Pohodlná cesta tabletek?

Mgr. Monika Plocová, adiktolog

Med. praxi. 2018;15(3):119  

New options in diagnostics and treatment of familial hypercholesterolemia

MUDr. Šárka Tesařová, doc. MUDr. Michal Vrablík, Ph.D.

Med. praxi. 2018;15(3):122-126 | DOI: 10.36290/med.2018.026  

Familial hypercholesterolaemia (FH) is the most frequent AD hereditary disease, leading to higher levels of total cholesterol andLDL-cholesterol (LDL-C). We distinguish two forms of this disease, heterozygous and rare homozygous. This disease could belongterm asymptomatic and CVD manifestation (the most frequently ischemic heart disease) is often the first sign and it comessooner than in common population. Diagnostic milestone is anamnesis (especially family and personal) and thorough physicalexamination. By scoring systems we can classify probability of FH, Dutch Lipid Clinic Network Criteria is mostly used in the CzechRepublic. In case of FH suspiction,...

An 2018 update of personalised Czech COPD guidelines; a country specificconsensus of The Czech Pneumological and Phthiseological Society

doc. MUDr. Vladimír Koblížek, Ph.D., MUDr. Jaromír Zatloukal, Ph.D., MUDr. Jan Chlumský, Ph.D., PhDr. Karel Hejduk

Med. praxi. 2018;15(3):127-133 | DOI: 10.36290/med.2018.027  

COPD expert group of The Czech Pneumological and Phthisiological Society (CPPS) prepared a draft of updates of guidelines formanagement of stable COPD. The Scientific Committee of CPPS reviewed the intended updates upon which a preliminary version ofthe document was created. This document was approved by the National Consensus CPPS Conference in November 2017. An abbreviatedguidebook was created for general practitioners (January 2018). The elementary principle of the novel approach to COPD isthe systematic description of all treatable traits/phenotypical labels in every COPD case. The CPPS defines six clinically relevant phenotypicaltraits: frequent...

Travel health kit – what medication you should take with yourself while travelling and how to store the medication?

Mgr. Markéta Obrovská

Med. praxi. 2018;15(3):134-138  

Travel health kit should be equipped functionally. It is also necessary to have the smallest size of this health kit. The article is meantas a clue what is good to have in a travel health kit according to demands of traveler. It also describes how to store medicationwhich is packed in the kit.

Venous diseases in pregnancy and puerperium

MUDr. Roman Peschout

Med. praxi. 2018;15(3):139-144 | DOI: 10.36290/med.2018.028  

This review article deals with the problem of venous system diseases in women during pregnancy and puerperium. Changes inpregnancy that determine and affect the onset or course of venous pathological conditions are described in the article. An outlineof illnesses that can affect the life of a pregnant or nursing woman (thrombosis, embolism, bleeding) or significantly impair thequality of life during pregnancy and during the puerperium (varices, swelling, hemorrhoids, lower limb pain) is presented. Theoverview describes the pitfalls of diagnostics including differential diagnosis of serious pregnancy pathologies (preeclampsia).Further, therapeutic options...

Painful lesions of cranial nerves lesions and other orofacial pain syndromes

MUDr. Andrea Bártková, Ph.D.

Med. praxi. 2018;15(3):145-149 | DOI: 10.36290/med.2018.029  

Orofacial pain is a widespread clinical syndrome associated with high morbidity and significant interference with the quality oflife of the affected persons. Orofacial pain can arise from different regions and etiologies. Many orofacial pain conditions haveoverlapping presentations, and diagnostic uncertainty is frequently encountered in clinical practice. Multidisciplinary approachand solid knowledge of the complex anatomy and physiology of the orofacial region is necessary. This statement focuses primarilyon painful cranial nerve lesions and some rare facial pain syndromes based on a new version International classificationof headache disorders.

Photoprotection and treatment of combed skin

Mgr. Monika Mikulková

Med. praxi. 2018;15(3):153-156  

General recommendations to protect skin from ultraviolet radiation is to reduce exposure to sun rays in the spring and summermonths, wearing protective clothing including head cover and sunglasses and a suitable choice of sunscreen, which correspondsto our phototype including its proper application. Most prudence is needed in young children and immunosuppressed patients.For the treatment of burned skin, there are many available products such as cooling tiles, healing and regenerative preparationsin the form of creams, sprays and foams and antihistamines, which relieve unpleasant symptoms of burned skin. In the treatmentof burns, we should take care...

Allergic manifestations of upper airways
Differential diagnosis and the possibility of treatment at a GP surgery

MUDr. Eliška Kopelentová

Med. praxi. 2018;15(3):157-161 | DOI: 10.36290/med.2018.063  

Allergic rhinitis is the most common manifestation of upper airways allergies. Differential diagnosis of rhinitis is associated withboth a division of rhinitis into three elementary phenotypes (allergic rhinitis, infectious rhinitis and nonallergic noninfectiousrhinitis) and with the knowledge of co-morbidities of allergic rhinitis. Treatment of allergic diseases requires a close co-operationamong a GP, allergologist and otorhinolaryngologist.

Ergotamine-induced coronary artery spasm

Mgr. Andrea Carbolová, MUDr. Jan Novák

Med. praxi. 2018;15(3):167-170  

For many years, ergotamine has been used for the acute treatment of migraine. In most patients, ergotamine is well tolerated,but also has potential for many side effects. It has been reported, that ergot alkaloids can provoke coronary artery spasm, whichis often associated with ischemic electrocardiography changes and angina pectoris.In the present report, we describe a case involving woman with unclear diagnosed migraine who experienced acute coronarysyndrome most probably because of therapy with ergotamine.To add the knowledge to submitted report, an information about phenomenon of egrotamine overuse headache and aboutcauses of coronary vasospasm...

Secondary hypertension in the ambulance of general practitioner in a nutshell

MUDr. Barbora Nussbaumerová, Ph.D.

Med. praxi. 2018;15(3):162-163  

Some causes of secondary hypertension are treatable. Hypertensive young adults, patients with resistant hypertension and patientswith specific secondary hypertension signs must be examined. An early diagnosis and treatment can lead to a complete recovery.

Treatment of a patient with a defect in the orthopaedic scar

Bc. Markéta Guderová, Mgr. Marie Holubová, Ph.D.

Med. praxi. 2018;15(3):171-174 | DOI: 10.36290/med.2018.064  

A case report describes the case of a 73-year-old patient who was indicated for a total right hip endoprosthesis by reason ofa grade 3 coxarthrosis. The operation and the postoperative course were without complications. There were signs of surgicalwound in the early postoperative period at the rehabilitation department. Under aseptic conditions, necrectomy of the woundand subsequent re-suturing of the dehiscence was performed in local anaesthesia. The surgical wound, despite all the efforts,did not progress well, so the patient was indicated for re-suturing of the surgical wound under general anaesthesia. During thetreatment, a wound swab was performed...

Současné možnosti v léčbě neuropatické bolesti

MUDr. Pavel Rutar

Med. praxi. 2018;15(3):150-152  

Duální inhibice sympatiku a RAAS

MUDr. Pavel Rutar

Med. praxi. 2018;15(3):164-166