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Biomedical subjects

D Daberkow

Publications and source records attributed to D Daberkow.

5 recordsLinked to original sources
PubMed2001

Pulmonary embolism with ST segment elevation in leads V1 to V4: case report and review of the literature regarding electrocardiographic changes in acute pulmonary embolism.

A 62-year-old man presented to the Emergency Department (ED) after having three short syncopal episodes earlier that day soon after experiencing acute onset of shortness of breath. He had no significant past medical history and was a nonsmoker. Initially in the Emergency Department he was without any complaints, but then became acutely short of breath and hemodynamically unstable and died despite resuscitative efforts. His electrocardiogram showed ST segment elevations in leads V1 to V4, which is consistent with an anteroseptal myocardial infarction. Autopsy revealed that this patient did not have a myocardial infarction, but rather died of a pulmonary embolism (PE). This case demonstrates how a PE can mimic an anteroseptal myocardial infarction on electrocardiogram. This patient's lack of risk factors for PE also makes this case unusual.

Electrocardiography↗
PubMed2000

Preventing and managing difficult patient-physician relationships.

Virtually every physician has had patient encounters that are frustrating and dissatisfying for doctor and patient alike. Rather than label such patients "difficult," it may be more appropriate to call the patient-physician relationship itself difficult. By identifying possible sources of friction in these encounters--the patient care system or environment, illness, patient, or physician--and sharpening your communication skills, you may deflect potential unpleasantness, enhance rapport, and ensure greater patient satisfaction.

Communication↗
PubMed1998

Insulinoma masquerading as factitious hypoglycemia.

A 36-year-old woman without significant medical history complained of "spells" of diplopia, fatigue, and dizziness. On formal fasting, her glucose dropped to 40 mg/dL, with simultaneous insulin levels of 15 microU/mL (normal <6 microU/mL) and C-peptide of 2.5 ng/ml (normal <2 ng/mL). An isolated plasma sulfonylurea screen done during the fast was positive for tolbutamide, suggesting the diagnosis of factitious hypoglycemia, but further workup revealed multiple pancreatic masses resulting in an eventual diagnosis of multiple insulinomas that was confirmed surgically. We discuss the approach to hypoglycemia caused by insulin excess and distinguishing clinical and biochemical features.

Adult↗
PubMed1997

Screening for asymptomatic cancers.

The overall age-adjusted cancer mortality rate in the United States declined by approximately 3.1% between 1990 and 1995. Prevention efforts and improved medical care were key factors in that success, and cancer screening will continue to be crucial in the campaign against the disease. The responsibility for screening patients for asymptomatic ovarian, cervical, skin, testicular, breast, prostate, and colorectal cancers lies chiefly with primary care physicians. Although no consensus has been reached, primary care physicians can review major screening guidelines from the American Cancer Society, American College of Physicians, US Preventive Services Task Force, and other groups to determine when such screening is appropriate.

Adult↗