SMJ // March 1974, Volume 67 - Issue 3
Commentary
Screening for Sickle Cell Disease
Primary Article
The Role of a Sickle Cell Center in Comprehensive Screening and Counseling for Sickle Cell and Related Disorders
Abstract: During the past 12 years, our hemoglobin laboratories have screened blood samples from approximately 40,000 black Americans for the presence of abnormal hemoglobins (Hb). In addition, 2,305 subjects have been studied in three pilot screening and counseling surveys conducted by our Sickle Cell Center. A review of our experience…
Primary Article
Complete Perineal Incision for Delivery
Abstract: This paper discusses midline incision, including rectal incision, for delivery. The procedure was done in 262 of 559 consecutive deliveries. There were minimal complications, no fistulas or loss of sphincter control. Use of the procedure is endorsed and the need for early performance and skilled repair is discussed in…
Primary Article
Nerve Conduction Velocity and Doppler Evaluations of Thoracic Outlet Syndrome
Abstract: Eighty-one electrodiagnostic conduction studies and Doppler frequency shift evaluations of neurovascular compression through the costoclavicular space were done on 59 subjects. There is a highly significant statistical correlation between normal and abnormal conduction velocities and obstructive changes found with the Doppler unit. Both studies provide significant data in the…
Primary Article
The Use of Plasma and Urine Osmolality in Evaluating the Acute Phase of Alcohol Abuse
Abstract: Increasing emphasis on managing acute alcohol- and drug-induced medical-psychiatric conditions demands that rapid screening diagnostic procedures be available to the physician. Since it obviously is useful to have some idea of the blood alcohol concentration (BAC), the feasibility of using plasma osmolality as a reflection of BAC is discussed….
Primary Article
Dandy-Walker Syndrome: spectrum of Congenital Anomalies
Abstract: A case of Dandy-Walker syndrome in a 26-year-old patient is presented. A brief review of the literature is made and compared with the present case. It is suggested that cysts of the posterior fossa, associated with hydrocephalus and dysplasia or agenesis of the cerebellar vermis, represent a congenital malformation…
Primary Article
Analysis of Pancreatoduodenectomy
Abstract: Thirty-three pancreaticoduodenectomies were performed at the Medical University of South Carolina between 1956 and 1970. Seventeen resections were for adenocarcinoma of the head of the pancreas. Eleven Whipple procedures were performed for cancer arising in the extrahepatic biliary ducts and duodenum. Cancer of the stomach accounted for three pancreaticoduodenectomies….
Primary Article
Urologic Complications in Malignant Disease of the Rectosigmoid Colon
Abstract: In order to evaluate the urologic complications following operation for malignant disease of the rectosigmoid colon, 68 patients were given thorough, preoperative urologic examinations. Microscopic study and cultures of the urine should be made of every patient before operation. Preoperative treatment of infection reduces the risk of postoperative infectious…
Primary Article
Cutaneous Complications of Parenteral Pentazocine
Abstract: Two men who had received parenteral pentazocine in large doses for years developed severe chronic cutaneous complications. Skin changes included brawny thickening around the site of injections and large, deep penetrating ulcers. Sclerosis of the skin and subcutaneous tissue became generalized in one patient, resulting in marked immobility of…
Primary Article
High Velocity Injection Injuries of the Hand
Abstract: High velocity injection injuries of the hand by fuel injection apparatus, grease gun or airless paint gun sprays are surgical emergencies. The digits or palm should be opened widely and as soon as possible after the initial injury. The digit shows minimal swelling initially, but pain, paresthesias, and ischemic…
Primary Article
Prevention of Microbial Catheter Contamination in Patients Receiving Parenteral Hyperalimentation
Abstract: Infectious complications associated with long-term hyperalimentation via subclavian venous catheters were studied in a cross-section of patients with oncologic disease. The microbial catheter contamination rate was 7.5% and no septic complications resulted. We attribute our minimal complication rate to the technics of intravenous hyperalimentation outlined in the manuscript.
Primary Article
Carcinoid of the Duodenum
Abstract: A case of carcinoid of the duodenum, one of the least common types of tumors found in the duodenum, is reported in a 50-year-old male alcoholic. The 1 cm submucosal mass which was removed from the superior portion of the duodenal bulb showed, on frozen section, a histologic pattern…
Primary Article
Multifocal Intrahepatic Abscesses Demonstrated on Percutaneous Transhepatic Cholangiogram
Abstract: A case of intrahepatic abscesses demonstrated as multifocal collections of contrast material on percutaneous transhepatic cholangiography is illustrated. The method occasionally may provide useful information about the hepatic parenchyma, as in this case. Percutaneous transhepatic chotangiography therefore should be considered for the elucidation of sepsis in the jaundiced patient.
Primary Article
Trapezius Paralysis After Minor Surgical Procedures in the Posterior Cervical Triangle
Abstract: Three patients had laceration of the spinal accessory nerve in the posterior cervical triangle during a surgical procedure. Paralysis of the trapezius muscle occurred with resulting deformity of the shoulder. Anastomosis of two of the three nerves, three months and seven months after injury, resulted in return of muscle…
Case Report
Osteoblastic Multiple Myeloma
Current Concepts
Preliminary Experience with the Luck Cup as a Hip-Joint Prosthesis
Case Report
Tinea Fadale: An Often Misdiagnosed Clinical Entity
Abstract: A patient with tinea faciale is presented whose cutaneous lesions had been mistaken for exacerbation of dermatomyositis and for lupus erythematosus. Cultures grew out Trichophyton rubrum. Tinea faciale is believed to be a distinct clinical entity often misdiagnosed as other disorders. Organisms involved are most often from the Trichophyton…
Case Report
Primary Reticulum Cell Sarcoma of t h e Femur: 12-Year Follow-up After Radiation Therapy and Pathologic Fracture
Abstract: One patient with a histologic diagnosis of reticulum cell sarcoma of the femur has been observed for 12 years. The patient received high voltage irradiation to the entire femoral shaft (4,000 rods). A pathologic fracture occurred through the initial biopsy site. Several efforts at external and internal fixation were…
Case Report
An Advancement Pedicle Flap for the Late Coverage of Pulp Injuries of the Digits
Abstract: A volar pedicle flap has been used to resurface the pulp of two thumbs and two fingers in four patients. This operative procedure was done only after the initial injury was managed by split skin grafting or secondary healing. The flap survived in each instance, and almost normal sensory…
Case Report
Iatrogenic Hyperkalemic Paralysis with Electrocardiographic Changes
Abstract: Severe hyperkalemia caused by injudicious use of spironolactone and potassium supplements occurred in a patient with cirrhosis of the liver. He presented with paralysis of the lower limbs and EKG evidence of cardiotoxicity. Early recognition of the EKG changes led to both prompt therapy and a successful outcome.
Case Report
Reticulum Cell Sarcoma with Primary Manifestation in the Testicle
Abstract: Reticulum cell sarcoma of the testis usually occurs in men after the fifth decade of life. Whether reticulum cell sarcoma of the testicle is a primary tumor or part of a diffuse entity is still disputed. Sometimes this tumor is histologically confused with seminoma. In these cases, the correct…
Case Report
Migratory Ureteral Calculus
Case Report
Postmethoxyflurane Hepatitis A Clinical Entity
Abstract: This is a report of a patient who developed hepatic dysfunction following administration of each of two methoxyflurane anesthetics. Fourteen cases of postmethoxyflurane hepatitis have been reported in the literature and were compared with this case. Similarities between postmethoseflurane and posthalothane hepatitis suggest that the syndromes may have a…
