lunes, 27 de junio de 2011

Feocromocitoma

Cuadros Chavez posted in cibermedicos.Maximo Cuadros Chavez10:07am Jun 26

Feocromocitoma
http://www.facebook.com/l/338ffmF_D4jZcTuKUtQ1Hnnl8Eg/www.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13125936&pident_usuario=0&pident_revista=62&fichero=62v10n15a13125936pdf001.pdf&ty=147&accion=L&origen=medicine&web=www.medicineonline.es&lan=es
Medicine. 2008;10:997-1005.

PUNTOS CLAVE:
Concepto. El feocromocitoma es un tumor poco frecuente, pero su malignidad funcional y su 10% de malignidad histológica obligan a pensar en él. Debemos tener en cuenta que el 15-20% es de localización extraadrenal.

Clínica. La clínica está marcada por la hipertensión arterial, frecuentemente paroxística, en la que puede haber graves complicaciones: infarto de miocardio, accidente vascular cerebral, etc. ¿ Es imprescindible establecer el tratamiento quirúrgico lo antes posible.

Preparación preoperatoria. El paciente debe llegar a la cirugía con bloqueo alfa-adrenérgico. ¿ El anestesista debe conocer el manejo de estos tumores, tanto para la inducción de la anestesia como para solventar los problemas que surjan en el acto quirúrgico.

Feocromocitoma: actualización diagnóstica y terapéutica
http://www.facebook.com/l/338ffgVppqwxv9qOUEFcGQ-GJYw/www.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13120617&pident_usuario=0&pident_revista=12&fichero=12v55n05a13120617pdf001.pdf&ty=129&accion=L&origen=medicine&web=www.medicineonline.es&lan=es
Endocrinol Nutr. 2008;55:202-16.
http://www.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13120617&pident_usuario=0&pident_
apps.elsevier.es

---------- Mensaje reenviado ----------
De: Maximo Cuadros Chavez <notification+yfo6tzj9@facebookmail.com>
Fecha: 26 de junio de 2011 10:07
Asunto: [cibermedicos] Feocromocitoma
Para: cibermedicos <internetymedicos@groups.facebook.com>


Maximo Cuadros Chavez posted in cibermedicos.
Feocromocitoma http://www.facebook.com/l/338ffmF_D4jZcTuKUtQ1Hnnl8Eg/www.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13125936&pident_usuario=0&pident_revista=62&fichero=62v10n15a13125936pdf001.pdf&ty=147&accion=L&origen=medicine&web=www.medicineonline.es&lan=es Medicine. 2008;10:997-1005.  PUNTOS CLAVE: Concepto. El feocromocitoma es un tumor poco frecuente, pero su malignidad funcional y su 10% de malignidad histológica obligan a pensar en él. Debemos tener en cuenta que el 15-20% es de localización extraadrenal.  Clínica. La clínica está marcada por la hipertensión arterial, frecuentemente paroxística, en la que puede haber graves complicaciones: infarto de miocardio, accidente vascular cerebral, etc. ¿ Es imprescindible establecer el tratamiento quirúrgico lo antes posible.  Preparación preoperatoria. El paciente debe llegar a la cirugía con bloqueo alfa-adrenérgico. ¿ El anestesista debe conocer el manejo de estos tumores, tanto para la inducción de la anestesia como para solventar los problemas que surjan en el acto quirúrgico.  Feocromocitoma: actualización diagnóstica y terapéutica http://www.facebook.com/l/338ffgVppqwxv9qOUEFcGQ-GJYw/www.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13120617&pident_usuario=0&pident_revista=12&fichero=12v55n05a13120617pdf001.pdf&ty=129&accion=L&origen=medicine&web=www.medicineonline.es&lan=es Endocrinol Nutr. 2008;55:202-16.
Maximo Cuadros Chavez 10:07am Jun 26
Feocromocitoma
http://www.facebook.com/l/338ffmF_D4jZcTuKUtQ1Hnnl8Eg/www.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13125936&pident_usuario=0&pident_revista=62&fichero=62v10n15a13125936pdf001.pdf&ty=147&accion=L&origen=medicine&web=www.medicineonline.es&lan=es
Medicine. 2008;10:997-1005.

PUNTOS CLAVE:
Concepto. El feocromocitoma es un tumor poco frecuente, pero su malignidad funcional y su 10% de malignidad histológica obligan a pensar en él. Debemos tener en cuenta que el 15-20% es de localización extraadrenal.

Clínica. La clínica está marcada por la hipertensión arterial, frecuentemente paroxística, en la que puede haber graves complicaciones: infarto de miocardio, accidente vascular cerebral, etc. ¿ Es imprescindible establecer el tratamiento quirúrgico lo antes posible.

Preparación preoperatoria. El paciente debe llegar a la cirugía con bloqueo alfa-adrenérgico. ¿ El anestesista debe conocer el manejo de estos tumores, tanto para la inducción de la anestesia como para solventar los problemas que surjan en el acto quirúrgico.

Feocromocitoma: actualización diagnóstica y terapéutica
http://www.facebook.com/l/338ffgVppqwxv9qOUEFcGQ-GJYw/www.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13120617&pident_usuario=0&pident_revista=12&fichero=12v55n05a13120617pdf001.pdf&ty=129&accion=L&origen=medicine&web=www.medicineonline.es&lan=es
Endocrinol Nutr. 2008;55:202-16.

