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Cardiac Tamponade Associated with Rivaroxaban. 利伐沙班引起的心包填塞。
Delaware medical journal Pub Date : 2015-07-01
Stephen Boone
{"title":"Cardiac Tamponade Associated with Rivaroxaban.","authors":"Stephen Boone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rivaroxaban is an oral anticoagulant approved for prevention of stroke, as well as for the treatment and prevention of venous thromboembolic disease. Hemopericardium is a serious complication of anticoagulant use, which has been reported with oral vitamin-K antagonists and newer oral anticoagulants. At the time of this report, to my knowledge, there are no published reports of hemorrhagic effusion leading to tamponade associated with a Factor Xa Inhibitor. I report a case of hemopericardium with associated tamponade in a patient who developed pericarditis while being treated with Rivaroxaban. The case highlights an important adverse effect of a newer anticoagulant, as well as the particular dangers of medication co-administration in the elderly.</p>","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 7","pages":"206-7"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33931897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Way to a Man's Lungs Is through His Nails: Defining Yellow Nail Syndrome. 通往男人肺部的道路是通过他的指甲:定义黄指甲综合症。
Delaware medical journal Pub Date : 2015-07-01
Anita Modi, John F Reinhardt
{"title":"The Way to a Man's Lungs Is through His Nails: Defining Yellow Nail Syndrome.","authors":"Anita Modi,&nbsp;John F Reinhardt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 7","pages":"216-8"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33931900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thrombus in Transit through a Patent Foramen Ovale: Surgical Prevention of Impending Stroke. 经卵圆孔未闭的血栓:临发中风的外科预防。
Delaware medical journal Pub Date : 2015-07-01
Zaher Fanari, Sumaya Hammami, Usman Choudhry, Asim A Mohammed, Mark Zweben, Wasif Qureshi
{"title":"Thrombus in Transit through a Patent Foramen Ovale: Surgical Prevention of Impending Stroke.","authors":"Zaher Fanari,&nbsp;Sumaya Hammami,&nbsp;Usman Choudhry,&nbsp;Asim A Mohammed,&nbsp;Mark Zweben,&nbsp;Wasif Qureshi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A Transesophageal Echocardiography (TEE) is essential in identifying thrombus in transient in patients with deep venous thrombosis (DVT) presenting with symptoms suggesting potential systemic emboli. We present a case of a 71-year-old gentleman with recent DVT who developed slurred speech and was assumed to have transient ischemia attack (TIA). TEE showed the presence of a large Thrombus in Transit (TIT) through a patent foramen ovale (PFO). Surgical intervention in low to intermediate risk is probably the best option associated with fewer complications of recurrent embolic events than both thrombolysis and anticoagulation.</p>","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 7","pages":"208-11"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33931898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A New Revolution? 一场新的革命?
Delaware medical journal Pub Date : 2015-07-01
Nancy Fan
{"title":"A New Revolution?","authors":"Nancy Fan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 7","pages":"201-2"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33999425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DHIN and the greater good. DHIN和更大的利益。
Delaware medical journal Pub Date : 2015-06-01
Jan Lee
{"title":"DHIN and the greater good.","authors":"Jan Lee","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 6","pages":"180-1"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34019370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
NICKEL ALLERGY: Surgeons Beware. 镍过敏:外科医生要小心。
Delaware medical journal Pub Date : 2015-06-01
Jeremie M Axe, Nathan J Sinz, Michael J Axe
{"title":"NICKEL ALLERGY: Surgeons Beware.","authors":"Jeremie M Axe,&nbsp;Nathan J Sinz,&nbsp;Michael J Axe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When performing an orthopaedic device implantation, it should be routine practice for the surgeon to ask the patient if he or she has a metal allergy, and more specifically a nickel allergy. Ask the patient about costume jewelry or button reactions. If it is an elective surgery, obtain a confirmatory test with the aid of a dermatologist or allergist. It is recommended to use a non-nickel implant if the surgery is urgent, the patient has a confirmed allergy, or the patient does not want to undergo testing, as these implants are readily available in 2015. Finally, if the patient has a painful joint arthroplasty and all other causes have been ruled out, order a metal allergy test to aid in diagnosis.</p>","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 6","pages":"182-4"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34019371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physicians Can Fire Patients, Too! 医生也可以解雇病人!
Delaware medical journal Pub Date : 2015-06-01
Jeremy A Wale
{"title":"Physicians Can Fire Patients, Too!","authors":"Jeremy A Wale","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 6","pages":"186-8"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34019372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abnormal Delayed Myocardial Hyperenhancement on Cardiac MRI: Unusual Presentation of an Uncommon Diagnosis. Cardiac Sarcoidosis. 心脏MRI异常迟发性心肌高增强:不寻常的表现和不寻常的诊断。心脏结节病。
Delaware medical journal Pub Date : 2015-06-01
Chete Eze-Nliam, Mandip Gakhal
{"title":"Abnormal Delayed Myocardial Hyperenhancement on Cardiac MRI: Unusual Presentation of an Uncommon Diagnosis. Cardiac Sarcoidosis.","authors":"Chete Eze-Nliam,&nbsp;Mandip Gakhal","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 6","pages":"173-4"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34019368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Left Internal Mammary Artery Dissection: Use of Dual Balloon Angioplasty in Treatment of Ostial Dissection Involving Subclavian Artery. 左乳内动脉夹层:双球囊血管成形术治疗涉及锁骨下动脉的开口夹层。
Delaware medical journal Pub Date : 2015-06-01
Zaher Fanari, Jhapat Thapa, Subba R Vanga, Wasif Qureshi
{"title":"Left Internal Mammary Artery Dissection: Use of Dual Balloon Angioplasty in Treatment of Ostial Dissection Involving Subclavian Artery.","authors":"Zaher Fanari,&nbsp;Jhapat Thapa,&nbsp;Subba R Vanga,&nbsp;Wasif Qureshi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The left internal mammary artery (LIMA) is the preferred arterial graft to be used for the left anterior descending (LAD) artery for coronary artery bypass graft (CABG) due to high graft patency rate. LIMA dissection is a rare, but dreadful complication of graft angiography and may lead to serious complications including death, myocardial infarction (MI), and re-do CABG. Transcatheter management of LIMA dissection involves multiple stenting. However, this may leave a dissection flap at the ostium of the LIMA that may extend to the left subclavian artery jeopardizing flow to the left arm and vertebral artery. We present a case of LIMA dissection where a dual balloon angioplasty was used for the first time offering better \"sealing\" of the dissection flap at the level of the ostium of the LIMA graft/subclavian artery.</p>","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 6","pages":"176-9"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34019369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
President signs into law changes to Medicare physician reimbursement formula. 总统签署了医疗保险医生报销公式的法律变更。
Delaware medical journal Pub Date : 2015-05-01
Bruce D Armon, Karilynn Bayus
{"title":"President signs into law changes to Medicare physician reimbursement formula.","authors":"Bruce D Armon,&nbsp;Karilynn Bayus","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75779,"journal":{"name":"Delaware medical journal","volume":"87 5","pages":"155"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33372485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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