Journals Nederlands Tijdschrift Voor Ge...

Nederlands Tijdschrift Voor Geneeskunde
Margriet van Leeuwen
Eating disorders, such as anorexia, bulimia and binge eating disorder, are a common mental health problem, but are even so easily missed in the medical field. Patients experience a lot of shame to come up with their eating problem. Doctors tend to forget asking for eating pattern and purging when a patient has a normal weight or is obese. A third of the obese population experience binges. A relatively new diagnose is ARFID (avoidant restrictive food intake disorder). Patients are not scared to gain weight, but have nutritional deficits because of not being able to eat, forgetting to eat or eating only a couple of products...
June 3, 2024: Nederlands Tijdschrift Voor Geneeskunde
Joris Holkenborg, Bernice A Frenken, Brigitte van de Kerkhof-van Bon, Maurice P Vroegop, Mariska G M van Meggelen, Cees Kramers, Arnt F A Schellekens, Nicole Kraaijvanger
OBJECTIVE: To determine the prevalence of use and misuse of prescription opioids among patients at Dutch emergency departments (EDs). DESIGN: Cross-sectional multicenter study. METHOD: This study was performed at three EDs in the Nijmegen-Arnhem region. ED-patients of 18 years and older were screened for current opioid use. The Current Opioid Misuse Measure (COMM) questionnaire was used to assess opioid misuse. The presence of opioid use disorder was determined using DSM-5 based interviews...
May 30, 2024: Nederlands Tijdschrift Voor Geneeskunde
Andrea W M Evers, Johan P A Van Lennep, Richard P G Ten Broek
Sham surgeries, surgical procedures without actually carrying out the intended surgical intervention, are rarely used in research concerning a new surgical or invasive technique. The conflicting needs of minimizing operational risks and maximizing simulation present challenges in designing placebo-controlled surgical trials. It is important to thoroughly consider ethical considerations in the design of studies involving sham surgeries, including the importance of a transparent research design, objective reporting of results, challenges related to the informed consent procedure, and the inherent risks associated with surgical procedures...
May 30, 2024: Nederlands Tijdschrift Voor Geneeskunde
Rob J van Marum, Brenda Frederiks, Suzanne Metselaar, Jacqueline G Hugtenburg
Many doctors regularly write a prescription for themselves or for family members or friends. In this article, we discuss the legal and ethical considerations surrounding these prescriptions. We also discuss the role of the pharmacist who receives the prescription. Although there is no legal obstacle, codes of conduct and guidelines state that prescribing to acquaintances or yourself is undesirable, especially because it is often not possible to maintain sufficient professional distance, necessary to provide proper treatment...
May 28, 2024: Nederlands Tijdschrift Voor Geneeskunde
Ibrahim Ayada, Michiel P van Wijk, Nanne K de Boer, Joeri de Hoog, C M F Kneepkens, Tim J G de Meij
Extra-intestinal manifestations (EIM) associated with Crohn's disease (CD) are frequently observed and can manifest as either the initial symptom or develop later in the disease course following gastrointestinal symptoms. The most common EIM affect the joints, skin, or eyes, with some correlating with active CD activity while others may occur during periods of inactivity. EIM can affect both pediatric and adult CD patients, potentially reducing their quality of life if not promptly identified and treated. Thus, emphasizing the prevalence and clinical presentation is essential to initiate appropriate diagnostic assessments and effectively treat both EIM and the underlying CD...
May 23, 2024: Nederlands Tijdschrift Voor Geneeskunde
Kayleigh M van Megen, Kim van den Hoek, Barend Gevers Deynoot, Freek Daams, Klaas Nauta
BACKGROUND: Anorexia nervosa may cause several gastro-intestinal complications. CASE DESCRIPTION: A 21-year-old woman presented herself with abdominal pain and vomiting a day after her first binge-eating episode. In her recent history she had lost 40 kg in weight and her BMI was 15 at presentation. Imaging showed gastric distension and ascites in all quadrants, suspicious of a gastric rupture. A blow-out of the stomach was seen during a diagnostic laparotomy, which was treated with a gastric sleeve procedure...
