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Biomedical subjects

G A Schmidt

Publications and source records attributed to G A Schmidt.

At least 55 records · Page 3Linked to original sources

[Various technical diagnosis problems in the early diagnosis of parathyroid dysfunctions].

During the last years the functional diagnostics of the parathyroid glands has been considerably enlarged. Nevertheless, the results concerning an early recognition of conditions of hypofunction and hyperfunction are up to now unsatisfying. Despite of the increasing diagnostic importance of the direct determination of the parathormone which is at first available only in special institutions in these cases methodical problems play a less important part than the still not infrequent appearing misunderstanding of the adequate basic disease. The without doubt great variability of the clinical phenomenology of the parathyreogenic dysfunctions is particularly to be established in their initial stages. The demonstrated processes of investigation apart from the description of complexes of diagnostic problems summarize the experiences of many years of a treatment of outpatients directed to the forms of disturbances of the parathyroid glands.

Diagnosis, Differential↗

[Hypo- and hyperparathyroidism in pregnancy].

During pregnancy the maternal calcium metabolism is submitted to special loads. Overchallenging of the functional capacity of the parathyroid gland may evoke an insufficiency of the parathyroid gland which on its part induces a fetal secondary hyperparathyroidism. Therefore, the early diagnostic recognition of the insufficiency of the parathyroid gland is of importance, since (also in basic diseases known before pregnancy) now special therapeutic conditions are given. Maternal hyperparathyroidism leads to fetal hypoprarthyroidism with resulting developmental disturbances; it furthers the tendency to abortions and perinatal mortality. Epidemiological prospective investigations have shown that among the identified cases of oligo- or asymptomatic functional disturbances of the parathyroid glands there are very often women at an age, when they are capable of bearing children. This statement confirms the postule regularly to control serum calcium content during pregnancy. Objectifying the disturbed integrity of the calcium metabolism, therapeutic measures are necessary, the details of which are demonstrated according to own experiences. In such cases the cooperation between the gynaecologist being in charge of the pregnant woman and the internist working in the field of endocrinology is to be wished.

Calcium↗

[Quintary hyperparathyroidism].

The quartary and quintary hyperparathyroidism is observed following a primary hyperparathyroidism, in which the removal of the adenoma of the parathyroid did not lead to a reduction of the process of the disease. The nephropathy which developed during the basic disease and continued to exist after the operation leads to repeated consequences for the mineral metabolism which cause a condition of parathyroidal load and after this again an adenomatous process. The author adopts a definite attitude to the problems of heuristic biochemical parameters and generally to the question of such consecutive reactions.

Adenoma↗

[Synoptical X-ray diagnostics of pulmonary emphysema (author's transl)].

In marked chronic obstructive pulmonary emphysema, especially in the classical emphysematous type of abnormal thorax, a good correlation can be found between the anteroposterior expansion of the thorax, the reduced inspiratory capacity, the clinical state, disturbed mechanics of breathing and the x-ray-state. On the contrary, in clinical emphysema of a lower degree, especially in subclinical, i. e. in predominantly asymptomatic pulmonary emphysema of the elderly, the effectiveness of the roentgenological examination is very small.

Aged↗

[Clinical aspects and therapy of Sheehan's syndrome and its special forms].

Sometimes the Sheehan-syndrome appears in form of a partial insufficiency and sometimes also with atypical symptomatology. From this result diagnostic and therapeutic consequences, the peculiarities of which are exhibited. The acute form of the course is dangerous. It makes necessary the use of a specific emergency treatment, whereby the result of the highly threatening condition depends on its consequent application. When a competent therapy is carried out the life expectancy of female patients suffering from the Sheehan-syndrome is no more to be regarded as reduced.

Female↗