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Biomedical subjects

W Piepgrass

Publications and source records attributed to W Piepgrass.

3 recordsLinked to original sources

End-stage reflex sympathetic dystrophy.

Reflex sympathetic dystrophy is an automatic dysfunction that occasionally complicates healing after trauma or surgery. The syndrome is characterized by pain, swelling, stiffness, and discoloration often out of proportion to the original injury. Early diagnosis and appropriate treatment are the most important factors in the successful outcome of this disabling condition. A case of longstanding, previously untreated reflex sympathetic dystrophy secondary to a minor injury is presented.

Adult↗

Anticoagulant-induced hematomas of the small intestine.

Intramural hematomas of the small bowel, an uncommon complication of anticoagulant therapy, usually present with nausea, vomiting, crampy abdominal pain, and often gastrointestinal bleeding of some degree. The diagnosis can be suggested by history and by a plain abdominal x-ray film, but an upper GI series is the most reliable means of confirming the diagnosis. Treatment is nonoperative, with emphasis on correction of clotting abnormalities, and blood loss, continuous nasogastric decompression, parenteral alimentation, and hydration.

Aged↗