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jueves, 9 de junio de 2011

FISIOPATOLOGIA DE LA MALARIA EN NIÑOS [Archivos adjuntos 2]

[Más abajo se incluyen archivos adjuntos de JESUS]
 
Espero ayude en algo, Maestro.Saludos

 

--

 


__._,_.___Archivos adjuntos de JESUS
Archivo 2 de 2
 777.pdf Pathogenesis of malaria.pdf

---------- Mensaje reenviado ----------
De: JESUS <jesus.huayta@gmail.com>
Fecha: 9 de junio de 2011 23:02
Asunto: Re: [SALUD_LORETO] FISIOPATOLOGIA DE LA MALARIA EN NIÑOS [Archivos adjuntos 2]
Para: SALUD_LORETO@yahoogroups.com


 
[Más abajo se incluyen archivos adjuntos de JESUS]

Espero ayude en algo, Maestro.Saludos



--


__._,_.___

Archivos adjuntos de JESUS

Archivo 2 de 2

 

Chest Table of Contents for 1 June 2011; Vol. 139, No. 6

De: Sanofi (sanofi-aventis@virtualmedica.com)

Estimado Dr. Maximo Cuadros,En nombre de Sanofi-Aventis Latinoamérica les damos una cordial bienvenida a esta plataforma de educación médica. El propósito de este sitio es brindar información actualizada sobre temas de interés en diferentes áreas de la medicina.

Esta plataforma contiene información científica en diferentes formatos, tales como resúmenes de artículos, cursos digitales y contenido de simposios o presentaciones médicas a cargo de expertos, entre otros.

Simultaneamente, en forma mensual le haremos llegar un newsletter, que contendrá una selección de resumenes de mas de 20 artículos científicos publicados en renombradas revistas de actualidad médica, que Ud. podrá personalizar seleccionando,los temas de su interés para que solo, le enviemos las novedades concernientes a los mismos.

Confiamos que el sitio resultará de interés para usted y que le servirá como apoyo para mantener actualizados sus conocimientos. Esperamos contar con su visita en forma frecuente!

Acceda desde aquí a http://www.conocimientomedicoactual.com

Maximo Cuadros

Enviado desde mi BlackBerry de Movistar

------------------------------------

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---------- Forwarded message ----------
From: Murillo Santucci Cesar de Assunção <murilloa@uol.com.br>
Date: 2011/6/7
Subject: [SALUD_LORETO] Chest Table of Contents for 1 June 2011; Vol. 139, No. 6
To: salud loreto <SALUD_LORETO@yahoogroups.com>, interno_residente_medico_PERU@yahoogroups.com


 



Segue com alguns textos deste mês!!
Fiz upload pois os arquios são pesados total =9mB
Link
http://www.mediafire.com/?gzvbimn1ydqcjpi



Learn about an ASTHMA TREATMENT OPTION you may not have considered for your
patients 12 and older. Find out more

Chest -- Table of Contents Alert

A new issue of Chest
has been made available:


June 2011; Vol. 139, No. 6

URL: http://chestjournal.chestpubs.org/content/vol139/issue6/?etoc



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Predicting Survival in Pulmonary Arterial Hypertension: Time to Combine
Markers
Marc Humbert, David Montani, and Rogerio Souza
Chest 2011;139 1263-1264
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1263?etoc


Retro Is the Rage!: Ventilation-Perfusion Scanning Is Alive and Well in the
Diagnosis of Pulmonary Embolism
Lisa K. Moores
Chest 2011;139 1264-1266
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1264?etoc


Achieving Adherence to Positive Airway Pressure Therapy: Modifying Pressure
and the Holy Grail
Lee K. Brown
Chest 2011;139 1266-1268
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1266?etoc


Second Opinion
Rob Rogers
Chest 2011;139 1269
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1269?etoc


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Point: Is Measuring Sputum Eosinophils Useful in the Management of Severe
Asthma? Yes
Frederick E. Hargreave and Parameswaran Nair
Chest 2011;139 1270-1272
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1270?etoc


Counterpoint: Is Measuring Sputum Eosinophils Useful in the Management of
Severe Asthma? No, Not for the Vast Majority of Patients
Stephen P. Peters
Chest 2011;139 1273-1275
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1273?etoc


Rebuttal From Drs Hargreave and Nair
Frederick E. Hargreave and Parameswaran Nair
Chest 2011;139 1275-1277
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1275?etoc


Rebuttal From Dr Peters
Stephen P. Peters
Chest 2011;139 1277-1278
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1277?etoc


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Translational Behavioral Research in Respiratory Medicine
Bruce G. Bender, Mark S. Aloia, Allison E. Rankin, and Frederick S.
Wamboldt
Chest 2011;139 1279-1284
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1279?etoc


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Integration of Clinical and Hemodynamic Parameters in the Prediction of
Long-term Survival in Patients With Pulmonary Arterial Hypertension
Garvan C. Kane, Hilal Maradit-Kremers, Josh P. Slusser, Chris G. Scott,
Robert P. Frantz, and Michael D. McGoon
Chest 2011;139 1285-1293
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1285?etoc


Noninvasive Diagnosis of Pulmonary Embolism
Pierre-Yves Salaun, Francis Couturaud, Alexandra Le Duc-Pennec, Karine
Lacut, Pierre-Yves Le Roux, Philippe Guillo, Pierre-Yves Pennec,
Jean-Christophe Cornily, Christophe Leroyer, and Gregoire Le Gal
Chest 2011;139 1294-1298
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1294?etoc


Right Ventricular Strain for Prediction of Survival in Patients With
Pulmonary Arterial Hypertension
Arun Sachdev, Hector R. Villarraga, Robert P. Frantz, Michael D. McGoon,
Ju-Feng Hsiao, Joseph F. Maalouf, Naser M. Ammash, Robert B. McCully,
Fletcher A. Miller, Patricia A. Pellikka, Jae K. Oh, and Garvan C. Kane
Chest 2011;139 1299-1309
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1299?etoc


