A 53-year-old patient presented with acute headache. CT and intra/extracranial CT angiography were normal. A traumatic lumbar puncture showed 8,500 erythrocytes/mm and 24 leukocytes/mm. MRI showed extensive sulcal fluid-attenuated inversion recovery (FLAIR) hyperintensities suggesting subarachnoid hemorrhage (figure). However, since T2*-weighted sequences were normal and the patient was wearing...

We described a case of salmonellosis in a 33-year old HIV-infected patient. The patient presented oral and esophageal candidiasis, intense epigastric and retrosternal pain. During the physical examination he was hypochloraemic, acyanotic, hypohydrated, anicteric and afebrile. Admittance laboratory tests indicated: red cells 3.6 millions/mm(3); hemoglobin, 10.1 g/dL; leukocyte count, 3,000/mm(3)...

A 53-yr-old woman presented with abdominal pain. Ultrasonography, computed tomography, and an endocrinologic work-up revealed a 4-cm nonfunctional left adrenal mass. A TriPort laparoscopic adrenalectomy was performed. The TriPort was inserted through a 3-cm subcostal incision. Using 5-mm instruments, a left adrenalectomy was performed. The specimen was dissected (harmonic scalpel) and extracted...

mt at mf determined by cardiac catbeteriration l&up MA, gradient 440 mm Hg: Grwp IIB, @adknt ~40 mm Hg). %e pa,&& were matched wi,b 17 cnnlmt sub&w MI the basis of age, sex, be@, and intensity of exercise dting maximat exertion. Cardiac and stroke indexer were dctrnnined by the acetylene rebreaathing m&xl a, each exerciv level. Stroke wbmtc index in (xwp I w.w significantly greater at rest “he,...

Patients 1195 patients (a predefined subgroup of patients who had diabetes mellitus at the start of the LIFE study) who were 55 to 80 years of age (mean age 67 y, 53% women) with hypertension (sitting blood pressure [BP] after 1 to 2 wks of placebo of 160 to 200 mm Hg systolic, 95 to 115 mm Hg diastolic, or both) and electrocardiographical signs of LVH. Exclusion criteria included secondary hyp...

for bilateral lung transplantation is chronic obstructive pulmonary disease. The number of patients who have undergone solid organ transplantation increases every year. In 2008 alone, 27,281 organ transplantations were performed in the United States. This figure represents a large number of patients who might seek medical care in an ED. In addition, current survival rates are rising. In 1998, 1...

1. Overview: 4/1/13 1 2. First-Order Linear Differential Equations: 4/3/13 2 3. Examples of Integrating Factors: 4/5/13 4 4. Separation of Variables: 4/8/13 5 5. Autonomous Equations: 4/10/13 7 6. Exact Equations: 4/12/13 9 7. More Exact Equations: 4/15/13 10 8. Numerical Methods and Existence and Uniqueness: 4/17/13 11 9. Review of Weeks 1 to 3: 4/19/13 12 10. Systems of Differential Equation:...

Insulin first became available for use in 1922 after Banting and Best successfully treated diabetic patients with pancreatic extracts.10 In an attempt to more closely simulate physiologic conditions, additional “designer” insulins with unique kinetic properties have been developed, including a rapid-acting basal insulin that mimics baseline insulin secretion known as lispro.67,140 Several oral ...

This study was conducted to evaluate the potential use of milk mineral (MM) as calcium source for production calcium-fortified yogurt. MM composed 83% minerals, 7.5% lactose, 3.3% protein, and < 1% fat. Calcium (Ca) content in about 46%; calcium: phosphorous ratio 1.28:1. The aqueous solubility Ca increased with decrease pH; at pH 4 5 98% 53%, respectively. Ca-fortified yogurt up 200 mg Ca/1...