SMJ // February 1975, Volume 68 - Issue 2
Primary Article
One Hundred Consecutive Operations for Diverticulitis of the Colon
AbstractThis report describes 100 consecutive patients treated surgically for diverticulities of the colon. The main indications for operation were recurrent attacks (33), rapid progresive symptoms 917), bleeding (16), palpable mass (14), or combinatoins of the above. Eight-four patients had primary resection (two deaths), ten had staged procedure (two deaths), and…
Primary Article
Prurigo Nodularis and Uremia
AbstractPatients with uremia frequently have generalized pruritus that is usually related to a disturbance of calcium and phosphorus metabolism. This report describes three patients with uremia who had prurigo nodularis due to localized scratching and rubbing. The diagnosis of uremia in one case was made when the patient was hospitalized…
Primary Article
Vascular and Adjacent Soft Tissue Injuries Associated With Fractures of the Pelvis
AbstractOne hundred fifty-one patients with fractures of the pelvis and associated injuries have been reviewed. Patients who have these injuries are likely to have uncontrollable, fatal hemorrhage. Of this group, nine died, 11 had exploratory laparotomies, ten had bladder injuries, and two had rectal damage. Blood gas determinations, arterial catheterization,…
Primary Article
A Program for Rehabilitation After Acute Myocardial Infarction
Primary Article
Primary Operative Management Method of Choice for Stab Wounds to the Heart
AbstractExperiences in managing patietns suffering cardiac stab woulds and coming to the University of Alabama Hospital in Birmingham from January 1964 to July 1972 are reviewed. From 1964 through July 1971, conservative management was ussed primarily, but most patients ultimately requirerd operation. Analysis of our experiences during this period convinced…
Primary Article
The Clinical Presentation of Mesenteric Vascular Disease
AbstractThe clinical presentation of 17 patients with mesenteric vascular disease admitted to Moiunt Sinai Medical Center was reviewed. The signs and symptoms were similar in most cases. However, the caute onset of the symptom triad of abdominal pain, diarrhea, and blood stools in an elderly patient should make one suspect…
Primary Article
Cryosurgery in Dermatologic Office Practice Special Reference to Dermatofibroma and Mucous Cyst of the Lip
AbstractThe use of liquid nitrogen therapy by spray, probe, and direct applicatio in benign skin conditoins is described. Most dermatofibromas do not require treatment, but for avrious reasons some are objectionable to the patient. Forty-five dermatofibromas were terated by cryospray, with five receiving a second treatment. Diagnsis was made clinically…
Primary Article
Echocadiographic and Electrocardiographic Criteria for Diagnosing Left Atrial Enlargement
AbstractElectrocardiographic criteria for left atrial enlargement (LAE) were evaluated in a gruop of 100 patients with a wide spectrum of cardiovascular diseases and compared with the echocardiographic measurement of left atrial dimensio (LAD). Data analysis showed a high degree of correlation between the echocardiographic measurement of LAD and the EKG…
Primary Article
Carcinoma of the Parathyroid
AbstractThe hstologic diagnosis of carcinoma of the parathyroid is difficult to make, and invasion of contiguous structures or metastasis must be present before the diagnosis can be stablished. The serum calcium level is usualy high, and the tumor is palpable in approximately one half of the patients. A case of…
Primary Article
Rehabilitation Needs of the Cancer Patient
Primary Article
Vertebral Osteomyelitis as a Complication of Pseudomonas aeruginosa Pneumonia
AbstractA patient with Pseudomonas aeruginosa pneumonia treated with gentamicin subsequently developd thoracovertebral osteomyelitis over the area of a preexisting compression fracture. Increasing back pain and progressive destruction with sclerosis of the involved vertebrae led to a needle biopspy examination of the vertebrae which showed evidence of chronic osteomyelitis and grew…
Primary Article
Managing Depression in the '70s
AbstractDepression is among the most common of clinical conditions. Like problmes suhc as anemia, it is not one disease, but a constellatyion of signs and syptoms which may occur as the result of several psychopatho-physiologic processes. This paper summarizes the recent dramatic advances in research into the neurochemistry of the…
Primary Article
Villous Tumors of the Rectum Excision by the Posterior Approach
AbstractVillous tumors of the rectum require complete excision for accurate histologic diagnosis. The posterior rectotomy approach of Kraske is presented and described in detail as an excelent method for use in the surgical management of these lesions. The technic is simple and postoperative morbidity minimal. The procedure is curative for…
Primary Article
Interaction Between Local Anesthetics and Analeptic Drugs
AbstractAlthough clinically undersirabne, the fortuitous pharmacologic interaction between local anesthetic agents and analeptic drugs may be protective when large doses of both agents are used. Mice pretreated with procaine, lidocaine, and tetracaine had a lower incidence of seizures when convulsive doses of either nikethamide or doxapram hydrochloride were given intraperitoneally….
Primary Article
The Epidemiology of Cancer in Oklahoma Examination of Cramer's Hypothesis
AbstractCancer epidemiology was studied from mortality data using age-specific and age-adjusted rates by sex and county of residence for 1956 to 1960 and 1961 to 1965. Geographic and time variations were examined as well as sex ratios and proportionate death rates. Age-adjusted rates for two times periods were used to…
Primary Article
A Review of Deaths Due to Suspected Lactic Acidosis at a Large Metropolitan Hospital
AbstractA review of 2,647 consecutive deaths over a 19-month period at a large metroplitan hospital revealed 27 cases (1%) to be coded as metabolic acidosis. In ten of these deaths, a presumptive diagnosis of lactic acidosis could be made. Eight of the ten were diabetic, and all eight were treated…
Primary Article
Metastatic Melanoma of the Brain Presenting as Subarachnoid Hemorrhage
AbstractCase reports of two patients with metastatic melanoma of the brain who presented with subarachnoid hemorrhage are described. The importance of considering metastatic melanoma to the brain in the differential diagnosis of subarachnoid hemorrhage is emphasized.
Primary Article
Lumbar Fusion Using Facet Inlay Grafts
AbstractA long-term analysis of 106 patients who had lumbar fusions between 1959 and 1969 is reported. The method used in this series was an inlay bone graft ponted at each end and beveled at its cephalic portion to permit easier insertio. The sacroiliac ligaments are not distrubed while obtaining the…
Primary Article
Leptospirosis An Underdiagnosed Cause of Acute Febrile Illness
Primary Article
Bromism Recent Perspectives
AbstractThe introduction of bromureides on a large scale in England and Australia has resulted in a major health hazard. Attention is directed to this problem so preventive measures may be taken in this country to discourage their marketing. We recommended that physicians acquaint themselves with the active ingredients of over-the-counter…
Primary Article
Management of The Newborn With Congenital Heart Disease
Primary Article
A Practical Approach to the Patient With Vertigo An Outline of Diagnsis and Management for the Nonspecialist
AbstractA careful history of the most important part of a medical examination for vertigo, especially to establish whether it is acute, chronic or recurrent. If the patient spontaneously volunteers ear complaints, such as fullness, tinnitus, or hearing loss, the cause is probably atologic and deserves imediate referral. If no atologic…
