Issue - Southern Medical Association

Case Report

Penetrating Corneal Transplants for Aphakic Bullous Keratopathy

SUMMARY(1) A series of 41 eyes with aphakic bullous keratopathy is presented which have had one or more penetrating keratoplasties; 78% of these eyes are completely clear.(2) The technic used has been described with emphasis on details which contribute to the success of this operation.

Case Report

Curricular Contribution of the Neurosciences

The author describes well some sound basic principles as fundamental to undergraduate medical education. His field of interest offers a logical springboard for such a discussion. This essay might be read with profit by those who are playing with curricula today, and by all others having interest in medical education.

Case Report

Tracheal Stomal Stenosis Causes and Correction

The authors believe that with attention to operative details this complication can be avoided. They consider technics of relieving stenosis when it has occurred.

Case Report

Cataract Extraction with Cornea Guttata

SUMMARYA group of patients with cornea guttata who had cataract surgery is reviewed. Factors deleterious to postoperative cornea clarity in cataract surgery with cornea guttata, in order of their importance seem to be: (1) trauma to the corneal endothelium; (2) loss of vitreous with vitreous contact against the cornea; and…

Case Report

Renal Carcinoma and Transitional Cell Carcinoma in the Same Kidney

SUMMARYA case of renal carcinoma and transitional carcinoma in the same kidney is described because of its rarity.

Case Report

The Management of Carcinoma of the Penis

The authors emphasize early circumcision as prophylaxis against carcinoma. Also they point to the favorable outlook if regional nodal metastasis has not occurred.

Case Report

Medical Grand Rounds from the University of Alabama Medical Center

Case Report

Some Observations on the EEG. in Allergic Children: The Effects of Diphenhydramine. Preliminary Report

This study revealed that an antihistaminic drug had an unpredictable effect on the electroencepholographic abnormalities which appear in some asthmatic children.

Case Report

Pathogenesis of Cutaneous Lesions of Actinomycosis

From the study of these cases the authors have concluded that this disease follows an orderly pattern of progression through several successive stages.

Case Report

Reformation of the Anterior Chamber of the Eye

SUMMARYThe incidence of delay in anterior chamber formation is decreasing. This is a result of better pre- and postoperative medications. Tranquilizers, sedation and indoctrination have relieved anxiety. Acetazolamide and retrobulbar injections aid in vitreous control.More anesthesiologists and better general anesthetics have helped a great deal. Improved local anesthetics and technics…

Case Report

Congenital Cystic Bronchiectasis

SUMMARYA case of congenital cystic bronchiectasis first becoming fully manifested at the age of 46 is described. The pathologic bronchi were limited to a single lobe of the lung and were associated with certain unusual congenital abnormalities including deafness, evaluation of the right diaphragm and high position of the cecum….

Case Report

Effects of Routine Extraction of the Senile Cataract upon the Course of Primary Simple Glaucoma

Case Report

Safeguards in Cataract Surgery

Editorial

RENAL HOMOTRANSPLANTATION IN CHILDREN

Original Article

Neoplasms Involving the Spinal Cord An Analysis of 85 Consecutive Cases

The authors contrast the onset of symptoms as between metastatic tumors of the spinal cord and those of primary origin. Prognosis for return of function and duration of life is quite variable in terms of development of paraplegia and decompression of the cord.

Original Article

Traumatic Hyphema An Analysis of 235 Cases

The author analyzes the incidence of glaucoma and cataract following blunt trauma to the eye. The degree of bleeding is important in this regard.

Original Article

Heat Stroke in College Football and Suggestions for Prevention

Heat stroke is one of the hazards of football which may be fatal, particularly in the early fall in a hot and humid atmosphere. The accompanying case report illustrates the problem. The author stresses the restrictions which should be enforced in football practice if the heat index, as determined by…

Original Article

Pharyngo-esophageal Diverticula and Dysfunction of the Cricopharyngeus Muscle

This paper points to the possible role of abnormal function of the cricopharyngeus muscle in the etiology of these diverticula. The importance of this observation is that if this potential cause is not considered and treated at the time of excision recurrence of diverticula is a good possibility.

