Issue - Southern Medical Association

Acknowledgement

BOOKS RECEIVED

Case Report

SOUTHERN MEDICAL NEWS

Case Report

Curettage and Electrodesiccation in the Treatment of Skin Cancer

The treatment of selected (early and small) cancers of the skin by this method is as successful as with other methods. Since it has certain advantages, its use is recommended to those skilled in the necessary instrumentation.

Case Report

Emergency Management of Thoracic Injuries Current Concepts

SUMMARYThoracic injuries occur frequently and may be severe. Optimum results depend upon an alert initial examination, prompt recognition, and adequate correction of deranged thoracic physiology to permit an ultimate return of normal function. Some of the fundamental aspects of this vital and challenging problem have been presented.

Announcement

“Mr. Southern Medical” Honored for 50 Years of Service – C. P. Loranz

Case Report

Exercise Training in the Rehabilitation of Patients with Severe Respiratory Insufficiency due to Pulmonary Emphysema The Role of Oxygen Breathing

By training in exercise the pulmonary cripple may attain greater comfort upon activity which in turn leads to a greater physical independence. This represents an important effort in rehabilitation which has not been utilized to an adequate extent.

Case Report

Achalasia of the Gastroesophageal Segment A Review and Case Report of Hematemesis and Melena Following a Positive Mecholyl Test

SUMMARY1. Hematemesis and melena followed with in 12 hours a positive Mecholyl test on a patient with achalasia of the gastroesophageal segment and ectasia of the esophagus with active esophagitis.2. The finding of inflammatory degeneration of the autonomic plexuses of the esophagus places this patient in that category of functional…

Case Report

Bacterial Endocarditis Autopsy Experience over a Thirty Year Period

In the earlier days of the antimicrobial agents it was everyone's hope that bacterial endocarditis would be a thing of the past. The rising incidence in recent years due to the staphylococcus illustrates the development of hardy strains of organisms when exposed to a noxious agent.

Case Report

Stenosis of the Vertebral Artery with Cerebral Ischemia Relief by Patch Graft

SUMMARYA patient with evidence of ischemia of the brain-stem had demonstrated arteriographically a stenosis of the right vertebral artery at its origin and occlusion of the left vertebral artery. At operation the stenotic lesion was found to be a fibromuscular thickening of intima producing a kinking of the vertebral artery…

Editorial

INTERNATIONAL CONGRESSES

Editorial

Drugs – Their Use and Abuse

Original Article

The Premenstrual Tension Syndrome A Comprehensive Approach to Treatment with a Progestin‐Diuretic-Tranquilizer Combination

The premenstrual tension syndrome has been under attack for a couple or more decades. The authors believe they have had a high degree of success by attacking the hormonal, water-sodium imbalance, and derangement of the autonomic nervous system by combined therapy.

Original Article

Myositis Ossificans Traumatica (Myo-Osteosis)

The authors discuss the pathologic changes and the type of trauma producing the lesion. Treatment is outlined. This lesion occurring in teen-age athletes can be moderately disabling.

Original Article

The Role of Escherichia Coli in Diarrheal Disease

There is ample evidence for the pathogenicity of certain serotypes of Esch. coli for infants. Adults may carry these in their bowel. The author believes enteritis with this organism as the cause may occur more often in adults than has been thought.

Original Article

Pyloric Channel Ulcer clinical and Roentgenographic Observations in 77 Patients

A peptic ulcer at this site presents a history differing from that of ulcers at another location. Therefore the roentgenologic study is very essential since the question of gastric malignancy may present itself in the differential diagnosis.

Original Article

An Evaluation of Some Roentgenographic Signs in Sickle Cell Anemia and Its Variants

Attention has always been given to certain radiologic changes in the calvarium as characteristic of sickle cell disease. The author points out that this is not a common diagnostic Finding but rather that x-ray study of the mandible and its alveolar processes may be much more rewarding in a search…

Original Article

Hemochromatosis

In discussing their two cases the authors review the accumulating knowledge of the disease. The newer methods of studying iron metabolism are helpful in diagnosis. Treatment by phlebotomy has been well established.

Original Article

Clinicopathologic Conferences Duke University School of Medicine

Original Article

Early Treatment of Hand Injuries

The author reviews in a succinct fashion the basic principles to be followed in the surgical treatment of the injured hand.

Original Article

Recognition and Management of Acute Brain Injury

The author makes a plea for establishing the diagnosis of an expanding mass of blood and damaged brain tissue in the patient who has had a head injury and whose clinical condition is deteriorating. Carotid angiography is the diagnostic tool to rely upon. The diagnosis established, surgery offers the only…

Original Article

Fractures of the Tibial Shaft in Adults A Ten Year Survey of Such Fractures

The authors consider the course of healing of such fractures in adults in terms of variations of “open” or “closed” fractures, type of immobilization, whether by usual methods or by metallic support applied at operation. They conclude that such fractures do better when managed as “closed.”

Original Article

Lead Poisoning – A Masquerade

The author emphasizes the seriousness and frequency of lead poisoning among the young children of the country. The use of EDTA in diagnosis is discussed.

Original Article

The Use of a Potent Pancreatic Extract in the Diagnosis and Treatment of Pancreatic Insufficiency

By the use of triolein labeled with radioactive iodine added to an active pancreatic extract one may differentiate steatorrhea due to malabsorption from that due to deficiency of pancreatic enzyme.

Original Article

Acute Traumatic Cervical Syndrome (Whiplash Injury)

By their study of a large series of cases of this form of injury, the authors come to certain conclusions relative to the physical forces leading to trauma, and analyze the clinical picture and the treatment and prognosis. They consider also the controversial aspects of this diagnosis and the medicolegal…

Original Article

Percutaneous Absorption

How much easier it would be to treat skin disease by the topical application of drugs rather than by the oral route! But the skin offers a most effective barrier to foreign substances which precludes such medication. But studies are going on to learn why the skin cannot be penetrated…

Original Article

Fundamentals of Reconstructive Surgery

Original Article

Photocoagulation

The authors consider the use of this relatively new means of treating intraocular lesions. They warn against certain hazards in its use.