SMJ // September 1973, Volume 66 - Issue 9
Commentary
Studies of Acid Production in Peptic Ulcer
The study was undertaken to determine the value of gastric acid measurement and to determine the importance of the patients' ability to handle the acid produced. A standardized maximal histamine stimulation test and an indwelling pH sensitive radio-telemeterd electrode were the methods used. One hundred ninety-four patients with duodenal ulcers,…
Commentary
Megaloblastosis in Hematologic Malignancy
Seventeen patients with a variety of hematologic neoplasms were evaluated for degree of megaloblastic maturation, serum folate, and vitamin B2 levels. There was no correlation between the degree of megaloblastosis and serum folate or B12 abnormalities. There was no clinical response to pharmacologic doses of folc acid or vitamin B12….
Commentary
Cardiovascular Surgery in Patients with Malignancy
The results of a calculated approach to the management of cardiovascular problems in patients with malignancy have been gratifying in 25 patients treated in the last five years. The stage of the cancer, host resistance, degree of arterial insufficiency and its consequences, and the magnitude of the procedure required for…
Commentary
Treatment of Incontinence Secondary to Myelodysplasia by an Implantable Prosthetic Urinary Sphincter
A completely implantable prosthetic urinary sphincter has been implanted in two males and one female patient with urinary incontinence and neurologic, bladder dysfunction secondary to myelodysplasia. The employment of this device represents the first method of handling incontinence by a technic or device which itself does not cause any obstruction…
Commentary
Direct Cutaneous Immunofluorescent Test in Lupus Erythematosus
Immunoglobulins are deposited at the dermal-epidermal (D-E) junction in the skin lesions of most patients with systemic and discoid lupus erythematosus. These immunoglobulins can be detected by the direct cutaneous immuno-fluorescent test, allowing early diagnosis. A great value of the test also lies in its prognostic ability. Systemic LE patients…
Commentary
Primary Mucinous Adenocarcinoma of the Urinary Bladder
Experience with three cases of primary mucious adenocarcinoma of the urinary bladder is presented. One case showed on interesting finding of stippled calcifications at the base of the urinary bladder which may be diagnostic of the disease. The characteristics of the tumor are described and radical operation is advocated as…
Commentary
Significance of Parietal Foramina
Commentary
Anesthetic Management of Infants Having Surgery on the Heart or Great Vessels Report on 33 Cases Under One Year of Age
The anesthetic management is described for 33 infants below one year of age having palliative or corrective surgery on the heart or great vessels. The tolerance to potent anesthetic agents is related to pulmonary blood flow; patients with increased pulmonary flow-mainly noncyanotic-tolerated halothane anesthesia quite well; patients with decreased pulmonary…
Commentary
Correlation of the Clinical Response to ACTH Treatment with the Endocrine Status in Myasthenia Gravis
The clinical response to ACTH treatment is correlated with the endocrine status in 21 myasthenia gravis patients. Myasthenics with normal endocrine function will almost always improve; whereas, patients with abnormal endocrine function do not correlate as well with ACTH treatment failures. Reasons are given why these results should be considered…
Commentary
The Role of Surgery and 131 I Therapy for Hyperthyroidism in the Etiology of Thyroid Carcinoma
The occurrence of thyroid carcinoma- following 131I therapy for thyrotoxicosis is unusual; only nine cases are reported to date in the literature. This study reports four patients who developed thyroid carcinoma following surgical treatment for thyrotoxicosis in a series of 48 patients. Chronic stimulation with endogenous thyrotropin (TSH) and long-acting…
Case Report
Extrathoracic Surgical Correction of Proximal Subclavian and Vertebral Occlusive Disease
Occlusion or stenosis of the proximal portion of the subclavian artery is a common entity and often produces reversal of flow in the ipsilateral vertebral artery. Although most of these patients remain asymptomatic, some of them develop symptoms of vertebral basilar insufficiency. Extrathoracic correction of this syndrome via carotid-subclavian bypass…
Case Report
Carcinoid of the Rectum
Twelve proven cases of carcinoid tumor of the rectum were seen between 1946 and 1972. Local surgical excision of the tumor with a generous margin of normal tissue was carried out in 11 patients, while one received no specific treatment. Ten patients have remained well from three months to 17…
Case Report
Osteoarthrosis of the Knee Diagnosis and Complications of Treatment by High Tibial Osteotomy
High tibial and fibular osteotomy have an established place in the treatment of osteoarthrosis of the knee joint; however, complications and poor results will occur if careful selection of patients and meticulous surgical technic are not done
Review Article
Chronic Diarrhea in Infants and Children Part I
Current Concepts
The Interpretation of Arterial Blood Gases A Concise Guide for Clinicians
Arterial blood gas analysis has contributed immeasurably to the care of the critically ill by instantaneously providing information regarding ventilation, oxygenation, and acid-base balance. Hypoxia always is due to either ventilation/perfusion imbalanc shunting, hypoventilation, or disorders which increase the distance between the alveoli and pulmonary capillaries. Hypercarbia caused by excessive…
