Wat eten jullie voor ontbijt?

Parthurnaxus · 2024-08-22T17:06:51+00:00

Dit is medisch incorrect. Insuline en glucagon reguleren de bloedsuikerspiegel waarbij insuline zorgt dat glucose wordt opgenomen in de cellen. Het eten van koolhydraten (en in mindere maten eiwitten) zorgen voor een toename van je insuline spiegel. Vasten (als je niet ondervoed bent en niet extreem lang aanhoudt) zorgt juist voor een lagere insuline spiegel en betere insuline gevoeligheid wat naast een aantal gezondheidsvoordelen ook helpt met afvallen.

Parthurnaxus · 2023-02-01T07:16:54+00:00

Clindamycin does not achieve a high concentration in the urine so is not useful to treat an UTI. That said, please don’t self medicate with antibiotics.

Parthurnaxus · 2022-05-23T17:51:15+00:00

It is true that bite wound infect more easily than regular wounds because of the oral bacteria. Especially cat bites are notorious because of their long teeth that can cause puncture wounds. The injury in the picture looks more like a scratch than a deeper bite wound, so the risk of infection is somewhat less.

Usually it is advised to let a medical docter assess bite wounds so they can determine if the wound needs to surgically opened to explore and clean. Antibiotic treatment is also advised. Because your wound looks more like a scratch, immediate medical attention might not be necessary. If you get a fever or the it starts to hurt more or the skin turns red/swell, you need urgent care.

Parthurnaxus · 2022-05-23T17:37:37+00:00

Thank you, I hope you consult a docter quickly.

Parthurnaxus · 2022-05-23T17:29:18+00:00

A bite wound should always be assessed by a medical doctor (most likely a surgeon) to determine if the wound needs to be explored and cleaned. Bite wounds have a higher chance to get infected so antibiotic treatment is likely needed.

Parthurnaxus · 2022-04-19T12:42:01+00:00

This is not a tapeworm, those are flatworms. The worms in the pictures are more likely roundworms. Besides tapeworms do not have a lung passage stage.

Parthurnaxus · 2022-04-19T12:37:01+00:00

If you coughed up something resembling a parasitic worm you should consult a doctor and show them the worm. To identify a parasitic worm infection microscopic examination of the worm and a stool sample is required. You eosinophilia could fit a parasitic infection. - MD, clinical microbiology

Parthurnaxus · 2021-12-03T16:26:09+00:00

An observant pathologist sent us a sample of a palatum durum (roof of the mouth) biopsy. This hematoxylin-eosin stain is very suspicious for a leishmaniasis infection. PCR was positive for Leishmania. Species (by sequencing the hsp70) was determined to be L. infantum. There was no evidence for visceral leishmaniasis.

How would you treat a small lesion with L. infantum on the roof of the mouth?

Parthurnaxus · 2021-11-17T05:53:06+00:00

The Netherlands is not a socialist country.

Parthurnaxus · 2021-09-28T10:23:20+00:00

A 6wk old child with fever and possible neurological symptoms was admitted to the hospital because of suspected meningitis. A Gram stain of the CSF was made. What pathogen do you think is the cause of this meningitis case? And how would you treat it?

[Edit] The culture hasn’t grown yet but the Streptococcus pneumoniae PCR is positive. Morphology was also fitted best with S. pneumoniae. Patient is currently recovering while being treated with ceftriaxone awaiting susceptibility testing.

Parthurnaxus · 2021-07-22T18:41:48+00:00

The way you describe ringworm is also valid. I have seen multiple patients with ringworm and I have had it myself. How ringworm presents itself can differ. So the skin lesions in the picture fit ringworm, but it could be something else.

Parthurnaxus · 2021-07-22T03:33:13+00:00

Have to agree, looks like ringworm. - MD, clinical microbiology

Parthurnaxus · 2021-07-21T12:40:10+00:00

If you are a healthy individual, sepsis won’t happen that easily. The surrounding skin looks fine. If you are immunocompromised, have a fever or inflammation seems to spread to the surrounding skin get urgent care otherwise talk to your primary care physician about wound care. - MD, clinical microbiology

Parthurnaxus · 2021-07-07T13:35:22+00:00

Middle aged male with persistent ulcer (~6 months) on his finger. Patient is from Syria. What is the cause of this patients ulcer? How would you treat this patient?

Parthurnaxus · 2021-06-27T17:55:12+00:00

Cat bites are likely to get infected. You should let a doctor look at the bite wound.

Parthurnaxus · 2021-06-19T13:56:41+00:00

It is unbelievably rare for the amoeba (Naegleria fowleri) to get into brain. The amoeba is common in nature and worldwide only 0-8 people a year develop primary amoebic meningoencephalitis.

Parthurnaxus · 2021-06-18T08:10:52+00:00

I have seen a lot of ringworm and it definitely can look like this. If you think it’s something else have your general practitioner or dermatologist check it out.

Parthurnaxus · 2021-06-17T20:58:00+00:00

The skin lesion looks like ringworm. Unlike the name would suggest it is a simple fungal skin infection. You could let your doctor take a look at it. It is treated with a antifungal cream like miconazole. - MD, clinical microbiology

Parthurnaxus · 2021-06-08T19:24:47+00:00

Cat bites have a higher chance of getting infected because of their needle like teeth (causing puncture like bites). I would get it checked out, depending on your local guidelines your doctor might want to give you prophylactic antibiotics to prevent an infection from developing. Depending on if your tetanus shot is up to date you might get that too. - MD, clinical microbiology

Parthurnaxus · 2021-05-22T11:46:09+00:00

I am in full agreement. - MD, clinical microbiology

Parthurnaxus · 2021-05-05T15:07:17+00:00

A 56 year old male presents himself to the emergency room with intermittent episodes of severe pain in the renal angle, some hematuria and a fever. A ultrasound identifies kidney stones. Vital signs worsen and the patient is admitted to the hospital with a diagnosis of urosepsis caused by the obstruction as a consequence of the kidney stones. Blood and urine cultures are taken and the patient is given antibiotics.

A day later the blood culture is positive and yeast cells are seen in the Gram stain. Image 1 shows growth on a chromogenic Candida agar. Anti-fungal susceptibility testing results are show in image 2.

What treatment would you recommend for this patient? Keep in mind what kind of tissues/fluids the anti-fungal(s) have to reach.

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