Human {gamma}-Herpesviruses Epstein-Barr Virus and Human Herpesvirus-8 Are
Not Detected in the Lungs of Patients With Severe Pulmonary Arterial
Hypertension
Severine Valmary, Peter Dorfmuller, David Montani, Marc Humbert, Pierre
Brousset, and Bruno Degano
Chest 2011;139 1310-1316
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1310?etoc


Is the Campaign to Prevent VTE in Hospitalized Patients Working?
Paul D. Stein, Fadi Matta, and James E. Dalen
Chest 2011;139 1317-1321
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1317?etoc


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Flexible Pressure Delivery Modification of Continuous Positive Airway
Pressure for Obstructive Sleep Apnea Does Not Improve Compliance With
Therapy: Systematic Review and Meta-analysis
Jessie P. Bakker and Nathaniel S. Marshall
Chest 2011;139 1322-1330
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1322?etoc


Influence of Oral and Craniofacial Dimensions on Mandibular Advancement
Splint Treatment Outcome in Patients With Obstructive Sleep Apnea
Whitney Mostafiz, Oyku Dalci, Kate Sutherland, Atul Malhotra, Vasanth
Srinivasan, M. Ali Darendeliler, and Peter A. Cistulli
Chest 2011;139 1331-1339
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1331?etoc


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Quality of Life, Pulmonary Function, and Tomographic Scan Abnormalities
After ARDS
Joan R. Masclans, Oriol Roca, Xavier Munoz, Esther Pallisa, Ferran Torres,
Jordi Rello, and Ferran Morell
Chest 2011;139 1340-1346
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1340?etoc


Impact of Nonphysician Staffing on Outcomes in a Medical ICU
Hayley B. Gershengorn, Hannah Wunsch, Romina Wahab, David Leaf, Daniel
Brodie, Guohua Li, and Phillip Factor
Chest 2011;139 1347-1353
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1347?etoc


Impact of Nonexacerbated COPD on Mortality in Critically Ill Patients
Alejandro Rodriguez, Thiago Lisboa, Jorge Sole-Violan, Federico Gomez,
Oriol Roca, Sandra Trefler, Joaquim Gea, Joan R. Masclans, and Jordi Rello
Chest 2011;139 1354-1360
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1354?etoc


Rapid Response Team in an Academic Institution: Does It Make a Difference?
Shiwan K. Shah, Victor J. Cardenas, Jr, Yong-Fang Kuo, and Gulshan Sharma
Chest 2011;139 1361-1367
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1361?etoc


Neighborhood Poverty Rate and Mortality in Patients Receiving Critical Care
in the Academic Medical Center Setting
Sam Zager, Mallika L. Mendu, Domingo Chang, Heidi S. Bazick, Andrea B.
Braun, Fiona K. Gibbons, and Kenneth B. Christopher
Chest 2011;139 1368-1379
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1368?etoc


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Persistent Airway Inflammation and Emphysema Progression on CT Scan in
Ex-Smokers Observed for 4 Years
Marina Miller, Jae Youn Cho, Alexa Pham, Paul J. Friedman, Joe Ramsdell,
and David H. Broide
Chest 2011;139 1380-1387
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1380?etoc


Characterizing and Quantifying the Symptomatic Features of COPD
Exacerbations
Paul W. Jones, Wen-Hung Chen, Teresa K. Wilcox, Sanjay Sethi, Nancy Kline
Leidy  for the EXACT-PRO Study Group
Chest 2011;139 1388-1394
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1388?etoc


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Predictors of Airway Hyperresponsiveness Differ Between Old and Young
Patients With Asthma
Kate M. Hardaker, Sue R. Downie, Jessica A. Kermode, Claude S. Farah,
Nathan J. Brown, Norbert Berend, Gregory G. King, and Cheryl M. Salome
Chest 2011;139 1395-1401
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1395?etoc


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An Evaluation of the CHADS2 Stroke Risk Score in Patients With Atrial
Fibrillation Who Undergo Percutaneous Coronary Revascularization
Juan M. Ruiz-Nodar, Francisco Marin, Sergio Manzano-Fernandez, Jose
Valencia-Martin, Jose A. Hurtado, Vanessa Roldan, Javier Pineda, Eduardo
Pinar, Francisco Sogorb, Mariano Valdes, and Gregory Y. H. Lip
Chest 2011;139 1402-1409
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1402?etoc


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Procalcitonin and C-Reactive Protein in Hospitalized Adult Patients With
Community-Acquired Pneumonia or Exacerbation of Asthma or COPD
Mona Bafadhel, Tristan W. Clark, Carlene Reid, Marie-jo Medina, Sally
Batham, Michael R. Barer, Karl G. Nicholson, and Christopher E. Brightling
Chest 2011;139 1410-1418
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1410?etoc


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Rapid Pleurodesis for Malignant Pleural Effusions: A Pilot Study
Chakravarthy Reddy, Armin Ernst, Carla Lamb, and David Feller-Kopman
Chest 2011;139 1419-1423
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1419?etoc


Improvements in the 6-Min Walk Test and Spirometry Following Thoracentesis
for Symptomatic Pleural Effusions
Ana Maria Cartaxo, Francisco S. Vargas, Joao Marcos Salge, Bianca F.
Marcondes, Eduardo H. Genofre, Leila Antonangelo, Evaldo Marchi, and Lisete
R. Teixeira
Chest 2011;139 1424-1429
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1424?etoc


