ABSTRACT
The occurrence of hypoglycemia with an intrathoracic tumor was reported in 1930 independently by Doege and Potter. Since then, the presence of a nonpancreatic tumor associated with low blood sugars has often been referred to as the Doege-Potter syndrome. We report a patient with a recurrent solitary fibrous tumor of the pleura who experienced symptomatic hypoglycemia attributable to his tumor.
Subject(s)
Hypoglycemia , Mesothelioma , Pleural Neoplasms , Aged , Humans , Male , Neoplasm Recurrence, Local , Prognosis , SyndromeABSTRACT
With the use of cocaine now at epidemic proportions, primary care physicians have a reasonable probability of having to provide medical care for a cocaine abuser. Because the cocaine reaction may progress rapidly to a fatal outcome, it is essential to know how to recognize and manage the symptoms of cocaine overdose.
Subject(s)
Cocaine/poisoning , Substance-Related Disorders/complications , Acute Disease , Adult , Female , Hospitals, Teaching , Humans , Kentucky , Male , Poisoning/therapyABSTRACT
Although relatively uncommon, Guillain-Barré syndrome remains the most frequent cause of sudden weakness in persons under the age of 40 years. While most patients enjoy spontaneous resolution of their neurologic deficits, death still occurs in some individuals who suffer secondary complications from profound respiratory muscle weakness. This review of patients with ascending paralysis who required intubation and mechanical ventilation underscores that the major factors which contribute to death and morbidity can be anticipated and largely avoided using a vigilant multidisciplinary approach.
