05.08.2021: Anterior shoulder dislocation can occur in connection with a traumatic event or as a result of an anatomical predisposition. A traumatic dislocation can damage stabilising structures, which can predispose an individual to recurrent dislocations. People under the age of 30 and those who participate in contact sports are particularly susceptible, and can consequently incur further damage to the stabilising structures. Patients in these categories should be considered for surgical treatment at an early stage. The shoulder joint is the body's most mobile joint and is therefore particularly prone...

02.06.2021: Spinal cord stimulation with weak electric current is a neuromodulatory treatment suitable for subgroups of patients with chronic neuropathic pain and certain other pain conditions. Neuropathic pain can reduce quality of life, and the effectiveness of pharmacological treatment is often limited. Studies of spinal cord stimulation have shown significant pain relief and improved functioning at group level, and recent years have seen the development of new stimulation methods which are currently under evaluation. Pain relief upon electrical stimulation of the spinal cord, first described in a case...

07.04.2021: Many medicines prescribed for older patients have an unintended anticholinergic effect in addition to the primary intended effect. This may lead to adverse reactions such as dizziness and memory loss, particularly in older people. Before prescribing new medicines, it is therefore important to assess the total anticholinergic burden by means of specific screening tools, such as AGS Beers Criteria® and the STOPP/START criteria. If the anticholinergic burden is high, drugs should be replaced or discontinued. Medicines with anticholinergic properties are regularly prescribed for older and often...

11.01.2021: Thrombocytopaenia is defined as a platelet count of < 150 · 109/L and occurs frequently in the critically ill. The condition arises as a result of the reduced production or increased destruction or consumption of platelets. Thrombocytopaenia in critically ill patients is often the result of multiple pathophysiological mechanisms, and these must be identified if the prognosis is to be determined and appropriate treatment provided. Thrombocytopaenia occurs frequently in the critically ill, and often has several underlying causes. This article provides an overview of thrombocytopaenia in...

03.09.2020: Thyroid nodules are common. As a result of increased use of diagnostic imaging, more nodules are detected as incidental findings. The great majority of them are benign and need no treatment. Systematic ultrasonography performed by a skilled doctor, possibly combined with cytology sampling, will to a large extent determine which nodules require follow-up. Thyroid nodules are common. As a result of increased use of diagnostic imaging, more nodules are detected as incidental findings. The great majority of them are benign and need no treatment. Systematic ultrasonography performed by a skilled...

23.06.2020: Excision of skin lesions takes place regularly in general practice. The procedure is simple, but correct execution depends on a knowledge of skin anatomy and basic surgical principles. This article presents indications for excision of skin lesions and a recommended method based on clinical experience and relevant literature. The method can be used on both pigmented and non-pigmented lesions. Seborrheic keratoses are not discussed (1). The contents of the article apply to the primary health service. Indication Skin lesions are excised with a view to obtaining a histological diagnosis. Pigmented...