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Biomedical subjects

B Gurtner

Publications and source records attributed to B Gurtner.

12 recordsLinked to original sources
PubMed2006

[Empathic patient care--an endangered art of symptomatic therapy].

It is essential that empathic and tender care assumes top priority in any physician's work despite or because of hightech medicine. Provision of care is not taught sufficiently in medical school and is not adequately trained during postgraduate formation mostly due to administrative overload. In addition, financial incentives are poorly developped. However warm patient care adds important personal value to any patient contact for the physician and protects--in the right dose--efficiently against a burnout syndrome. Some practical hints help the practising to regain some of this professional quality despite a highly rationalized health care system.

Burnout, Professional↗
PubMed1994

[Urine in the wrong place: urothorax].

Considering the only 38 cases which have been published one may believe that the accumulation of urine in the thorax would be a very uncommon cause of pleural effusion. But the lack of reported observations could also reflect a lack of suspicion. A leakage of the urinary tract following obstruction of various origins and/or a local trauma is known as urinoma. Due to excess pressure, this retroperitoneal or intraperitoneal collection of urine gives way to a transdiaphragmatic evasion. Therefore, a concomitant ipsilateral or bilateral pleural effusion should be suspicious of urinothorax. Thoracocentesis, followed by measurement of creatinine in the pleural fluid, is a simple procedure to establish the true diagnosis. This is a report of two patients with urinothorax, resulting from uterine and prostatic adenocarcinoma. In the first case, urine passed through a leakage of the bladder into the peritoneal cavity; in the second case, there was hydronephrosis with pelvic disruption.

Aged↗
PubMed1991

[Dissecting emphysema].

We report six observations of pneumomediastinum, due to dental extraction and use of high speed air turbine drill, aspiration of a nut with air trapping, labor in delivery, status asthmaticus, mechanical ventilation, and rectal perforation. Some patients showed widespread extension of dissecting air presenting as subcutaneous emphysema, pneumopericardium or pneumoretroperitoneum. The mediastinum is thought to be a central pump, the diaphragm and the lung acting like bellows, which distribute interstitial air from and into communicating layers on both sides of the diaphragm. Pneumomediastinum does not prove an air leak in the thoracic cage nor does pneumoretroperitoneum absolutely indicate bowel rupture. Review of the literature.

Adolescent↗
PubMed1988

Haemophilus influenzae type b septicaemia associated with myonecrosis and thigh abscess.

A case is reported of a male adult with Haemophilus influenzae type b septicaemia and subsequent abscess in the left thigh due to this microorganism following injection of phenylbutazone. The phenylbutazone probably caused muscle cell damage. It is assumed that Haemophilus influenzae type b colonized the site during an episode of septicaemia, with subsequent development of necrosis and abscess.

Abscess↗