The Journal of the American Osteopathic Association
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J Am Osteopath Assoc · Oct 1997
Case ReportsAortopulmonary fistula in an infected Dacron graft for coarctation of the aorta: an uncommon cause of hemoptysis.
Hemoptysis secondary to an aortobronchial fistula is rare and uniformly fatal when left untreated. The authors describe a case of massive hemoptysis caused by an aortopulmonary fistula in an infected Dacron graft used successfully to repair a coarctation of the aorta.
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J Am Osteopath Assoc · Sep 1997
Case ReportsSuccessful treatment of recurrent reflex sympathetic dystrophy with bilateral lumbar sympathectomies.
The authors report a case of reflex sympathetic dystrophy of the lower right extremity in a 51-year-old white man. The disorder developed 3 months after an ankle fracture, and bilateral lumbar surgical sympathectomies were necessary for successful treatment. Unique to this case is the patient's history of having undergone the same treatment 10 years earlier for the same disorder, which developed after a myocardial infarction and cardiac catheterization of the right femoral artery. Incomplete sympathectomy or regeneration of sympathetic ganglions after the first surgery may explain why the second surgery was necessary in this patient.
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Bicycle-related head trauma is a significant source of death, disability, and health-care costs in the United States. Bicycle helmets are effective safety devices that can reduce most of this burden on society. ⋯ This article provides a current summary of state bicycle helmet laws and highlights research that supports the effectiveness and necessity of these laws. The recent trend in safety standards for bicycle helmets is included to give a comprehensive view of bicycle helmet law in the United States.
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Gunshot wounds of the pelvis are not uncommon. Penetrating injuries of the bladder are usually documented by means of a cystogram. ⋯ No extravasation was demonstrated. The authors caution that not all penetrating injuries to the bladder will demonstrate extravasation on a properly performed cystogram.