The perfection of these newer methods of determining renal function has added much to aid the clinician in studying hypertensive renal disease as well as of diagnosis in obstructive uropathies and the evaluation of the course in renal transplantation.
It appears that this is the first reported instance of transient lipoprotein deficiency resulting from a loss of protein synthesis because of drug induced hepatotoxicity. The attendant changes in the gastrointestinal mucosa and alteration of the morphologic characteristics of erythrocytes are interesting.
It appears that the use of oral contraceptives is accompanied by certain untoward side effects of an incidence comparable to that encountered in a normal pregnancy. The author cites 4 instances in which neurologic disturbances occurred with signs of intracranial lesions. These regressed following discontinuance of the drug. The author…
The authors attempted to study the commonly reported alteration in carbohydrate metabolism of women using oral contraceptives. They found abnormalities in glucose and growth hormone, but their significance in the long-term use of the drugs cannot be resolved at this early date. No data are available of studies before beginning…
This study revealed an unprecedented number of mild diabetics, easily controlled with Iittre or no treatment. The authors suggest that even if these patients have true diabetes, practicalities of manpower shortage make it undesirable to treat them as having full-blown disease. It seems better to use age-adjusted criteria in interpreting…
The tubular excretion of contrast media may be blocked in the kidney by substances which compete with these media. This study demonstrated that ampicillin does not decrease the excretion of radiohippuran because therapeutic levels are below the levels of tubular saturation. This might not be true in patients with azotemia.
This study is timely and important, especially for those who use the renal biopsy in diagnosis.
The author reviews the basic pathophysiology of venous incompetence and discusses present-day recommended therapy. The magnitude of the problem in terms of preventative care is stressed.
Whether this convulsive illness, accompanied by coma, hepatomegaly and commonly ending in death, represents a single disease entity cannot be stated today. The fatty infiltrations of the liver and encephalomalacia are hallmarks but may occur in isolated examples of many other conditions individually. The syndrome may be more common than…
Though any one of the clinical manifestations described may be the signpost pointing to a parathyroid adenoma, the combination of all in the same patient is extremely rare. This has been described in the literature only once before.
Gonorrhea is most difficult to control because it may be asymptomatic in the presence of infectiousness. The authors' studies show a not inconsiderable incidence of gonorrhea in asymptomatic patients, both male and female. Gonococcal proctitis is not uncommon in women and homosexual males. Cultures should be made on all asymptomatic…
The authors successfully have used an autogenous vaccine in two dozen treatment-resistant cases of this disease. Though such treatment had been described some decades ago, it had fallen into disuse.
The author reports the relationship between arterial oxygen tension before and after exercise with the diffusing capacity of patients with idiopathic pulmonary fibrosis at rest.
Advances in technologic management burden the family physician who must follow the course of the patient, recognize the failure of instruments, and be ready to answer a patient's questions. This paper presents graphically the “normal” functioning of pacemakers and the aberrations which may occur and their causes.
The authors present their experience with giant cell tumors of the spine and aneurysmal bone cysts. The background, symptomatology and therapy are discussed. A plea for a combined orthopedic and neurosurgical approach is presented.
The author relates the characteristic fractures of the tibia in collision injuries to absence of crash bars which would protect the legs. He suggests these be made a requirement.
The diagnosis of pulmonary embolism may be difficult because of the variability of findings and their simulation at times by other forms of lung disease. Though the pulmonary scan is rapid, safe and simple it is not entirely specific and must be interpreted in light of the history, clinical picture…
This case is of interest as it is only the third such instance reported.
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