SMJ // May 1984, Volume 77 - Issue 5
Editorial
AFTER BABY DOE
Editorial
BARTON
Editorial
Barton McSwain, MD: An Appreciation
Primary Article
Carcinoma of the Breast in the Extremes of Age
Primary Article
Transchondral Talar Dome Fractures: Not Just a Sprained Ankle
ABSTRACT: Transchondral talar dome fractures are a rare but not unknown cause of continued disability following a “sprained ankle.” The diagnosis is made with standard ankle roentgenograms and an awareness of the lesion. Surgical treatment is recommended in acute and chronic cases, based on the amount of displacement of the…
Primary Article
Hyponatremia
Primary Article
Effective Hypertension Control in an Indigent Population
ABSTRACT: The blood pressure of 60 indigent hypertensive patients who were being treated in the general medicine clinic of a large state-run hospital was found to be unacceptably high after an average follow-up period of 107.5 months. Intensive treatment through a subspecialty clinic resulted in significant decreases in both the…
Primary Article
Secondary Bacterial Peritonitis in Cirrhotic Patients With Ascites
ABSTRACT: Bacterial peritonitis in patients with cirrhosis has a wide variety of clinical presentations. We report a group of 21 cirrhotic patients with secondary peritonitis from intraabdominal sources. Seven had infected ascites. All of them had unrecognized secondary peritonitis which was diagnosed and treated as spontaneous (primary) bacterial peritonitis (SBP)….
Primary Article
Antemortem Diagnosis of Systemic Aspergillosis: Ten-Year Review and Report of a Case
ABSTRACT: A review of the medical literature over the last ten years indicates the rarity of antemortem diagnosis and treatment of systemic aspergillosis despite its rapid increase in incidence in the United States. We report a case of systemic aspergillosis caused by Aspergillus flavus which was isolated from the blood…
Primary Article
Head and Neck Cancer in a Korean Hospital
ABSTRACT: Struggling against head and neck cancer in southwest Korea is a challenging experience. In Korea cancers of this anatomic area comprise 13.6% of cancers in men and 9.5% of those in women, a relative incidence higher than that in the United States. Efforts to institute contemporary therapeutic criteria and…
Primary Article
Biliary Tract Neoplasms: A Simple Management Technique
ABSTRACT: This paper presents a simple, fast, and accurate afterloading method of delivering high radiation dose to tumors of the biliary tract, using radioactive iridium through a biliary drainage catheter. A Tuohy Borst sidearm adaptor permits concurrent drainage. The dose delivered in this manner can be used to supplement the…
Primary Article
Radical Hysterectomy and Pelvic Lymphadenectomy
ABSTRACT: In recent years there has been an increasing awareness that radical hysterectomy and pelvic lymphadenectomy can play an important role in the management of early invasive cervical cancer. We present a series of 255 patients who had radical hysterectomy for gynecologic malignancy over a nine-year period. The incidence of…
Primary Article
Report of a High Pregnancy Rate After Sterilization With the Bleier Clip
ABSTRACT: We investigated a report of a pregnancy rate of 7.3% after tubal sterilization procedures with the Bleier clip in one physicians practice. A review of ongoing clinical investigations of this method of tubal sterilization revealed a failure rate of 0.3%. Our investigation determined that misapplication of the clips was…
Primary Article
Evaluation of Parathyroid Adenomas by Intravenous Digital Subtraction Angiography
ABSTRACT: Intravenous digital subtraction angiography (DSA) successfully localized three previously suspected parathyroid adenomas in the lower part of the neck and one in the mediastinum. Our experience suggests that this method may have widespread application for preoperative evaluation of parathyroid adenomas, particularly after unsuccessful surgical exploration or when recurrent or…
Primary Article
Artificial Donor Insemination: Analysis of 149 Cases at North Carolina Memorial Hospital
ABSTRACT: We analyzed 149 cases of artificial insemination with donor semen at North Carolina Memorial Hospital, Chapel Hill, to study its effectiveness. An overall pregnancy rate of 62.1% was achieved. Based on the mean monthly fecundity rate, the average monthly pregnancy rate was 16.5%, and the cumulative pregnancy rate after…
Review Article
Early Onset Anorexia Nervosa
ABSTRACT: A review of records from Childrens Memorial Hospital (Chicago) between 1960 and 1980 yielded 15 cases of anorexia nervosa in children aged 12 and under. Three of these cases are described herein to point out the clinical characteristics and the possible connection to affective disorder (depression) of this variant…