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Early and Long-term Validation of an Algorithm Assessing Fitness for
Surgery in Patients With Postoperative FEV1 and Diffusing Capacity of the
Lung for Carbon Monoxide < 40%
Luis Puente-Maestu, Felipe Villar, Guillermo Gonzalez-Casurran, Nicolas
Moreno, Yolanda Martinez, Carlos Simon, Rafael Penalver, and Federico
Gonzalez-Aragoneses
Chest 2011;139 1430-1438
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1430?etoc


Maximal Flow at Functional Residual Capacity in Healthy Children From Birth
to 7 Years, and Beyond
Daphna Vilozni, Lea Bentur, Simon Godfrey, Michael Barker, and Ephraim
Bar-Yishay
Chest 2011;139 1439-1444
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1439?etoc


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Bronchoarterial Ratio on High-Resolution CT Scan of the Chest in Children
Without Pulmonary Pathology: Need to Redefine Bronchial Dilatation
Nitin Kapur, John P. Masel, Debbie Watson, Ian B. Masters, and Anne B.
Chang
Chest 2011;139 1445-1450
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1445?etoc


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Mediastinal Lymphadenopathy in Patients Undergoing Cardiac Transplant
Evaluation
Nicholas J. Pastis, Jr, Adrian B. Van Bakel, Timothy M. Brand, James G.
Ravenel, Gregory E. Gilbert, Gerard A. Silvestri, and Marc A. Judson
Chest 2011;139 1451-1457
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1451?etoc


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Severe Occupational Pneumoconiosis Among West Virginian Coal Miners: One
Hundred Thirty-eight Cases of Progressive Massive Fibrosis Compensated
Between 2000 and 2009
W. Alex Wade, Edward L. Petsonk, Byron Young, and Idrees Mogri
Chest 2011;139 1458-1462
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1458?etoc


131I-Labeled Lipiodol-Induced Interstitial Pneumonia: A Series of 15 Cases
Stephane Jouneau, Elodie Vauleon, Sylvie Caulet-Maugendre, Elisabeth
Polard, Anne-Claire Volatron, Catherine Meunier, Pierre Tattevin, David
Montani, Etienne Garin, Jean-Luc Raoul, and Philippe Delaval
Chest 2011;139 1463-1469
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1463?etoc


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p38 Mitogen-Activated Protein Kinase Pathways in Asthma and COPD
Kian Fan Chung
Chest 2011;139 1470-1479
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1470?etoc


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Cystic Fibrosis Transmembrane Conductance Regulator Intracellular
Processing, Trafficking, and Opportunities for Mutation-Specific Treatment
Mark P. Rogan, David A. Stoltz, and Douglas B. Hornick
Chest 2011;139 1480-1490
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1480?etoc


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A Brief Historical and Theoretical Perspective on Patient Autonomy and
Medical Decision Making: Part II: The Autonomy Model
Jonathan F. Will
Chest 2011;139 1491-1497
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1491?etoc


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Pulmonary Rehabilitation: A Classic Tune With a New Beat, But Is Anyone
Listening?
Sam Birnbaum
Chest 2011;139 1498-1502
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1498?etoc


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Warfarin-Induced Pulmonary Metastatic Calcification and Calciphylaxis in a
Patient With End-stage Renal Disease
Juan C. Cadavid, Matthew L. DiVietro, Elio A. Torres, Peter Fumo, and Glenn
Eiger
Chest 2011;139 1503-1506
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1503?etoc


Endovascular Embolization of the Complete Type of Anomalous Systemic
Arterial Supply to Normal Basal Lung Segments: A Report of Four Cases and
Literature Review
Sen Jiang, Jing-Yun Shi, Xiao-Hua Zhu, Chang Chen, Xi-Wen Sun, Dong Yu, and
Bing Jie
Chest 2011;139 1506-1513
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1506?etoc


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     postgraduate education corner CONTEMPORARY REVIEWS IN SLEEP MEDICINE


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Wrist Actigraphy
Jennifer L. Martin and Alex D. Hakim
Chest 2011;139 1514-1527
http://chestjournal.chestpubs.org/cgi/content/abstract/139/6/1514?etoc


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     postgraduate education corner CHEST IMAGING AND PATHOLOGY FOR
     CLINICIANS


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A 70-Year-Old Man With Hypoglycemia, Clubbing of Fingers and Toes, and a
Large Mass of the Right Hemithorax
Zhi-Gang Sun, Zhou Wang, and Min Zhang
Chest 2011;139 1528-1531
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1528?etoc


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     postgraduate education corner PULMONARY AND CRITICAL CARE PEARLS


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A 47-Year-Old Woman With Progressive Dyspnea and Hypoxemia After Lung
Transplantation
Shambhu Aryal, Rayan Ihle, Don Hayes, Jr, and Ketan P. Buch
Chest 2011;139 1532-1535
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1532?etoc


An 83-Year-Old Man With Bilateral Spontaneous Pneumothoraces and Multiple
Cysts
Shambhu Aryal, Chau Chu, and R. Scott Morehead
Chest 2011;139 1536-1539
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1536?etoc


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Stenosis
John Olsen
Chest 2011;139 1540-1541
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1540?etoc


Measured Breaths
Marty Lynn Silverthorne
Chest 2011;139 1542
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1542?etoc


Swollen
Stella J. Padnos-Shea
Chest 2011;139 1542
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1542-a?etoc


How to Lumbar Puncture a Child
Leah Kaminsky
Chest 2011;139 1543
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1543?etoc


