Connecticut medicine
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Connecticut medicine · Nov 1992
Factors associated with outcome in blunt aortic injury: a population-based study.
A population-based study was conducted for two contiguous states representing a population of 9.1 million to determine whether age, injury severity score, major complications, and preexisting conditions contribute to the outcome of patients diagnosed with blunt traumatic aortic injury. A secondary analysis reviewed patients with blunt aortic injury admitted over a six-year period to a trauma center located in one of the states to examine other more detailed factors related to mortality. ⋯ The elderly (age > or = 55) in both data sets sustained higher mortality from blunt aortic injury. In the trauma center population, the elderly had more delay in diagnosis than the younger patient population.
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Connecticut medicine · Mar 1992
Biography Historical Article Classical ArticleThe diagnosis and treatment of hysterical paralyses by the intravenous administration of pentothal sodium--case reports. 1942.
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Connecticut medicine · Oct 1991
Intraoperative transesophageal echocardiography--an indispensable tool in valve reconstruction and congenital anomalies.
Transesophageal echocardiography (TEE) with color flow mapping has become an excellent tool for evaluating valve reconstruction and correction of congenital anomalies intraoperatively. From February 1990 to September 1990 we have utilized TEE intraoperatively in 14 consecutive patients. Their ages ranged from 25 to 77 years, with a mean age of 58.7 years. ⋯ Following mitral valve repair TEE demonstrated trivial to no mitral regurgitation in eight (seven with repair) and mild regurgitation in one patient. All patients with closure of the ASD had an intact septum. The gradient in HOC was reduced significantly and there was satisfactory anatomical reattachment of the tricuspid annulus in Ebstein's anomaly.(ABSTRACT TRUNCATED AT 250 WORDS)
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Connecticut medicine · Jun 1991
Clarification of the role of CT scan in the acute evaluation of blunt abdominal trauma.
We reviewed 100 patients sustaining blunt trauma whose initial evaluation included an abdominal computed tomographic scan (CT) to assess the role of this modality in managing these patients. Indications for CT scan were suspicion of abdominal injury based on mechanism of injury (46), tenderness (22), falling hematocrit (9), hematuria (5), pain (4), and hyperamylasemia (1). Thirty-four patients had abdominal injury, and four scans identified non-traumatic pathology; 66 patients had no evidence of abdominal injury. ⋯ First, abdominal CT scan is a sensitive test for abdominal injury. Secondly, patients without objective signs of abdominal injury whose other injuries warrant admission allowing further observation should be followed clinically and do not need the additional expense of abdominal CT scan. Finally, mechanism of injury alone is not an indication for CT scan.