Clinical care conundrums : challenging diagnoses in hospital by Baudendistel, Thomas E.; Harte, Brian; Pile, James C.

By Baudendistel, Thomas E.; Harte, Brian; Pile, James C.

"This e-book offers the 1st evidence-based casebook for hospitalists and different hospital-based physicians, linked employees, and trainees. each one scientific bankruptcy concludes with sensible "pearls" for software to the user's personal perform, whereas a loose CD includes all photographs and case summaries in PowerPoint records. in response to and multiplied from the wildly renowned scientific Care Conundrum (CCC) sequence within the magazine of  Read more...

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1999;783:2516. 5. Conti JB, Belardinelli L, Curtis AB. Usefulness of adenosine in diagnosis of tachyarrhythmias. Am J Cardiol . 1995;75:952–955. 6. Chauhan VS, Krahn AD, Klein GJ, Skanes AC, Yee R. Supraventricular tachycardia. Med Clin North Am. 2001;85:193–223. 7. Woeber KA. Thyrotoxicosis and the heart. N Engl J Med . 1992;327:94–8. 8. Klein I, Ojamaa K. Thyrotoxicosis and the heart. Endocrinol Metab Clin North Am. 1998;27:51–62. 9. Rude RK, Oldham SB, Singer FR, Nicoloff JT. Treatment of thyrotoxic hypercalcemia with propranolol.

1991;337:1555–1557. 3. Quirt I, Shelley W, Pater J, Bodurtha A, McCulloch P. Improved survival in patients with poor-prognosis malignant melanoma treated with adjuvant levamisole: A phase III study by the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol . 1991;9:729–735. REFERENCES 25 4. Moertel CG, Fleming TR, MacDonald JS. Levamisole and fluorouracil for adjuvant therapy of resected colon carcinoma. N Engl J Med . 1990;322:352–358. 5. Thompson JS, Herbick JM, Klassen LW.

Of greatest concern is the patient’s mental status. Initially, I think of enterohemorrhagic Escherichia coli syndromes with associated glomerulonephritis. The patient had a history of nephrolithiasis and had undergone total abdominal hysterectomy and bilateral salpingo-oopherectomy secondary to uterine fibroids. She took occasional acetaminophen, smoked two cigarettes per day, and rarely consumed alcohol. 5◦ C, heart rate was 160 beats per minute, respiratory rate was 28/minute, and blood pressure was 92/52 mm Hg; oxygen saturation was 100% breathing 2 L of oxygen by nasal cannula.

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