Original Article

Surgical Treatment of Chronic Relapsing Pancreatitis

The authors emphasize the impassibility of establishing a surgical procedure useful in each case of chronic pancreatitis. Individualization is essential to meet the several pathologic abnormalities which may be encountered.

Original Article

Radioactive Bone Scans in Carcinoma of the Prostate

The authors find that scans made following the administration of radioactive strontium offer the most sensitive tool for the search for skeletal metastasis from prostatic carcinoma. They were especially useful in identifying sites for diagnostic bone biopsy.

Original Article

Zenker’s Diverticulum: A Review of Pathogenesis and Presentation of 25 Cases

The author considers the disturbances in muscular function permitting the development of the diverticulum, the diagnosis and treatment. Results of surgical management are satisfactory on the whole.

Original Article

Succinylcholine-Hexafluorenium Combination for Muscular Relaxation: A Reappraisal

The author finds numerous advantages of this combination over the use of succinylcholine alone to attain muscular relaxation for surgical procedures. The combination is followed by lesser degrees of apnea, and accompanied by fewer residuae than when using the drug alone.

Original Article

Tuberculous Peritonitis

Tuberculous peritonitis seems to be encountered with a frequency much as in the past. Its diagnosis, even if suspected, usually depends upon histologic evidence of material obtained at laparotomy.

Southern Medical News

SOUTHERN MEDICAL NEWS

Editorial

EDITOR'S NOTE

Editorial

The Sespicentennial of the Medical University of South Carolina

Primary Article

History of the Medical University of South Carolina

Primary Article

The Medical University of South Carolina Its 150th Year

Primary Article

The Effect of Decreased Environmental Temperature on Pulmonary Diffusing Capacity

Pulmonary diffusing capacity (DLCO) and pulmonary capillary blood volume (Vc) was measured in 11 male volunteers at rest and during exercise at 22 C (71.6 F) and after two hours at 2 C (35.6 F). Resting DLCO rose from 33.8 to 37.7 ml/ min per mm Hg (p <0.001) after…

Primary Article

Programmed Treatment of Ruptured Appendicitis in Children&ast;

In order to determine the efficacy of a strict protocol of treatment for children with ruptured appendicitis, the records of 85 children with ruptured appendicitis were reviewed: 60 children who, during the past seven years, were treated according to a strict protocol of management, and 25 patients treated in a…

Primary Article

Comparison of the Mini&hyphen;cone Biopsy With the Punch Biopsy and Papanicolaou Smear

Diagnostic cervical cytologic and histopathologic study of 81 patients was done by the Papanicolaou smear, punch biopsy, and mini-cone biopsy methods. After initial experience with the mini-cone instrument, sufficient circumferentially coned tissue for histopathologic study was regularly obtained. The mini-cone procedure using the disposable plastic device provided information equal to…

Primary Article

Thrombotic Thrombocytopenic Purpura—A Reevaluation

Thrombotic thrombocytopenic purpura (TTP) is a syndrome in which thrombocytopenia, red cell fragmentation, and variable neurologic signs and symptoms are the defining features. Variations in the presentation and subsequent course of the syndrome are well known; two case histories illustrate possible variations. The role of fibrin formation and the relationship…

Primary Article

Primary Ovarian Pregnancy Presentation of Ten Cases&comma; Including One Full&hyphen;Term Pregnancy

An incontrovertible full-term ovarian pregnancy and nine other ovarian pregnancies are described. Pathologic aspects of such cases are stressed, with emphasis on the difficulties in gross and histologic documentation of those rare cases which proceed to term. Conservation of normal fallopian tubes and preservation of the afflicted ovary by resection…

Primary Article

The Effect of Repetitive Exercise on Ventilatory Function in Smokers and Nonsmokers

Pulmonary function, oxygen uptake, and oxygen debt were measured in female smokers and nonsmokers 19 to 39 years of age before and after a month of repetitive treadmill exercise. A significant decrease in vital capacity, airway resistance, and pulmonary diffusing capacity was found in the smokers compared with the nonsmokers….

