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PubMed · 15008278

[Fatigue].

H Neuenschwander
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Abstract

Fatigue is a highly prevalent symptom in cancer patients. However in the daily practice this issue doesn't get adequate attention, because of limited therapeutic tools. A number of research issues in this field has been started during the last few years. Some of these new findings will soon modify and improve treatment options. In the meantime it is worthwhile to identify etiologic factors. Some of them might be treated with a reasonable cost/benefit ratio, aiming to improve function and therefore the health related quality of life.

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Diagnosis, DifferentialFatigueHumansNeoplasmsPalliative CareQuality of LifeEnglish AbstractJournal Article

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BibTeXRIS

H Neuenschwander. 2004-02-11. [Fatigue].. https://doi.org/10.1024/0369-8394.93.7.235

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[Isolated fracture of the handle of malleus. A rare differential diagnosis in cases of conductive hearing loss].

In very rare cases, acute hearing loss can be caused by a fractured long process of the malleus. Such fractures can be due to head traumas, direct injuries of the tympanic membrane or barotraumas. Clinical findings are: abnormal mobility of the manubrium mallei during the Valsalva maneuvre or pneumomassage of the ear drum, conductive hearing loss, abnormal high compliance in the type A tympanigram. We report on a 48 year old female patient who showed typical symptoms and clinical findings, and discuss possible pathogenic factors. In accordance with the literature, we presume that negative pressure in the external ear canal, caused by a rapidly extracted finger (!), might be responsible. At the very onset of hearing loss, the patient noticed a high frequency tinnitus in the affected ear. Surgically, we tried to re-fix the manubrium by splinting it and the adherent parts of the tympanic membrane with cartilage.

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