The Journal of the American Osteopathic Association
-
J Am Osteopath Assoc · Jul 2008
Case ReportsPulmonary embolism mimicking anteroseptal acute myocardial infarction.
Pulmonary embolism (PE) is a potentially lethal condition that presents in patients with chest pain or shortness of breath. Although electrocardiograms (ECGs) typically demonstrate abnormalities associated with PE, ST-segment elevation, which can indicate anteroseptal acute myocardial infarction (AMI), has-on rare occasions-been noted on ECGs of patients with acute PE. The current report documents the case of a 57-year-old man who presented to the emergency department with chest pain. ⋯ On further examination, the patient was found to have a massive bilateral PE. The present report emphasizes that physicians must investigate PE in all patients presenting with chest pain, dyspnea, or both, even in the face of ECG changes that are suggestive of a cardiac etiology. A brief discussion of the current theories of ST-segment elevation in the setting of PE is also included.
-
J Am Osteopath Assoc · May 2008
Randomized Controlled TrialImmediate effects of osteopathic manipulative treatment in elderly patients with chronic obstructive pulmonary disease.
Osteopathic manipulative treatment (OMT) has long been advocated for patients with respiratory disorders, but little definitive evidence exists to support its use in this population. ⋯ Results suggest an overall worsening of air trapping during the 30 minutes immediately following one multitechnique OMT session relative to the sham group.
-
Several aspects of osteopathic graduate medical education have gained momentum in recent years. Although the number of 2006 osteopathic graduates dropped slightly compared with the previous year, 2007 graduates totaled 3103, surpassing 3000 for the first time in osteopathic history. A total of 1196 (41%) and 1267 (40%) graduates and previous graduates participated and matched in the American Osteopathic Association (AOA) "Match" program in 2006 and 2007, respectively. ⋯ Likewise, the number of filled osteopathic residency positions for the 2006-2007 academic year increased by 5%. In light of these increases, the authors compare AOA data with data from the American Council of Graduate Medical Education regarding osteopathic physicians in allopathic residencies. A brief summary of the restructured traditional osteopathic internships, which will go into effect July 1, 2008, is also provided.