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Uveitis is a disorder for which etiologic assessment procedures are still not codified. Clinical presentation is heterogenous, with poor correlation between symptoms and neurological involvement. The aim of our study was to assess the contribution of cerebral magnetic resonance imaging (MRI) in the management of uveitis.Seventy-one patients, 26 men and 45 women, were included between January 1st, 2000 and March 31st, 2008, in two groups "contributory MRI" and "not contributory MRI" according to diagnostic contribution of MRI. Clinical characteristics of uveitis, inflammatory, immunological and infectious biological features, and cerebral MRI were analyzed.A diagnostics was established in 38 (53.5%) patients. Five patients with multiple sclerosis and one case of Behçet's disease were diagnosed using cerebral MRI.This study points out cerebral MRI contribution as a second-line examination for the etiological diagnosis of uveitis especially in case of suspicion of multiple sclerosis or Behçet's disease.

To date only a few studies regarding pulmonary embolism (PE) in elderly have been published. The aim of this study was to determine the clinical features of PE in elderly patients (≥ 75 years).All patients hospitalized for PE in our internal medicine department from January 2005 to December 2010 were included in the study. The aim was to compare the features of PE in elderly patients (≥ 75 years) to those of patients younger than 75 years. The following data were recorded: past medical history, risk factors for venous thrombo-embolism (VTE), clinical features, and PE etiologies.The population was composed of 64 patients (women 56%) with a median age of 82 years (IQR: 13.5). There was no statistical difference for risk factors of VTE. Syncope was more frequent in elderly patients (33% versus 7%, P=0.04) whereas thoracic pain predominated in younger patients (36,5% versus 7%, P=0.005). Chronic obstructive pulmonary disease was more frequent in the past medical history of elderly patients. The diagnostic of PE was less suspected in elderly patients (47% versus 72%, P=0.035). The etiologies were similar between the two groups.Our study highlights the frequency of syncope as the presenting feature of PE in elderly, whereas thoracic pain is uncommon. We confirmed the difficulty to diagnose PE in elderly population.

The objective of this study was to assess the application of local and national recommendations in the management of community-acquired pneumonia in an internal medicine department with an antibiotic referent physician and in an emergency department.This was a retrospective single-center study including patients admitted with community-acquired pneumonia in the internal medicine department of the University Hospital of Besançon after an initial admission in the emergency department.One hundred patients (58 women and 42 men) were included. The mean age was 79 ± 11 years. The prescriptions done in the emergency department were in accordance with local recommendations or Société de pathologie infectieuse de langue française (SPILF) recommendations in 62% of cases. The prescriptions followed the recommendations in 94% of cases in internal medicine department (P0.05). The lack of initial antibiotic treatment had no influence on morbidity and mortality.The guidelines for infectious diseases treatment were significantly more often applied in a department where a referent physician was designated for this.

We have described a iatrogen effect of Atropine drops on salivary secretion. Pharmacology and iatrogen systemic effects are recalled; showing particularly the possible toxicity for the children in local use.