To the Editor: The clinicopathological exercise in the September 20 issue, entitled “Hypertension and an Adrenal Mass after a Vehicular Accident,” 1 neglects essential elements of the case. By using the word “accident,” the authors imply that the patient's injury was random, unpredictable, unpreventable, and preordained. Was this motor-vehicle crash, which occurred around midnight, truly an accident? The patient, a 24-year-old intoxicated man (blood alcohol concentration, 353 mg per 100 ml), was at a particularly high risk of serious or fatal injury. Persons 15 to 24 years old have a much higher rate of injury from motor-vehicle crashes than do those…
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Case 38-1984 : Traumatic Hemorrhage of the Adrenal Gland. / Rodriguez, Juan G.; Sattin, Richard W.; Smith, Gordon S.; Kreis, David J.; Gomez, Gerardo A.; Washburn, Peter; Tinelli, Eugene; Scully, Robert E.; Mccabe, Charles J.; Young, Robert R.In: New England Journal of Medicine, Vol. 312, No. 2, 10.01.1985, p. 124-125.
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