Spontaneous, Loculated, and Massive Hemothorax: An Uncommon Complication of Warfarin Therapy.

Warfarin, a commonly used oral anticoagulant, is associated with several adverse drug reactions, principally bleeding. Of all hemorrhagic complications from warfarin therapy, thoracic hemorrhage accounts for only 3% and is usually related to trauma. Cases of spontaneous hemothorax secondary to anticoagulation therapy are rarely reported in the literature.

Sulfonylurea-Induced Hypoglycemia in a Patient With Cirrhosis.

Type 2 diabetes mellitus is highly prevalent among patients with cirrhosis. The pharmacological management of this disease in patients with chronic liver disease remains controversial, however. Insulin secretagogues such as sulfonylureas are associated with a high risk of hypoglycemia among diabetics.

The effect of prism on preferred retinal locus.

Background: Whether prism, especially base-up prism, affects the area of the retina used for fixation in a patient with central scotoma has been a controversial subject for 35 years. Our pilot study employed microperimetry to evaluate the effect of base-up prism on the fixation locus, or preferred retinal locus (PRL), in subjects with central scotoma.

Methods: We used a microperimeter to assess the PRL in 13 visually impaired subjects with central scotoma under four conditions: no lens, a lens with no prism (control lens), 6 base-up, and 10 base-up.

Surgical compared with nonsurgical management of fractures in male veterans with chronic spinal cord injury.

Study Design: Retrospective review of a clinical database.

Objectives: To examine treatment modalities of incident appendicular fractures in men with chronic SCI and mortality outcomes by treatment modality.

Setting: United States Veterans Health Administration Healthcare System.