167 results match your criteria: "TX ‡Blanchfield Army Community Hospital[Affiliation]"

Hepatoblastoma: a rare pediatric neoplasm.

Mil Med

January 1993

Department of Pathology, Darnall Army Community Hospital, Ft. Hood, TX 76544.

The differential diagnosis of an abdominal mass in an infant or young child includes hepatoblastoma. This rare embryonal neoplasm of the liver is linked to several congenital abnormalities and may be associated with maternal occupational exposure to metal fumes, petroleum products, or paints. Alpha-fetoprotein is a useful tumor marker that may also be elevated with hepatocellular carcinoma.

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"Pneumo-ptosis" in the emergency department.

Am J Emerg Med

September 1992

Department of Emergency Medicine, Darnall Army Community Hospital, Fort Hood, TX 76544-5063.

The authors report the case of a 16-year-old female who presented with a left tension pneumothorax and a left Horner's syndrome. Chest tube thoracostomy performed to relieve the tension pneumothorax also resulted in the immediate resolution of the patient's ptosis and miosis. The probable mechanism for the patient's focal neurologic signs was traction upon the cervical sympathetic chain secondary to the mediastinal shift of the tension pneumothorax.

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A study was undertaken to assess the health care needs of women in a combat deployment. During a 6-month period during the Persian Gulf War, 10,165 ambulatory visits from an armor division were studied. The results demonstrate that the health care needs of women can be managed by competently and broadly trained practitioners.

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Venomous snakes of southwest Asia.

Am J Emerg Med

May 1992

Department of Emergency Medicine, Darnall Army Community Hospital, Fort Hood, TX 76544-5063.

This report provides a brief description of the venomous snakes encountered in Southwest Asia, as well as a brief review of the clinical implications of envenomation from each animal. Specific therapy for snake envenomation in the United States is somewhat controversial, and it is no less controversial with animals from this region. The most logical approach probably combines medical management with antivenom when available, and surgical intervention when clearly indicated due to elevated compartment pressure or massive tissue necrosis.

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While the role of individual characteristics has been examined for extramarital sexual involvement, the literature has yet to document personal factors associated with the termination of an affair. In doing so, this study examines the impact of a woman's sex role attributes ("masculinity") and attitudes toward sex (erotophobia-erotophilia) on her decision to terminate an extramarital affair. Masculinity was not related to affair length.

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This study compared abusive husbands with nonabusive, marital discordant husbands using six measures to ascertain certain etiological characteristics of abusers. Both groups completed the Jenkins Activity Survey for measuring type A behavior, the Short Michigan Alcoholism Screening Test, the Index of Self-Esteem, the Spence-Helmrich Attitudes Toward Women Scale, the Index of Marital Satisfaction, and a simple rating scale to access their perceptions of their wives' physical attractiveness. As predicted, abusers evidence significantly higher type A behaviors, higher problem drinking behaviors, more rigid attitudes toward women, lower marital satisfaction, and rated their wives as less attractive than did nonabusers.

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Disposition of spontaneous pneumomediastinum.

Am J Emerg Med

May 1991

Department of Emergency Medicine, Darnall Army Community Hospital, Fort Hood, TX.

In the evaluation of spontaneous pneumomediastinum, it is important to exclude pathological causes of pneumomediastinum, including Boerhaave's syndrome, which carries a high mortality rate. The literature varies greatly as to the care of patients with presumed spontaneous pneumomediastinum. The authors present an illustrative case of spontaneous pneumomediastinum treated with intravenous antibiotics and intensive care unit (ICU) admission despite a normal esophagram.

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The United States Army is committed to providing quality health care for active-duty service members, their dependents, and retired service members. Historically, the Army has never had enough active-duty physicians to provide care for all its beneficiaries. Alternatives utilizing civilian health care providers have been established to provide the balance of the medical services.

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This study compared abusive husbands with nonabusive, marital discordant husbands using seven measures to ascertain certain sexual characteristics of abusers. Both samples were then matched and completed the Relationship Closeness Inventory, the Hurlbert Index of Sexual Assertiveness, the Sexual Opinion Survey to assess the extent of negative (erotophobic) to positive (erotophilic) attitudes toward sex; the Sexuality Scale for its measures of sexual-esteem, sexual-preoccupation, and sexual depression; and the Index of Sexual Satisfaction. As predicted, abusive husbands evidenced significantly lower relationship closeness, sexual assertiveness, and sexual satisfaction in their marriages than did nonabusive husbands.

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Much recent literature supports the resurgence of the intraosseous route of access in pediatrics. Intraosseous lines provide a timely noncollapsable route to the circulation in medical or traumatic emergencies when intravenous access is not possible. There has been no controlled study comparing intravenous and intraosseous loading of phenytoin.

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Three male patients, 19 to 20 years old, were exposed to chlorine gas secondary to a leak in the chlorination system of an indoor pool. All of the patients were symptomatic with cough, chest pain, and shortness of breath. Physical examinations, arterial blood gases, and chest radiographs were normal.

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Blunt scrotal trauma may result in a variety of injuries, including testicular rupture, torsion, dislocation, hematoma, or contusion, as well as epididymal, scrotal, and urethral injuries. Testicular rupture occurs in 50% of patients with traumatic hematocele, and is probably frequently misdiagnosed. If not aggressively diagnosed and surgically repaired, testicular rupture may lead to testicular atrophy and loss.

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Amoxicillin continues to be the drug of first choice in the treatment of acute otitis media in children, because it is generally considered to be the safest and least expensive of the available choices. However, amoxicillin may not be the most cost-effective therapy in some settings because of its decreasing efficacy and moderately high rate of minor adverse effects. In this review, the cost effectiveness of antibiotics used to treat otitis media in a large military pediatric clinic are compared, using the decision analysis method.

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We present the case of an 8-year-old girl who suffered a closed head injury with the development of bilateral sixth-nerve palsies, and who was noted upon arrival to the emergency department to be in first-degree AV block. The sixth-nerve palsies and the first-degree AV block resolved simultaneously within 24 hours of injury. We discuss dysrhythmias and ECG changes previously reported with central nervous system diseases and their proposed etiology.

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