Articles: trauma.
-
Evaluating the cervical spine in the obtunded trauma patient is a subject fraught with controversy. Some authors assert that a negative computed tomography (CT) scan is sufficient. Others argue that CT alone misses occult unstable injuries, and magnetic resonance imaging (MRI) will alter treatment. This study examines the data in an urban, county trauma center to determine if a negative cervical spine CT scan is sufficient to clear the obtunded trauma patient. ⋯ In the obtunded trauma patient with a negative cervical spine CT, obtaining an MRI does not appear to significantly alter management, and no unstable injuries were missed on CT scan. This should be taken into consideration given the current efforts at cost-containment in the health care system. It is one of the larger studies published to date.
-
Cardiovascular CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: Paroxysmal supraventricular tachycardia (PSVT) following blunt cardiac injury (BCI) is rare but reported in the literature. AV nodal reentrant tachycardia (AVNRT) is the commonest form of PSVT encountered in clinical practice. We present a unique case of AVNRT after a blunt chest trauma with concomitant pulmonary embolism. ⋯ This case illustrates two unusual sequelae of blunt chest trauma-- pulmonary embolus and sustained AV nodal reentrant tachycardia.Reference #1: "Trauma Associated With Cardiac Dysrhythmias: Results Froma Large Matched Case-Control Study." Ismailov et al. The Journal of Trauma Injury, Infection, and Critical Care. 2007;62.Reference #2: "Blunt cardiac injury." Bock et al. Cardiology Clinics. Volume 30, Issue 4, November 2012.Reference #3: "Thromboembolism as a complication of myocardial contusion: a new capricious syndrome." Timberlake et al. Journal of Trauma. 1988 April 28(4)DISCLOSURE: The following authors have nothing to disclose: Joy Victor, Mangalore Amith Shenoy, Sameer Chadha, Felix Yang, Gerald Hollander, Jacob ShaniNo Product/Research Disclosure Information.
-
COPD Rehabilitation PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Introduction: Despite the proven benefits of pulmonary rehabilitation programs (PR), these show a considerable drop-out and low attendance. Objectives: To identify the characteristics of patients with poor adherence to a specific COPD rehabilitation program. ⋯ The following authors have nothing to disclose: Virginia Almadana, Concepcion Romero, Agustin Valido, Ana Gómez-Bastero, Jesús Sánchez, Teodoro MontemayorNo Product/Research Disclosure Information.
-
Cancer Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Bone is the third most common site for metastatic disease. However, the patella, for its poor vascular supply, is a rare place for metastasis, with only a few reports in the literature, mainly from breast and lung tumors. ⋯ Despite of being rare, distant neoplasms should be in the differential diagnosis of a common orthopedic symptom, as anterior knee pain.Reference #1: Wu B, Xiu Y, Jiang L, Shi H.; SPECT/CT imaging of patella metastasis from a squamous carcinoma of the lung; Clin Nucl Med. 2013 Feb; 38(2):125-7DISCLOSURE: The following authors have nothing to disclose: Marta Sousa, Vitor Melo, Eloisa Silva, Jorge Vale, João Silva, Bárbara Rodrigues, António TorresNo Product/Research Disclosure Information.
-
Transplantation Case Report PosterSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Neosartorya pseudofisheri is widely found in the soil and acquired by aeroinhalation. It is a distinct species, but morphologically similar to Aspergillus fumigatus. Although an uncommon human pathogen, it is primarily encountered in immunocompromised hosts. ⋯ The following authors have nothing to disclose: Diana Kelm, Mark Wylam, Steve Peters, Mark Wilhelm, John Scott, Cassie KennedyNo Product/Research Disclosure Information.