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Revisiting the Issue of VTE in the Setting of Chronic Liver Disease: An
Examination of National Surgical Quality Improvement Program Data
Jason Schwartz, Gabriela Vargas, Heather Thiesset, Greg Stoddard, Robin
Kim, John Sorensen, and Larry Kraiss
Chest 2011;139 1544-1545
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1544?etoc


2009 Influenza A(H1N1) Infection and Associated Myocardial Dysfunction
Rashmi Ranjan Das
Chest 2011;139 1545-1546
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1545?etoc


Femoral Venous Oxygen Saturation May Still Be a Valuable Tool
Issam El-Rassi and Alexander Yazigi
Chest 2011;139 1546-1547
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1546?etoc


Response
Seth S. Martin, Caroline L. Hollingsworth, Stephanie G. Norfolk, Cameron R.
Wolfe, and John W. Hollingsworth
Chest 2011;139 1546
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1546-a?etoc


Survival in Pulmonary Hypertension Registries: The Importance of Incident
Cases
Robin Condliffe, David G. Kiely, J. Gerry Coghlan, J. Simon R. Gibbs, S.
John Wort, Paul A. Corris, Andrew J. Peacock, Joanna Pepke-Zaba  On behalf
of the Adult Pulmonary Hypertension Service of the United Kingdom
Chest 2011;139 1547-1548
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1547?etoc


Response
Danielle L. Davison, Lakhmir S. Chawla, and Michael G. Seneff
Chest 2011;139 1547
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1547-a?etoc


Response
Lorinda Chung, Juliana Liu, Lori S. Parsons, Paul M. Hassoun, Michael D.
McGoon, David B. Badesch, Dave P. Miller, Mark R. Nicolls, and Roham T.
Zamanian
Chest 2011;139 1548-1549
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1548?etoc


Pulmonary Diseases: First Cause of Mortality in the World
Jose Luis Sandoval-Gutierrez, Edgar Sevilla Reyes, and Edgar Bautista
Bautista
Chest 2011;139 1550
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1550?etoc


Response
Kalpalatha K. Guntupalli, David Gutterman, Suhail Raoof, and Paul A.
Markowski
Chest 2011;139 1550
http://chestjournal.chestpubs.org/cgi/content/full/139/6/1550-a?etoc



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Murillo Santucci Cesar de Assunção
Unidade de Terapia Intensiva adulto
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Vila Clementino - São Paulo - CEP: 04024-002
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Murillo Santucci Cesar de Assunção
Unidade de Terapia Intensiva adulto
Disciplina de Anestesiologia, Dor e Terapia Intensiva
Escola Paulista de Medicina
Rua Napoleão de Barros,715
Vila Clementino - São Paulo - CEP: 04024-002
Tel/Fax: +55-11-55757768
Tel/Fax: +55-11- 55764069



__._,_.___

] Sanofi-Aventis

De: Sanofi (sanofi-aventis@virtualmedica.com)

Estimado Dr. Maximo Cuadros,En nombre de Sanofi-Aventis Latinoamérica les damos una cordial bienvenida a esta plataforma de educación médica. El propósito de este sitio es brindar información actualizada sobre temas de interés en diferentes áreas de la medicina.

Esta plataforma contiene información científica en diferentes formatos, tales como resúmenes de artículos, cursos digitales y contenido de simposios o presentaciones médicas a cargo de expertos, entre otros.

Simultaneamente, en forma mensual le haremos llegar un newsletter, que contendrá una selección de resumenes de mas de 20 artículos científicos publicados en renombradas revistas de actualidad médica, que Ud. podrá personalizar seleccionando,los temas de su interés para que solo, le enviemos las novedades concernientes a los mismos.

Confiamos que el sitio resultará de interés para usted y que le servirá como apoyo para mantener actualizados sus conocimientos. Esperamos contar con su visita en forma frecuente!

Acceda desde aquí a http://www.conocimientomedicoactual.com

Maximo Cuadros

Enviado desde mi BlackBerry de Movistar

------------------------------------

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De: Sanofi (sanofi-aventis@virtualmedica.com)

Estimado Dr. Maximo Cuadros,En nombre de Sanofi-Aventis Latinoamérica les damos una cordial bienvenida a esta plataforma de educación médica. El propósito de este sitio es brindar información actualizada sobre temas de interés en diferentes áreas de la medicina.

Esta plataforma contiene información científica en diferentes formatos, tales como resúmenes de artículos, cursos digitales y contenido de simposios o presentaciones médicas a cargo de expertos, entre otros.

Simultaneamente, en forma mensual le haremos llegar un newsletter, que contendrá una selección de resumenes de mas de 20 artículos científicos publicados en renombradas revistas de actualidad médica, que Ud. podrá personalizar seleccionando,los temas de su interés para que solo, le enviemos las novedades concernientes a los mismos.

Confiamos que el sitio resultará de interés para usted y que le servirá como apoyo para mantener actualizados sus conocimientos. Esperamos contar con su visita en forma frecuente!

