[An uncommon cause of iron deficiency anemia].

A 55-year-old patient was diagnosed having a malignant melanoma metastatic to the small bowel as cause of an iron deficiency anemia. Although up to 60% of patients with metastatic melanoma are found to have intestinal metastases at autopsy, clinically apparent gastrointestinal involvement is rare during lifetime and often delayed after resection of the primary tumor. Diagnostic procedures include radiological imaging and endoscopic modalities.

Is pretreatment with Beta-blockers beneficial in patients with acute coronary syndrome?

Objectives: The role of beta-blockers in the treatment of hypertension is discussed controversially and the data showing a clear benefit in acute coronary syndromes (ACS) were obtained in the thrombolysis era. The goal of this study was to analyze the role of pretreatment with beta-blockers in patients with ACS.

Methods: Using data from the Acute Myocardial Infarction in Switzerland (AMIS Plus) registry, we analyzed outcomes of patients with beta-blocker pretreatment in whom they were continued during hospitalization (group A), those without beta-blocker pretreatment but with administration after admission (group B) and those who never received them (group C).

Spontaneous intracerebral haemorrhages (SICHs). Clinical and CT features; immediate evaluation of prognosis.

108 cases of spontaneous intracerebral haemorrhages (SICHs) are reviewed. Over 50% were in a mild condition on admission. 31% could not be accurately diagnosed as SICHs before CT.