May 22, 2024: Nederlands Tijdschrift Voor Geneeskunde
Ben W J Mol, Esmée M Bordewijk, Madelon van Wely
For a long time, the reliability of medical-scientific research was, without further verification, based on real data. It is becoming increasingly clear that this assumption is unjustified and that probably at least 25% of published randomized clinical trials are based on unreliable and sometimes even fabricated data. After giving a number of examples, it is discussed what the reader can do about this problem. More importantly, editors and publishers should no longer rely on whistle-blowers but take action themselves...
May 22, 2024: Nederlands Tijdschrift Voor Geneeskunde
Cathrien A Eggink, Marjolijn C Bartels, Wietze H Eizenga
The general physician as well as the medical specialist may be confronted with a patient with one or two red eyes. To be adequately equipped we answer a series of questions on diagnosis, treatment and referral of patients with red eyes after trauma, or with conjunctivitis, keratitis, scleritis, uveïtis, endophthalmitis or acute glaucoma. Refer to an ophthalmologist or not?
May 20, 2024: Nederlands Tijdschrift Voor Geneeskunde
Eline M Roordink, Anita W M Suijkerbuijk, Agata J Brouwer-Prusak, Martine Jansen-van der Vliet, Babette Everaars
OBJECTIVE: To gain insight into experiences of women and men who have experienced an unintended pregnancy, along with the perspectives of healthcare providers offering decision-making counseling/consultations concerning an unintended pregnancy or abortion. DESIGN: Semi-structured interviews and focus groups. METHODS: Twenty-five interviews were held with women and men whom experienced an unintended pregnancy, while nineteen healthcare providers participated in four focus groups (May-July 2021)...
May 16, 2024: Nederlands Tijdschrift Voor Geneeskunde
Uzaifa Sheikh, Tjeerd R de Jong, Joris M Franken, Wytske A Hofstra
A dropping foot is the consequence of a variety of debilitating conditions and is oftentimes treated conservatively by general practitioners and other specialists. Typically, it is caused by peroneal nerve palsy secondary to compression or a hernia nucleosipulpei at the level L4-L5. Identifying the underlying pathology requires a neurological work-up oftentimes including ultrasound and electromyographic investigation. When a peroneal nerve compression is found, decompression can be achieved operatively. Should the underlying cause of the dropping foot have been treated adequately without an effect on the foot itself, then a posterior tibial tendon transfer may be considered...
May 16, 2024: Nederlands Tijdschrift Voor Geneeskunde
Stefanie J G Veenhuis, Christel F M van der Donk, Ben A Semmekrot, Paul G Voorhoeve
BACKGROUND: Worldwide, disease in children due to exposure to rats is increasing, also in the Netherlands. Not only the generally known pathogen Leptospira should be considered, also S. moniliformis , Yersinia pestis , Lymphocytic choriomeningitis virus, Hantavirus, Francisella tularensis and Pasteurella multocida are also known rat-associated zoonosis. CASE DESCRIPTION: An 12-year-old boy visited the pediatrician with fever, headache and nausea, followed by generalized erythema and arthritis...
May 14, 2024: Nederlands Tijdschrift Voor Geneeskunde
Etienne J M Janssen, Melanie Burgers, Gerthe F Kerkhof, Merel Klaassens, Margje Sinnema, Joyce M Geelen
Due to its rare nature and subtle dysmorphisms, Prader-Willi syndrome can be challenging to recognize and diagnose in the neonatal period. Feeding difficulties and hypotonia ('floppy infant') are the most striking characteristics. Prader-Willi syndrome requires specific follow-up and treatment, emphasizing the importance of early recognition.We encountered an infant of three months old with severe hypotonia. The hypotonia ameliorated spontaneously over time, although feeding per nasogastric tube was necessary...
May 8, 2024: Nederlands Tijdschrift Voor Geneeskunde
Nandi Meijs, Brigit A De Jong, Bob W Van Oosten, Eva M M Strijbis
Multiple sclerosis is a chronic inflammatory disease of the central nervous system, caused by an autoimmune reaction. Treatment options have largely increased over the years. In this article, we present two clinical cases. Patient A has a classic relapsing remitting course of multiple sclerosis with satisfactory effect on second line therapy. Patient B had a stable disease course until a new relapse occurred after the initiation of TNF-alpha blocking therapy because of Crohn's disease. The co-occurrence of multiple auto-immune diseases creates challenges, but also opportunities in choosing the right treatment strategy...