Acceda desde aquí a http://www.conocimientomedicoactual.com

Maximo Cuadros

Enviado desde mi BlackBerry de Movistar

------------------------------------

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domingo, 5 de junio de 2011

REMPLAZO DE VALVULA AORTICA CON CATETER

 

Original Article

Transcatheter versus Surgical Aortic-Valve Replacement in High-Risk Patients

Craig R. Smith, M.D., Martin B. Leon, M.D., Michael J. Mack, M.D., D. Craig Miller, M.D., Jeffrey W. Moses, M.D., Lars G. Svensson, M.D., Ph.D., E. Murat Tuzcu, M.D., John G. Webb, M.D., Gregory P. Fontana, M.D., Raj R. Makkar, M.D., Mathew Williams, M.D., Todd Dewey, M.D., Samir Kapadia, M.D., Vasilis Babaliaros, M.D., Vinod H. Thourani, M.D., Paul Corso, M.D., Augusto D. Pichard, M.D., Joseph E. Bavaria, M.D., Howard C. Herrmann, M.D., Jodi J. Akin, M.S., William N. Anderson, Ph.D., Duolao Wang, Ph.D., and Stuart J. Pocock, Ph.D. for the PARTNER Trial Investigators

June 5, 2011 (10.1056/NEJMoa1103510)

Comments open through June 15, 2011

Abstract
Article
References
Comments

Background

The use of transcatheter aortic-valve replacement has been shown to reduce mortality among high-risk patients with aortic stenosis who are not candidates for surgical replacement. However, the two procedures have not been compared in a randomized trial involving high-risk patients who are still candidates for surgical replacement.

Methods

At 25 centers, we randomly assigned 699 high-risk patients with severe aortic stenosis to undergo either transcatheter aortic-valve replacement with a balloon-expandable bovine pericardial valve (either a transfemoral or a transapical approach) or surgical replacement. The primary end point was death from any cause at 1 year. The primary hypothesis was that transcatheter replacement is not inferior to surgical replacement.

Results

The rates of death from any cause were 3.4% in the transcatheter group and 6.5% in the surgical group at 30 days (P=0.07) and 24.2% and 26.8%, respectively, at 1 year (P=0.44), a reduction of 2.6 percentage points in the transcatheter group (upper limit of the 95% confidence interval, 3.0 percentage points; predefined margin, 7.5 percentage points; P=0.001 for noninferiority). The rates of major stroke were 3.8% in the transcatheter group and 2.1% in the surgical group at 30 days (P=0.20) and 5.1% and 2.4%, respectively, at 1 year (P=0.07). At 30 days, major vascular complications were significantly more frequent with transcatheter replacement (11.0% vs. 3.2%, P<0.001); adverse events that were more frequent after surgical replacement included major bleeding (9.3% vs. 19.5%, P<0.001) and new-onset atrial fibrillation (8.6% vs. 16.0%, P=0.006). More patients undergoing transcatheter replacement had an improvement in symptoms at 30 days, but by 1 year, there was not a significant between-group difference.

Conclusions

In high-risk patients with severe aortic stenosis, transcatheter and surgical procedures for aortic-valve replacement were associated with similar rates of survival at 1 year, although there were important differences in periprocedural risks. (Funded by Edwards Lifesciences; Clinical Trials.gov number, NCT00530894.)

Media in This Article

Video

Transcatheter Aortic-Valve Replacement.

Transcatheter Aortic-Valve Replacement.

Figure 1Transcatheter Aortic-Valve Replacement.

jueves, 2 de junio de 2011

mas sobre labetalol en crisis

http://www.ncbi.nlm.nih.gov/pubmed/7093106

Emergencias hipertensivas

http://www.ncbi.nlm.nih.gov/pubmed/1417052
http://www.ncbi.nlm.nih.gov/pubmed/2686494
http://www.ncbi.nlm.nih.gov/pubmed/2826083

articulos sobre labetalol

http://www.ncbi.nlm.nih.gov/pubmed/18827911
http://www.ncbi.nlm.nih.gov/pubmed/18779419
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2706703/pdf/nihms104083.pdf
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2515421/pdf/vhrm-0403-615.pdf
http://www.ncbi.nlm.nih.gov/pubmed/16871481
http://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18827911/?tool=pubmed
http://www.ncbi.nlm.nih.gov/pubmed/16103490
http://www.ncbi.nlm.nih.gov/pubmed/15687755
http://www.ncbi.nlm.nih.gov/pubmed/12082488
http://www.ncbi.nlm.nih.gov/pubmed/10893382

MDGuidelines

 
MD Guidelines

MDGuidelines is your one-stop portal for return-to-work and treatment guidelines!
http://www.mdguidelines.com/

