Erythrocytosis caused by an erythropoietin-producing breast adenocarcinoma.
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Breast Neoplasms↗
Biomedical subjects
R N Gulbrandson
Publications and source records attributed to R N Gulbrandson.
Successful renal revascularization after prolonged nonfunction.
Surgical teaching has suggested that renal nonfunction of more than a few days' duration usually precludes success of revascularization procedures. The efficacy of delayed renal revascularization in selected cases has been reported. In this case, the intravenous pyelogram, renal scan, and ureteral catheterization verified nonfunction 30 days before surgical correction of essentially complete atheromatous occlusion of the renal artery. Postoperative studies conducted six weeks and 18 months postoperatively showed normal bilateral renal function. Current temporal limitations on attempts to preserve renal tissue may be too stringent. Revascularization of kidneys may be successful after prolonged periods of ischemia.
Acute Kidney Injury↗
Steering wheel rupture of the pharyngoesophagus. A solitary injury.
A unique case of a high posterior vertical linear laceration of the pharyngeosophagus secondary to steering wheel trauma without concomitant injury is presented. Diagnosis of this lesion is dependent upon frequently repeated physical examinations combined with appropriate laboratory and roentgenologic evaluations. Early institution of antibiotic therapy combined with early operative drainage and repair when feasible is advocated as the treatment of choice for this unusual entity.
Accidents, Traffic↗