SMJ // March 1973, Volume 66 - Issue 3
Original Article
Follow‐Up of Epileptic Outpatients
This is a very revealing study. It is probable that the doctor who treats only casually a few patients haying seizures has little concept of the epileptic's role in society. Many misconceptions regarding employability, activity and control of seizures are dispelled by this study. Light is thrown onto the topic…
Original Article
Concepts in Management of Burns of the Respiratory Tract
The author reviews the pathophysiology of burns of the respiratory tract and their clinical manifestations. He emphasizes the need for adequate evaluation of the patient's clinical condition and management in improving the prognosis for survival.
Original Article
Operating Microscope for Vasovasostomy
Though vasectomy for contraceptive purposes is entered upon with an understanding of permanency, circumstances in some instances make reanastomosis of the vas desirable. Successful operations were in the minority. However, by use of the operating microscope the likelihood of successful results has been moved to the majority of instances.
Clinical Brief
Treatment of High Velocity Paint Gun Injury of the Hand*
Paint guns which force paint through small openings at high pressures (from 1,500 lb to 3,000 lb per square inch) have been in use for several years. Many cases in which careless workers have accidentally sprayed paint at high velocity into their hands have been documented by Stark and associates,1…
Original Article
Experiences of an Otolaryngologist in Vietnam*
The author reviews the types of battle injuries which may tax the otolaryngologist in the field, as well as certain diseases indigenous to the population in a tropical environment.
Original Article
Cushing's Syndrome Diagnosis and Surgical Management*
The diagnosis and treatment of Cushing's syndrome is presented. A series of 19 patients is reviewed.
Original Article
Influence of Staging on the Selection of Therapy for Carcinomas of the True Pelvis*
This is a review of staging and therapy of practically all pelvic tumors.
Original Article
Neuroleptics and Neurologic Reactions
Though much has been written concerning the untoward motor reactions which may accompany the uses of phenothiazines, at times even in small doses, they continue to be overlooked by some physicians. The author reviews these and offers case reports as examples.
Original Article
Desonide, A Potent Nonfluorinated Topical Steroid, Vasoconstriction Assay and Clinical Trial*
By use of acceptable methods of evaluating the effectiveness of steroids topically, the authors have found this new steroid effective though it does not contain the fluoride radicals thought essential in steroids for topical use.
Original Article
The Pathogenesis of Acute Renal Failure in Heat Stroke
The authors review the theories of the pathogenesis of this manifestation of heat stroke and give attention to the part myoglobinuria may play in this. The case of an athlete is documented in this regard.
Original Article
Psychiatric Problems of Promiscuity
The author approaches the behavioral problem of promiscuity from an emotional rather than from a sociologic or anthropologic viewpoint. He believes it to be a manifestation of alienation—a desire for love but inability to return it.
Original Article
Scleral Buckling of Nontraumatic Retinal Dialysis with an Absorbable Gelatin Implant*
The author has found the gelatin implant to offer a satisfactory means in the management of retinal dialysis.
Original Article
Fluorescent Male Sex Chromatin in White Blood Cells
By applying their technic to identify the Y male fluorescent body in white blood cells, the authors have shown that the screening of a small number of cells is sufficient to permit an accurate diagnosis of the Y sex chromatin in blood smears. Obviously this is an important observation for…
Original Article
The Cast‐Brace Walking Treatment of Open and Closed Femoral Fractures*
The walking treatment of femoral fractures by a cast-brace applied with a casting jig demonstrates decisively that a physiologic method of treatment is available without risk of infection, with minimal chance of pulmonary embolism and no anesthetic risk. Regular roentgenograms taken after the cast is applied will aid in the…
Original Article
A Complication of the Pereyra Procedure for Stress Incontinence*
The author describes three instances in which the use of nonabsorbable suture material required cystoscopy and its removal to relieve the complicating postoperative symptoms.
Original Article
Prophylactic Teflon Clip Plication of the Inferior Vena Cava for Prevention of Pulmonary Embolism*
In a small uncontrolled series the author suggests the prophylactic use of the Moretz clip in high-risk patients undergoing laparotomy.
Original Article
More Aggressive Mediastinal Exploration Before Thoracotomy for Lung Carcinoma*
The authors stress a more aggressive approach to mediastinal evaluation in patients with lung cancer. Based on a very small series of cases they have improved their resectability rate from 28% to 88%.
Grand Rounds
Inflammatory Bowel Disease*
Case Report
Bilateral Tubal Pregnancy with an Unusual Complication
BILATERAL ECTOPIC PREGNANCY is a rare occurrence. Abrams and Kanter1 reported one case of bilateral ectopic pregnancy in 1,580 extra-uterine pregnancies over a 22 year period. Stewart2 reported one bilateral ectopic pregnancy in 725 ectopic pregnancies. In his review of the literature, he found 139 additional his-tologically documented cases. With…
Case Report
Myocardial Infarction During Pregnancy With Associated Myocardial Bacteroides Abscess
Myocardial infarction is more common in men than women.1 When myocardial infarction occurs in women, there frequently are predisposing causes as, after menopause, with diastolic hypertension, diabetes mellitus, and elevated serum cholesterol.2 Although these factors increase the possibility of myocardial infarction in women, coronary artery disease can occur in younger…
Case Report
Myocardial Infarction and Oral Contraceptives
It has been established that oral contraceptives play a significant role in the causation of thromboembolic disorders in women.1 The risk of admission for venous ihroraboentbolism is 9 times higher in women on oral contraceptives than those who are not.1 “The preliminary results of the investigation by the Committee on…
Case Report
Chronic Myelogenous Leukemia Presenting as Myeloid Metaplasia
In a recent comprehensive review, it was concluded that agnogenic myeloid metaplasia is not related to chronic myelogenous leukemia.’ It was stated that separation of these two disorders by standard clinical and laboratory methods is relatively easy in the majority of cases, and in the few difficult cases determination of…
Case Report
Cryptococcal Peritonitis
The isolation of Cryptococcus neoformans from peritoneal Quid is rare. A patient is reported in whom peritoneal infection was the sole manifestation of cryptococcosis.Cryptococcosis is a pulmonary disease with or without hematogenous dissemination to other organs. Several cases of disseminated cryptococcal disease have yielded C neoformans on culture of ascitic…
Clinical Brief
Incidence of Hepatitis‐Associated Antigen Among Patients in a Methadone Clinic*
The Australian antigen or hepatitis-associated antigen (HAA) is of value in detecting so-called long incubation, or MS-2 bepatitis.1–3 The increasing availability of methods for testing for HAA provides us with an important routine laboratory method. This is particularly important because of current evidence that the so-called serum hepatitis (MS-2 hepatitis)…
