SMJ // February 1974, Volume 67 - Issue 2
Commentary
Vaginal Hysterectomy
Primary Article
Vaginal Hysterectomy The Ideal Abortion in Multiparous Patients
Abstract:Many patients requesting therapeutic abortion also need permanent fertility control. Twenty-six cases of vaginal hysterectomy for abortion and sterilization are presented. Comparison with nongravid patients undergoing vaginal hysterectomy for sterilization reveals no significant differences in morbidity, blood loss, hospital stay, or complications. Specific technical problems are emphasized. The author concludes…
Primary Article
Functional Studies of T and B Lymphocytes in Patients with Chronic Lymphocytic Leukemia
Abstract:The lymphocyte responsiveness of ten patients with chronic lymphocytic leukemia was studied with respect to B and T cell function. A depression in responsiveness to phytohemagglutinin and pokeweed mitogen and in mixed lymphocyte cultures was observed. The percentage of T cells in the circulating lymphoidal pool also was decreased as…
Primary Article
Acute Obstetric Yellow Artrophy Presenting as Idiopathic Hyperuricemia
Abstract:A fatal case of acute obstetric yellow atrophy (of Sheehan) in a twin gestation is presented and the literature is reviewed. The unique aspects of the case included an isolated hyperuricemia detected ten days before either clinical or laboratory evidence of hepatic decompensation, and the concomitant occurrence of a disseminated…
Primary Article
Serial Lung Scanning in Pulmonary Tuberculosis
Abstract:131I radioisotope pulmonary scans and ventilatory pulmonary function tests were obtained on 35 patients with active pulmonary tuberculosis before and at intervals during the course of antituberculosis chemotherapy. The results were correlated with chest roentgenograms and the clinical course of each patient. Almost all pulmonary scans showed two kinds of…
Case Report
A Prospective Study of Stress Ulceration in Vietnam
Abstract:Based on the experience of previous Vietnam study teams, a set of criteria was developed to select patients with a high risk of stress ulceration for prospective study. During a six-month period, 2,720 surgical patients were screened and 37 (1.4|X%) selected for study prospectively. A review of the literature disclosed…
Case Report
One Hundred Consecutives Cases of Retinal Detachment
Abstract:One hundred consecutive cases of rhegmatogenous retinal detachment are reviewed. Surgical aphakia was present in 47|X% of these eyes. Twenty-two percent of these patients had a retinal detachment in the fellow eye, either recent or remote, and one patient not included in this series has subsequently developed a detachment in…
Case Report
Coxsackie Viral Infection of the Aorta of Man
Abstract:Positive immunofluorescent staining for Coxsackie virus B4 was demonstrated in the aorta of a 19-year-old man who died of Coxsackie viral cardiomyopathy. Lesions of the aorta were found both histologically and by electron microscope in association with large accumulations of lipid. It is speculated that such lesions in early life…
Case Report
Human Growth Hormone in Myopathy Myotonic Dystrophy, Duchenne Muscular Dystrophy, and Limb- Girdle Muscular Dystrophy
Abstract:Human growth hormone (HGH) produces an anabolic response in striated muscle. Since muscular dystrophy is characterized by a deterioration of muscle, studies were done to evaluate the response of these disorders to exogenous HGH. Four patients with myotonic dystrophy, seven with Duchenne muscular dystrophy and five with limb-girdle dystrophy were…
Case Report
A Clinical Approach to Pain
Abstract:Clinical concepts of pain are reviewed and the basic parameters for the analysis of pain symptomatology are outlined. Several classic pain syndromes and symptoms are placed in perspective and, whenever feasible, attempts are made to review the pathophysiologic concepts upon which these considerations are based, however hypothetical. The treatment of…
Case Report
Posterolateral Spine Fusion With and Without Nerve Root Decompression A Primary Procedure for Low Back Pain
Abstract:Fifty-six patients with low back pain, 38 of whom had irritationof the nerve root, were all treated by primary posterolateral fusion of the spine. Those with neurologic and/or myelographic deficits had nerve root decompression. Thirty of the 38 patients treated by nerve root decompression and primary posterolateral fusion had a…
Case Report
Prophylactic Carotid Artery Surgery in Patients Requiring a Second Operation
Abstract:Thirty-four neurologically asymptomatic patients had 42 prophylactic carotid artery reconstructive procedures before another major operation. Thirty-one of the 34 planned second operations in these patients were for management of concomitant atherosclerotic arterial disease which had produced symptoms. One death and one mild transient stroke followed the carotid artery surgery. No…
Case Report
Gastric Duplication
Case Report
Cataract Extraction Through Section in Clear Cornea Improved Technic and Results
Abstract:A technic for cataract extraction through section in the clear cornea is presented and results in a series of 29 cases are reported. The presence of a tendency to hemorrhage in a cataract patient is given as a definite indication for this method of cataract extraction.
Case Report
Immunologic Abnormalities in Heroin Addiction
Abstract:Sera from 40 active heroin addicts were examined for protein and serologic abnormalities. Hypergammaglobulinemia of the polyclonal type was detected in 40|X%, while elevated levels of IgM and IgG were observed in 80|X% and 37.5%, respectively. Serum complement (B1C) was elevated in 45|X% and depressed in 20|X%. False-positive reactions for…
Case Report
The Diagnostic Applications of Angiography of the Upper Extremities
Abstract:Angiography provides the best preoperative means for defining the nature and extent of vascular lesions of the upper extremities, so that the surgeon may attack the problem most effectively. We reviewed 75 consecutive upper extremity angiograms to evaluate the effectiveness of this type of angiogram. A variety of lesions were…
Case Report
Cervical Syndromes Use of a Comfortable Cervical Collar as an Adjunct in Their Management
Abstract:Neck pain may result from trauma, arthritis, intervertebral disk disease, nerve root irritation, anxiety and tension, and postural strain. A polyurethane collar designed to hold the head in 10|Mo flexion in a way that limits neck rotation and provides a modest amount of local heat, while at the same time…
Case Report
Sciatic Nerve Entrapment by Ectopic Bone After Posterior Fracture Dislocation of the Hip
Abstract:A complete temporary sciatic nerve interruption occurred after a posterior fracture-dislocation of the hip joint. Ectopic new bone formation accounted for the interruption in nerve conduction. Neurolysis was done two months after the initial injury. Partial recovery of motor power and sensation occurred. Frequent monitoring of nerve function after hip…
Grand Rounds
Malabsorption
Current Concepts
Chronic Prostatitis
Abstract:Chronic prostatitis is a syndrome with great variation in clinical and pathologic findings. It is a syndrome almost without a definition. This paper attempts to bring into better focus the use and value of various diagnostic and therapeutic modalities available today. The significant difference between bacterial and nonbacterial chronic prostatitis…
Case Report
Elastosis Perforans Serpiginosa with Systemic Involvement
Abstract:A case is presented of a 17-year-old boy with disseminated skin lesions of elastosis perforans serpiginosa of five years' duration, who died of a ruptured thyrocervical artery. At autopsy examination, them was evidence of systemic involvement of the connective tissue. Histologic study showed, in addition to the skin findings of…
Proceedings
YHE EFFECTS OF ISOPROTERWOL ON PIGIONAL HY0cA.R‐DIAL BLLWD FLCU IN YOW COAlS
The abstracts presented at the 1973 Annual Meeting of the Southern Society for Pediatric Research were presented initially in Clinical Research 21;104–134, 1973. However, the discussions of the various presentations are published here for the first time.
