SMJ // November 1973, Volume 66 - Issue 11
Primary Article
Immunologic Tests for the Detection of Gastrointestinal Cancers: Status Report on Carcinoembryonic Antigen (CEA) and Alpha-Fetoprotein (AFP)
Abstract: Advances have been and continue to be made in cancer detection employing a variety of simple and sophisticated serum assays for tumor antigens. Whether or not these antigens are tumor-specific may not be as important a consideration as that they are usually tumor-associated. Certain clinical circumstances may result in…
Primary Article
Vesta Variant of Tourette's Disease: Treatment with Haloperidol
Abstract: Based on study of an adult variant of the classic maladie des tics, we suggest that tics are true involuntary movements derived from maladaptive defensive conditioned reflexes associated with stress-induced central adrenergic dominance which can be reversibly altered by administration of haloperidol.
Primary Article
Ketamine for Corrective Cardiac Surgery in Children
Case Report
Cryptococcus albidus Meningitis
Primary Article
Bacterial Inhibition of Ureteral Smooth Muscle Contractility: In Vitro Evaluation of Potential Inhibitory Factors
Abstract: The inhibitory effect of common urinary pathogens and endotoxin has been evaluated in an in vitro system using small strips of human and animal ureter. These studies indicate that inhibition of ureteral smooth muscle contractility occurs from an acute, reversible reaction mediated by live, rapidly growing urinary pathogens. Inhibition…
Primary Article
Nasolabial Subcutaneous Pedicle Flap
Abstract: The use of the subcutaneous flap technic is advocated for small full-thickness defects of the face. Two cases are presented; one using the technic to repair a full-thickness loss to the nasal dorsum and another in which a repair of a nasal septal perforation was accomplished. The technic minimizes…
Primary Article
Carotid Body Tumors: A I 6-Year Follow-up of Seven Malignant Cases
Abstract: Thirty cases of carotid body tumor are presented, 28 having been followed for an average of 11 years. Seven eventually developed regional lymph node or distant metastases. Follow-up on these seven patients averages 16 years from the onset of symptoms. Two died of their disease. Three have painful, debilitating…
Primary Article
Gastroduodenostomy (Jaboulay Procedure) and Truncal Vagotomy in the Management of Duodenal Ulcer
Abstract: Three drainage operations are currently used to manage duodenal ulcers intractable to more conservative measures: pyloroplasty, gastrojejunostomy, and gastroduodenostomy. Since the first two have several attending disadvantages, we performed animal experiments to evaluate the efficacy of gastroduodenostomy. We also have performed the operation on 12 patients. We have found…
Primary Article
Hyperfunctioning Thyroid Adenoma in a Euthyroid Adolescent
Abstract: A 16-year-old boy without clinical hyperthyroidism had a hyperfunctioning nodule of the thyroid that was not suppressible with thyroid hormone replacement therapy. The nodule suppressed radioiodine uptake in the rest of the gland; exogenous rhyrotropin (TSH) injection stimulated extranodular tissue to concentrate radiolabel. The excised nodule was a typical…
Primary Article
The Long-Term Course of Closed-Angle Glaucoma After Surgical Treatment
Abstract: This study tests the validity of the concept that angle-closure glaucoma is basically a surgical disease, that surgical treatment usually results in true or relative cure of such glaucoma unless it is unusually delayed, and that such surgical therapy is usually safe and followed by few complications. The study…
Primary Article
Pancreatitis and Hyperlipoproteinemia
Abstract: Two patients are described who exhibited the combination of acute pancreatitis and hyperlipoproteinemia. The latter disease has been persistent in both and has been classified as type IV in one and type V in the other.
Primary Article
Axillofemoral and Femorofemoral Bypass Grafts: Safe Surgical Alternatives in Aortoiliac Occlusive Disease
Abstract: The use of femorofemoral and axillofemoral grafts has merit in selected patients. The low operative mortality and long-term patency support its application. A review is made of our recent experience with these new shunts and we emphasize the importance of the technical considerations in obtaining good results. Although these…
Case Report
Intramedullary Spinal Cord Metastasis
Primary Article
Conservative Management of the Wrist and Hand in Rheumatoid Arthritis: The Art of Self-Defense
Abstract: Comprehensive care of the patient with rheumatoid arthritis always requires medical measures to control impairment, and may require rehabilitative measures to control disability. The control of inflammation to minimize impairment through the use of anti-inflammatory drugs is understood and in wide usage. The protection of involved joints during both…
Primary Article
The Tympanomastoid Fissure: A Reliable Approach to the Facial Nerve in Parotid Surgery
Abstract: A reliable method of identifying the facial nerve is of paramount importance in operations for benign tumor of the parotid gland. A review of 168 cases strongly supports the tympanomastoid fissure as the safest, most constant landmark in experienced as well as inexperienced hands. A brief comparison of the…
Primary Article
Dermographism, Erythema, and Flare: Clinical Signs of Drug Overdose in the Comatose Patient
Abstract: A total of 73 patients admitted to the University of Kentucky Medical Center because of drug overdose was evaluated for dermographism. Twenty-eight patients (38%) showed an abnormal reaction to stroking with a tongue blade; 19 (26%) demonstrated dermographism, and nine (12%) showed erythema and flare. It is believed that…
Review Article
Dermatitis Factitia
Abstract: Dermatitis factitia is a ubiquitous, protean, and troublesome disorder. A search of the English literature, which was extensive but not exhaustive, yielded 130 cases in 59 articles. Since most cases probably go unreported, dermatitis factitia is likely to occur often enough to test the diagnostic skill of many dermatologists….
Current Concepts
The Diagnosis of Learning Disabilities: A Neurologic Screening Test to Identify Children at High Risk
Abstract: A neurologic screening test (NST) was devised to provide a method of screening kindergarten children who may be at high risk for learning disabilities. It covers the child's laterality, sense of direction, some crainal nerve functions, fine and gross motor coordination, and certain sensory functions. The test, used on…
Case Report
Procainamide-Induced Lupus in a Black Male
Case Report
Mesothelioma of the Tunica Vaginalis
Case Report
Benign Goiter as a Cause of Postintubation Airway Obstruction
Abstract: A case is presented of a large, benign goiter causing acute airway obstruction following tracheal intubation. Large goiters may cause significant unsuspected compression of the trachea, and edema following tracheal intubation may precipitate acute obstruction. Special precautions are required in these patients to minimize tracheal edema, and prompt recognition…
Case Report
Demonstration of a Subdiaphragmatic Abscess and a Subhepatic Abscess Using the Radionuclide Angiogram
Abstract: Subdiaphragmatic and subhepatic abscesses were demonstrated by scintillation camera studies using a liver scan and radionuclide angiogram. 99mTc sulfur colloid was used to image the liver, and 99mTc pertechnetate was used to visualize the pulmonary, cardiac, and abdominal blood pools. The diagnosis of subdiaphragmatic and subhepatic abscesses was proven…
