Boletín de la Asociación Médica de Puerto Rico
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The population age 65 years and older is the most rapidly growing segment. This population has a high rate of undergoing surgical procedures, much higher than any younger age group. ⋯ No patient should be denied an operation on the basis of age alone. The article discusses the responsibilities of medical and surgical physicians in the care of elderly, the goals of any medical or surgical intervention and the potential sources of risk.
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We report the unusual clinical presentation of a retroperitoneal abscess in a 40 year old insulin dependent diabetic patient.
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Bullous pemphigoid has been reported in multiple publications to be associated with malignant neoplasms of different internal organ systems. This relationship was studied among forty patients seen at the Dermatology Clinics of the Puerto Rico Medical Center. ⋯ We conclude that extensive diagnostic studies for malignant neoplasms should not be the standard of care in patients with bullous pemphigoid. Additional studies should be guided by the clinical history and physical findings.