Concurrent musculoskeletal complaints in elbows, shoulders, and necks after common hand and forearm injuries or conditions: A cross-sectional study among 600 patients.

Study Design: This is a cross-sectional study among 600 patients.

Introduction: Isolated hand and forearm injuries or conditions are common in the emergency and orthopedic departments. So far, little is known about whether these patients suffer from concurrent musculoskeletal complaints (MSCs) besides their hand and forearm complaints.

Unsuspected mediastinal hematoma diagnosed by computed tomography.

A hemophiliac (factor VIII deficiency) was admitted with falling hematocrit after upper gastrointestinal bleeding. Computed tomography diagnosed a previously unsuspected large mediastinal hematoma. The use of CT in evaluating occult bleeding is discussed.

Indications for angiography in blunt thoracic trauma.

The clinical charts and radiographs of 113 patients who underwent aortography for suspected blunt injury to the aorta and brachiocephalic vessels were reviewed to identify the most useful indications for angiography. Eight previously described clinical criteria and 14 previously described radiographic criteria were evaluated in each of these patients, 27 of whom had either an aortic or brachiocephalic injury. Contrary to previous reports, our data indicate that no single clinical or radiographic sign is highly specific for vascular injury.

Intracranial fluid-blood levels in the anticoagulated patient.

This report documents that anticoagulation may cause multiple intracranial fluid-blood levels.