SMJ // October 2001, Volume 94 - Issue 10
Expired CME Article
Annotated Bibliography
Case Histories
Bacteroides Peritonitis Associated With Colon Cancer in a Continuous Ambulatory Peritoneal Dialysis Patient
ABSTRACT:Peritonitis is not an uncommon complication of continuous ambulatory peritoneal dialysis (CAPD). We report a case of Bacteroides fragilis-induced bacterial peritonitis, probably due to clinically occult malignancy, in a 76-year-old woman on CAPD.
Original Article
Factors Determining Calcium Intake in Elderly Women of Appalachia
AbstractBackground.Although it has been recommended that women aged 65 and older consume at least 1,500 mg of calcium daily, no studies are available that define the factors associated with adequate intake. Methods.We studied 184 elderly women to determine the relationship between foodstuff calcium consumption and anthropomorphic measurements and numerous life-style…
Case Histories
Fatal Rhabdomyolysis Caused by Lipid-Lowering Therapy
ABSTRACT:Treatment of hypercholesterolemia has been shown to reduce mortality in patients with coronary artery disease. Patients with severe lipid abnormalities may require high-dose statin therapy, at times used in combination with additional agents. We report a case of fatal rhabdomyolysis caused by the combination of simvastatin and gemfibrozil. Clinicians should…
Expired CME Article
Featured Interview
Original Article
Gritti-Stokes (Through-Knee) Amputation Should It Be Reintroduced?
AbstractBackground.When there is doubt about perfusion in the distal part of the leg and around the ankle, an above-knee amputation (AKA) site has been the most commonly selected to assure primary wound healing. Methods.The Gritti-Stokes amputation (GSA), a modified through-knee amputation, seems to have value for selected patients, according to…
Review Article
Hypercoagulability Clinical Assessment and Treatment
ABSTRACT:This review emphasizes pathophysiology, clinical features, assessment, and therapy for hypercoagulability. Risk factors that further increase clotting include obesity, recent surgery, pregnancy, and cancer. Clinical examples of coagulation abnormalities may occur from single or multiple abnormalities and include both inherited and acquired defects. Laboratory testing undertaken at the time of…
Expired CME Article
Medicare's Home Health Prospective Payment System
Case Histories
Multiple Myeloma–Associated Amyloidosis Manifesting as Fulminant Hepatic Failure
ABSTRACT:We report a case of amyloidosis associated with κ light chain multiple myeloma in a 42-year-old African American man. The patient initially had mild dyspepsia, which rapidly progressed to include anorexia, fulminant hepatic failure, and death within 9 weeks. This is only the fourth reported case of hepatic failure from…
News Potpourri
News Potpourri
Original Article
Peripheral Vascular Disease Intervention in Patients With End-Stage Renal Disease Few Complications in Those Treated With Peritoneal Dialysis
AbstractBackground.We assessed the results of peripheral vascular surgery in patients with end-stage renal disease (ESRD) who were being treated with peritoneal dialysis. Methods.Sixty-seven ESRD patients on peritoneal dialysis who had peripheral vascular surgery were assessed retrospectively for preoperative risk factors, primary and secondary patency rates, and mortality. The study group…
Original Article
Plasma Elimination of Cardiac Troponin I in End-Stage Renal Disease
AbstractBackground.We retrospectively compared the decline of cardiac troponin I after acute myocardial infarction (AMI) in patients with normal renal function and those with end-stage renal disease (ESRD) who were receiving hemodialysis. Methods.We reviewed 257 cases with a discharge diagnosis of AMI or AMI plus ESRD; 222 were excluded due to…
Case Histories
Prosthetic Valve Endocarditis Caused by Pasteurella dagmatis
ABSTRACT:This case of prosthetic valve endocarditis due to Pasteurella dagmatis is the first to be reported in the English language medical literature. The two reported cases of native valve endocarditis due to P dagmatis are reviewed, and the treatment of Pasteurella-induced endocarditis is discussed.
Editorial
RICHIE WILL DO!
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Selected Abstracts
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Selected Books
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Selected Community Resources
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Selected Guidelines
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Selected Ongoing Clinical Trials
Case Histories
Tracheoesophageal Fistula and Massive Pneumoperitoneum After Prolonged Mechanical Ventilation
ABSTRACT:We describe a patient who had two unusual complications of prolonged mechanical ventilation—tracheoesophageal fistula and pneumoperitoneum—with a fatal outcome. Recurrent pulmonary aspirations and massive abdominal distention in the setting of longstanding artificial ventilation should alert the physician to these possibilities.
Case Histories
Transitional Cell Carcinoma Manifesting as Acute Cor Pulmonale Cause of Microscopic Tumor Embolism
ABSTRACT:Acute cor pulmonale is an uncommon manifestation of microscopic pulmonary tumor embolism. We describe the case of an 84-year-old man with a history of transitional cell carcinoma (TCC) of the urinary bladder who had acute cor pulmonale and died within a few hours after the onset of dyspnea. Autopsy showed…
Expired CME Article
Urinary Incontinence in the Elderly
Expired CME Article
Annotated Bibliography*
Article
ANNUAL SUPPLEMENT of ABSTRACTS
Correspondence
CORRESPONDENCE
Case Histories
Fatal Rhabdomyolysis Caused by Lipid‐Lowering Therapy
ABSTRACT: &NA; Treatment of hypercholesterolemia has been shown to reduce mortality in patients with coronary artery disease. Patients with severe lipid abnormalities may require high‐dose statin therapy, at times used in combination with additional agents. We report a case of fatal rhabdomyolysis caused by the combination of simvastatin and gemfibrozil….
Expired CME Article
Featured CME Topic
Original Article
Gritti‐Stokes (Through‐Knee) Amputation Should It Be Reintroduced?
Abstract Background. When there is doubt about perfusion in the distal part of the leg and around the ankle, an above‐knee amputation (AKA) site has been the most commonly selected to assure primary wound healing. Methods. The Gritti‐Stokes amputation (GSA), a modified through‐knee amputation, seems to have value for selected…
Case Histories
Multiple Myeloma—Associated Amyloidosis Manifesting as Fulminant Hepatic Failure
ABSTRACT: &NA; We report a case of amyloidosis associated with &kgr; light chain multiple myeloma in a 42‐year‐old African American man. The patient initially had mild dyspepsia, which rapidly progressed to include anorexia, fulminant hepatic failure, and death within 9 weeks. This is only the fourth reported case of hepatic…
Original Article
Peripheral Vascular Disease Intervention in Patients With End‐Stage Renal Disease Few Complications in Those Treated With Peritoneal Dialysis
Abstract Background. We assessed the results of peripheral vascular surgery in patients with end‐stage renal disease (ESRD) who were being treated with peritoneal dialysis. Methods. Sixty‐seven ESRD patients on peritoneal dialysis who had peripheral vascular surgery were assessed retrospectively for preoperative risk factors, primary and secondary patency rates, and mortality….
Original Article
Plasma Elimination of Cardiac Troponin I in End‐Stage Renal Disease
Abstract Background. We retrospectively compared the decline of cardiac troponin I after acute myocardial infarction (AMI) in patients with normal renal function and those with end‐stage renal disease (ESRD) who were receiving hemodialysis. Methods. We reviewed 257 cases with a discharge diagnosis of AMI or AMI plus ESRD; 222 were…