Primary Article

Ocular Surgery for Traumatic Injury in Children

The healing reaction of a child after a severe traumatic ocular injury differs from an adult's reaction to a similar injury. Because the child reacts differently, an altered surgical approach is required. Surgical technic and postoperative management must take into consideration the excessive fibrosis which can become, and often is,…

Primary Article

A Neglected Aspect of Trauma Pathophysiology The Immunologic Response to Injury

Primary Article

Personality Correlates of Renal Dialysis Patients and Their Spouses

Primary Article

Some Studies of Adrenal Suppression by Alternate&hyphen;Day Prednisone Therapy

In an attempt to ascertain the minimal dose of alternate-day prednisone at which there is significant adrenal suppression, we have measured serum 17-hydroxycorticosteroids (17-OHCS) and cortisol levels in patients on long-term prednisone therapy of varied doses and in controls before and after insulin and synthetic corticotropin stimulation. One patient had…

Primary Article

Permeability of the Human Leukocyte and Leukemic Cell to Water

Exit of water from mixed populations of human leukocytes and from leukemic cells isolated from peripheral venous blood was measured under an osmotic gradient by densimetric methods, and the permeability coefficient, Lps was calculated. All cells behaved as osmometers. The MCV varied linearly with the reciprocal of the osmotic pressure….

Primary Article

Neuropsychology An Emerging Specialty

Primary Article

Spinal Cord Injury Clinic An Approach to Long&hyphen;Term Health Maintenance in the Individual with Spinal Cord Injury

There is increasing recognition that long-term health maintenance programs serving the individual with spinal cord injury who has returned to his community are necessary to insure endurance of rehabilitation gains. A monthly Spinai Cord Injury Clinic has been instituted at the Medical University of South Carolina to provide specialized and…

Primary Article

The Energy Requirements of Obesity

Four morbidly obese patients were studied in a human gradient layer calorimeter. All were found to have energy expenditures greater than would be expected for persons of their equal age, sex, and height distribution. These studies attest to a high caloric intake and document a high caloric expenditure. Direct calorimetry…

Primary Article

Alcohol and Drug Abuse Causes of Sudden Death

A review of 875 dead-on-arrivals and sudden deaths occurring in an emergency room (ER) in a metropolitan area of 225,000 during 1970 and 1971 has shown that substance abuse, and especially alcoholism, is involved in more than half of the deaths where a psychiatric condition contributed to mortality. It was…

Primary Article

Effects of Changing Educational Requirements on Teaching Psychiatry

In an effort to adapt to changing educational requirements, a new technic of teaching psychiatry to medical students has been introduced at the Medical University of South Carolina. The technic, which is intended to substitute for lectures, preserves individualized instruction and appears to promote efficient learning. The combination of videotaped…

Primary Article

Long&hyphen;Term Survival After Massive Liver Resection for Hepatocellular Carcinoma

Primary Article

Familial Primary Pulmonary Hypertension

Primary pulmonary hypertension occurring in a 21-year-old woman, her father, and her father's sister is documented. The diagnosis was established by cardiac catheterization in all of the patients. Pulmonary arteriography was done in two cases and a postmortem examination in one. Origin of the clinical syndrome is discussed, and suggestions…

Primary Article

Resection of Massive Abdominal Panniculus Adiposus

Primary Article

The Importance of Stable Isotope Labelled Drugs in Clinical Pharmacology With Illustrations from Studies on the Disposition of Propranolol and Nortriptyline in Man

Pharmacology and clinical pharmacology suffer from a lack of rigorous structural and quantitative information on the disposition of drugs in patients with disease. Stable isotope labelled drugs will make an important contribution to pharmacology as they aid gas chromatography-mass specrrometry (GC-MS) technics in the acquisition of this type of information…