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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Rhabdomyosarcoma

Rhabdomyosarcoma is a cancer in childhood that arises from embryonic mesenchymal cells that still have the ability to differentiate into skeletal muscle cells. It can arise from almost any kind of muscle tissue on each part of the body and leads to very diverse clinical manifestations. The carcinomas are usually detected by means of computed tomography or magnetic resonance imaging and the diagnosis is confirmed by biopsy. Treatment includes surgical…

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Rheumatic Fever

Rheumatic fever is a non-suppurative, acute inflammation, a complication of an infection with group A streptococci pharyngeal (SGA) which has a combination of arthritis, carditis, subcutaneous nodules, erythema migrans and chorea result. Diagnosis is based on the modified Jones criteria, medical history, clinical examination and laboratory tests. The treatment includes acetyl salicylic acid and other NSAIDs and corticosteroids during a very severe carditis and antibiotics to eradicate the rest Residualinfektion…

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Rheumatoid Arthritis (Ra)

Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease that affects primarily the joints. The RA leads to destruction, mediated by cytokines, chemokines and metalloproteinases. Characteristically the peripheral joints (z. B. wrists, metacarpophalangeal joints) are affected symmetrically flammable, leading to a progressive destruction of the joint structures, usually accompanied by systemic symptoms. The diagnosis is based on specific clinical, laboratory and imaging criteria. The treatment consists of medication, physical activities…

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Rib Fractures

One or more fins can be broken by blunt chest injury. Typically, rib fractures are a blunt force to the chest wall, eg. For example, by a braking movement at high speed, a baseball bat or a heavy crash, triggered; in elderly patients, however, sometimes even a small force (z. B. if one slips) is sufficient. If ? 2 adjacent ribs break at 2 separate locations, which openings lead into…

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Riboflavin

(Vitamin B2) A riboflavin deficiency usually occurs with other B vitamin deficiencies. Symptomatic are a sore throat, lesions of the lips and oral mucosa, glossitis, conjunctivitis, seborrheic dermatitis and normochromic, normocytic anemia. The diagnosis is made clinically in general. To treat riboflavin is i.m. orally or as needed administered. Riboflavin acts as an essential coenzyme in carbohydrate metabolism in numerous redox reactions with (see table: sources, functions and effects of…

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Rickettsialpox

(Vesicular rickettsiosis) Rickettsialpox caused by Rickettsia akari. Of symptoms, there is an initial local lesion and a generalized rash papulovesicular. Rickettsialpox, a rickettsial disease occur in many areas of the US and Russia, Korea and Africa. The vector is a small, colorless mite, which is widespread. It infects the house mouse and some species of wild mice. People can become infected by bites from “Chigger” (mite larvae) or adult mites….

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