JONATHAN GREENWALD, M.D.
To the editor: I do not think that the case report "Extreme Hypermagnesemia as a Cause of Refractory Hypotension" in the November 1975 issue should have been published. Documentation is sorely lacking. The precise points of occurrence in the clinical course of the repeat X ray that show "free sub-diaphragmatic air" and the "ultimately" performed laparotomy are nowhere mentioned. The discussion is not only inadequate, it is frankly misleading. In a situation where cardiac arrest and a perforated viscus are antecedents, the authors ignore the potential remediable effect of plicating the perforation. Instead, they interpret a coincident fall in magnesium
GREENWALD J. Hypermagnesemia and Hypotension. Ann Intern Med. ;84:339–341. doi: 10.7326/0003-4819-84-3-339_2
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Published: Ann Intern Med. 1976;84(3):339-341.
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