\documentclass[12pt]{article}
\XeTeXinputencoding "utf8"
\usepackage{fontspec,xunicode}
\usepackage{multirow}

%
% Doug Nychka's LaTeX template (8/13/2004). To create a pdf file from this 
%use pdflatex 
%
% if you read one more comment read the one that starts with ***********
%
%

\nofiles % Suppress all those pesky files!

% include some color support (see examples below)
\usepackage[usenames,dvipsnames]{color}
%
% set background color 
\definecolor{Fcolor}{rgb}{.1,.1,.1} % A cool manila
\definecolor{Pcolor}{rgb}{1,1,1} % A cool manila
\pagecolor{Pcolor} 

% see the Tex files associated with dvipsnames
% for some  predefined colors.


%
% this little style file allows you to 
% step through a page adding items 
% 
%%\usepackage{german}
%% \usepackage{isolatin1}
\usepackage{pause}



%
% include a graphics package for importing figures
%
\usepackage{graphicx}
%
% this nice package supports pdf, png, and  jpeg in pdflatex 
%( but just eps for latex)
% png and jpg formats for images are particularly efficient.
% In R use the pdf/png function to create a pdf/png graphics file. 
% If you have a ps file in  UNIX use   convert foo.ps foo.pdf
% to make it into a pdf version 
% 
% If the postscript file has too much white space around it 
% use ps2epsi foo.ps ; epstopdf foo.eps foo.pdf to shrink wrap the figure
%
% or use the utility xv to crop images manually. 
%
%
%******* The magic of pdflatex, 
% These options give information to the acrobat viewer for displaying. 
% Use 
% pdflatex example.tex  
% to create example.pdf for viewing  ( e.g. acroread example.pdf)
% if you comment out the next two lines you can just use latex to make the 
% usual kind of dvi or postscript output. But you will have to use 
% postscript figures instead of pdf ones.
%

\RequirePackage[pdftex,pdfpagemode=none, pdftoolbar=true,
                pdffitwindow=true,pdfcenterwindow=true,setpagesize=false]{hyperref}
%
% change these to suit! Margins assume an inch as default 
%
%\setlength{\paperheight}{7in}
%\setlength{\paperwidth}{9in}
\pdfpagewidth=9in
\pdfpageheight=7in

\setlength{\textheight}{6.75in}
\setlength{\textwidth}{7.5in}
\setlength{\evensidemargin}{-.75in}
\setlength{\oddsidemargin}{-.75in}
\setlength{\topmargin}{-.75in}
\setlength{\parskip}{.125in}
\setlength{\parindent}{0in}

%
%


% set background color
\definecolor{Pcolor}{rgb}{1,1,1} % A rosy manila
\pagecolor{Pcolor}

% Define heading color. 
\definecolor{Hcolor}{rgb}{.3,.3,.3} % my heading color

%
% these are  my basic page headings 
% note how the color is set 
%
\def\mytitle#1{{\color{Hcolor}{\it \LARGE #1}\\ }}

\def\MYTITLE#1{{\color{Hcolor}{\huge #1}\\
                      \rule[.15in]{\textwidth}{.03in} }}
\def\myTITLE#1{{\color{Hcolor}{\huge #1}\\}}

% just to make the math work, everyone does this differently ...
\newcommand{\BLD}[1]{\mbox{\boldmath $#1$}}

% low tech way to start a new ``slide'' and add a background image
% This has been tuned to the aspect paper sizes declared above. 
\newcommand{\emptyBS}{
   \newpage
   \vspace*{-1in} 
   \hspace*{-.5in}
   %\includegraphics[height=\paperheight, 
   %    width=\paperwidth]{dia0231_med.jpg} % old fire
   %\vspace*{-\paperheight} 
   \vspace*{.5in} 
   %\hspace*{-\paperwidth}
}

\newcommand{\BS}{
   \newpage
   \vspace*{-1in} 
  % \hspace*{-.5in}
	{\begin{center}
\Large E. B. (f.) * 1939 - Hauptdiagnose Herzinsuffizienz
\end{center}
}
   %\includegraphics[height=\paperheight, 
   %    width=\paperwidth]{dia0230_back.jpg} % old fire
   %\vspace*{-\paperheight} 
   \vspace*{.5in} 
   %\hspace*{-\paperwidth}
}


