Southern medical journal
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Southern medical journal · Jun 2000
Comparative StudyBlood pressure in acute vaso-occlusive crises of sickle cell disease.
We compared blood pressure (BP) in patients with sickle cell disease (SCD)-related crises and black patients without SCD. ⋯ No patients seen in SCD crisis were hypertensive. Patients who were female, had SS disease, or had bilateral pain had lower BP. Significantly higher BP and more hypertension occurred in black patients without SCD.
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Southern medical journal · Jun 2000
Recurrent coagulopathy after antivenom treatment of crotalid snakebite.
We studied whether recurrence of coagulopathy, defined as the return of a coagulation abnormality after initial normalization, occurred after the use of antivenin (Crotalidae) polyvalent. ⋯ Recurrence of coagulopathy after envenomation by North American crotalid snakes may occur after use of antivenin (Crotalidae) polyvalent and can result in severe coagulation abnormalities.
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Penetrating neck trauma may be managed operatively or nonoperatively, depending on precise anatomic location. Conservative management of zone II injuries is currently an issue under debate. ⋯ Support for both expectant and operative management of zone II injuries is given. We conclude that for zone II injuries, mandatory exploration by an experienced surgeon is a safe approach and that conservative management must be undertaken with extreme caution.