1 of 2 DESCRIPTION A 29-year-old woman presented to our emergency department with syncope, acute chest pain and circulatory collapse. She had a tachycardia of 135 bpm, blood pressure of 77/55 mm Hg and a profound metabolic acidosis (pH 7.07, lactate 10, base excess-20). A 12-lead ECG ( fi gure 1 ) showed sinus tachycardia with right axis deviation, large p waves and poor R wave progression acro...

OBJECTIVES To investigate the incidence of unilateral pulmonary oedema after minimally invasive cardiac surgery (MICS) requiring unilateral lung collapse has been unknown until now. METHODS We analysed the data of 484 consecutive patients undergoing minimally invasive cardiac surgery with unilateral lung collapse between January 2008 and December 2013. The clinical regimen was changed in 2010...

Not many years ago-within the lifetime of some of us-pulmonary tuberculosis was considered an almost hopeless disease. Patients were advised to “go out West and rough it,” and those who did recover did it in spite of this advice rather than because of it. Examples of the fatalistic attitude prevalent in those days are too well known to all of you to merit discussion at this time. In 1877, what ...

The year 1882 was an annus mirabilis in the history of pulmonary tuberculosis, for it saw not only the discovery of the tubercle bacillus by Robert Koch but also the introduction of artificial pneumothorax treatment by Carlo Forlanini. At that time Koch's spectacular achievements and the exaggerated expectations raised after the introduction of tuberculin tended to overshadow the significance o...

In view of the increasing advances in our knowledge of pulmonary tuberculosis it is indeed timely that we should, while none the less maintaining a progressive outlook, 'go wisely and slow-they stumble that run faster.' In other words, we should now pause to assess the situation in so far as the position of artificial pneumothorax in the sphere of collapse therapy is concerned, and ask ourselve...

We describe a case of sudden and severe pulseless electrical activity in a 30 year old woman which was managed successfully with reteplase and heparin one day following an anterior cruciate ligament repair. The presentation of a sudden collapse with ECG findings of S1Q3T3, early precordial lead ST depression and partial right bundle branch block were indicative of an acute pulmonary embolus. Th...

are already established as recognized methods of treatment in pulmonary tuberculosis. Pneumoperitoneum has not been so universally accepted. However, it is making its way on its own merits and is being used on a steadily increasing scale in India. In some institutions abroad it is extensively used with encouraging results. The character and pattern of pulmonary lesions are so varied and complex...

The objective of this study was to assess the etiology, diagnosis, treatment methods, surgical findings, postoperative results and necropsy findings of seventeencases of thoracic traumaby evaluating medical records. A car accident, falling down, stabbing and bites were identified asthe causes of trauma. Diagnosed pathologies in the cases included pneumothorax, hemothorax, pulmonary contusion, l...