Delayed presentation of traumatic rupture of the diaphragm.

Ruptured diaphragm as a result of blunt trauma can present acutely or late in the disease, process. Late presentation is often a result of herniation of abdominal contents into the thorax. Patients may present with nonspecific symptoms, and may complain of chest pain, abdominal pain, dyspnea, tachypnea, or cough.

Ready or not, hand-held prescribing is coming.

Medication prescribing errors and adverse drug events are a major cause of illness in the United States. Computer-assisted prescribing has been shown to reduce the morbidity and mortality associated with these iatrogenic occurrences. In the past, the technology was not readily available for system-wide implementation.

Large ovarian cellular fibroma during pregnancy mimicking a lipid cell tumor.

Lipid cell tumors are extremely rare tumors of the ovary which are usually malignant when larger than eight centimeters. Fibromas, on the other hand, are the most common type of benign ovarian solid tumors. Neither one of these tumors are known to be accelerated by the pregnant state.

Ganciclovir treatment of systemic cytomegalovirus in an immunocompetent host.

Cytomegalovirus (CMV) infects a significant number of otherwise healthy individuals. Although most cases are subclinical and therefore not diagnosed, some patients present with a mononucleosis-type illness. Ganciclovir, an agent effective against CMV, has primarily been studied for use in immunocompromised patients.