Non-lower extremity deep vein thrombosis.

This article reviews the prevalence, etiology, pathophysiology, clinical manifestations, diagnoses, and treatment of non-lower extremity deep vein thrombosis (DVT). The discussion includes upper extremity DVT, mesenteric venous occlusion, jugular vein thrombosis, and central venous thrombosis.

Commotio cordis in two amateur ice hockey players despite the use of commercial chest protectors: case reports.

We describe two recent deaths in 15-year-old male ice hockey players. Both adolescents died of commotio cordis from chest impacts by ice hockey pucks despite their use of commercially designed and manufactured chest protectors. Commotio cordis is discussed as a preventable sports-related injury in the adolescent age group, and the need for improved chest protective equipment in preventing such injuries is also examined.

Comparison of diflunisal and naproxen in the management of acute low back strain.

Fifty-six patients entered into an open-label, randomized study to compare the efficacy and tolerability of diflunisal and naproxen in the treatment of mild to moderate pain associated with acute low back strain. Thirty-three patients completed the two-week study. No patients withdrew because of side effects, and both drugs were well tolerated. Results showed that diflunisal was more effective than naproxen (81% versus 41%) in relieving pain. Of the 16 patients taking diflunisal, 13 rated its efficacy as very good or excellent; six (35%) of 17 patients taking naproxen rated their drug similarly. Overall, diflunisal rated slightly better in efficacy and tolerability and in improving limitation of function and motion. In addition, diflunisal has a longer duration of action and thus requires less frequent dosing than naproxen.