Peter Felix

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Chronic Obstructive Pulmonary Disease (COPD) is usually related to cardiovascular risk and sudden death. An effective tool for the diagnosis of exacerbations in COPD patients is the heart rate variability (HRV) analysis of polysomnograms, corresponding to patients which must be monitored in a clinical center. As an alternative, we present an ambulatory(More)
1. Concentrated urine (increased ammonical smell); urine infections; diabetes (sweet-smelling urine); eating certain foods (e.g., asparagus); liver disorders; genetic conditions (phenylketonuria, maple syrup urine disease); metabolic (trimethylaminuria). 2. In view of the patient describing his urine as having a fishy smell: Fish-odor syndrome was suspected(More)
A healthy 14-year-old boy presented to the outpatient department with a 6-year history of foul, fishy-smelling urine and body odor. He was being bullied at school, and his relatives had also noted the odor. He had no other urinary symptoms. His bowel habits were normal. Fluid intake was in excess of 6 cups of fluid per day and micturition was regular. There(More)
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