Phlegmasia cerulea dolens associated with the lupus anticoagulant.

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tabolites.A pulmonary vascular permeability defect would have to be transient and easily repaired to explain the 16-hour time course of resolution.This pulmonary edema was apparently not cardiogenic.While emesis is usually effective in removing undigested pills in patients who have overdosed, the use of ipecac in a patient with hypotension is dangerous.The yield is fre- quently poor, and vagally induced decreases in heart rate in hemodynamically unstable patients should discourage its use.The increased vagal tone witnessed in our patient probably exacerbated the hypotension and led to her generalized seizure.Gastric lavage is as effective and safer in these patients.The search for an antidote for verapamil overdose is, to date, incomplete.A drug that reverses nondepolarizing neuromuscular blockade, 4-aminopyridine, has been used effectively in cats.29In an extensive study, Korstanje and colleagues examined the calcium-entry promoters Bay k 8644 and CGP 28932, as well as 4-aminopyridine

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