Publications by authors named "Jessica B Dwyer"
Acetyl fentanyl is a Schedule I controlled synthetic opioid that is becoming an increasingly detected "designer drug." Routine drug screening procedures in local forensic toxicology laboratories identified a total of 41 overdose deaths associated with acetyl fentanyl within multiple counties of the southwestern region of the state of Pennsylvania. The range, median, mean, and standard deviation of blood acetyl fentanyl concentrations for these 41 cases were 0.
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- - Low-grade fibromatosis-like spindle cell carcinoma is a rare type of breast tumor that resembles fibromatosis and has a distinct but favorable prognosis compared to other breast metaplastic carcinomas.
- - Diagnosing this tumor can be challenging due to similarities with other low-grade spindle cell lesions, but recognizing certain cell patterns and using specific immunohistochemical tests can help clarify the diagnosis.
- - Although these tumors tend to be locally aggressive and may recur, they typically do not spread to lymph nodes or other distant sites, and complete surgical removal usually leads to a cure.
Ketoacidosis and trace amounts of isopropanol in a chronic alcoholic patient.
Clin Chim Acta
January 2013
Background: Alcohol ketoacidosis is a frequently missed diagnosis, but is well described in the literature. We present a case of ketoacidosis, likely alcohol ketoacidosis, in a 40 y-old chronic alcoholic patient. The detection of trace serum isopropanol prompted a discussion of alcohol ketoacidosis versus toxic isopropanol ingestion or a combination of both, including comparisons with citations in current literature.
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