FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 344:48-51 January 4, 2001 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

A 58-year-old man receiving hemodialysis after failed renal transplantation was admitted with unstable angina. He had a history of hypertension, diabetes mellitus, ischemic heart disease, and transplant-related immunosuppression of several years' duration. Less than four weeks earlier, he had undergone repair of an intraabdominal aortic aneurysm and removal of the renal graft.

Cardiac catheterization was deferred because the prothrombin time and activated partial-thromboplastin time were prolonged, at 88.0 seconds (international normalized ratio [INR], 7.2) and 77 seconds (normal range, 28 to 40), respectively. He reported malaise, fevers, abdominal pain, nausea, and vomiting but no increase in bleeding since the surgery.

. . . [Full Text of this Article]

Commentary

Source Information

From the Divisions of General Internal Medicine and General Pediatrics, Vanderbilt University Medical Center; and the Quality Scholars Program and Tennessee Valley Geriatric Research, Education, and Clinical Center, Nashville Veterans Affairs Medical Center — both in Nashville.

Address reprint requests to Dr. Kallianpur at the Division of General Internal Medicine, S-1121 MCN, Vanderbilt University Medical Center, Nashville, TN 37232-2587, or at asha.kallianpur@mcmail.vanderbilt.edu.

References

This article has been cited by other articles:

• Tang, B., Hanna, G. B., Joice, P., Cuschieri, A. (2004). Identification and Categorization of Technical Errors by Observational Clinical Human Reliability Assessment (OCHRA) During Laparoscopic Cholecystectomy. Arch Surg 139: 1215-1220 [Abstract] [Full Text]