage under general anesthetic and antibiotic therapy. Sometimes must be done about the procedure, a endotracheal intubation. Retropharyngealabszesse develop on the back of the pharynx in retropharyngeal lymph…

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Rett Syndrome

Rett syndrome is a neurodevelopmental disorder that occurs almost exclusively in women and affects the development after an initial six-month period of normal development. Diagnosis is based on clinical observation of signs and symptoms during the early growth and development of the child, regular ongoing review of the physical and neurological status of the child and genetic tests to look for the MECP2 gene mutation on the X chromosome of…

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Revaskularsierung In Acute Coronary Syndromes.

Revascularization is to restore blood flow to the ischemic myocardium with the objective of limiting a continuous damage to reduce ventricular irritability and improve short-term and long-term course. Modes of revascularization include thrombolysis with fibrinolytic drugs The percutaneous coronary intervention (PCI) with or without stent placement Coronary artery bypass surgery (CABG) use, time and modality of revascularization depend on which (ACS) is present acute coronary syndrome, the time of presentation,…

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Reye’S Syndrome

(Reye’s syndrome) Reye’s syndrome is a rare form of acute encephalopathy and fatty infiltration of the liver. Sometimes it is a result of a viral infection, especially if salicylates were taken. The diagnosis is made clinically. Treatment is supportive. The cause of Reye’s syndrome is unknown. but many cases appear to occur after an influenza A or B or a Varizelleninfekt. The use of salicylates (usually aspirin) in these diseases…

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