ABSTRACT
Chest pain in adolescents rarely indicates serious organic pathology. Musculoskeletal disorders are the most common identifiable causes; psychogenic, respiratory and gastrointestinal disorders are also part of the differential diagnosis. Although cardiac disease is part of the differential diagnosis, it is very rare in this age group. Routine tests usually do not help establish a diagnosis and should be ordered only if indicated on the basis of the history and findings of the physical examination. Although most cases of chest pain are not caused by serious disease, the complaint should not be casually dismissed. An important role for primary care physicians is to provide support and adequate follow-up, because adolescent chest pain is often chronic.
Subject(s)
Chest Pain/etiology , Gastrointestinal Diseases/diagnosis , Musculoskeletal Diseases/diagnosis , Respiratory Tract Diseases/diagnosis , Adolescent , Chest Pain/psychology , Diagnosis, Differential , Gastrointestinal Diseases/complications , Humans , Musculoskeletal Diseases/complications , Respiratory Tract Diseases/complicationsABSTRACT
An unusual gram-negative rod (RMA 1571) was isolated from a hand infection following a pig bite. This unclassified isolate was characterized by growth requirements, microscopic examination, biochemical characteristics, antimicrobial susceptibility tests, and cellular fatty acid analysis. It was indole positive and produced yellow-pigmented growth, which placed it in the genus Flavobacterium, but its other features, including cellular fatty acid analysis, did not appear to be those of a named species.
Subject(s)
Bacterial Infections/microbiology , Bites and Stings/microbiology , Flavobacterium/isolation & purification , Swine/microbiology , Wound Infection/microbiology , Animals , Anti-Bacterial Agents , Bacterial Infections/drug therapy , Bites and Stings/drug therapy , Drug Resistance, Microbial , Drug Therapy, Combination/therapeutic use , Female , Flavobacterium/classification , Flavobacterium/drug effects , Humans , Middle Aged , Wound Infection/drug therapyABSTRACT
A patient developed priapism following a single intramuscular injection of chlorpromazine for hiccups. Conservative management was unsuccessful. During surgical intervention on the 15th hospital day, the corpora cavernosa of the turgid penis was irrigated and aspirated with heparinized saline using No14 gauge needles. The patient did well postoperatively. The physiology of the erection and the pathophysiology of priapism are discussed.
