background: aging has a growing trend in the world. the elderly experience a high incidence of hospitalization and coronary bypass surgery compared with other age groups, and pain is the most common complaint in these patients. this research was conducted to compare the effect of acupressure and cryotherapy on the pain of removing drain tube from the chest of the elderly who have undergone open...

right atrial dilation due to left heart disease is a common complication among adults. the present review aimed to describe a case of massively dilated right atrium in a female patient presenting with valvular heart disease and no atrial fibrillation. the results of chest x-ray revealed a large opacity filling the lower right hemithorax, falsely interpreted as a mediastinal mass. during the tra...

conclusions: the results obtained from this study support the idea that the timi and modified timi risk scores might be valuable tools that could be used to stratify the risk of patients with atypical chest pain in the emergency department. results: no significant difference could be observed between both groups regarding demographic characteristics, ejection fraction, left ventricle hypertroph...

introduction: doing chest x ray (cxr) for all trauma patients is not efficient and cost effective due to its low diagnostic value. the present study was designed aiming to evaluate the diagnostic accuracy of thoracic injury rule out criteria (tirc) in prediction of traumatic intra-thoracic injuries and need for cxr.  method: the present study is a prospective cross-sectional study that has been...

conclusions performing the routine chest ct in high-energy blunt trauma patients (with a mean injury severity of 9), although leading to the diagnosis of some occult injuries, has no impact on the outcome and does not decrease the in-hospital stay and icu admission time. it seems that performing the routine chest ct in these patients may lead to overtreatment of nonsignificant injuries. the dec...

A 76-year-old woman presented with hypotension noted to be atrial fibrillation. Her medical history was significant for diabetes mellitus, hypertension, morbid obesity, end-stage renal disease, and gastroesophageal reflux disease with known large hiatal hernia. After presentation, she developed nausea, vomiting, and vague epigastric pain. Chest computed tomography (CT) demonstrated an intrathor...

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