Community practice
Dr. med. Wiltrud Bauer & Dr. med. Herbert Bauer

General medicine and Internal medicine

 

Diagnosis and therapy

For the modern medical diagnostics of diseases of internal medicine we apply, among other things, the following examination methods and techniques.

 

1. Special cardiac examinations

Electrocardiography (ECG)

In the electrocardiogram, the electrical currents of the heart (stimulation and stimulation) are registered graphically. Rhythm and circulatory disorders of the heart as well as a heart enlargement can be detected.

Ergometry

The stress ECG shows a markedly higher significance than the resting ECG lower blood circulation of the heart muscle.
It is therefore primarily used for the diagnosis of coronary heart disease (CHD). In addition, it is used in the diagnosis of cardiac arrhythmia and stress hypertension. For this purpose, a computer-controlled trainer with continuous ECG / pulse / blood pressure control is available in our clinic.

Holter ECG

This is used to detect cardiac arrhythmia. Important, e.g. Anxiety, dizziness, or short-term loss of consciousness.

Long-term blood pressure measurement over 24 hours

This not only ensures the diagnosis of hypertension but also a therapy success. Only with this method is it possible to rule out a so-called "office hours or white collar high pressure".

Echocardiography - including CW, PW and Doppler

- Unfortunately only for private patients and self-payers possible -

With this special ultrasound procedure, numerous pathological changes of the heart can be detected, in particular

  • Enlargements of the heart cavities
  • Cardiac disorders (cardiomyopathies)
  • Contractility
  • Functional limitations
  • Scars and calluses (e.g., after infarction)
  • Congenital and acquired heart valve defects
  • Effusion in the heart bag
  • Thrombi, tumors

In addition, the blood flow conditions of the heart can be analyzed by the Doppler or color doppler method and, in particular, leakages (insufficiencies) or narrowings (stenoses) of the heart valves can be recognized as well as defects of the atrial or vascular wall.

2. Sonography (abdomen, thyroid, vessels)

Ultrasonic examination for the visual representation of upper organs of organs such as liver, gall bladder, pancreas, spleen, kidneys and abdominal arteries as well as other abdominal organs (e.g., urinary bladder, prostate).

With the aid of sonography, a variety of pathological changes of the abdominal organs can be diagnosed, e.g. Organ enlargement / reduction, cysts, stones, calcifications, tumors, etc. In assessing thyroid disease (size changes, nodes, etc.), non-acting sonography has largely replaced other methods such as scintigraphy.

By switching on the (color) Doppler, the blood flow conditions (vascularisation) of the organs can be represented.
The Doppler method is particularly suitable in vascular diagnostics (arteries / veins) and especially for the representation of the brain-supplying vessels. In addition to vessel wall placements (plaques) and constrictions (stenoses), early arteriosclerosis can also be detected easily by measuring the intima-media thickness at the throat artery (arteria carotis).

3. Pulmonary function test (pulmonary examinations)

The pulmonary function test is mainly used for the diagnosis and follow-up of chronic bronchitis and asthma, but also for assessing the performance of the lungs, for example, in athletes.

The pulmonary function test can be used to measure the respiratory resistance and the pulmonary volume. The examination is uncomplicated and meaningful for patients.

4. Laboratory diagnosis

All blood, urine and stool examinations are carried out in collaboration with a renowned large laboratory. The results of the investigation are mostly available the next day and can then be interrogated by telephone.

Please note:
Before taking a blood test, you should not have eaten anything 12 hours before, have not drunk any alcohol or sugar (preferably water only).

5. Blood glucose monitoring

Blood glucose measurements can be carried out and evaluated at any time in practice. The result is in a few seconds.

In unclear cases or with borderline findings, a sugar load test is carried out. After removal of the fasting blood glucose, a standardized prodrug (75 g glucose) is administered and the blood glucose is measured after two hours.