Revised Topics
  1. Abdominal Adhesions
  2. Abdominal Aneurysm
  3. Abdominoperineal Resection of Rectum
  4. Abortion, Surgical
  5. Abscess
  6. Abscess, Peritonsillar
  7. Actinomycosis
  8. Anemia
  9. Angina Pectoris
  10. Appendectomy
  11. Appendicitis
  12. Arterial Graft
  13. Atherosclerosis and Arteriosclerosis
  14. Atrial Fibrillation
  15. Back Pain
  16. Bell's Palsy
  17. Body Contouring
  18. Bone Spur
  19. Bone Tumors (Benign and Malignant)
  20. Brachial Neuropathy
  21. Bronchitis, Chronic
  22. Burn of Head and Neck (Includes Face)
  23. Burn of Wrist and Hand
  24. Calculus, Renal and Ureter
  25. Cancer
  26. Cancer, Brain
  27. Cancer, Cervix
  28. Cancer, Colon
  29. Cancer, Kidney
  30. Cancer, Lung
  31. Cancer, Oral Cavity and Oropharynx
  32. Cancer, Ovary
  33. Cancer, Prostate
  34. Cancer, Rectum
  35. Cancer, Skin (Melanoma)
  36. Cancer, Thyroid Gland
  37. Cancer, Uterus
  38. Candidiasis
  39. Cardiac Catheterization
  40. Cardiomyopathy
  41. Cat Scratch Disease
  42. Cataract
  43. Cervical Dysplasia
  44. Cesarean Delivery
  45. Chickenpox
  46. Chronic Obstructive Pulmonary Disease
  47. Cirrhosis of the Liver
  48. Coccydynia
  49. Colitis
  50. Colon Resection
  51. Colostomy and Ileostomy
  52. Concussion, Cerebral
  53. Contusion, Upper Limb
  54. Corneal Transplant
  55. Coronary Balloon Angioplasty
  56. Craniotomy
  57. Crohn's Disease
  58. Cystocele or Rectocele
  59. Deep Vein Thrombosis
  60. Deviated Nasal Septum
  61. Diabetes Mellitus Type I
  62. Diabetes with Peripheral Circulatory Disorders
  63. Dilation and Curettage
  64. Disc Calcification
  65. Diverticulosis and Diverticulitis of Colon
  66. Dizziness and Giddiness
  67. Dysfunctional Uterine Bleeding
  68. Dyspnea
  69. Embolism, Pulmonary
  70. Excision of Bone Spur, Foot
  71. Fissurectomy, Anal
  72. Fracture
  73. Gastric Bypass
  74. Gastritis
  75. Gastroenteritis
  76. Gastroesophageal Reflux
  77. Glaucoma, Acute (Angle-Closure)
  78. Gout
  79. Guillain-Barré Syndrome
  80. Hallux Rigidus
  81. Hammertoe
  82. Head Injury, Superficial
  83. Heart Failure, Congestive
  84. Hepatitis A
  85. Hepatitis C
  86. Hernia Repair, Vaginal
  87. Hernia, Hiatal
  88. Hernia, Incisional
  89. Herpes Zoster
  90. Hydatidiform Mole
  91. Hyperemesis Gravidarum
  92. Hypertension
  93. Hypertensive Emergency
  94. Incision and Drainage of Ischiorectal and/or Perirectal Abscess
  95. Infection
  96. Influenza
  97. Influenza, A H1N1
  98. Intervertebral Disc Disorders
  99. Intestinal Obstruction
  100. Intracranial Hemorrhage
  101. Joint Disorders
  102. Kidney Transplantation
  103. Labyrinthitis
  104. Laparoscopy
  105. Laparotomy
  106. Leukemia
  107. Lipoma
  108. Lithotripsy, Extracorporeal Shock Wave
  109. Lupus Erythematosus, Systemic
  110. Lymph Node Disorders
  111. Malunion and Nonunion of Fracture
  112. Mammoplasty, Reduction
  113. Mastectomy
  114. Ménière's Disease
  115. Migraine Headache
  116. Miscarriage
  117. Multiple Sclerosis
  118. Myeloid Leukemia
  119. Myomectomy, Uterine
  120. Nerve Injury
  121. Non-Hodgkin's Lymphoma
  122. Obesity
  123. Oophorectomy
  124. Osler-Weber-Rendu Disease
  125. Osteotomy
  126. Otitis Media
  127. Ovarian Cyst, Benign
  128. Ovarian Cyst, Resection of
  129. Pain in Limb
  130. Pancreatitis
  131. Paresthesia
  132. Parkinson's Disease
  133. Pharyngitis, Acute
  134. Pilonidal Cyst
  135. Pre-eclampsia and Eclampsia
  136. Pregnancy, Complications
  137. Pregnancy, Ectopic
  138. Pregnancy, Multiple Gestation
  139. Pregnancy, Normal
  140. Premature Labor
  141. Prostatectomy
  142. Psoriasis
  143. Puncture Wound
  144. Pyelonephritis, Acute
  145. Renal Failure, Chronic
  146. Repair, Ruptured Achilles Tendon
  147. Retinal Detachment
  148. Retinal Detachment Repair
  149. Salpingo-oophorectomy
  150. Sciatica
  151. Sepsis
  152. Sprains and Strains
  153. Sprains and Strains, Shoulder and Upper Arm
  154. Strep Throat
  155. Syncope
  156. Synovial Cyst
  157. Synovitis
  158. Tachycardia, Paroxysmal Supraventricular
  159. Thoracic Spine Pain
  160. Threatened Abortion
  161. Thrombophlebitis
  162. Thyroidectomy
  163. Tonsillectomy and Adenoidectomy
  164. Tonsillitis and Adenoiditis
  165. Torticollis
  166. Total Reconstruction of Breast
  167. Transfer of Nerve, Ulnar
  168. Transient Ischemic Attack
  169. Trauma
  170. Trigeminal Neuralgia
  171. Tumor, Benign
  172. Ulcerative Colitis
  173. Upper Respiratory Infection
  174. Urethrocele with Stress Incontinence
  175. Urinary Incontinence in Women
  176. Varicose Veins
  177. Venous Thrombosis and Embolism
  178. Vertigo



---------- Mensaje reenviado ----------
De: Máximo Cuadros <maximocuadros@yahoo.es>
Fecha: 2 de junio de 2011 01:18
Asunto: [SANFERNANDOPERU] MDGuidelines
Para: interno_residente_medico_PERU@yahoogroups.com


 

 
MD Guidelines

MDGuidelines is your one-stop portal for return-to-work and treatment guidelines!
http://www.mdguidelines.com/

