Biomedical subjects
Publications and source records attributed to A Lazarus.
The authors report a case of severe constrictive pericarditis occurring 6 weeks after coronary bypass surgery and in the absence of any other predisposing factor. The diagnosis was confirmed by CT scan and cardiac catheterisation which showed signs of a diastole. The patient died despite early surgical reoperation because of the severity of the pericardial fibrosis.
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An unusual case of Munchausen's syndrome is described in which a former microbiology technician was suspected of inoculating himself with contaminated material to produce sepsis and ingesting warfarin in the form of rat poison to cause hematuria. This combination of factitious disorders has rarely been reported. Other unusual features included a nonemergent presentation through the hospital emergency room and a clinical profile not typical of previously published cases.
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Neuroleptic malignant syndrome (NMS) has come to be recognized as one of the most serious adverse reactions to neuroleptic therapy. Complications may include cardiopulmonary failure, rhabdomyolysis and renal failure, disseminated intravascular coagulation, infection, dehydration, and shock. This article points out the need for intensive medical management for patients with NMS and questions whether private psychiatric hospitals are adequate to the task.
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The authors treated two patients who had Down's syndrome and major depression with a combination of inpatient and outpatient electroconvulsive therapy (ECT). They found only 10 other similar published cases, although none involved outpatient ECT. Their experience, in conjunction with that reported in the literature, indicates that ECT is a safe and effective treatment for depressed mentally retarded individuals, including those who respond poorly to antidepressants.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.