% uncomment this version for just a new page and no background image. 
% note that you still get a background color from setting \pagecolor above
%\newcommand{\BS}{ \newpage}

\begin{document} 
\hypertarget{start}{}
 %%%%%%%%%%%
 {\color{Black} %begin default text color
 %{\color{White} %begin default text color
 {\LARGE  % fault is LARGE size font
  { \sf   % default face is sans serif
 %%%%%%%%%%%%

   %\vspace*{-1in} 
   %\hspace*{-.5in}
   %\includegraphics[height=\paperheight, 
   %    width=\paperwidth]{dia0230_back.jpg} % old fire
   %\vspace*{-\paperheight} 
   %\vspace*{.5in} 
   %\hspace*{-\paperwidth}
\emptyBS

Alexander Ölzant (9301547), Medizinische Universät Wien\\

\MYTITLE{Patientin E. B.}

\begin{itemize} 
\item geboren 1939 (72 a)
\item Kinderkrankheiten
\item keine Beschwerden bis 1994
\item Ex-Raucherin
\end{itemize}	


\BS
\MYTITLE{Sozialanamnese}

\begin{itemize} 
\item Familie: verheiratet, 2 erwachsene Kinder
\item bis 1999 (60 a) gerne berufstätig (Lehrberuf), seither in Pension
\end{itemize}	
\MYTITLE{Familienanamnese}
\begin{itemize} 
\item Beide Eltern hatten Herzerkrankungen, die auch als Todesursache angegeben
werden (Bluthochdruck, CMP, DM2)
\item Ein Bruder leidet ebenfalls an Diabetes Mellitus Typ 2
\item keine Krebserkrankungen in der Familie bekannt
\end{itemize} 

\BS
\myTITLE{Frühere Erkrankungen}
\vspace*{-.3in}
\begin{itemize} 
\item Kinderkrankheiten: Scharlach, Röteln, Masern, Mumps
\item bis 2001 keine Operationen
\end{itemize}	
\pause
\myTITLE{Vegetative Anamnese}
\vspace*{-.3in}
\begin{itemize}	
\item trinkt moderat Alkohol ($<$ 1/8 Wein pro Tag)
\item Rauchen: ca. 1953 - 1993 1 Paket/d (ca. 40 pack years)
\item gynäkologisch nach eigener Angabe unauffällig (2 Geburten, unregelm. Kontrollen)
\item Harn, Stuhl keine Beschwerden
\end{itemize} 
V. a. KM-Allergie

\BS
\MYTITLE{aktuelle Aufnahme}

COPD-Exazerbation, Luftnot

Nach Einstellung Simdax (Levosimendan = Ca++ Sensitizer) i. v. angedacht

\pause
\MYTITLE{Untersuchung}
Herztöne rein, rhythmisch, keine Geräusche in den Carotiden

Atemgeraeusche: dorsal vesikulaere Atemgeraeusche, frontal leichtes Giemen

körperliche Untersuchung abgebrochen (``unangenehm''), daher Herzvergrösserung nicht exakt bestimmt.

\BS
\MYTITLE{Krankheitsentwicklung}

\begin{itemize}	
\item 1994 intermittierend Herzrasen, Herzklopfen, Übelkeit, kaum Schmerzen - nach eigener Angabe keine eindeutige Dia\-gnose
\item 1995 Diagnose Vorhofflimmern 
\item 2001 erster Schrittmacher mit 1 Sonde
\item 2002 zweiter Schrittmacher mit 2 Sonden
\item parallel Coumarine (Marcoumar \textregistered)
\end{itemize}	
Diagnose: dilatative Cardiomyopathie, NYHA Grad III

seit 2 Jahren exazerbiert

\BS\mytitle{EKG}\includegraphics[width=\textwidth]{ekg_ges_small.jpg}

\BS
\myTITLE{EKG Detail}\includegraphics[width=3in]{ekg_detail.jpg}
deutlich Schrittmacherzacken statt P-Wellen, QRS verbreitert

\BS
\vspace*{-.5in}Labor\\
\includegraphics[width=\textwidth]{labor1.jpg}

\BS
\MYTITLE{Sonstige Erkrankungen}
dil. CMP NYHA III 
\begin{itemize}
\item COPD (FEV1 55 \% (Soll 80))
\item Vorhofflimmern
\item PM (bivent. seit 2002)
\item	NIDDM (Nuechterngluc. 166 mg/dl)
\item pAVK
\item CNI (chronische Niereninsuffizienz) - Krea 1.78 mg/dl, GFR ca. 30 ml/min/1.7
\item nach eigenen Angaben Adipositas (1.60 m, 66 kg = BMI 25?)
\item SD-Unterfunktion
\end{itemize} 

