The Journal of the American Osteopathic Association
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J Am Osteopath Assoc · Jul 2008
Case ReportsPulmonary embolism mimicking anteroseptal acute myocardial infarction.
Pulmonary embolism (PE) is a potentially lethal condition that presents in patients with chest pain or shortness of breath. Although electrocardiograms (ECGs) typically demonstrate abnormalities associated with PE, ST-segment elevation, which can indicate anteroseptal acute myocardial infarction (AMI), has-on rare occasions-been noted on ECGs of patients with acute PE. The current report documents the case of a 57-year-old man who presented to the emergency department with chest pain. ⋯ On further examination, the patient was found to have a massive bilateral PE. The present report emphasizes that physicians must investigate PE in all patients presenting with chest pain, dyspnea, or both, even in the face of ECG changes that are suggestive of a cardiac etiology. A brief discussion of the current theories of ST-segment elevation in the setting of PE is also included.
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J Am Osteopath Assoc · May 2008
Randomized Controlled TrialImmediate effects of osteopathic manipulative treatment in elderly patients with chronic obstructive pulmonary disease.
Osteopathic manipulative treatment (OMT) has long been advocated for patients with respiratory disorders, but little definitive evidence exists to support its use in this population. ⋯ Results suggest an overall worsening of air trapping during the 30 minutes immediately following one multitechnique OMT session relative to the sham group.
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The current continuing medical education (CME) cycle began on January 1, 2007, and will end on December 31, 2009. Final statistics for the 2004-2006 CME cycle will not be available until May 31, 2008. The author provides an update on trends in osteopathic CME programs, details minor changes to the requirements for AOA-accredited Category 1 CME sponsors, and describes new online CME opportunities. In addition, the current article explains changes regarding the American Osteopathic Association's awarding and recording of CME credit hours for physicians who have specialty board certification.