Swetal R Patel

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OBJECTIVE We wished to define the cortisol response to 250 micrograms intramuscular tetracosactrin (Synacthen) in acute hospital admissions, using a modern immunoassay for cortisol. DESIGN We performed a prospective study of, as near as possible, a consecutive series of 161 admissions to a single unit. PATIENTS We studied 50 patients (age range 67-98,(More)
We report the case of a 70 year old man who presented with physical and biochemical features suggestive of Addison's disease, but had a normal short tetracosactrin (Synacthen) test. Six months later he re-presented with similar clinical features but with an abnormal response to tetracosactrin confirming the diagnosis of Addison's disease. We recommend that(More)
To the Editor: Clostridium cadaveris is commonly known for being one of the most prominent bacteria found in decaying human corpses, but it is an extremely rare pathogen in living humans (1,2) . We report a case of an intra-peritoneal abscess caused by C. cadaveris . A 79year-old woman with a remote history of total abdominal hysterectomy with bilateral(More)
TO THE EDITOR: In his excellent recent article, Dr. Talley has pointed out that the rectal examination in gastroenterology may be becoming a lost skill (1). His paper describes the importance of the rectal examination and its technique, particularly in patients being evaluated for chronic constipation and fecal incontinence. I would like to offer an(More)
HYPOTHESIS Allowing adequate time for laboratory and culture results before initial treatment may be associated with a worse outcome in nosocomial infections. DESIGN Cohort study of all episodes of nosocomial infection from December 10, 1996, to October 28, 1998. SETTING Surgical services at a university hospital. PATIENTS AND METHODS In surgical(More)
Historically patients with severely depressed or elevated white blood cell (WBC) counts during infection were felt to have worse outcomes. To test this assumption we prospectively analyzed all infections on the surgical services at the University of Virginia hospital between December 1, 1996 and April 1, 1999. Among 1737 infectious episodes 59 presented(More)
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