Hypertension
Hypertension refers to blood pressure that is higher than normal. Normal blood pressure is about 120/80. Hypertension is diagnosed when three or more blood pressures are 140/90 or greater. Most cases of hypertension occur by itself without any cause. This is called essential hypertension. High blood pressure caused by some other disease or condition is Read more
Deep Vein Thrombosis (DVT)
SAMUEL E. GREENBERG, M.D. SUMMARY: Deep Vein Thrombi (clots) occur when blood slows down, encounters obstructions, or is in hypercoagulable state. This generally occurs in the deep veins of the legs or the solar plexus blood vessels and occasionally in the deep vessels of the upper extremities. Within 5-10 days the clot adheres to the Read more
Shock
Samuel E. Greenberg, M.D Most people know that Shock refers to a fall in blood pressure. Beyond that, they are ignorant of its causes. They do know that if it lasts long enough, that death will ensue. But does the blood pressure have to fall to zero for a person to be in shock? What Read more
STROKES AND TIA’S
SAMUEL E. GREENBERG, M.D. Stroke is a term used to denote cessation of a portion of brain function due to acute or sub-acute injury. A more common name steeped in Medical jargon is CVA or Cerebral Vascular Accident. Injury to brain tissues, denoting a CVA, occurs when the blood supply to any part of the Read more
Vascular Workup (Non-Invasive)
Contributing Author, Cardiothoracic Surgeon Many patients complain to their physicians that they have “poor circulation.” In the old days, little could be done to help this group of patients. Often, the patient is in their 60ties or 70ties and has multiple other problems that may cloud the picture. They often have lumbar back pain and Read more
Detached Retina
M.L. Brochner, M.D. Retinal detachment is one of the few eye emergencies. There are three general types of retinal detachment. All three forms have an elevation or a lifting off of the retina itself off the inside back wall of the eye, with an accumulation of fluid between the retina and the eye wall. Read more
Blunt Chest Trauma
Samuel E. Greenberg, M.D. Blunt trauma to the chest principally occurs from deceleration accidents. So falls, motor vehicle accidents and sports are the areas where this type of injury most frequently occurs. There are 5 major injuries that may occur in blunt chest trauma. These may occur singly or in cohorts. They are: 1.) Myocardial Read more
Acute Respiratory Distress Syndrome (ARDS)
Samuel E. Greenberg, M.D. When a patient suffers from a severe infection, blunt chest trauma of significant magnitude, or inhalation of toxic smoke or fluid, it is incumbent for the treating physician to suspect ARDS. This Syndrome or constellation of symptoms and signs results in death in greater than 50% of those who develop it. Read more
Cancer of the Head and Neck
James W. Lucarini, MD FACS Introduction Epidermoid or squamous cell cancer of the head and neck (SCCHN) is often a tragic and debilitating disease that is preventable in most cases. As in most cancers, early detection and treatment are the keys to curing these malignant tumors. The strong relationship between these tumors and tobacco and Read more
Cancer of the Lung
Contributing Author, Cardiothoracic Surgeon Here in the Southeast many patients have a long history of smoking most of their lives. In at least 80% of lung cancer or bronchogenic carcinoma cases in our part of the country, a direct link can be made to smoking and tobacco use. Usually the typical patient presents to his Read more