SMJ // October 1974, Volume 67 - Issue 10
Editorial
MEDICINE—WHITHER THOU GOEST?
Editorial
A PERSPECTIVE ON ANTITRYPSIN DEFICIENCY
Commentary
Studies Using Immunofluorescence
Commentary
The Fetal Intensive Care Unit An Evolving Concept
AbstractThe evolution of a fetal intensive care unit (FICU) has come about in the past five years and has enabled obstetricians to be more exact in the interpretution of fetal distress and well-being. Described is the FICU at Vanderbilt University Hospital, which provides for the monitoring of fetul heart rate…
Commentary
Interstitial Radiotherapy for Intraoral Carcinoma
AbstractCarcincma in the intraoral area presents many problems in management and erudication. Interstitial radiation is a useful method of treating this condition for several reasons: The radiation dose in the tumor is maximal and high in the surrounding tissues, but in the normal tissues a few centimeters away it is…
Commentary
Hypernatremia, Hypothermia, and Disease of the Pituitary Gland in a Schizophrenic Patient A Diagnostic Problem
AbstractEssential hypernatremia points to a probable disturbance in osmoregulation, the result of disease in the hypothalcmic area. Recently a syndrome accompanying hyperosmolality has been characterized by lethargy, confusion, hypodipsia, lack of evidence of dehydration, labile hypotension, hypernatremia, azotemia, and a tendency to water intoxication after management by fluids and vasopressin….
Commentary
Surgical Correction of Facial Paralysis
AbstractFacial paralysis is a psychologic and functional disability for which several technics of partial correction now exist. Static support of the affected corner of the mouth by a fascia lata sling can be cugmented by masseter transfer to provide some dynamic action. The temporalis transfer is can also be used…
Commentary
Herpes Zoster With Motor Paresis
AbstractMuscle weakness is an infrequent but serious result of a herpes zoster infection. Five cases of herpes zoster paresis involving the upper extremities are presented. Electrodiagnostic tests are helpful in detecting the extent and severity of lower motor neuron damage. Early recognition and prompt treatment in physical medicine is important…
Commentary
Treatment of Metastatic Renal Cell Carcinoma
AbstractThe second known case of complete bony regression of metostatic renal cell carcinoma is presented. As in most cases reported, a tissue diagnosis of these lesions was lacking, but the roentgenographic picture clearly seemed to document the findings. At Vanderbilt, we favor an aggressive approach to this problem, mainly because…
Commentary
Bacteroides Bacteremia From Decubitus Ulcers
AbstractThree cases of paraplegic patients with Bacteroides bccteremia from decubitus ulers are reported. Each patient was suspected of having another organism and another source of infection. Each patient was treated initially and unsuccessfully with antibiotics normally useful for aerobic gram-negative infections. Two patients had foul-smelling pus draining from the decubitus…
Primary Article
Transitional Cell Carcinoma of the Renal Pelvis Radical or Conservative Surgical Treatment?
AbstractIn the light of the recent controversy over conservative surgical management, the clinical and histologic features in 49 cases of transitonal cell carcinoma of the renal pelvis were reviewed. The infrequent occurrence of low-grade, noninvasive tumors (8%), the low incidence of bilateral (2%) or asynchronous (8%) development of upper urinary…
Primary Article
Cicatricial Pemphigoid A study of 15 cases
AbstractCicatricial pemphigoid (benign mucusal pemphigoid) is a chronic, nonhereditary blistering disease which affects predominantly the mucous membranes, particularly the eyes and mouth, and may lead to scarring. The skin is involved in about one third of cases. Histopathathologically, the blister is subepidermal. Immunofluoresent studies have shown that the majority of…
