Southern medical journal
-
Lead toxicity from gunshot wound is a rare complication. It occurs when body fluids, especially synovial cavity fluids, dissolve lead from the bullets, resulting in absorption and toxicity. ⋯ Combination of chelation and surgical removal can result in favorable prognosis. Awareness of this condition allows appropriate diagnostic and therapeutic interventions to be initiated in a timely manner.
-
Southern medical journal · Feb 1999
Comparative StudyComparison of the use and accuracy of methods for determining pleural fluid pH.
The blood gas analyzer (BGA) has been considered the "gold standard" for pleural fluid pH determination. ⋯ Clinicians should be encouraged to test selected samples for pleural fluid pH by the BGA when accurate measurements will influence therapy.
-
We present the first case of Hantavirus pulmonary syndrome in the Dallas/Fort Worth area. The patient was a 50-year-old previously healthy white man, who had adult respiratory distress syndrome (ARDS) and hypotensive shock after 1 week of nonspecific "viral" symptoms. Despite supportive care, the patient died within several hours of presentation. This case illustrates several of the classic hallmarks of hantavirus infection such as hemoconcentration, thrombocytopenia, ARDS, and shock.