In the first section respiratory failure and management is described in a most lucid and readable style. This is followed by a section on circulatory crises in which monitoring is clearly explained and such mysteries as the Swan Ganz catheter are unveiled. Fluid balance is well handled but this is followed by a very weak chapter on the acute abdomen. It is difficult to see why Mittelschmerz, he...

Pyoderma gangrenosum is an autoimmune disease of the skin that causes enlarging, painful ulcers with ragged, undermined, purplish borders. Pyoderma gangrenosum is frequently mistaken for other conditions, and early diagnosis is essential to avoid disfiguring surgery and prolonged recovery. We report a case of pyoderma gangrenosum in a patient with psoriatic arthritis that was initially treated ...

We describe the case of a 32-year-old male patient that sought medical treatment complaining of severe pain in his second and third right-hand fingers. The symptoms had started two hours before. The hypotheses of spider bite, scorpion or insect sting and injury caused by a foreign body were considered in the differential diagnoses. On dermoscopy, two foreign bodies were identified on his skin. ...

mistaken for recluse spiders. Brown recluse and related recluse spiders (Loxosceles spp., Family Sicariidae) are, by far, the most commonly misidentified spiders in Colorado. Unfortunately, also greatly overdiagnosed are purported spider bites caused by brown recluse spiders – a situation perpetuated by many in the Colorado medical establishment as well as through self-diagnosis. Colorado hosts...

INTRODUCTION: The brown recluse spider, Loxosceles reclusa Gertsch & Mulaik (Figs. 1-2, 6), is frequently reported in Florida as a cause of necrotic lesions in humans. For example, in the year 2000 alone, Loft (2001) reported that the Florida Poison Control Network had recorded nearly 300 alleged cases of brown recluse bites in the state; a subset of 95 of these bites was reported in the 21 cou...

tarantulas have recently become as pets in most parts of the world that increased the probability of encountering emergency physicians with patients hurt with these spiders. their attacks usually do not cause general manifestation, however there are some case reports in this regard. here, a 40-year-old man was reported who was referred to the emergency department with severe periumbilical pain ...

OBJECTIVE Systemic loxoscelism is a rare illness resulting from the bite of the recluse spider and, in its most severe form, can lead to widespread hemolysis, coagulopathy, and death. We aim to describe the clinical features and outcomes of the largest known cohort of individuals with moderate to severe loxoscelism. METHODS We performed a retrospective, cross sectional study from January 1, 1...