Voyeuristic Disorder

(Voyeurism) Voyeurism designated achieving sexual arousal by observing other people who are naked, undress or are in the sexually active. In secret observing unsuspecting people of this sexual behavior often leads to conflict with the law and in relationships. A voyeuristic disorder involves interacting with voyeuristic impulses or fantasies with the non-consenting person or experiencing significant suffering or impairment of functioning due to such urges and impulses. Voyeurism is a…

September 3, 2018
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Vulvar Cancer

The vulvar cancer is typically a squamous cell carcinoma of the skin, which usually occurs in older women. Usually, it shows up as palpable mass. The diagnosis is made by biopsy. The treatment consists of excision and inguinal and femoral lymph node dissection. The vulvar cancer is the fourth most common gynecologic malignancy in the United States; it is responsible for 5% of the malignancies of the female genital tract…

September 3, 2018
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Waiving Resuscitation (Vaw- Arrangement) And Medical Instructions For Life-Sustaining Treatments

Physicians should discuss with their patients the possibility of cardiac and respiratory arrest and describe the procedures for cardiopulmonary resuscitation and the possible outcomes and ask their patients about their preferences. If the patient is unable to make a decision on the revival of an alternate who can make this decision by drawing on previously articulated wishes of the patient in the best interest of the patient. Abandoning resuscitation (VAW-arrangement)…

September 3, 2018
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Vitamin B12

(Cobalamins) A nutritional vitamin B12 deficiency develops in inadequate absorption, but he can also relate to vegans who do not use vitamin supplements. Due to the lack creates a megaloblastic anemia, damage to the white matter of the spinal cord and brain, and peripheral neuropathy. The diagnosis is usually to decrease serum levels of vitamin B12. The Schilling test provides insights into the etiology. Therapeutic Vitamin B12 is administered orally…

September 3, 2018
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Warts

(Verrucae vulgaris) Warts are common, benign epidermal lesions caused by infection with the human papilloma virus. They can occur on the body with different morphs everywhere. The diagnosis is made clinically. Warts are self-limiting, usually, however, can and topical or injected substances are treated by destructive methods (for. Example, excision, cautery, cryotherapy, liquid nitrogen). The prevalence of warts is very high in patients of all ages, but mostly children to…

September 3, 2018
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Vitamin C

(Ascorbic acid) In industrialized countries, a vitamin C deficiency can occur with general malnutrition, but a severe deficiency, which is the cause of scurvy is very rare. Among the deficiency symptoms fatigue, depression and connective tissue damage include (z. B. gingivitis, petechiae, erythema, internal bleeding, delayed wound healing). For infants and babies bone growth is inhibited. The diagnosis is made clinically in general. For the treatment of the lack of…

September 3, 2018
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Water And Sodium Balance

The equilibrium of water and sodium is interdependent to a great extent. The total body water (TBW = total body water) is about 60% of body weight in men (with variations between 50% in obese people up to 70% in lean humans) and about 50% in women. Nearly one-third of the TBW are located in the intracellular compartment (intracellular fluid or ICF); the other third is extracellular (extracellular fluid, or…

September 3, 2018
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Ventricular Fibrillation

(VF) In ventricular fibrillation (VF) leads to uncoordinated muscle fibrillation of the ventricles without effective contractions. Immediate loss of consciousness and death within minutes are the result. The therapy consists of a cardiopulmonary resuscitation with immediate defibrillation. Ventricular fibrillation is caused by numerous small reentry waves of electrical activity and is reflected in the ECG as ultrafast waveforms to the baseline with different length and morphology (atrial fibrillation in Wolff-Parkinson-White…

September 3, 2018
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Ventricular Premature Beats

(VPB; ventricular extrasystole; PVC) Ventricular extrasystoles (VES) are single ventricular pulses which are caused by a reentrant mechanism within the ventricle or by an abnormal automaticity of the ventricular myocardial cells. VES find very often both in healthy people and in people with heart disease. VES may be asymptomatic or cause palpitations. The diagnosis results from the ECG. Treatment is not usually required. VES referred to, also known as premature…

September 3, 2018
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Ventricular Septal Defect (Vsd)

A ventricular septal defect (VSD) is an opening in the Ventrikelseptumwand, which leads to a shunt between the ventricles. Large ventricular septal defects cause a large left-right shunt and cause breathing difficulties in feeding and slow growth in infancy. A loud, rough, holosystolic noise at the left lower sternal border is common. Frequent infections of the respiratory and heart failure may occur. The diagnosis is made by echocardiography. The defect…

September 3, 2018
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