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Differenzialdiagnostik manualmedizinischer Syndrome des Thorax und des Abdomens unter Einbeziehung osteopathischer Verfahren

Manual medical differential diagnosis of the thorax and abdomen, osteopathic considerations included

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Zusammenfassung

Die differenzialdiagnostische Beurteilung schmerzhafter funktioneller Störungen des Rumpfs, also des Thorax und des Abdomens, ist sehr weit gespannt, auch hinsichtlich der Akuität und eventueller Konsequenzen. Die manualmedizinische Diagnostik kann hier einen wertvollen Beitrag in der Abgrenzung von struktureller und funktioneller Pathologie leisten. Im vorliegenden Artikel werden manualmedizinische Syndrome vorgestellt, die Befundhäufungen aus dem muskuloskeletalen und viszeralen System zusammenfassen. Das erleichtert die primäre differenzialdiagnostische Beurteilung, ebenso aber auch die Therapieplanung. Die Kombination mit den osteopathischen Verfahren ist dabei sehr gewinnbringend. Eine fachärztliche Differenzialdiagnostik bleibt unumgänglich.

Abstract

The differential diagnosis of painful functional disorders of the trunk, i.e. the thorax and the abdomen, is very broad also with regard to the acuity and possible consequences. Manual medical diagnostics can provide a valuable contribution to the differentiation of structural and functional pathology. In the following article manual medical syndromes are introduced, which summarize the local findings of the muskuloskeletal (locomotor) and the visceral systems. This facilitates the primary differential diagnosis and the therapeutic approach. The combination with osteopathic methods is very profitable. A specialist differential diagnosis is indispensible.

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  1. Ärztegesellschaft Manuelle Medizin – Berliner Seminar e. V. (ÄMM/DGMM), Berliner Akademie für Osteopathische Medizin (BAOM), Berlin, Deutschland

    J. Buchmann, G. Harke, R. Kayser & U.C. Smolenski

  2. Klinik für Neurologie, Psychiatrie, Psychosomatik und Psychotherapie im Kindes- und Jugendalter, Zentrum für Nervenheilkunde, Universität Rostock, Gehlsheimer Str. 20, 18147, Rostock, Deutschland

    J. Buchmann

  3. Klinik für Orthopädie und Orthopädische Chirurgie, Universität Greifswald, Greifswald, Deutschland

    R. Kayser

  4. Institut für Physikalische und Rehabilitative Medizin, Universität Jena, Jena, Deutschland

    U.C. Smolenski

  5. gest,, in ehrendem Gedenken , -, -

    U. Arens

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  1. J. Buchmann
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Wesentliche Anteile dieses Artikels sind bereits erschienen in: Buchmann J, Arens U, Harke G, Kayser R, Smolenski U (2011) Differenzialdiagnostik manualmedizinischer Syndrome des Thorax und des Abdomens unter Einbeziehung osteopathischer Verfahren. Phys Rehab Kur Med 21:76–92. Mit freundlicher Genehmigung des Thieme-Verlags.

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Buchmann, J., Arens, U., Harke, G. et al. Differenzialdiagnostik manualmedizinischer Syndrome des Thorax und des Abdomens unter Einbeziehung osteopathischer Verfahren. Manuelle Medizin 49, 244–260 (2011). https://doi.org/10.1007/s00337-011-0843-x

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