An understanding of the osmotic physiology and colligative properties of a solution will benefit the emergency physician in proper ordering and interpretation of serum osmolality measurements. Though of use in evaluating disorders of water metabolism, the serum osmolality plays a major role in the Emergency Department evaluation of impaired mental status, especially in alcoholics. A significant discrepancy between calculated and measured values may be the earliest laboratory finding in methanol, ethanol, and ethylene glycol ingestion.
{"title":"Osmolality.","authors":"R. Warhol, A. Eichenholz, R. Mulhausen","doi":"10.32388/j11gxv","DOIUrl":"https://doi.org/10.32388/j11gxv","url":null,"abstract":"An understanding of the osmotic physiology and colligative properties of a solution will benefit the emergency physician in proper ordering and interpretation of serum osmolality measurements. Though of use in evaluating disorders of water metabolism, the serum osmolality plays a major role in the Emergency Department evaluation of impaired mental status, especially in alcoholics. A significant discrepancy between calculated and measured values may be the earliest laboratory finding in methanol, ethanol, and ethylene glycol ingestion.","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49474925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-03DOI: 10.1001/archinte.1973.03650090030006
J. Rockart, E. McLean, P. Hershberg, G. O. Bell
A mailed questionnaire that can be batch-processed by computer can maintain the editing, formatting, summarizing, and data storage advantages of on-line systems at a lower expense. More than 40,000 patient questionnaires have been processed, and the questionnaire is a routine part of the clinic health care system. Data are given showing increasing physician acceptance and use of the questionnaire. Time savings per patient visit are noted. There are physician-oriented advantages as well as the multiple advantages to the patient when completing the questionnaire in the quiet of his own home.
{"title":"An automated medical history system. Experience of the Lahey Clinic Foundation with computer-processed medical histories.","authors":"J. Rockart, E. McLean, P. Hershberg, G. O. Bell","doi":"10.1001/archinte.1973.03650090030006","DOIUrl":"https://doi.org/10.1001/archinte.1973.03650090030006","url":null,"abstract":"A mailed questionnaire that can be batch-processed by computer can maintain the editing, formatting, summarizing, and data storage advantages of on-line systems at a lower expense. More than 40,000 patient questionnaires have been processed, and the questionnaire is a routine part of the clinic health care system. Data are given showing increasing physician acceptance and use of the questionnaire. Time savings per patient visit are noted. There are physician-oriented advantages as well as the multiple advantages to the patient when completing the questionnaire in the quiet of his own home.","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archinte.1973.03650090030006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46936932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.1001/archinte.1970.00310010153019
R. B. Copeland, G. Omenn
thorax is sought carefully, this diagnosis may be missed on physical examination. In recent months, we have seen several patients with pneumothorax in whom complaints of chest pain and dyspnea, coupled with an abnormal electrocardiogram, raised the diagnostic possibility of myocardial infarction. We wish to draw attention to the ECG abnormalities associated with pneumothorax and to the useful sign of normalization of the ECG when the patient is in the sitting position.
{"title":"Electrocardiogram Changes Suggestive of Coronary Artery Disease in Pneumothorax","authors":"R. B. Copeland, G. Omenn","doi":"10.1001/archinte.1970.00310010153019","DOIUrl":"https://doi.org/10.1001/archinte.1970.00310010153019","url":null,"abstract":"thorax is sought carefully, this diagnosis may be missed on physical examination. In recent months, we have seen several patients with pneumothorax in whom complaints of chest pain and dyspnea, coupled with an abnormal electrocardiogram, raised the diagnostic possibility of myocardial infarction. We wish to draw attention to the ECG abnormalities associated with pneumothorax and to the useful sign of normalization of the ECG when the patient is in the sitting position.","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archinte.1970.00310010153019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50615938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-10DOI: 10.1001/2013.jamainternmed.117
Michael Hochman, Mitchell H Katz
{"title":"The Supreme Court decision: a victory for uninsured patients.","authors":"Michael Hochman, Mitchell H Katz","doi":"10.1001/2013.jamainternmed.117","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.117","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31027677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-10DOI: 10.1001/2013.jamainternmed.93
William H Carter
{"title":"The burden of hospitalization for atrial fibrillation.","authors":"William H Carter","doi":"10.1001/2013.jamainternmed.93","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.93","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.93","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31115444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-10DOI: 10.1001/2013.jamainternmed.123
Fiona Hawke, Joshua Burns
{"title":"New evidence for stretching for preventing nocturnal cramps.","authors":"Fiona Hawke, Joshua Burns","doi":"10.1001/2013.jamainternmed.123","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.123","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31115445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-10DOI: 10.1001/jamainternmed.2013.1835
William T Gallo
{"title":"Evolution of research on the effect of unemployment on acute myocardial infarction risk.","authors":"William T Gallo","doi":"10.1001/jamainternmed.2013.1835","DOIUrl":"https://doi.org/10.1001/jamainternmed.2013.1835","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/jamainternmed.2013.1835","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31060182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-10DOI: 10.1001/2013.jamainternmed.263
Amit V Khera, Samia Mora
{"title":"Fasting for lipid testing: is it worth the trouble?: comment on \"fasting time and lipid levels in a community-based population\".","authors":"Amit V Khera, Samia Mora","doi":"10.1001/2013.jamainternmed.263","DOIUrl":"https://doi.org/10.1001/2013.jamainternmed.263","url":null,"abstract":"","PeriodicalId":8290,"journal":{"name":"Archives of internal medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/2013.jamainternmed.263","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31325708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：