[Responsibilities and possibilities of pain consultation].
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Biomedical subjects
Publications and source records attributed to U Kiehl.
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The topic dealt with is about frequency and causes of the neural claudication intermittens among patients of our neurological department as a specific clinical form of lumbosacral disorder syndromes. Concluding special attention is given to diagnostical and therapeutical problems.
The indication of metoclopramide is discussed in connection with the treatment of extra-pyramidal defect syndromes according to latest clinical observations.
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It is reported on the progress of an intoxication by a manifold lethal dose of acetic acid (200 ml 80% acetic acid respectively 160 g). The patient survived the intoxication by the complex application of hemodialysis and intensive care therapy. Repeated shock states due to myocardial infarction and massive intestinal bleeding led to a brain organic psychosyndrome which reducing cannot be reckoned with.
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The etiology, pathogenesis, and clinical treatment of stenoses of the isthmus aortae are outlined. Following this, the particular case of a 41-year-old patient with typical stenosis of the isthmus of the aorta is reported. The course of disease required the need for a surgical operation, which had not initially been taken into consideration, to be reexamined. The patient, after performance on him of vascular restoration, is now on a part-time job. Using age as the sole circumstance indicating the inadvisability of performing a surgical operation in the case of stenosis of the isthmus aortae cannot any longer be considered justifiable.