April 2008 • Vol 54 • No 4
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| Features |
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Treating erectile dysfunction in nonresponders to PDE5 inhibitors |
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With self-assessment test |
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by Neil H. Baum, MD, Tulane Medical School, New Orleans, LA; and Ann Ezzell, BA, University of Tennessee College of Medicine, Memphis, TN |
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Most patients are successfully treated using PDE5 inhibitors, but if treatment failure occurs, physicians have many therapeutic options at their disposal; these options are outlined by the authors. |
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Case Report |
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Sacrococcygeal teratoma: An unusual case of recurrences |
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by Trudy L. Seivwright, MD; Franklyn Geary, MD; Roland Matthews, MD; and Rosalind Gregory-Bass, MD, Morehouse School of Medicine, Atlanta, GA |
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Although most sacrococcygeal teratomas recur in childhood, this case demonstrates that recurrences are possible in adults. |
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Case Report |
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Idiopathic pneumoperitoneum after blunt chest trauma |
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by Ilya Sabsovich, MD, Elmhurst Hospital Center, Elmhurst, NY, Mount Sinai School of Medicine, New York, NY; Ravi Desai, MD, The Mount Sinai Hospital, Mount Sinai School of Medicine, New York, NY; Rafael Alba, MD, Universidad Iberoamericana School of Medicine, Santo Domingo, Dominican Republic; Jose Yunen, MD, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY; and David Sammett, MD, Elmhurst Hospital Center, Elmhurst, NY |
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The authors discuss the etiology of pneumoperitoneum and provide insights on how it may occur in the absence of a ruptured viscus. |
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When to suspect a false-positive cardiac troponin |
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With self-assessment test |
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by Andrew Foy, BS, Jefferson Medical College, Philadelphia, PA; and Howard Weitz, MD, Thomas Jefferson University Hospital, Philadelphia, PA |
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Abnormal cardiac troponin levels are occasionally found in patients who have not had a myocardial infarction. The authors discuss the factors that may contribute to a false elevation and outline how to determine whether analytical interference has occurred. |
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