Editor D. LUKE GLANCY, MD
Volume 166, Number 6 • November/December 2014
Established 1844
Associate Editor L.W. JOHNSON, MD
BOARD OF TRUSTEES Chair, GEOFFREY W. GARRETT, MD Vice Chair, K. BARTON FARRIS, MD Secretary/Treasurer, RICHARD PADDOCK, MD ANTHONY P. BLALOCK, MD D. LUKE GLANCY, MD LESTER W. JOHNSON, MD FRED A. LOPEZ, MD
F eatured A rticles
EDITORIAL BOARD MURTUZA J. ALI, MD RONALD AMEDEE, MD SAMUEL ANDREWS, II, MD BOB BATSON, MD EDWIN BECKMAN, MD GERALD S. BERENSON, MD
Nadine Kaskas, BS
Toxic Erythema of Chemotherapy Following Leukemia Cutis
236
Catherine DiGiorgio, MD Bethaney Vincent, MD Suneeta Walia, MD Julie Mermilliod, MD
C. LYNN BESCH, MD JOHN BOLTON, MD MICHELLE BOURQUE, JD JAMES N. BRAWNER, III, MD BRETT CASCIO, MD QUYEN CHU, MD WILLIAM PATRICK COLEMAN III, MD GUSTAVO A. COLON, MD RICHARD COULON, MD LOUIS CUCINOTTA, MD VINCENT A. CULOTTA, JR., MD JOSEPH DALOVISIO, MD NINA DHURANDHAR, MD JAMES DIAZ, MD, MPH & TM, D r . PH JOHN ENGLAND, MD JULIO FIGUEROA, MD ELIZABETH FONTHAM, MPH, D r . PH
Terrell Caffery, MD Danny Robinson, MD
Delayed Detection of a Ventricular Septal Defect Following
239
Penetrating Trauma
Hollis O’Neal Jr., MD, MSc Azheem Kahn, MD Scott Thurston, MD Mandi Musso, PhD
Ashley Weiss, DO, MPH
Psychopharmacological Treatment of Delirium: Does Earlier Treatment and Scheduled Dosing Improve Outcomes?
242
Michael S. Scheeringa, MD, MPH
Alireza Hamidian Jahromi, MD, MRCS
A 36-Year-Old Male With a Painless Lower Extremity Skin Lesion
248
Howard W. Wright, MD
Brijesh Patel, MD Liam Morris, MD
Limited Circumferential Dissection of the Ascending Aorta Mimicking
251
an Acute Coronary Syndrome
Nuri I. Akkus, MD Alireza Hamidian Jahromi, MD Vyas Rao, MD, FACS
EDWARD FOULKS, MD HENRY G. HANLEY, MD ELIAS B. HANNA, MD LYNN H. HARRISON, JR., MD ROBERT HEWITT, MD
Siu-Hin Wan, MD
Inclusion Body Myositis Masquerading as Cardiac Dyspnea
254
Jackson J. Liang, DO Andrew C. Greenlund, MD, PhD
MICHAEL HILL, MD LARRY HOLLIER, MD JOHN HUNT, MD BERNARD JAFFE, MD NEERAJ JAIN, MD
Ikrita K. Klair, MD
Broken Lung
258
Jaime Palomino, MD Fayez Kheir, MD Daniel A. Salerno, MD
TRENTON L. JAMES, II, MD STEPHEN KANTROW, MD KEVIN KRANE, MD MAUREEN LICHTVELD, MD, MPH FRED A. LOPEZ, MD F. BROBSON LUTZ, JR., MD DAVID MARTIN, MD JORGE A. MARTINEZ, MD, JD ELIZABETH MCBURNEY, MD ELLEN MCLEAN, MD NORMAN E. MCSWAIN, JR., MD REINHOLD MUNKER, MD DAVID MUSHATT, MD JOSEPH NADELL, MD HAROLD R. NEITZSCHMAN, MD STEVE NELSON, MD NORA OATES, MD DONALD PALMISANO, MD, JD, FACS PATRICK W. PEAVY, MD ROBERTO QUINTAL, MD RAOULT RATARD, MD, MS, MPH & TM ROBERT RICHARDS, MD DONALD RICHARDSON, MD WILLIAM C. ROBERTS, MD DONNA RYAN, MD JERRY ST. PIERRE, MD CHARLES SANDERS, MD OLIVER SARTOR, MD CHARLES SCHER, MD RICHARD SPECTOR, MD JACK P. STRONG, MD PRAMILLA N. SUBRAMANIAM, MD KEITH VAN METER, MD DIANA VEILLON, MD HECTOR VENTURA, MD
D epartments
D. Luke Glancy, MD
ECG OF THE MONTH
262
Neeraj Jain, MD
ECG in a 44-Year-Old Man With Chest Pain
Juan S. Gomez, MD Enrique Palacios, MD
RADIOLOGY OF THE MONTH
264
An Uncommon Chest Wall Mass in Renal Disease
Jeremy B. Nguyen, MD Harold R. Neitzschman, MD
Vaughan Washco, DO Ross McCarron, MD Lee S. Engel, MD, PhD Sanjay Kamboj, MD Fred A. Lopez, MD
CLINICAL CASE OF THE MONTH
268
A 63-Year-Old Woman With Rash and Proximal Muscle Weakness
Ellen E. Connor, MD, PhD
PATHOLOGY IMAGE OF THE MONTH
272
Ally Darga
Autopsy Findings in an Adult with Down Syndrome
Robin R. McGoey, MD
CHRIS WINTERS, MD GAZI B. ZIBARI, MD
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