Shoulder Strength and Range of Motion Between Collegiate Pitchers and Position Players in Baseball.

Baseball is a sport that places excessive strain on the shoulder complex caused from repetitive overhead throws. In the sport of baseball, shoulder strength and range of motion (ROM) are paramount for success on the field. The purpose of this study was to determine strength and ROM differences between collegiate baseball pitchers and position players.

Combined aztreonam and gentamicin therapy for pseudomonal lower respiratory tract infections.

A multicenter, open-label study was performed to assess the efficacy and safety of aztreonam plus gentamicin in the treatment of lower respiratory tract infections due to Pseudomonas aeruginosa. Patients with documented P aeruginosa infections were given aztreonam 2 g every 8 hours (q8h) plus gentamicin 3 to 5 mg/kg per day in three equal doses. Clindamycin, 600 mg q8h, was added to the regimen for patients with infections also involving gram-positive and/or anaerobic bacteria.

Positive end-expiratory pressure in the management of lobar atelectasis.

Positive end-expiratory pressure (PEEP) has been extensively utilized in the treatment of severe hypoxemia from noncardiogenic pulmonary edema. The usefulness of therapy with PEEP in the management of lobar atelectasis has not been previously stressed. Recently, we observed four patients with lobar atelectasis who failed to respond to the usual conservative measures of endotracheal suctioning and thoracic physiotherapy.

Endobronchial metastasis from prostatic cancer in patient with renal cell carcinoma.

A patient was seen with a right upper lobe endobronchial mass initially thought to be brochogenic carcinoma. There was a history of prostatic carcinoma, and subsequent investigation demonstrated a hypernephroma. Thoracotomy and special studies proved the endobronchial metastasis to be prostatic in origin, a rare cause of endobronchial metastasis.

False-positive cytological diagnosis of lung carcinoma in patients with pulmonary infarcts.

Cytological examination of specimens obtained from the tracheobronchial tree has become an integral part of the evaluation of pulmonary lesions. Cytological criteria for the diagnosis of carcinoma exist and are well defined. Certain benign processes, however, may possess features strongly suggestive of carcinoma of the lung.

Subclavian placement of flow-directed thermodilution catheters. A rapid and safe technic.

A rapid and safe method for the placement of No 7 French flow-directed thermodilution catheters via an infraclavicular subclavian approach is described.

Transvenous pulmonary embolectomy for acute massive pulmonary embolism.

Transvenous pulmonary embolectomy employing a vacuum-cupped directionally controlled catheter is a relatively new technique used in the management of major pulmonary embolism. We present the findings in a patient with acute massive pulmonary embolism who underwent transvenous pulmonary embolectomy, with immediate and marked improvement in hemodynamic function and survival. Insertion of a new intracaval filter at the same time provided protection against recurrent thromboembolism.