The American journal of emergency medicine
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The case of a patient with a false-positive fracture on the panoramic view of the mandible is presented. The patient motion produced a spurious image that perfectly mimicked a fracture without any evidence of motion. To better assess motion artifact, panoramic views of a "phantom" human skull were developed with movement during the exposure. ⋯ Some radiographs were created by movement that mimicked fractures without the telltale signs of motion artifact. These "motion pseudofractures" are diagnosed clinically if the examiner knows that motion can mimic fractures, and all x-ray findings are carefully correlated with clinical findings. Diagnosis of a motion pseudofracture will avoid the additional expense and time of a specialty consultation.
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The objective of this study was to test the hypothesis that after hemorrhagic hypotension, reinfusion of the shed blood with threefold that volume of lactated Ringer's (LR) solution will significantly increase lung water and venous admixture and hence decrease systemic arterial oxygen saturation. A prospective, randomized, fixed-volume hemorrhage laboratory study was performed at the Oklahoma University Health Sciences Center on 18 anesthetized mongrel dogs. ⋯ However, lung water, venous admixture, and systemic arterial PO2 were similar between groups. In this fixed-volume hemorrhage model, hemodiluting the reinfused shed blood with threefold the volume of LR did not significantly influence lung water, venous admixture, or systemic arterial oxygen saturation.
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Multicenter Study
Bupropion overdose: a 3-year multi-center retrospective analysis.
Bupropion (Wellbutrin; Burroughs Welcome Co, Research Triangle Park, NC) is a unique monocyclic antidepressant about which there is limited overdose information. A retrospective analysis of all bupropion ingestions reported to five regional poison control centers from 1989 through 1991 was conducted. There were 58 cases of bupropion ingestion and nine cases of combined bupropion and benzodiazepine ingestion. ⋯ Five cases of pure bupropion overdose had electrolytes reported. Serum potassium ranged from 2.6 to 4.2 mEq/L (mean, 3.3 mEq/L). In overdose, bupropion seems to lack major cardiovascular toxicity; however, it does manifest significant neurological toxicity.