SMJ // July 1973, Volume 66 - Issue 7
Original Article
ALLIED HEALTH MANPOWER: THE PHYSICIAN’S ASSOCIATE
Original Article
Treatment of Acromegaly by Stereotaxic Cryohypophysectomy
This paper reports 8 patients in whom pituitary tumor was decreased in size by the use of stereotaxic application of freezing of tissues. The results seemingly are satisfactory.
Original Article
Evaluation of Achilles Reflex Time as a Test of Thyroid Function
The studies confirm the assistance which may be given by a simple test of function of the Achilles reflex time under circumstances which interfere with the interpretation of biochemical tests, or may be related to developing hypothyroidism following treatment of hyperthyroidism. The studies come from an area of the world…
Original Article
Supraglottic Laryngectomy
Original Article
Rocky Mountain Spotted Fever in Southeastern United States A Review of Eighteen Cases from Greenville, South Carolina
The clinical and laboratory findings in 18 cases of Rocky Mountain spotted fever seen in the Greenville, South Carolina, area during a two-year period are described. The author emphasizes the need to initiate treatment on the basis of clinical diagnosis rather than on reliance of confirmed laboratory findings.
Original Article
Congenital Absence of the Lumbosacral Spine
A female child with congenital absence of the lumbosacral spine is presented. This is the 16th known reported case of this anomaly. The management of the neurogenic bladder was carried out by means of an ileal conduit diversion. Management of the lower extremities is best accomplished by subtrochanteric amputations.
Original Article
Bronchofiberscope as an Aid to Endotracheal Intubation and Respiratory Care in Surgical Patients
A recently introduced flexible fiberoptic bronchoscope, the bronchofiberscope, was found to be of great help in difficult endotracheal intubation and in postoperative respiratory care of surgical patients. A simple technic employing a right angle elbow connector with a suction arm allowed administration of anesthesia and artificial ventilation during use of…
Original Article
Cerebral Infarction Associated with Heroin Sniffing
Original Article
Treatment of Advanced Hodgkin's Disease with Combination Chemotherapy
Forty-two patients with stage IV Hodgkin's disease were treated at monthly intervals with a combination of nitrogen mustard and vincristine intravenously, and procarbazine hydrochloride and prednisone orally. Complete remissions were produced in 54% of the patients, and partial remissions in 19%; there were treatment failures in 26%. The complete remission…
Original Article
Renal Function in Experimental Renovascular Hypertension Before and After Direct Renal Cortical Revascularization
Clinical renovascular hypertension is generally associated with a decrease in glomerular filtration rate and renal plasma flow on the involved side. This effect is seen in the experimental preparation and can be influenced by revascularization of the kidney by direct splenic artery implantation into the renal cortex. Two groups of…
Original Article
Carcinoid and Psychiatric Symptoms
Many animal experiments have documented the importance of increased and decreased levels of serotonin on serotoninergic neurons in the regulation of mood, temperature, sleep, aggression, and sexual behavior. In man, however, there is less evidence to document its role in regulating these same functions. Nature has provided an example of…
Original Article
Fatal Nontraumatic Splenic Rupture in Hemophilia and the Kasabach‐Merritt Syndrome
Fatal nontraumatic splenic rupture is documented in two patients, one with classical hemophilia and the other with the Kasabach-Merritt syndrome. Splenic rupture was due to multiple hemangioma-like lesions in both patients. These lesions apparently were acquired, possibly as a result of infection and disordered coagulation. The mechanism of rupture of…
Original Article
Secondary Progressive Multifocal Leukoencephalopathy
Original Article
Familial Pseudopapilledema
Three families each of which contained several members with pseudopapilledema are described. Pseudopapilledema has been photographically and angiographically demonstrated in three generations of one family and in two generations of two other families. The various causes of pseudopapilledema are reviewed. The role of fluorescein angiography in differentiating pseudopapilledema from true…
Original Article
Appendicitis and the Abdominal Roentgenogram in Children
The case records of 372 children with appendicitis were reviewed. The incidence of acute appendicitis increased after age 5, and patients with fecaliths were distributed proportionately throughout all age groups. Fecaliths occurred in 20%. The incidence of appendiceal perforation was 33%, but was 61% in patients with fecaliths. The most…
Original Article
Unstable Angina
Original Article
Aortoiliac Occlusive Disease: Fifteen Years’ Operative Experience
A 15-year retrospective review of 141 cases of aortoiliac occlusive disease is reported. In general, early results are excellent for knitted Dacron grafts. A better result with knitted Dacron grafts is seen when compared with thromboendarterectomy. Greater protection against late failure with end-to-end graft aortic anastomosis is shown, although it…
Original Article
Use of the Autogenous Jugular Vein for Interposition Grafting in Portal Hypertension
Relief of portal hypertension has been achieved in both man and animals by the use of the autogenous jugular vein for interposition grafting. During the past two years, we have treated eight men with bleeding varices by this technic. They underwent portosystemic interposition of the autogenous internal jugular vein by…
Original Article
Streptococcal Gangrene in an Infant with Congenital Lymphedema
Original Article
Comprehensive Rehabilitation of a Quadruple Amputee
Original Article
Coats’ Disease: Occurrence in a Four-Month-Old Infant
This article describes the occurrence of Coats' disease in a 4-month-old female infant, as well as two additional instances of the disease in children, detected over a 4-year period in an ophthalmology practice. The value of ophthalmoscopic examinations in children is emphasized.