SMJ // June 1974, Volume 67 - Issue 6
Editorial
ORAL THERAPY IN DIABETES MELLITUS
Editorial
LISTEN AND LOOK
Primary Article
Olfactory Neuroblastoma
AbstractThe olfactory neuroblastoma is an uncommon malignant tumor, comprising 11/2% to 3% of all nasal tumors. Because of its small-celled appearance, it has been misdiagnosed frequently. The histologie subclassifications of this rumor apparently have no correlation with the clinical course of the disease. Three cases are presented which represent the…
Case Report
“Gnaw Warts”
Primary Article
Macrodactyly of the Foot surgical Syndactyly After Wedge Resection
AbstractMacrodactyly has been defined as the static or progressive enlargement of the digits, and may be due to congenital neurofibromatasis or unknown cause. The megalopathy involves all of the structures of the digits, but the bony structures are less involved than the soft tissues. The patient reported has been treated…
Primary Article
Endometriosis of the Colon Report of 14 Patients Requiring Partial Colectomy
AbstractReviewed are the clinical, radiologie, operative and pathologic findings and the results in 14 women (ages 31 to 51 years) requiring partial colectomy for endometriosis. All had symptoms related to the lesion of the colon; eight had gynecologic symptoms. In only four instances did the physical examination reveal a palpable…
Primary Article
Normal Shoulder Variations in the Technetium 99m Polyphosphate Bone Scan
AbstractTechnetium 99m polyphosphate bone scans were done on 60 patients with known primary carcinoma. Since technetium 99m polyphosphate shortens scanning time, more skeletal areas can be imaged. Many patients had increased activity in one or both shoulders but no other scan or x-ray film abnormalities. The activity in the shoulders,…
Primary Article
Oral Contraceptive Medication and Glucose Metabolism Long‐Term Treatment
AbstractA retrospective correlation was made regarding the incidence of glucose deterioration in 36 multiparous women after the prolonged use of norethindrone acetate (2.5 mg) combined with ethinyl estradiol (0.05 mg). Comparison was made with 37 other women of similar age, parity, and weight, who were untreated, but who applied for…
Primary Article
Medical and Surgical Experiences in Patients of a Large Southern Stroke Center
AbstractFour hundred seventy-five patients in a care-oriented Southern stroke center were divided into four groups by occlusive and four groups by hemorrhagic syndromes. For each category, known contributing or aggravating etiologic factors were contrasted. Serious medical complications in patients surviving over 72 hours occurred in 34%, with pneumonitis, seizures, acute…
Primary Article
Bilateral Symmetrical Periarticular Trauma in Epileptics
AbstractTwo cases of bilateral symmetrical periarticular trauma in epileptics are presented, one with bilateral posterior dislocations of the shoulder and one with bilateral subcapital femoral fractures. The implications for future diagnosis and management of this syndrome are discussed. Although the history may be confusing, bilateral symmetrical periarticular trauma usually is…
Case Report
Fungal vs Drug‐Induced Onycholysis
Primary Article
The Hysterical Personality identifying and Managing One of the Problem Patients of Medical Practice
AbstractThe hysterical personality is a problem to psychiatrists and nonpsychiatrists alike. In this brief look, the hysterical personality is described and some of the ways of managing this personality are discussed.
