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Biomedical subjects

D R Becker

Publications and source records attributed to D R Becker.

51 records · Page 3Linked to original sources
PubMed1983

Gunshot wounds to the buttocks.

Twenty patients sustaining gunshot wounds (GSW) to the buttocks (including one shotgun wound) were treated at two affiliated institutions during the last 5 years. Male patients predominated nine to one. Fifteen patients with extraperitoneal injuries had a benign course. One underwent negative exploratory laparotomy based upon positive physical findings. The remaining five patients had clinical abdominal findings consistent with severe intra-abdominal injuries (four organs per patient). Although the morbidity was high, there was no mortality in this series. Careful analysis of a bullet's trajectory will allow detection of a possible intraabdominal component of this type of injury, mandating early surgical management.

Abdominal Injuries↗
PubMed1983

Pancreatic pseudocyst.

Pancreatic pseudocyst is a relatively rare complication of pancreatitis with a reported incidence of 1 to 5 per cent in patients with pancreatitis. The 5-year experience with pancreatic pseudocyst at Saint Francis Hospital and Medical Center and Mount Sinai Hospital has been reviewed in an effort to determine optimum diagnostic and therapeutic techniques. Twenty-eight patients were treated for this problem during the period of June 1976 through June 1981 with one death. All patients had operative therapy, with internal drainage being the procedure of choice. The most common presenting symptom was abdominal pain. The most useful diagnostic study proved to be ultrasonography. Complications occurred in nine patients (32%). These included bleeding, obstructive jaundice, infection, rupture, and recurrence.

Adult↗
PubMed1981

Mycotic emboli of the peripheral vessels: analysis of forty-four cases.

Two cases of mycotic emboli of the peripheral vessels are presented, and 42 additional cases from the literature are analyzed. Male patients predominate 3:1. Candida and Aspergillus are the usual pathogens. Initial presentation as large vessel peripheral emboli is characteristic (77%), with emboli originating from either the aortic or mitral valves. Cerebral emboli may proceed of follow the peripheral embolization. Predisposing factors include open-heart surgery, antibiotic therapy, concomitant infection, and intravenous drug abuse. Early symptoms of fungemia are nonspecific, with blood cultures positive in only 43% of cases. The overall mortality rate was 84%-73% in patients who did not undergo previous open-heart surgery, and 96% in patients who underwent previous open-heart surgery. Patients with Candida infection seem to do better than those with Aspergillus endocarditis (19% survival versus 5%). Aggressive therapy, including embolectomy, early valve replacement, and prolonged antifungal drug therapy, is advised.

Adult↗