{"id":96,"date":"2016-02-12T10:02:50","date_gmt":"2016-02-12T09:02:50","guid":{"rendered":"http:\/\/swdg-nukmed.de\/?page_id=96"},"modified":"2020-09-30T21:03:24","modified_gmt":"2020-09-30T19:03:24","slug":"downloadbereich","status":"publish","type":"page","link":"https:\/\/swdg-nukmed.de\/?page_id=96","title":{"rendered":"Downloads &#038; Links"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: left top;background-repeat: no-repeat;padding-top:20px;padding-right:0px;padding-bottom:20px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><h1 style=\"text-align: center; font-size: 30px;\">Downloads &amp; Links der <span style=\"color: #f07e23;\">SWDGN<\/span><\/h1>\n<p style=\"text-align: center; margin-top: -10px; font-size: 17px;\">Hier finden Sie einen Multimediabereich in dem verschiedene relevante Dokumente und Links zum Download freigegeben werden <span class=\"fusion-tooltip tooltip-shortcode\" data-animation=\"\" data-delay=\"0\" data-placement=\"top\" data-title=\"Join The Avada Community!\" title=\"Join The Avada Community!\" data-toggle=\"tooltip\" data-trigger=\"hover\"><strong>(SWDGN)<\/strong><\/span>.<\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:15px;margin-bottom:80px;width:100%;\"><div class=\"fusion-separator-border sep-double sep-solid\" style=\"border-color:#e0dede;border-top-width:1px;border-bottom-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first\" style=\"width:22%; margin-right: 4%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\"><\/style><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"margin-top:0px;margin-right:0px;margin-bottom:31px;margin-left:0px;\"><h1 class=\"title-heading-left\" style=\"margin:0;\">Links<\/h1><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_3_4 3_4 fusion-three-fourth fusion-column-last\" style=\"width:74%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\"><p><a href=\"http:\/\/www.nuklearmedizin.de\/\" target=\"_blank\" rel=\"noopener noreferrer\">Deutsche Gesellschaft f\u00fcr Nuklearmedizin (DGN) &gt;&gt;<\/a><\/p>\n<p><a href=\"http:\/\/www.dgmp.de\/\" target=\"_blank\" rel=\"noopener noreferrer\">Deutsche Gesellschaft f\u00fcr Medizinische Physik (DGMP) &gt;&gt;<\/a><\/p>\n<p><a href=\"http:\/\/www.ogn.at\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u00d6sterreichische Gesellschaft f\u00fcr Nuklearmedizin (OGNMP) &gt;&gt;<\/a><\/p>\n<p><a href=\"http:\/\/www.nuklearmedizin.ch\/index.php\/de\/\" target=\"_blank\" rel=\"noopener noreferrer\">Schweizerische Gesellschaft f\u00fcr Nuklearmedizin (SGNM)&gt;&gt;<\/a><\/p>\n<p><a href=\"http:\/\/www.snm.org\" target=\"_blank\" rel=\"noopener noreferrer\">Society of Nuclear Medicine (SNM) &gt;&gt;<\/a><\/p>\n<p><a href=\"http:\/\/www.eanm.org\" target=\"_blank\" rel=\"noopener noreferrer\">European Association of Nuclear Medicine (EANM) &gt;&gt;<\/a><\/p>\n<p><a href=\"http:\/\/www.arztsuche-bw.de\/\" target=\"_blank\" rel=\"noopener noreferrer\">Arztsuche der Kassen\u00e4rztlichen Vereinigung Baden-W\u00fcrttemberg &gt;&gt;<\/a><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#e0dede;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first\" style=\"width:22%; margin-right: 4%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\"><\/style><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"margin-top:0px;margin-right:0px;margin-bottom:31px;margin-left:0px;\"><h1 class=\"title-heading-left\" style=\"margin:0;\">Downloads &amp; Multimedia<\/h1><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-one-half\" style=\"width:48%; margin-right: 4%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-3\"><h3>Nuklearmedizinisches Quiz<\/h3>\n<h3>Der interessante Fall (1)<\/h3>\n<p>44j\u00e4hrige Patientin ohne wesentliche Erkrankungen in der Vorgeschichte. Keine Medikamente. Seit etwa vier Wochen zunehmende, diffus verteilte Gelenkschmerzen, am ausgepr\u00e4gtesten beider Sprunggelenke. R\u00f6ntgen H\u00e4nde, Vorf\u00fc\u00dfe und Sprunggelenke, jeweils in 2 Ebenen, unauff\u00e4llig. Blutbild und Differentialblutbild unauff\u00e4llig, Harns\u00e4ure mit 4,3mg\/dl im Normbereich. Serum-Kalzium mit 5,1mval\/l an der oberen Grenze des Normbereichs. BSG 20mm in der ersten Stunde, CRP 1,6mg\/dl, Rheumafaktor, ANA und HLA-B27 negativ.