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Biomedical subjects

G Mähr

Publications and source records attributed to G Mähr.

At least 37 records · Page 2Linked to original sources

[Bone scan in the diagnosis of renal osteopathy (author's transl)].

Biochemical tests (serum calcium, inorganic phosphate and alkaline phosphatase), as well as clinical, radiological, scanning and histological investigations were undertaken in 24 patients in chronic renal failure. The frequency with which the diagnosis of renal osteopathy could be made depended in the method of investigation, the biochemical findings proving to be completely unreliable. There were positive radiological signs in ten patients and clinical signs in 12, predominantly in the progressive stages of osteopathy. A positive scan was obtained in 23 patients, typical histological bone changes in an equal number. Since it correlates so well with the histological findings, bone scan is suitable particularly in the early diagnosis of osteopathy. Since this test is easily performed and hardly stresses the patient, it should routinely be the initial one for the diagnosis of renal osteopathy.

Adolescent↗

[Chemical Investigation of Chronic Pancreatitis].

We differentiate indirect and direct methods. The indirect methods include the examination of the blood (ESR, blood picture, electrolytes, especially calcium, for the exclusion of hyperparathyroidism, status of fat and liver enzymes, activity of alpha-amylase and lipase. More informative than a serum determination is the measurement of the amylase activity in the 24-hour urine. The detection of chymotrypsin in the stool can be recommended as an investigative test also for use in general practive in collaboration with a central laboratory.- The direct methods include investigation of the duodenal juice with measurement of pH, bicarbonate, of the activities of chymotrypsin, trypsin, lipase and amylase. For excluding of a disturbance of the carbohydrate metabolism in addition to blood sugar determinations, glucose tolerance and tolbutamide tests, the determination of insulin activity is indicated.

Acute Disease↗

[Micro-molecular plasmocytoma: case report (author's transl)].

The histological diagnosis of an apparently solitary destructive bone lesion revealed a plasmocytoma, being suspected of generalized spreading. Thereupon performed radiological examination demonstrated multiple radiolucent skeletal lesions and supported this diagnosis. Although specific hematological and proteinchemical findings were not indicative in the first instance, a second scrutiny of protein rates succeeded to demonstrate Bence-Jones-Kappa and consequently this case could be classified as a multiple micro-molecular plasmocytoma.

Acute Disease↗