May 6, 2024: Nederlands Tijdschrift Voor Geneeskunde
Antonia Felzen, Rob Rolink, Gerben J Bulthuis
This case concerns a 58-year-old man who had a progressively swollen knee over the course of 4 months. X-ray showed bursal swelling without skeletal abnormalities. Diagnostic puncture showed red/serous fluid and pathology of the extirpated bursa showed signs of chronic pre-patellar bursitis, most likely caused by a previous trauma.
May 1, 2024: Nederlands Tijdschrift Voor Geneeskunde
A C Hendriks, M C de Vries
Offering meaningful care to patients with an addiction is not always easy. This also holds true for general physicians. In this article we provide a legal and practical framework for general physicians on how to provide meaningful care for this group of patients. Various interventions are described. In case meaningful care does not seem to be an option, then the general physician has to draw his conclusions.
April 25, 2024: Nederlands Tijdschrift Voor Geneeskunde
J L I Burggraaf-van Delft, Hannah M la Roi-Teeuw, J de Wit, F A Klok, S C Cannegieter, G J Geersing
Pulmonary embolism (PE) is a common disease, which can present with a variety of symptoms. Optimal use of diagnostics is challenging given the tight and delicate balance between underdiagnosis and over-testing or overdiagnosis. Diagnostic delay occurs in a substantial part of patients, and seems more common in those with known cardiopulmonary disease or non-specific signs and symptoms. At the other end of the spectrum, the amount of diagnostic imaging increases. Increased use of diagnostic imaging in general leads to more harmful exposures and might result in overtreatment, as may be the case in subsegmental PE...
April 24, 2024: Nederlands Tijdschrift Voor Geneeskunde
Romy Takken, Sander Mol, Samara Guillen, Nicole A Volkers
BACKGROUND: Septic sacroiliitis is an uncommon disease which represents approximately 1-4% of all joint infections, therefore it is difficult to make the right diagnosis and to start early treatment. CASE REPORT: A 18 year old woman was admitted to the emergency room with a fever and pain in the left gluteal region. The patient was considered healthy and had no risk factors for septic arthritis. Edema and a small abscess was found in and around the left sacroiliac joint on pelvic MRI...
April 22, 2024: Nederlands Tijdschrift Voor Geneeskunde
Michael A Harkhoe, Tim M Offringa, Robert R J M Vermeiren, Laura A Nooteboom
OBJECTIVE: To describe the impact of social media on youths with severe anorexia nervosa. DESIGN: Qualitative study. METHOD: Through semi-structured interviews with eleven youths diagnosed with anorexia nervosa, opinions and experiences surrounding the impact of social media on anorexia nervosa were collected, coded and analyzed using thematic analysis. RESULTS: Social media are often used to compensate for social isolation or misunderstandings about anorexia nervosa from friends and family...
April 18, 2024: Nederlands Tijdschrift Voor Geneeskunde
Robert Jan Derksen, Olivier A J van der Meijden, Louise E Huygen, Femke Boon, Astrid C J Balemans, David N Baden
Shoulder dislocations remain the most frequent of joint dislocations, with anterior displacement of the humeral head being the direction of dislocation seen most often (97%). Recently, the Dutch clinical guideline on shoulder dislocations has been revised on the basis of predetermined bottlenecks in clinical practice. In this paper, the guideline is translated to clinical practice by means of two fictional cases, in which the novel recommendations are incorporated. The following topics were systematically assessed based on the best available scientific evidence: primary diagnostics, reduction techniques, painmedication/ sedation surrounding reduction and the need for physiotherapy, stabilization surgery and immobilization...
April 17, 2024: Nederlands Tijdschrift Voor Geneeskunde
Michelle J M Janssen, Elsemieke Te Linde, Marjan W M Wassenberg, Marloes W Heijstek, Anke H W Bruns
Over one million people in The Netherlands are estimated having an immunodeficiency, of which the majority has an acquired immunodeficiency due to immunosuppressive medication. These patients are at risk for a more severe course of common infections, and also for opportunistic infections and viral reactivations. The following topics are discussed: types of immunodeficiency and how to estimate its severity; commonly seen infections in immunocompromised patients; recommended screening before start of immunosuppressive medication; pitfalls in clinical clues and diagnostics, and safety and immunogenicity of vaccination in these patients...
April 17, 2024: Nederlands Tijdschrift Voor Geneeskunde
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.