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-last\" style=\"width:22%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#e0dede;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first\" style=\"width:22%; margin-right: 4%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_3_4 3_4 fusion-three-fourth fusion-column-last\" style=\"width:74%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-4\"><h3>2-Phasen-Skelett-Szintigraphie F\u00fc\u00dfe<\/h3>\n<\/div><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><a href=\"http:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/2p.jpg\" class=\"fusion-lightbox\" data-rel=\"iLightbox[9266fd71aac5c0ec4be]\"><img decoding=\"async\" src=\"http:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/2p.jpg\" class=\"img-responsive\"\/><\/a><\/span><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#e0dede;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first\" style=\"width:22%; margin-right: 4%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-5\"><h2>Welche weiteren Aufnahmen oder Untersuchungen ben\u00f6tigen Sie noch f\u00fcr Ihre Diagnose?<\/h2>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_3_4 3_4 fusion-three-fourth fusion-column-last\" style=\"width:74%;margin-top:0px;margin-bottom:20px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">.fusion-accordian  #accordion-96-1 .panel-title a .fa-fusion-box{ color: #ffffff;}.fusion-accordian  #accordion-96-1 .panel-title a .fa-fusion-box:before{ font-size: 16px; width: 16px;}.fusion-accordian  #accordion-96-1 .panel-title a{font-size:13px;}.fusion-accordian  #accordion-96-1 .fa-fusion-box { background-color: #333333;border-color: #333333;}.fusion-accordian  #accordion-96-1 .panel-title a:hover, #accordion-96-1 .fusion-toggle-boxed-mode:hover .panel-title a { color: #f07e23;}.fusion-accordian  #accordion-96-1 .panel-title .active .fa-fusion-box,.fusion-accordian  #accordion-96-1 .panel-title a:hover .fa-fusion-box { background-color: #f07e23!important;border-color: #f07e23!important;}<\/style><div class=\"accordian fusion-accordian\"><div class=\"panel-group\" id=\"accordion-96-1\"><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"eb4a28186c6783bc2\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-96-1\" data-target=\"#eb4a28186c6783bc2\" href=\"#eb4a28186c6783bc2\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Parathormon und ggf. Szintigraphie der Nebenschilddr\u00fcsen<\/span><\/a><\/h4><\/div><div id=\"eb4a28186c6783bc2\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\">Das Parathormon lag mit 18ng\/l im unteren Anteil des Normbereichs. Eine Nebenschilddr\u00fcsen-Szintigraphie wurde (unter anderem deshalb) nicht durchgef\u00fchrt. <\/div><\/div><\/div><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"1546370a35b7753cd\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-96-1\" data-target=\"#1546370a35b7753cd\" href=\"#1546370a35b7753cd\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Sonographie Hals, Schilddr\u00fcse und Nebenschilddr\u00fcsen <\/span><\/a><\/h4><\/div><div id=\"1546370a35b7753cd\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\">Sonographisch Normalbefunde. Insbesondere kein Anhalt f\u00fcr ein Nebenschilddr\u00fcsenadenom, kein Anhalt f\u00fcr eine Autoimmunthyreopathie. <\/div><\/div><\/div><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"145fe1e970fa3c75a\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-96-1\" data-target=\"#145fe1e970fa3c75a\" href=\"#145fe1e970fa3c75a\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">CT Thorax mit Kontrastmittel<\/span><\/a><\/h4><\/div><div id=\"145fe1e970fa3c75a\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\"><img decoding=\"async\" class=\"alignnone size-medium wp-image-169\" src=\"http:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/ct-300x300.jpg\" alt=\"ct\" width=\"300\" height=\"300\" srcset=\"https:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/ct-66x66.jpg 66w, https:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/ct-150x150.jpg 150w, https:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/ct-300x300.jpg 300w, https:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/ct.jpg 550w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div><\/div><\/div><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"8e2d8ea577faaf1cd\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-96-1\" data-target=\"#8e2d8ea577faaf1cd\" href=\"#8e2d8ea577faaf1cd\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">TSH, TPO-Ak und TSH-R-Ak<\/span><\/a><\/h4><\/div><div id=\"8e2d8ea577faaf1cd\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\"><strong>Schilddr\u00fcsenparameter (auszugsweise)<\/strong><br \/>\nTSH: 1,7 mU\/l<br \/>\nTPO-Ak: &lt;60,0 U\/l<br \/>\nTSH-R-Ak: &lt;0,1 