Internal Medicine
Place of Mycophenolate in Nephrology
The contribution focuses on one of the more recent immunosuppressive drugs, mycophenolate, which is available as mycophenolate mofetil and sodium mycophenolate. The active substance of both compounds is mycophenolic acid.…
Read more ›Serum Cystatin C – a New Marker of Glomerular Filtration Rate
The glomerular filtration rate (GFR) is the main indicator of kidney function and GFR estimation is essential for the evaluation of patients with chronic kidney disease. In clinical practice, serum…
Read more ›Presentation, diagnosis and treatment of some immuno- hematologic diseases
Clinical hematology is the field of medicine most closely related to immunology, since pathologically altered cells and other components of the immune response circulating in the blood form the basis…
Read more ›48-hour non-invasive ambulatory blood pressure monitoring in patients with end stage renal failure, treated by haemodialysis
The purpose of this prospective study was to determine the potential effects of various factors on blood pressure (BP) levels in 40 patients treated by haemodialysis. A 48-hour non-invasive ambulatory…
Read more ›Renal ultrasonography in patients with chronic renal failure treated with dialysis
The advent of ultrasonography and computed tomography has facilitated the imaging of kidneys in patients with chronic renal failure. Patients with diffuse renal parenchymal disease present with small, shrunken end-stage…
Read more ›Patent foramen ovale in adult life
The recent technical development of echocardiography, especially transesophageal echocardiography, made the diagnosis of patent foramen ovale in adult life possible. The defect predisposes the patient to paradoxical embolism and is…
Read more ›Treatment of acute myocardial infarction
The patient with acute myocardial infarction must receive oxygen, Aspirin® and analgesia with morphine as soon as possible. In most patients, gliceryl trinitrate is also indicated. The doctor should reassure…
Read more ›Fulminant sepsis of unknown origin
An immunocompromised patient with fulminant sepsis of unknown etiology is described. Within a few hours of onset he developed septic shock and died. The importance of right cardiac catheterization in…
Read more ›Tests for detecting renovascular hypertension
Renovascular hypertension is the most common potentially curable form of arterial hypertension. It occurs as a result of insufficient perfusion of renal tissue, secondary to haemodynamically significant stenosis of the…
Read more ›Genotyping of hepatitis C virus isolates in Slovenia
Genotyping of hepatitis C virus (HCV) isolates is of particular interest for epidemiology. Because of extreme genome variability of HCV genome, each genotyping method should be evaluated in local setting…
Read more ›Incidence of activated protein C resistance among patients with deep vein thrombosis
A group of 100 consecutive patients treated for deep vein thrombosis in the Trnovo Hospital of Internal Medicine from January 1992 to December 1994, was studied for the presence of…
Read more ›Childhood Nephrotic Syndrome – Case Report
Nephrotic syndrome is among the most common kidney diseases in children and it occurs as a result of damage to the glomerular filtration barrier. It is characterized by edema, nephrotic…
Read more ›Biologic Drugs in Asthma Treatment
Development of the new antiasthmatic drugs is directed above all in the synthesis of theinhibitors of the proinflammatory cytokines and IgE antibodies. Several biologic drugs are tested for this purpose;…
Read more ›Differential Diagnosis in a Patient with Bilateral Pulmonary Infiltrates, Hypoxemia and Hemoptysis
Eighteen years old male with bilateral pulmonary infiltrates, hypoxia and hemoptysis was diagnosed with Goodpasture syndrome. We present a retrospective analysis of the clinical decision making that lead to the…
Read more ›Cardiogenic Shock
Cardiogenic shock is a state of tissue hypoperfusion that involves signs of progressive tissue injury due to failing heart function. Cardiogenic shock can develop as a consequence of myocardial disease/injury,…
Read more ›Primary coronary angioplasty – mechanical recanalization of the infarct-related coronary artery in acute myocardial infarction
This paper presents primary percutaneous transluminal coronary angioplasty used for mechanical recanalization of an infarct-related occluded coronary artery in acute myocardial infarction. Various forms of the procedure, its advantages, disadvantages,…
Read more ›Hereditary Elliptocytosis
Hereditary elliptocytosis is a clinically, biochemically and genetically heterogeneous group of inherited disorders of red blood cells. It is characterised by the presence of elongated, oval or elliptically shaped erythrocytes…
Read more ›Effect of Induced Hypothermia on Treatment of Patients after Cardiac Arrest
Cardiac arrest is the most common cause of sudden natural death. Ischemia during cardiac arrest and reperfusion damage after resuscitation are often the source of permanent neurological impairment in survivors.…
Read more ›Effect of Atorvastatin on QTc Interval Duration in Patients with Heart Failure
Heart failure is related to QTc interval prolongation and changes in the QRS complex. Recently, elevated plasma levels of brain natriuretic peptide (proBNP) is also being recognized as an important…
Read more ›Electrocardiographic Changes in Children with Erythema Migrans
Lyme borreliosis is a worldwide tick-borne illness caused by the spirochete Borrelia burgdorferi sensu lato. The number of cases rises every year. The disease progresses with an unpredictable course and…
Read more ›Type and Activity of Inflammation in Obstructive Lung Diseases
Airway inflammation is fundamental to the persistence of asthma and chronic obstructive pulmonary disease. The hypothesis that induced sputum cell counts and mediators could help discriminate between asthma and chronic…
Read more ›Pathophysiology of Acute and Chronic Kidney Failure
Renal injury can lead to acute (AKD) or chronic kidney disease (CKD). The presence, progress and distinction between AKD and CKD can be determined by monitoring serum creatinine and BUN…
Read more ›Evaluation of Patients with Occupational Diseases – Occupational History
The objective of taking occupational history is for occupational medicine practitioners to find out about the relevant factors from the patient's work environment which may have a detrimental effect on…
Read more ›Cholesterol Embolism Syndrome
Cholesterol embolism is a clinical syndrome in which cholesterol crystals break from an atheromatous plaque in a larger artery and occlude the lumen of small peripheral arteries. It commonly occurs…
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