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Brian L. Patterson, MD

Brian L. Patterson, MD

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An 81-year-old man presented to an urgent care facility with a 1-year history of pain in his right knee.

An 81-year-old man with had a one-year history of right knee pain that had worsened in recent weeks despite no trauma or injury. What does the X-ray show?

Although widely regarded as a rare
disorder, hereditary hemochromatosis
is the most common genetic disease in
Caucasians. In certain populations of
northern European descent, 1 of every
200 persons is homozygous for the
causative mutation.1

Pressure ulcers occur frequently in elderly, hospice, and spinal cord injury patients. They affect 5% to 10% of patients in all health care facilities and add substantially to health care expenses.

An 83-year-old woman—who had not visited a physician for 20 years—presented to the emergency department with a 1-day history of urinary retention and a 1-month history of gross vaginal bleeding. The mass on the left side of her face was a secondary finding.

For 2 months, a 31-year-old woman had had dyspnea and dull, continuous retrosternal pain. She was admitted to the hospital, and a helical CT scan of the thorax identified a saddle pulmonary embolism. An ultrasonogram revealed deep venous thrombosis (DVT) in the left leg. Intravenous heparin was given; the patient was discharged, and warfarin was prescribed.

For 2 months, a 31-year-old woman had had dyspnea and
dull, continuous retrosternal pain. She was admitted to the
hospital, and a helical CT scan of the thorax identified a
saddle pulmonary embolism. An ultrasonogram revealed
deep venous thrombosis (DVT) in the left leg. Intravenous
heparin was given; the patient was discharged,
and warfarin was prescribed.

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