This report reviews the factors related to prognosis in a large number of patients, chiefly children, with acute bacterial meningitis. The prognosis was poorer in infants, in those with pneumococcal meningitis, and in those with impaired consciousness at the time of admission. Duration of illness and previous antimicrobial therapy were…
This imported pest by now infests large rural areas in the South. It is known to have a very allergenic venom, and anaphylactoid reactions occur from stings as described in these case reports. Such reactions may occur quickly and be severe within minutes of the sting.
Reversion of arrhythmias by direct current has become established in the armamentarium of the management of heart disease. It is used daily in many hospitals across the country, and by Physicians' Assistants let it be noted, not uncommonly as a lifesaving measure. The author reviews the indications for such management.
Intestinal parasitosis undeniably is a most common affliction in many areas of the South. Eradication will demand mass treatment in addition to education in hygiene and sanitation. The authors outline the approaches for control of the intestinal helminths.
The author describes the profile of laboratory determinations which can be obtained by study of the amniotic fluid in predicting gestational maturity. This may be important in the management of the pregnant woman as term approaches, especially if the menstrual history is unreliable.
Though urinary retention is quite common in frankly psychotic patients, those described here do not present overt psychiatric disease. Yet all responded to psychiatric management. Patients of this category demand recognition and classification to avoid needless and fruitless surgical procedures. The proven contractions of the perineal muscles offer a clue…
With increasing longevity and improved surgical technics, patients cured of one cancer are living to develop other malignancies at a later time. Examples of this are being met with increasing frequency, an important diagnostic matter—to avoid the diagnosis of metastasis and thus to deprive the patient of a second cure.
A radiographically “airless” abdomen in the neonate usually suggests an obstruction high in the alimentary tract This report describes five infants with an “airless” abdomen, each of whom was found to have incomplete rotation of the large bowel with an associated midgut volvulus.
This case report illustrates the complication of a gastric ulcer accompanying the use of papain for the dissolution of a phytobezoar. The report is the first to show that papain given for a short period may be as effective as its prolonged use.
The authors review current concepts concerning the classification and nomenclature of the neuromuscular diseases so often confusing to the non-neurologist. This includes a number of eponymic syndromes as well as the muscular dystrophies and atrophies. Some attention is given also to the pathogenesis of these disorders.
The authors review the clinical findings in 20 cases of acromegaly. The identification of levels of growth hormone permits an earlier diagnosis of acromegaly. Earlier treatment will produce better results and with less hazard.
The authors report the eighth case of Candida peritonitis. It is significant that in all instances the patients had received antibiotic and/or steroid therapy and iatrogenic or other trauma as background to fungal peritonitis—a disease of medical progress.
The authors list same of the newer drugs available in the treatment of cardiogenic shock. Their use entails careful observations as to their effects having in mind the variables which complicate their use.
Today's rapid and extensive travels to all parts of the globe have taught members of the medical profession to be an the alert to recognize strange and exotic diseases normally not present in this country. The family reported here is a case in point.
This case report offers the authors an opportunity to discuss a not unusual manifestation of this disease if the clinician is alert to its possibility. The several aspects of this surgical complication are discussed, especially as regards treatment.
This is a report of a patient who had surgical resection of a metastatic intracranial malignant melanoma and who has survived for eleven years without subsequent therapy and with only minor sequelae. It is believed to represent the first such case reported in the English literature.
The collection of lymph in the perinephric space is an infrequent complication of renal transplantation. However, the degree of pressure by such an accumulation as to cause anuria is a rarity. Such a case is reported.
Aortic valvular disease which is producing symptoms has a poor prognosis under medical management. Such patients fare better following replacement of the diseased valve by a prosthesis. The authors evaluate their results and point to the betterment of the protheses which is offering fewer complications from their use.
This represents an experimental study in dogs of the effect of electroshock therapy, implanted pacemakers and their function. The pathogenesis of arrhythmias induced and their significance are discussed.
An erroneous diagnosis of regional enteritis was entertained upon clinical grounds. The postmortem diagnosis of amyloidosis emphasized the importance of using selective staining of biopsy material to avoid the error which occurred in this instance.
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