Morning rounds; Drilling for blood; Falx; Sciatica

Sunday morning rounds when the Baptist Church Choir came through.

Association between ICU admission during morning rounds and mortality.

BACKGROUND No previous study has evaluated the association between admission to ICUs during round time and patient outcome. The objective of this study was to determine the association between round-time ICU admission and patient outcome. METHODS This retrospective study included 49,844 patients admitted from October 1994 to December 2007 to four ICUs (two surgical, one medical, and one multi...

Morning surge in blood pressure.

Some days it just doesn’t pay to get out of bed. As long recognized, there is an increased risk for heart attack, stroke, and sudden death in the first few hours of the morning.1,2 In this issue of Circulation, Kario and colleagues have shown that, as for strokes, this risk is associated with a morning surge in blood pressure.3 Among the 519 elderly hypertensives in this study, the risk of stro...

Blood pressure morning surge and hostility.

This study examined the effects of hostility on blood pressure (BP) during the early morning hours before awakening and several hours afterward. Our objective was to determine whether the pattern of BP change and the slope of the morning BP surge were related to hostility. The subjects were 32 patients with a history of Stage 1 hypertension. The morning surge in BP was derived from ambulatory B...

Angioleiomyoma of the falx.

A 43-year-old man arrived at the emergency department following a syncopal episode. Computed tomography and magnetic resonance images demonstrated a small interhemispheric, anterior parafalcine mass that mimicked a meningioma. Surgical excision and subsequent pathologic evaluation revealed an angioleiomyoma and the patient recovered without incident. Angioleiomyomas are classified as benign smo...