The ECG above was obtained from an 87-year-old woman in for her first doctor visit in several years. She reports no recent symptoms. She is on no cardioactive medications. What are your concerns?
A Canadian study reveals that while a majority of elderly patients undergoing hemiarthroplasty did not receive home care upon discharge, those that did had longer short-term survival.
"We look at a variety of things as most departments do, but I think we're trying to collect some data that there aren't good benchmarks for and can have significant variability from institution to institution or at least trying to look at our [department] numbers... to compare ourselves to our colleagues here at the hospital.
This issue is the second in a two-part series covering vaginal bleeding in pregnancy. Part I discussed spontaneous abortion and ectopic pregnancy. Part II will discuss other causes of vaginal bleeding that typically present later in pregnancy.
Penetrating trauma to the torso can present a complex diagnostic and therapeutic challenge. Injuries can occur to the precordium, the thoraco-abdominal region, abdomen, flank, back, and pelvis. Injuries often occur simultaneously in several body cavities. Each of these body regions may require a different approach for both diagnosis and treatment. Penetrating injury from the nipple line to the inguinal ligaments anteriorly and from the tip of the scapula to the inferior gluteal folds should prompt suspicion of intra-abdominal injury.