U\/l<\/div><\/div><\/div><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"6b6e4619e6a34eebc\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-96-1\" data-target=\"#6b6e4619e6a34eebc\" href=\"#6b6e4619e6a34eebc\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">skelettszintigraphische Ganzk\u00f6rperaufnahme <\/span><\/a><\/h4><\/div><div id=\"6b6e4619e6a34eebc\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\"><img decoding=\"async\" class=\"alignnone size-medium wp-image-170\" src=\"http:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/gk-167x300.jpg\" alt=\"gk\" width=\"167\" height=\"300\" srcset=\"https:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/gk-167x300.jpg 167w, https:\/\/swdg-nukmed.de\/wp-content\/uploads\/2016\/02\/gk.jpg 512w\" sizes=\"(max-width: 167px) 100vw, 167px\" \/><\/div><\/div><\/div><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"48b3272bb6e5dacf3\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-96-1\" data-target=\"#48b3272bb6e5dacf3\" href=\"#48b3272bb6e5dacf3\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Ich ben\u00f6tige nichts mehr. Mir ist alles klar (oder unklar). Ich m\u00f6chte die Aufl\u00f6sung sehen.<\/span><\/a><\/h4><\/div><div id=\"48b3272bb6e5dacf3\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\"><strong>Diagnose: peripheres Bronchial-Karzinom mit paraneoplastischer Osteoarthropathia hypertrophicans (Morbus Pi\u00e9rre-Marie-Bamberger)<\/strong><\/p>\n<p>Die Osteoarthropathia hypertrophicans ist keine h\u00e4ufige Erkrankung. Man sieht sie \u2013 zumindest szintigraphisch \u2013 aber auch nicht ganz selten. \u00dcblicherweise stellt der Nuklearmediziner diese Diagnose als \u2013 dann nicht so sehr wichtigen \u2013 Nebenbefund bei der Skelettszintigraphie zur Metastasensuche, wenn ein Bronchial-Karzinom bereits bekannt ist. Seltener ist es, wenn \u2013 wie im hier dokumentierten Fall \u2013 eine Skelettszintigraphie aus anderen Gr\u00fcnden erfolgt, und die Diagnose einer Osteoarthropathia hypertrophicans zur (Fr\u00fch-)Erkennung eines Bronchial-Karzinoms f\u00fchrt. Dies kann f\u00fcr den Patienten oder die Patientin lebenswichtige Konsequenzen haben, wie im konkreten Fall, in dem ein peripheres Bronchial-Karzinom im Tumor-Stadium pT1N0M0 vorlag, das mit kurativer Intention operiert werden konnte.<\/p>\n<p>Bez\u00fcglich der szintigraphischen Morphologie kommen differentialdiagnostisch eine Reihe weiterer Erkrankungen in Betracht, die mit periostalen Knochenneubildungen einhergehen, die \u00fcblicherweise aber nicht so sehr ausgepr\u00e4gt sind (beispielsweise die periostale Knochenapposition bei der chronisch ven\u00f6sen Insuffizienz) oder ein anderes Verteilungsmuster zeigen (beispielsweise die sehr seltene thyreoidale Akropachie mit Betonung der Akren, wie der Name bereits vermuten l\u00e4\u00dft). Auch das mediale Schienbeinkantensyndrom (\u201eshin splint\u201c, eine mechanische \u00dcberlastung) sollte wegen der typischen Anamnese und der anderen Ausdehnung der Mehranreicherungen kein differentialdiagnostisches Problem darstellen. Prim\u00e4r oss\u00e4re Tumorerkrankungen treten umschrieben asymmetrisch auf und sind deshalb leicht abzugrenzen. Stoffwechselst\u00f6rungen des Kalziumsstoffwechsels, wie beispielsweise der Hyperparathyreoidismus, k\u00f6nnen zu einer Betonung der gro\u00dfen R\u00f6hrenknochen der unteren Extremit\u00e4ten f\u00fchren, allerdings nicht in dieser Form der inhomogenen, langstreckigen periostalen Betonung.<br \/>\n<strong>Take Home Message<\/strong><\/p>\n<p>Wenn Sie als szintigraphischen Zufallsbefund die Diagnose \u201eMorbus Pi\u00e9rre-Marie-Bamberger\u201c stellen, m\u00fcssen Sie nach einem Bronchial-Karzinom suchen (lassen).<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":166,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-96","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/swdg-nukmed.de\/index.php?rest_route=\/wp\/v2\/pages\/96","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/swdg-nukmed.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/swdg-nukmed.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/swdg-nukmed.de\/index.php?rest_route=\/wp\/v2\/users\/166"}],"replies":[{"embeddable":true,"href":"https:\/\/swdg-nukmed.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=96"}],"version-history":[{"count":21,"href":"https:\/\/swdg-nukmed.de\/index.php?rest_route=\/wp\/v2\/pages\/96\/revisions"}],"predecessor-version":[{"id":895,"href":"https:\/\/swdg-nukmed.de\/index.php?rest_route=\/wp\/v2\/pages\/96\/revisions\/895"}],"wp:attachment":[{"href":"https:\/\/swdg-nukmed.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=96"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}