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Hidden Giant: Medium Vessel Vasculitis as a Cause for Unresolving Fever

Thoracoabdominal Aneurysm in a Professional Body Builder

A 71-year-old man with a history of Parkinson’s disease experienced a sudden decline in function, with multiple falls over 2 weeks. He had previously been able to ambulate independently but had become chair-bound over this period. Forty-eight hours into admission he was noted to be spiking fevers of 38°C-39°C daily, without chills or rigors. There […]

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A bubble study was performed with transesophageal echocardiography. (A) This image was obtained before the bubble study. (B) In the early phase of the bubble study, bubbles (arrow) moved from the right atrium (RA) to the left atrium (LA) through the interatrial septum (IAS). (C) In the late phase of the bubble study, bubbles (arrows) were located in the right atrium. (D) This image was captured after percutaneous closure of the interatrial septum (star).

Falls and Delirium: Platypnea-Orthodeoxia Syndrome

An 85-year-old woman’s inability to remain standing was ultimately connected to an undiagnosed congenital defect. The patient was admitted to the geriatric unit of a university hospital for new frequent falls and subacute delirium, both of which began 1 month before presentation. Her medical history included ischemic stroke 10 years earlier, mild neurocognitive impairment, and […]

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Comparison of predictive model variations by number of members identified as high-risk during validation (>20%). The number of people who actually fell within each model's estimated high-risk group are provided (in blue) and the number within each bar denotes the fraction of the high-risk members who fell, ie, positive predictive value.

Predicting Falls in People Aged 65 Years and Older from Insurance Claims

Accidental falls among people aged 65 years and older caused approximately 2,700,000 injuries, 27,000 deaths, and cost more than 34 billion dollars in the US annually in recent years. Here, we derive and validate a predictive model for falls based on a retrospective cohort of those 65 years and older. Methods Insurance claims from a […]

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falls-and-bleeds

Risk of Falls & Major Bleeds

Risk of Falls and Major Bleeds in Patients on Oral Anticoagulation Therapy In this prospective cohort, patients, who were on oral anticoagulants and who had a high risk of falling, did not have a significantly increased risk of major bleeds. These findings suggest that falling risk is not a valid reason to avoid oral anticoagulants. […]

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Aug 2012: Anticoagulants

Should patients at risk for falling receive anticoagulants? Find out the answer to this question and others in the August 2012 issue of The American Journal of Medicine.

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Obesity Is Not Protective against Fracture in Postmenopausal Women: GLOW

The results of this study demonstrate that obesity is not protective against fracture in postmenopausal women and is associated with increased risk of ankle and upper leg fractures. These findings have major public health implications in view of the rapidly rising incidence of obesity. Abstract Objective To investigate the prevalence and incidence of clinical fractures […]

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