Med. praxi. 2010;7(12):451
Med. praxi. 2010;7(12):455-460
The basis of pharmacotherapy of osteoporosis is to reduce the fracture risk. Adequate treatment of osteoporosis should be undertaken on the basis of the etiology of osteoporosis, on the mechanism of drug action and on its safety. The spectrum of drug used in the treatment is constantly growing, offering new forms of drug delivery in a different application scheme. The emphasis is to minimize the adverse events of the treatment and increase patients compliance due to the need for long-term treatment.
Med. praxi. 2010;7(12):462-465
Together with hay fever, the allergy to mites represents the most common type of inhalation allergy. The clinical symptoms may comprise perennial allergic rhinitis or conjunctivitis; the allergy is closely related to the development of bronchial asthma or atopic dermatitis. Compared to pollen allergy, it is possible to regulate the contact of sensitive individuals with mite allergens using the application of avoidance regimen; however, the effectiveness of mite avoidance regimen is currently widely discussed. Allergy to outdoor growing moulds is a type of seasonal allergy and the moulds season largely overlaps the pollen season. The indoor...
Med. praxi. 2010;7(12):466-468
The large majority of peptic ulcerations that are not associated with H. pylori infection are associated with NSAID ingestion. Peptic ulceration with NSAIDs typically causes no symptoms, but NSAID – induced ulcers can be symptomatic and complicated by GI bleeding, perforation and/or obstruction. Asymptomatic ulcerations can be documented endoscopically in 15 % to 45 % of patients on chronic NSAID therapy.
Med. praxi. 2010;7(12):470-474
The new EULAR recommendations for the diagnosis of knee osteoarthritis allow an early diagnosis of this disease based on the clinical presentation without the need for evidence of radiographic changes. Typical symptoms include pain on exertion, sensation of instability, short morning stiffness or stiffness after inactivity and impairment of function; typical signs of knee osteoarthritis include crepitations, painful or limited motion, and the presence of osteophytes or little exudate and of joint deformities. The recent OARSI recommendations for the management of knee and hip osteoarthritis include a total of 25 treatment modalities (12 nonpharmacological,...
Med. praxi. 2010;7(12):475-484
The clinical diagnosis of urticaria is straightforward; it is the identification of the causative factors that may be difficult. The paper presents the diagnostic procedures used in the aetiopathogenetic diagnosis of, in particular, acute urticarias and angioedema that are encountered by general practitioners. Also, an overview of medications currently used for the treatment of urticaria is provided.
Med. praxi. 2010;7(12):485-488
Multiple sclerosis (MS) is a serious neurological disorder leading without treatment to irreversible disability. Diagnostic process may be rapid enough if the symptoms are not underestimated and MS is considered. Both early start of immunomodulatory treatment and early administration of methylprednisolon in case of acute attack reduce tissue damage in MS. Patient´s quality of life depends also on adverse events prevention and symptomatic treatment.
Med. praxi. 2010;7(12):489-492
Cough belongs to the most important defense mechanisms, but it is also a frequent symptom of many diseases even serious ones. The article describes the most frequent causes of cough, basic differential diagnostic algorithms and treatment options.
Med. praxi. 2010;7(12):493-497
Pruritus is a specific sensation perceived as very unpleasant and annoying which results in compulsive scratching; when of longer duration, the patient becomes neurotic. Pruritus may be caused by a variety of factors which most commonly include eczema, allergic reactions, infectious and parasitic diseases, metabolic diseases and tumours.
Med. praxi. 2010;7(12):498-500
Stomatitis is an inflammation of the mucous lining of any of the structures in the mouth, which may involve the cheeks, gums, tongue, lips and roof or floor of the mouth. The inflammation can be caused by local conditions in the mouth itself, such as poor oral hygiene, poorly fitted dentures, mouth burns from hot food or drinks, chronic mouth breahing due to plugged nasal airways that can cause dryness of mouth tissues which in turn leads to irritation. Other causes are represented by the whole body factors such as certain treatments (e. g. in cancer patients), some drugs, allergic reactions or infections. The disease is painful and patients...
Med. praxi. 2010;7(12):501-503
Despite modern treatment options, cardiovascular diseases still remain the most common cause of morbidity and mortality in the Czech Republic. There are numerous options for reducing the risk of their manifestations. The nurse is able to perform a number of tasks necessary for successful prevention of cardiovascular diseases. Her role ranges from taking part in patient examination and determination of risk to educating the patient about the principles of a healthy lifestyle, including active promotion of non-smoking, to monitoring the adherence to the recommended measures and their continuous modification based on current needs. It is often...
Med. praxi. 2010;7(12):504-505
Med. praxi. 2010;7(12):506