\BS
\vspace*{-.5in} 
\myTITLE{Medikation}
\begin{tabular*}{\textwidth}[t]{p{0.7\textwidth}|p{0.1\textwidth}|p{0.1\textwidth}|p{0.1\textwidth}}
Medikament & morgen & mittag & abend \\
\hline
Pantoloc (Pantoprazol) 40 mg & 1 & 0 & 0 \\
Marcoumar (Phencrocoumon) 3 mg & \multicolumn{3}{|c}{2/w 1/4, 5/w 1/2 } \\
Thrombo-ASS (Acetylsilicylsäure) 100 mg & 0 & 1 & 0 \\
Thyrex 50 $\mu$g & 1/2 & 0 & 0 \\
Concor (Bisoprolol) 10 mg & 1 & 0 & 0 \\
Atacand plus 16 (Candesartan 16 mg/HCT 12.5 mg) & 1 & 0 & 0 \\
Renitec (Enalapril) 20 mg & 1 & 0 & 1 \\
Diamicron (Gliclacid) 30 mg & 1 & 0 & 0 \\
Lanitop (Digoxin) 0.1 mg & 0 & 1 & 0 \\
Rocaltrol (Calcitriol) 0.25 $\mu$g & 0 & 1 & 0 \\
Indapamid/Fludex 1.5 mg & 0 & 1 & 0 \\
Spirono 50 mg & 0 & 1/2 & 0 \\
Atacand (Candesartan) 16 mg & 0 & 0 & 1 \\
Sortis (Atorvastatin) 40 mg & 0 & 0 & 1 \\
\end{tabular*}
\BS % FARBE
\vspace*{-.5in} 
\myTITLE{Medikation}
\begin{tabular*}{\textwidth}[t]{p{0.7\textwidth}|p{0.1\textwidth}|p{0.1\textwidth}|p{0.1\textwidth}}
Medikament & morgen & mittag & abend \\
\hline
Pantoloc (Pantoprazol) 40 mg & 1 & 0 & 0 \\
Marcoumar (Phencrocoumon) 3 mg & \multicolumn{3}{|c}{2/w 1/4, 5/w 1/2 } \\
Thrombo-ASS (Acetylsilicylsäure) 100 mg & 0 & 1 & 0 \\
Thyrex 50 $\mu$g & 1/2 & 0 & 0 \\
Concor (\color{Red}{Bisoprolol}) 10 mg & 1 & 0 & 0 \\
Atacand plus 16 ({\color{Red}{Candesartan}} 16 mg/{\color{Red}{HCT}} 12.5 mg) & 1 & 0 & 0 \\
Renitec ({\color{Red}{Enalapril}}) 20 mg & 1 & 0 & 1 \\
Diamicron (Gliclacid) 30 mg & 1 & 0 & 0 \\
Lanitop ({\color{Red}{Digoxin}}) 0.1 mg & 0 & 1 & 0 \\
Rocaltrol (Calcitriol) 0.25 $\mu$g & 0 & 1 & 0 \\
Fludex ({\color{Red}{Indapamid}}) 1.5 mg & 0 & 1 & 0 \\
Spirono 50 mg & 0 & 1/2 & 0 \\
Atacand ({\color{Red}{Candesartan}}) 16 mg & 0 & 0 & 1 \\
Sortis (Atorvastatin) 40 mg & 0 & 0 & 1 \\
\end{tabular*}
\BS
\myTITLE{Medikation}
+ Bedarfsmedikation/beim Bett:
\begin{itemize} 
\item Berodualin (Fenoterol/Ipratropium = Parasympatholytikum + Beta2- Sympathomimetikum) 1 - 1 - 1 
\item Spiriva (Tiotropium bromid - AntiCh) 18 $\mu$g 1 - 0 - 0 
\item Aprednislon (Prednisolon) für 6 Tage 50/25 mg 
\end{itemize}	


\BS
\MYTITLE{Danke für die Aufmerksamkeit}

Ende



}% end LARGE font block
} % end of bold face block
} % end default text color block 
\end{document}