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Biomedical subjects

D S Overstreet

Publications and source records attributed to D S Overstreet.

4 recordsLinked to original sources

Primary thrombosis in the upper extremity.

Deep vein thrombosis may occur in the axillary or subclavian veins in the upper extremities, sometimes in young patients without the typical risk factors for thrombus development. This unusual clinical situation usually follows strenuous activity and is often referred to as "effort" thrombosis. Since some cases have occurred with mild exertion and there is a lack of obvious predisposing vessel trauma, a more correct term might be "primary" thrombosis. Early recognition of this condition is necessary to prevent potentially fatal acute effects and minimize chronic sequelae.

Adult↗

Unilateral diaphragmatic paralysis: a matter for concern.

A dilemma often faces the clinician who is asked to evaluate unilateral elevation of a hemidiaphragm that is identified on routine chest roentgenogram. The possibilities include neoplasm, infection, neuromuscular disease, trauma, or benign etiologies. We present an asymptomatic patient with this finding to provide some guidelines for the nature and extent of further investigation of unilateral diaphragmatic paralysis.

Biopsy, Needle↗

Bronchoscopy for pulmonary hygiene in the intensive care unit.

The safety and ease of fiberoptic bronchoscopy recommends its use in the intensive care unit. In critically ill patients, the procedure may be a valuable diagnostic or therapeutic tool. In most instances, the diagnostic indications are well defined. The therapeutic indications for bronchoscopy, however, are more controversial. They center around using the bronchoscope for removal of secretions, mucus plugs and reversing atelectasis in mechanically ventilated patients. This report examines the small but definite risk of therapeutic bronchoscopy in mechanically ventilated patients.

Adult↗

The respiratory complications of leptospirosis.

Leptospirosis is an uncommon disease. Respiratory failure attributable to this infection is unusual, but remains a major cause of mortality. Mechanical ventilation has been required for patients with significant alveolar hemorrhage and the adult respiratory distress syndrome. We report a patient with ventilatory failure due to the severe muscle weakness associated with leptospirosis and review the pulmonary consequences of this infection.

Humans↗