Comprehensive therapy
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As the management of advanced malignancy with multimodality therapy becomes more successful, the practicing general physician will see more chronic and late sequelae of therapy in the cured cancer patient. Chronic or late toxicities may occur in nearly every organ system. This article has briefly described the most common late toxicities that the practicing internist, pediatrician, family physician, and obstetrician/gynecologist should be prepared to recognize.
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Low-voltage electric burns are the leading cause of electric burn injury in childhood and can result in an injury to the oral cavity that can heal with a noticeable deformity. The mechanisms of burn injuries to the oral cavity are either due to the electric arc or current or both. ⋯ Therapy for these injuries should include management of systemic sequelae and treatment of the local burn injury. Our therapeutic approach to this injury is dictated by the pathophysiology of the electric burn of the oral cavity.
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Pelvic fractures represent major injuries by themselves, and are especially serious when associated with commonly occurring related clinical injuries. Initial evaluation of the trauma victim must include consideration of this injury and its related complications. Evaluation of the fracture and its related injuries must be well-directed and aimed at minimizing potential morbidity and mortality. A multi-disciplinary approach that includes consultation with the trauma surgeon, urologist, and orthopedic surgeon must be used.