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Biomedical subjects

S Forgács

Publications and source records attributed to S Forgács.

At least 19 recordsLinked to original sources
PubMed1997

The basic and the practical way of treating of diabetic foot.

Developed atrophic ulcer and infected alterations of the foot, as a result of complications of DM, according to the available literature, 40-80% of the performed amputations are not necessary even though in practice they do occur. In our practice even the severely altered and infected extremities which look serious are considered as primarily a savable extremity if the conditions are present. The state of circulation of the extremity and the condition of the limb are evaluated carefully, and the sugar level is monitored continuously. According to our experience, every progressing process, the alteration of the host sugar level can be held as responsible. That is why after the early therapeutic period, careful monitoring of the insulin level is a priority. At our out-patient department we are daily confronted during routine wound inspections by cases of necrotizing osteomyelitis which to our experience are doomed for removal. In 1995 at the out-patient section of the vascular surgery ward we saw over 9000 patients, more than 500 of which included patients with diabetic angio/neuropathy complications. The nursing of this group of patients during that year only to 33 large vessel reconstructive operations and 26 cases of amputations. We conclude from the above statistics that not all cases of osteomyelitis cases should lead to limb amputation. Due to the nature of the condition, careful monitoring with early preventive measures, plus family support play a crucial role in the outcome of the condition. This complex process is better handled if special diabetic centres were set-up to monitor patients progress.

Ambulatory Care↗
PubMed1979

[Calcification of the ligament. ant. of the spina (disease of Forestier) (author's transl)].

On the basis of the examination on a rich old-age patient material it may be established that. 1. Radiomorphologically the Forestier's disease essentially differs from the banal spondylosis. 2. Age is of particular importance in its genesis -- it is primarily a disease of old age men. 3. It is localized for the most part on the dorsal vertebral part. 4. As compared to the multiple radiomorphological signs clinical symptoms are, in general, neglectable. 5. Additional search for the relationship with diabetic metabolic disturbances in gerontological patients seems advisable.

Age Factors↗
PubMed1977

Stages and roentgenological picture of diabetic osteoarthropathy.

The course and roentgenographic signs of diabetic osteoarthropathy are discribed on the basis of literary data and of 23 cases of the author. Three stages are distinguished: in stage I dislocation, circumscribed porosis and cortical defect are observed. The characteristic sign of stage II is osteolysis, accompained by fragmentation, fracture, periosteal reaction. In stage III the healing takes place according to five radiologically distinguishable patterns. The good healing tendency is typical. Regarding the differential diagnosis of the disease, the possibility of inflammatory and tumourous changes and neurothropic osteoarthropathies of other origin must be considered.

Aged↗
PubMed1977

[Diabetic osteoarthropathy of rare localization].

The typical location of diabetic osteoarthropathy is the foot. Involvement of other joints is rare. In the case treated by the author, the osteoarthropathy of the ankle and knee joints presented at the same time. The process healed in the ankle joint by grave deformity and arthrosis deformans resulted in the knee joint. If arthrosis appears in an unusual location, it is worth while to look for diabetes.

Ankle Joint↗
PubMed1976

Diabetes mellitus and osteoporosis.

In 428 non selected diabetics, the authors determined the metacarpus index of Barnett-Nordin. Upon comparing the data with those of the control group it was shown that opposite to most references one has not to reckon in diabetes with the development of porosis and also that the decrease of the calcium content concomitant with age, respectively, does not significantly differ from that of the control group. Spontaneous vertebral compression occurred more rarely in diabetics than would have been expected on the basis of the literary data. The relation was examined between the type of diabetes, the time of its persisting and osteoporosis. The difference in the observations--compared to the previous ones - is, by the authors, assigned to the fact that nowadays no such lasting and severe metabolic disturbances develop in diabetics that would lead to rare-faction of the bony system and also that hormonal factors can become effective against the development of osteoporosis.

Adult↗
PubMed1975

[Gastrointestinal complications of diabetes mellitus].

The gastrointestinal complications of diabetes mellitus are the outward forms of the diabetic visceral neuropathy. The diabetic damage of the vagus nerve leads to disturbances of the tonus and the motility resembling to postvagotomy like conditions in the following clinical forms: diabetic dysphagia, diabetic gastroparesis, diabetic diarrhoea, diabetic megacolon, diabetic cholecystomegaly. These are in general late complications of labile diabetes. The mild abdominal symptoms are not in proportion to the severe radiological changes, proper diagnosis may be obtained only by means of roentgenological examinations in most cases.

Aged↗
PubMed1975

[Disturbance of gastric emptying in diabetes mellitus (author's transl)].

The author discusses abnormalities in gastric emptying due to diabetes mellitus, and in particular, diabetic gastroparesis, on the basis of his own experience and the relevant literature. Diabetic gastroparesis is a result of a diabetic neuropathy of the vagus. Even in the presence of mild abdominal symptoms, particularly with repeated hypoglycaemic episodes, this condition should be considered and the stomach should be examined readiologically. A diabetic phytobezoar may develop. It may be presumed that these changes are more common than had previously been realized. The author has observed six cases. The gastric atony associated with diabetic coma has to be differentiated from the condition under discussion. Conservative treatment is recommended.

Aged↗