Connecticut medicine
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Connecticut medicine · Aug 2005
Circadian variation and outcome of in-hospital cardiopulmonary resuscitation.
Assessment of contemporary in-hospital cardiopulmonary resuscitation outcomes. ⋯ Primary cardiac arrest has a significantly worse in-hospital outcome when compared to an initial respiratory event. The finding of a circadian variation in both the incidence and outcome of in-hospital primary cardiac arrest is intriguing and warrants further study.
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Swyer-James Syndrome is a rare disorder characterized by a unilateral hyperlucent lung. It is thought to be due to sequelae of childhood respiratory infections. It may present with recurrent pulmonary infections, chronic respiratory symptoms or be found incidentally on chest imaging. We report a case of Swyer-James syndrome presenting with recurrent pulmonary infections.
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Connecticut medicine · Apr 2005
Chronic osteomyelitis: results obtained by an integrated team approach to management.
The pathology of chronic osteomyelitis suggests that thorough debridement of bone and soft tissue, with closure of dead space, supported by appropriate antibiotics would be the optimal therapeutic strategy. ⋯ Management of chronic osteomyelitis requires thorough debridement of infected bone and soft tissues coupled with rigid stabilization with external fixators, elimination of dead space, often requiring soft-tissue flap coverage, and staged bone reconstruction. When such a surgical approach is accompanied by appropriate antibiotics based on the sensitivity of the microbes isolated from the infected site, the infected focus is eliminated and bone length and integrity are restored.
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Lymphocytic hypophysitis (LH) is a rare but increasingly recognized inflammatory disorder of the pituitary, usually associated with pregnancy. Knowledge of this condition is largely anecdotal; the cause, incidence, and natural history are unknown. Cases are usually discovered at biopsy and surgical intervention for a presumptive pituitary neoplasm. ⋯ In the first case the patient underwent surgery for presumptive adenoma, and pathology at resection established the diagnosis of lymphocytic hypophysitis. The second case was strongly suspicious for LH by history, endocrine profile, and imaging, and was managed nonoperatively. Though magnetic resonance imaging (MRI) features are not diagnostic, knowledge of imaging features together with clinical history may permit avoidance of surgery.