https://wiki.cakele.iodatalabs.dev/index.php?action=history&feed=atom&title=DGI%3AAntibiotikatherapie_bei_Sepsis%2FKlinisches_Bild%2FLeitsymptome
DGI:Antibiotikatherapie bei Sepsis/Klinisches Bild/Leitsymptome - Revision history
2026-06-10T22:56:12Z
Revision history for this page on the wiki
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https://wiki.cakele.iodatalabs.dev/index.php?title=DGI:Antibiotikatherapie_bei_Sepsis/Klinisches_Bild/Leitsymptome&diff=5150&oldid=prev
imported>Brinkery at 14:51, 20 December 2024
2024-12-20T14:51:05Z
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 14:51, 20 December 2024</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Lactat''' (> 2 mmol/l)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Lactat''' (> 2 mmol/l)</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Bilirubin''' (< 1,2–1,9 g/dl [20–32 μmol/l])</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Bilirubin''' (< 1,2–1,9 g/dl [20–32 μmol/l])</div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">Im ambulanten Bereich sollten bei V.a. eine schwere Infektion Vitalparameter (Blutdruck, HF, AF, Temperatur) erhoben werden und bei Hinweisen auf einen septischen Verlauf muss eine umgehende Krankenhauseinweisung erfolgen. Hinweisend (insbesondere bei älteren Menschen) kann vor allem eine neu aufgetretene Bewusstseinsveränderung sein, dies sollte dezidiert adressiert werden.</ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">Nach einer Arbeit aus UK kann die Anwendung von SIRS-Kriterien im ambulanten Bereich allerdings auch nur mit einem positiv prädiktiven Wert von ca. 50% und einem negativ prädiktivem Wert von knapp 70% eine Sepsis vorhersagen, bzw. ausschließen (andere Scores schneiden noch schlechter ab), sodass im Zweifel der klinische Verdacht eine zügige weitere Diagnostik anstoßen sollte.</ins></div></td></tr>
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imported>Brinkery
https://wiki.cakele.iodatalabs.dev/index.php?title=DGI:Antibiotikatherapie_bei_Sepsis/Klinisches_Bild/Leitsymptome&diff=5149&oldid=prev
imported>Maximilian.schons@uk-koeln.de at 17:38, 12 June 2021
2021-06-12T17:38:59Z
<p></p>
<table style="background-color: #fff; color: #202122;" data-mw="interface">
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 17:38, 12 June 2021</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1">Line 1:</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Bei jedem klinischen Anhalt für eine Infektion ist auf das Vorliegen einer Sepsis zu prüfen. Folgende Parameter können hinweisend sein und bedürfen stets einer weiteren Abklärung!</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Bei jedem klinischen Anhalt für eine Infektion ist auf das Vorliegen einer Sepsis zu prüfen. Folgende Parameter können hinweisend sein und bedürfen stets einer weiteren Abklärung!</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Bewusstseinsveränderung''' (qualitativ wie quantitativ, GCS <15)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Bewusstseinsveränderung''' (qualitativ wie quantitativ, GCS <15)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Temperaturveränderungen''' (Körpertemperatur < 36°C oder > 38°C)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Temperaturveränderungen''' (Körpertemperatur < 36°C oder > 38°C)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Hypotonie''' (systolischer Blutdruck ≤ 100 mmHg)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Hypotonie''' (systolischer Blutdruck ≤ 100 mmHg)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Tachykardie''' (Herzfrequenz > 90/min)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Tachykardie''' (Herzfrequenz > 90/min)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Tachypnoe''' (Atemfrequenz ≥ 22/min)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Tachypnoe''' (Atemfrequenz ≥ 22/min)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Hyperventilation''' (pCO2 [kap/art] < 33 mmHg)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Hyperventilation''' (pCO2 [kap/art] < 33 mmHg)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Respiratorische Insuffizienz '''(pO2/FiO2 < 400 mmHg ≈ pO2 < 80 bei Raumluft)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Respiratorische Insuffizienz '''(pO2/FiO2 < 400 mmHg ≈ pO2 < 80 bei Raumluft)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Oligurie''' (Diurese < 0,5ml/kg KG/h für mind. 2h)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Oligurie''' (Diurese < 0,5ml/kg