Comprehensive therapy
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Comprehensive therapy · Jan 2010
Case ReportsSeptic renal vein thrombosis complicated by septic pulmonary embolism.
A 36-year-old HIV-infected man admitted with a possible pyelonephritis of the left kidney and a 3.5 cm thrombus of the left renal vein developed sudden onset of dyspnea. Multiple cavitating nodules revealed under CT were aspirated yielding purulent fluid. MRSA isolates, from both the lung and blood had identical susceptibility patterns. The patient failed to respond to antibiotics until intravenous heparin was begun.
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Comprehensive therapy · Jan 2009
Case ReportsQuetiapine in the treatment of postoperative delirium. A report of three cases.
I summarize the effects of atypical antipsychotic quetiapine on reversing postoperative delirium in three elderly patients and review the historical and general clinical presentation of delirium. Quetiapine pharmacodynamics and pharmacokinetics effects are also described. Although quetiapine was effective in reversing postoperative delirium without adverse events in all three patients, such effectiveness cannot be generalized until confirmed by prospective controlled studies.
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Comprehensive therapy · Jan 2009
ReviewBariatric surgery: important considerations for the primary care provider.
Bariatric surgery has become an acceptable therapy for the management of the patient with medically complicated obesity. This paper will review important considerations for the primary care provider as they identify, counsel and care for patients interested in these interventions.
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Women of childbearing age with depression present with a unique set of risks. This article will discuss the following topics: these specific risks, current literature on treating depression in the peripartum, and roles of physician and patient in peripartum treatment.
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Vasomotor symptoms affect the majority of postmenopausal women. Given the risks of hormone replacement therapy, alternative treatments for hot flashes have emerged over recent years. This article will review currently available treatments for hot flashes, including hormonal and non-hormonal therapies.