Revised Topics
  1. Abdominal Adhesions
  2. Abdominal Aneurysm
  3. Abdominoperineal Resection of Rectum
  4. Abortion, Surgical
  5. Abscess
  6. Abscess, Peritonsillar
  7. Actinomycosis
  8. Anemia
  9. Angina Pectoris
  10. Appendectomy
  11. Appendicitis
  12. Arterial Graft
  13. Atherosclerosis and Arteriosclerosis
  14. Atrial Fibrillation
  15. Back Pain
  16. Bell's Palsy
  17. Body Contouring
  18. Bone Spur
  19. Bone Tumors (Benign and Malignant)
  20. Brachial Neuropathy
  21. Bronchitis, Chronic
  22. Burn of Head and Neck (Includes Face)
  23. Burn of Wrist and Hand
  24. Calculus, Renal and Ureter
  25. Cancer
  26. Cancer, Brain
  27. Cancer, Cervix
  28. Cancer, Colon
  29. Cancer, Kidney
  30. Cancer, Lung
  31. Cancer, Oral Cavity and Oropharynx
  32. Cancer, Ovary
  33. Cancer, Prostate
  34. Cancer, Rectum
  35. Cancer, Skin (Melanoma)
  36. Cancer, Thyroid Gland
  37. Cancer, Uterus
  38. Candidiasis
  39. Cardiac Catheterization
  40. Cardiomyopathy
  41. Cat Scratch Disease
  42. Cataract
  43. Cervical Dysplasia
  44. Cesarean Delivery
  45. Chickenpox
  46. Chronic Obstructive Pulmonary Disease
  47. Cirrhosis of the Liver
  48. Coccydynia
  49. Colitis
  50. Colon Resection
  51. Colostomy and Ileostomy
  52. Concussion, Cerebral
  53. Contusion, Upper Limb
  54. Corneal Transplant
  55. Coronary Balloon Angioplasty
  56. Craniotomy
  57. Crohn's Disease
  58. Cystocele or Rectocele
  59. Deep Vein Thrombosis
  60. Deviated Nasal Septum
  61. Diabetes Mellitus Type I
  62. Diabetes with Peripheral Circulatory Disorders
  63. Dilation and Curettage
  64. Disc Calcification
  65. Diverticulosis and Diverticulitis of Colon
  66. Dizziness and Giddiness
  67. Dysfunctional Uterine Bleeding
  68. Dyspnea
  69. Embolism, Pulmonary
  70. Excision of Bone Spur, Foot
  71. Fissurectomy, Anal
  72. Fracture
  73. Gastric Bypass
  74. Gastritis
  75. Gastroenteritis
  76. Gastroesophageal Reflux
  77. Glaucoma, Acute (Angle-Closure)
  78. Gout
  79. Guillain-Barré Syndrome
  80. Hallux Rigidus
  81. Hammertoe
  82. Head Injury, Superficial
  83. Heart Failure, Congestive
  84. Hepatitis A
  85. Hepatitis C
  86. Hernia Repair, Vaginal
  87. Hernia, Hiatal
  88. Hernia, Incisional
  89. Herpes Zoster
  90. Hydatidiform Mole
  91. Hyperemesis Gravidarum
  92. Hypertension
  93. Hypertensive Emergency
  94. Incision and Drainage of Ischiorectal and/or Perirectal Abscess
  95. Infection
  96. Influenza
  97. Influenza, A H1N1
  98. Intervertebral Disc Disorders
  99. Intestinal Obstruction
  100. Intracranial Hemorrhage
  101. Joint Disorders
  102. Kidney Transplantation
  103. Labyrinthitis
  104. Laparoscopy
  105. Laparotomy
  106. Leukemia
  107. Lipoma
  108. Lithotripsy, Extracorporeal Shock Wave
  109. Lupus Erythematosus, Systemic
  110. Lymph Node Disorders
  111. Malunion and Nonunion of Fracture
  112. Mammoplasty, Reduction
  113. Mastectomy
  114. Ménière's Disease
  115. Migraine Headache
  116. Miscarriage
  117. Multiple Sclerosis
  118. Myeloid Leukemia
  119. Myomectomy, Uterine
  120. Nerve Injury
  121. Non-Hodgkin's Lymphoma
  122. Obesity
  123. Oophorectomy
  124. Osler-Weber-Rendu Disease
  125. Osteotomy
  126. Otitis Media
  127. Ovarian Cyst, Benign
  128. Ovarian Cyst, Resection of
  129. Pain in Limb
  130. Pancreatitis
  131. Paresthesia
  132. Parkinson's Disease
  133. Pharyngitis, Acute
  134. Pilonidal Cyst
  135. Pre-eclampsia and Eclampsia
  136. Pregnancy, Complications
  137. Pregnancy, Ectopic
  138. Pregnancy, Multiple Gestation
  139. Pregnancy, Normal
  140. Premature Labor
  141. Prostatectomy
  142. Psoriasis
  143. Puncture Wound
  144. Pyelonephritis, Acute
  145. Renal Failure, Chronic
  146. Repair, Ruptured Achilles Tendon
  147. Retinal Detachment
  148. Retinal Detachment Repair
  149. Salpingo-oophorectomy
  150. Sciatica
  151. Sepsis
  152. Sprains and Strains
  153. Sprains and Strains, Shoulder and Upper Arm
  154. Strep Throat
  155. Syncope
  156. Synovial Cyst
  157. Synovitis
  158. Tachycardia, Paroxysmal Supraventricular
  159. Thoracic Spine Pain
  160. Threatened Abortion
  161. Thrombophlebitis
  162. Thyroidectomy
  163. Tonsillectomy and Adenoidectomy
  164. Tonsillitis and Adenoiditis
  165. Torticollis
  166. Total Reconstruction of Breast
  167. Transfer of Nerve, Ulnar
  168. Transient Ischemic Attack
  169. Trauma
  170. Trigeminal Neuralgia
  171. Tumor, Benign
  172. Ulcerative Colitis
  173. Upper Respiratory Infection
  174. Urethrocele with Stress Incontinence
  175. Urinary Incontinence in Women
  176. Varicose Veins
  177. Venous Thrombosis and Embolism
  178. Vertigo