Primary Article
Topical Application of Vitamin A Acid in Acne Vulgaris
AbstractTopically applied compounds are the most common means of treating the milder forms of acne vulgaris. We performed a two-phase study on 147 patients to determine the effect of topical application of vitamin A acid in the treatment of mild and moderate acne of the face. The first phase of…
Primary Article
Improved Diagnosis of Hyperparathyroidism Use of Serum‐Ionized Calcium and Tubular Reabsorption of Calcium
AbstractThe tubular reabsorption of calcium (TRCa) is a convenient laboratory test in the diagnosis of hyperparathyroidism. Studies done in 27 patients with surgically proven hyperparathyroidism showed that TRCa was abnormal in 14 of 16 patients tested (87%). Tubular reabsorption of phosphorus (TRP), either alone or in conjunction with calcium infusion,…
Primary Article
Factitious Blood Disease
AbstractThirty-six coses in which anticoagulants have been turned to nontherapeutic (or “disease”-producing) purposes have been reported. Most patients, referred to as “Dicumarol-eaters,” are women who are members of the medical profession or persons previously treated with an anticoagulant. Other cases of factitious bleeding disease can be subsumed under the headings…
Primary Article
Practical Variations in the Use of the Deltopectoral Flap
AbstractThe deltopectoral flop has become important in the reconstruction of patients having major head and neck resections. Since its original description, its use has become widespread. The authors describe three variations in the use of this flap which considerably add to the armamentarium of the reconstructive surgeon. These are primary…
Primary Article
Effect of Oral Contraceptives on Acne
AbstractThe estrogens contained in oral contraceptives are known to be potentially beneficial in the treatment of acne. Despite this, some women develop worsening of acne when taking oral contraceptives. Studies have shown that certain progestogens contained in commonly prescribed oral contraceptives are androgenic, while others are noriandrogenic, and that androgens…
Primary Article
Adverse Reactions to Heroin Use
AbstractWe believe that the heroin user represents not only a social problem, but a serious medical problem deserving closer attention. The medical profession is rapidly accumulating a body of literature indicative of a gloomy medical prognosis for the heroin user. It is the profession's responsibility, we hold, to warn the…
Review Article
Diverticular Disease of the Colon
Current Concepts
Recent Advances in the Treatment of Congenital Heart Disease
Current Concepts
Use of Corticosteroids in the Treatment of Infectious Diseases
SUMMARYPotential advantages and disadvantages of the use of corticosteroids as adjunctive therapy for infections have been discussed. Steroids must be given in all patients with adrenal insufficiency in amounts sufficient to cover stress needs. Indications for the use of steroids in patients with normal adrenal function were discussed. Specific criteria…
Case Report
Eponym Bright's Disease
Case Report
Removal of an Embolized Pudenz Catheter from the Right Ventricle Using a Snare‐Loop Catheter
SUMMARYCardiac embolization of the distal end of a disrupted Pudenz ventriculoatrial shunt catheter in a 5-year-old boy is reported. Although the usual treatment of such catheter emboli is direct removal via thoracotomy, in our case it was successfully removed with a snare-loop catheter. The success of this treatment, which we…
Case Report
Infectious Mononucleosis Meningoencephalitis
SUMMARYA patient with meningoencephalitis due to infectious mononucleosis is presented. Neurologic complications may exist in the absence of the usual clinical and hematologic manifestations of the disease. The importance of appropriate laboratory studies, including Epstein-Barr viral antibody studies, is discussed.
Case Report
Spontaneous Rupture of the Ureter
SUMMARYA unique case of spontaneous perforation of the ureter by calculus as the harbinger of a parathyroid adenoma is presented (1) to review the phenomena of spontaneous ureteral perforation, a serious surgical condition, and (2) to reemphasize the value of the metabolic work-up for the recurrent stone-former.
Case Report
Failure of Chemotherapy in Treatment of Giant Condyloma Acuminata (Buschke‐Loewenstein Tumor)
SUMMARYA case of giant condyloma (Buschke-Loewenstein) of the penis is reported. The use of chemotherapeutics in treating the lesion is described. Although a penectomy eventually was done, it is believed that chemotherapy may be tried initially in this slow-growing lesion without risk.
Case Report
Ocular Metastasis of Bladder Cancer
SUMMARYThe first case of ocular metastasis from transitional cell carcinoma of the bladder is reported. Ocular metastasis is generally a manifestation of carcinomatosis, and only a short period of survival is likely. Palliative irradiation of the choroid implant is recommended.
