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Extractions: a. Afferent loop stasis b. Strictures c. Fistula d. Blind loops e. Multiple diverticula of the small bowel f. Hypomotility states (diabetes, scleroderma; intestinal pseu obstruction Interrupted enterohepatic circulation of bile salts a. Ileal resection b. Ileal inflammatory disease (Crohn's regional ileitis) Drug induced (by sequestration or precipitation of bile salts) a. Alcohol b. Cholestyramine c. Calcium carbonate d. Neomycin C. Inadequate absorptive surface
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Extractions: Staffan Björck Bjorck S, Blohme G. Tidig behandling kan forbattra prognos vid diabetisk njursjukdom. Lakartidningen 1998; 95(47):5326-8 5333-4. English title: "Early treatment can improve prognosis in diabetic nephropathy" Prognosis in diabetic nephropathy has changed dramatically during the past decade, and slowing of the disease process has been made possible by intervention against specific risk factors. Nonetheless, diabetic nephropathy has become the leading cause of end stage renal disease. Early detection and prevention, or at least delaying, of disease progression have become crucial aims, and several treatment strategies designed to prevent end stage renal disease have recently been published. The common denominator of these strategies is screening for microalbuminuria in diabetic patients rather than awaiting the appearance of overt symptoms. (Lipids);
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Extractions: Z USAMMENFASSUNG Hintergrund: Klinisches Bild: Eine ausgeprägte Thrombophilie, rezidivierende Fehlgeburten sowie eine Thrombozytopenie charakterisieren die klinische Trias des Antiphospholipidsyndroms. Andere klinische Manifestationen umfassen: Migräne, Chorea minor, hämolytische Anämie, Erkrankungen der Herzklappen, Budd-Chiari-Syndrom, rezidivierende Pankreatitiden, intestinale Apoplexie, maligne Hypertonie, Livedo reticularis, Präeklampsie, fetale Wachstumsverzögerungen oder das sogenannte katastrophale Antiphospholipidantikörpersyndrom". Im Gegensatz zum primären Antiphospholipidantikörpersyndrom" finden sich Lupusantikoagulanzien und Anticardiolipinantikörper beim sekundären Antiphospholipidantikörpersyndrom" im Rahmen von Autoimmunerkrankungen, von Neoplasien und Infektionen oder sind mit dem Gebrauch bestimmter Medikamente assoziiert. Therapie:
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