KG/h für mind. 2h)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Kreatininanstieg''' im Vergleich zum Vorwert</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Kreatininanstieg''' im Vergleich zum Vorwert</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Leukozyten''' (Leukopenie < 4/nl, Leukozytose > 12/nl)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Leukozyten''' (Leukopenie < 4/nl, Leukozytose > 12/nl)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Thrombozyten''' (Thrombopenie < 150/nl oder Abfall um 30% innerhalb von 24h)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Thrombozyten''' (Thrombopenie < 150/nl oder Abfall um 30% innerhalb von 24h)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Lactat''' (> 2 mmol/l)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Lactat''' (> 2 mmol/l)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Bilirubin''' (< 1,2–1,9 g/dl [20–32 μmol/l])</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* <bs:checklist type="check" checked="false" /> '''Bilirubin''' (< 1,2–1,9 g/dl [20–32 μmol/l])</div></td></tr>
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imported>Maximilian.schons@uk-koeln.de
https://wiki.cakele.iodatalabs.dev/index.php?title=DGI:Antibiotikatherapie_bei_Sepsis/Klinisches_Bild/Leitsymptome&diff=5148&oldid=prev
imported>Maximilian.schons@uk-koeln.de at 03:40, 12 June 2021
2021-06-12T03:40:53Z
<p></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 03:40, 12 June 2021</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1">Line 1:</td>
<td colspan="2" class="diff-lineno">Line 1:</td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">Bei jedem klinischen Anhalt für eine Infektion ist auf das Vorliegen einer Sepsis zu prüfen. Folgende Parameter können hinweisend sein und bedürfen stets einer weiteren Abklärung!</ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Bewusstseinsveränderung''' (qualitativ wie quantitativ, GCS <15)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Bewusstseinsveränderung''' (qualitativ wie quantitativ, GCS <15)</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Temperaturveränderungen''' (Körpertemperatur < 36°C oder > 38°C)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*<bs:checklist type="check" checked="false" /> '''Temperaturveränderungen''' (Körpertemperatur < 36°C oder > 38°C)</div></td></tr>
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imported>Maximilian.schons@uk-koeln.de
https://wiki.cakele.iodatalabs.dev/index.php?title=DGI:Antibiotikatherapie_bei_Sepsis/Klinisches_Bild/Leitsymptome&diff=5147&oldid=prev
imported>Maximilian.schons@uk-koeln.de: Die Seite wurde neu angelegt: „*<bs:checklist type="check" checked="false" /> '''Bewusstseinsveränderung''' (qualitativ wie quantitativ, GCS <15) *<bs:checklist type="check" checked="false"…“
2021-06-12T03:37:19Z
<p>Die Seite wurde neu angelegt: „*<bs:checklist type="check" checked="false" /> '''Bewusstseinsveränderung''' (qualitativ wie quantitativ, GCS <15) *<bs:checklist type="check" checked="false"…“</p>
<p><b>New page</b></p><div>*<bs:checklist type="check" checked="false" /> '''Bewusstseinsveränderung''' (qualitativ wie quantitativ, GCS <15)<br />
*<bs:checklist type="check" checked="false" /> '''Temperaturveränderungen''' (Körpertemperatur < 36°C oder > 38°C)<br />
*<bs:checklist type="check" checked="false" /> '''Hypotonie''' (systolischer Blutdruck ≤ 100 mmHg)<br />
*<bs:checklist type="check" checked="false" /> '''Tachykardie''' (Herzfrequenz > 90/min)<br />
*<bs:checklist type="check" checked="false" /> '''Tachypnoe''' (Atemfrequenz ≥ 22/min)<br />
*<bs:checklist type="check" checked="false" /> '''Hyperventilation''' (pCO2 [kap/art] < 33 mmHg)<br />
*<bs:checklist type="check" checked="false" /> '''Respiratorische Insuffizienz '''(pO2/FiO2 < 400 mmHg ≈ pO2 < 80 bei Raumluft)<br />
*<bs:checklist type="check" checked="false" /> '''Oligurie''' (Diurese < 0,5ml/kg KG/h für mind. 2h)<br />
*<bs:checklist type="check" checked="false" /> '''Kreatininanstieg''' im Vergleich zum Vorwert<br />
*<bs:checklist type="check" checked="false" /> '''Leukozyten''' (Leukopenie < 4/nl, Leukozytose > 12/nl)<br />
*<bs:checklist type="check" checked="false" /> '''Thrombozyten''' (Thrombopenie < 150/nl oder Abfall um 30% innerhalb von 24h)<br />
*<bs:checklist type="check" checked="false" /> '''Lactat''' (> 2 mmol/l)<br />
*<bs:checklist type="check" checked="false" /> '''Bilirubin''' (< 1,2–1,9 g/dl [20–32 μmol/l])</div>
imported>Maximilian.schons@uk-koeln.de