Pulmonary Embolism and Thoracic Aortic Dissection
Author: V. Dimov, M.D., Cleveland ClinicReviewer: A. Aneja, M.D., Cleveland ClinicA 72-year-old AAF is admitted to the hospital with CC: increasing leg edema and weakness. In ER, she was noted to be in SVT, and despite 3 doses of adenosine (Adenocard), she did not respond, and was brought to ICU. Currently, she is on Cardizem drip. On admission, she is coughing w/o bringing up any phlegm, and appears to be dyspneic on minimal exertion. She is not able to give any details of her present or PMH.PMH (reviewed from past records):HTN, recurrent SVTs in the past, diverticulitis and emergency sigmoidectomy, colostomy, gout, hypercholesterolemia, noncompliantMedications:The patient has not been compliant with medications and she does not know their namesSH:Lives with her daughter. Heavy smoker for...div id=medwormpbiMedWorm Message:/i/b Find the best a href=http://www.januarysales.org/ target=_blankJanuary Sales/a in the UK./p/div

Annual cost of defensive orthopaedic medicine estimated at $2 billion
(American Academy of Orthopaedic Surgeons) In a first-ever national survey of orthopaedic surgeons, 96 percent said they have practiced defensive medicine. (Source: EurekAlert! - Medicine and Health)