We present two cases of patients being treated for diabetic ketoacidosis in the intensive care unit who experienced cardiac arrhythmia secondary to peripherally inserted central catheters (PICCs). In one instance, the patient became bradycardic and experienced related loss of consciousness, ultimately requiring cardiopulmonary resuscitation. In the second case, the patient experienced an episode of nonsustained ventricular tachycardia.
View Article and Find Full Text PDF( is a pioneer oral bacteria that is recognized as an agent of bacterial endocarditis. However, an extensive review of the literature revealed no reported case of causing empyema. We present a case of a 65-year-old male who presented with respiratory distress.
View Article and Find Full Text PDF. Tenosynovitis, inflammation of a tendon and its synovial sheath, is a rare manifestation of secondary syphilis and if diagnosed early is reversible. .
View Article and Find Full Text PDFPurpose: HPV4 is the most expensive vaccine requiring three appropriately timed doses to provide maximal efficacy against two oncogenic HPV types. The primary purpose of this study is to quantify the use of HPV4 vaccine in a safety net health care system in terms of its inefficiencies.
Methods: A retrospective study of HPV4 dosing from 2006-2009, among females 10-26 years old who sought care in a safety net health care system was conducted to determine dose usage patterns among those at highest risk for cervical cancer.
Magn Reson Imaging Clin N Am
November 2013
Hepatic neoplasms constitute approximately 5% to 6% of all pediatric intra-abdominal masses, most of which are malignant. When compared with traditional multiphase computed tomography protocols that are often used in adults, magnetic resonance (MR) imaging is particularly desirable for evaluating liver lesions in children because of the lack of ionizing radiation and superb soft tissue contrast resolution. The goal of this article is to discuss common benign and malignant pediatric hepatic lesions and their key MR imaging findings.
View Article and Find Full Text PDFObjectives/hypothesis: The objective of this study was to determine whether a prognostic model using risk factors for hearing loss could predict the chance that infants who failed a newborn hearing screen would subsequently be found to have hearing loss diagnosed by auditory brainstem response testing.
Study Design: Individual retrospective case-control study.
Methods: We studied 229 infants with hearing loss compared with 458 infants with normal hearing.