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S Schnur

Publications and source records attributed to S Schnur.

30 records · Page 2Linked to original sources
PubMed1992

[Generalized arterial disease. Diagnostic assessment in general medical practice].

PROBLEM: Primary and secondary prophylactic measures can be effective only if they are global in nature. In this connection, occlusive arterial disease (OAD) must be considered to be a systemic disease, and the striking coincidence of peripheral, coronary and central occlusive sites must receive greater attention. STUDY: Examination of frequency of an additional peripheral or cerebral vascular diagnostic work-up in 40 nonselected patients with primary CHD in a general practice. RESULTS: From a random sample of a group of patients from a general practitioner's office with the primary diagnosis of coronary arterial disease (CAD), it can be seen that in only 30 percent of the patients was a search for other sites of occlusion (peripheral, central) undertaken, irrespective of the underlying disease. CONCLUSIONS: For various reasons, in these patients, case history and the findings at physical examination often failed to provide adequate sensitivity and specificity, so that screening for high-risk patients using non-invasive methods (e.g. ultrasound) would be desirable also in the doctor's office.

Aged↗
PubMed1989

The significance of increased left ventricular outflow tract velocities in the elderly measured by continuous wave Doppler.

Forty-four elderly patients (mean age 80 +/- 7 years) with elevated left ventricular outflow tract velocities and corresponding outflow tract gradients documented by continuous wave Doppler are reported (mean peak gradient 50 +/- 28). They had severe left ventricular hypertrophy, small left ventricular end-diastolic dimensions, and supernormal ejection fractions. Thirty-nine percent had a history of hypertension. They were predominantly female, had uniform concentric left ventricular hypertrophy, and had a high incidence of congestive heart failure. Diastolic function was found to be reduced in the elderly group compared to young patients with hypertrophic cardiomyopathy and to age- and sex-matched normal controls. It is concluded that most elderly patients with increased left ventricular outflow tract velocities are etiologically distinct from young patients with hypertrophic cardiomyopathy.

Adult↗
PubMed1989

[Occlusion of the intracranial segment of the carotid artery by a hypophyseal tumor].

A patient of 49 years of age presented with clinical signs of acute stroke. Computed tomography revealed a suprasellar mass and cerebral infarct. Angiographically an occlusion of the intracavernous internal carotid artery was found, caused by pituitary tumour. After total removal of the tumour the internal carotid artery was recanalised, as the postoperative angiography showed. The patient's neurological deficiencies disappeared almost completely. The literature is reviewed and our diagnosis and procedures are compared with the published reports.

Adenoma, Chromophobe↗
PubMedDate not supplied

[Primary fibromyalgia syndrome--diagnostic statistics from primary care].

The diagnosis of a primary fibromyalgia syndrome (PFS) which is supported mainly by clinical-anamnestic elements is, in many cases, finally established in the generalized stadium of the disease. It would be generally desirable to discover potentially endangered patients and to define "risk groups". During this study a case-by-case retrospective analysis of all available data sources (specialist's and hospital reports) has been conducted on 61 PFS-patients of a general practice. A further clarification diagnosis resulted in 75% of the cases suffering from general exhaustion. In over 50% of the examined patients diagnostic details referred to chronic lumbar and cervical spine syndromes. It is well possible that chronic cervical and lumbar spine as well as psychovegetative exhaustion syndromes predispose the generation of a PFS under consideration of a corresponding personality profile and other factors or it may even be a disease by itself. In every general practice the respective tender points of suspected patients should be examined and they should be questioned as to the basic symptoms of this disease.

Adult↗