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Cardiac Injury Linked to Increased Mortality in COVID-19

Cardiac injury is associated with increased mortality in hospitalized patients with coronavirus disease 2019 (COVID-19), according to a study published online March 25 in JAMA Cardiology.Shaobo Shi, M.D., from Renmin Hospital of Wuhan University in China, and colleagues explored the association between cardiac injury and mortality in a cohort study conducted from Jan. 20, 2020, to Feb. 10, 2020. The final analysis included 416 hospitalized patients with COVID-19.The researchers found that common symptoms included fever, cough, and shortness of breath (80.3, 34.6, and 28.1 percent, respectively). Overall, 82 patients had cardiac injury; these patients were older, had more comorbidities,...

Chronic abdominal pain; how difficult can it be to handle?

The patient is a 26-year-old woman with a 13-year history of chronic abdominal pain that started after an episode of presumed "food poisoning." The pain typically lasted 5-6 hours per day, was triggered by eating or bowel movements, and was often severe enough to induce vomiting. It was causing significant interference with her daily activities, both from the distraction of the pain itself and from the side effects associated with pain medication.What has happened to her and why the pain is not being adequately controlled?© 

Increased Risk for SARS-CoV-2 Seen in Cancer Patients in Wuhan

Patients with cancer in Wuhan had an increased risk for severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) infection, according to a research letter published online March 25 in JAMA Oncology.Jing Yu, M.D., from the Zhongnan Hospital of Wuhan University in China, and colleagues reviewed the medical records of 1,524 patients with cancer who were admitted to Zhongnan Hospital from Dec. 30, 2019, to Feb. 17, 2020. The outcomes of coronavirus disease 2019 (COVID-19) were assessed among these patients.The researchers estimated that the SARS-CoV-2 infection rate was 0.79 percent among patients with cancer, which was higher than the cumulative incidence of all COVID-19 cases in the...

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