SMJ // January 1975, Volume 68 - Issue 1
Editorial
PROGNOSIS OF MEN INGOMYELOCELE
Article
Technetium 99m Sulfur Colloid Spleen/Liver Ratio and Other Liver Function Tests in the Diagnosis of Cirrhosis
AbstractThe results of seven laboratory tests of liver function, including spleen/liver activity ratios obtained by densitometric analysis of scans, are analyzed in 50 patients with proven Laennec's cirrhosis. In this series, the liver scan not only disclosed the liver gross anatomy and structural abnormality and established the best possible site…
Article
Practical Office Technics for Physiologic Vascular Testing
AbstractThe development of the Doppler ultrasonic flow velocity detector has improved diagnostic accuracy in peripheral arterial occlusive disease. Survey of the peripheral vessels with the Doppler ultrasonic flow velocity detector, measurement of systolic arterial blood pressure at the ankle and arm, and exercise testing are three easily done tests which…
Article
Current Concepts of Toxic Epidermal Necrolysis
AbstractToxic epidermal necrolysis consists of two distinct clinical entities. The Ritter type, seen mostly in children under age 10, is the severest manifestation of staphylococcal disease. A toxin has been isolated which is postulated to be the cause for clinical lesions. High epidermal necrosis occurs. Treatment is with one of…
Article
The Problem‐Oriented Medical Record in a Surgical Practice
AbstractI have found the POMR to be a valuable tool in both the office and hospital practice of general surgery.
Article
Anesthesia and the Porphyrias
AbstractA simplified classification of the porphyrias is given which is thought to be advantageous to the anesthesiologist in determining those patients who are predisposed to acute attacks. These acute attacks may be precipitated by the administration of barbiturates, but may also be spontaneous. The current theory for the precipitation of…
Article
Clinical Aspects of Invasive Carcinoid Tumors
AbstractIn a retrospective study at the University of Louisville Affiliated Hospitals, 42 patients with carcinoid tumors not arising in the anorectal area were identified in ten years (1962–1972). The ileum was the organ most frequently involved with primary tumor (28%). The nonappendiceal gastrointestinal tumors were multiple in 28%, metastatic in…
Article
A Clinical Evaluation of the Efficacy of Mebendazole in the Treatment of Trichuriasis
AbstractIn a single-blind clinical study of mebendazole, a new, broad-spectrum anthelmintic, 70 patients with light to severe infections of Trichuris trichiura were treated. Ten subjects received placebos, and 60 received 100 mg mebendazole twice a day for three and four days. The drug was well tolerated by the patients, and…
Article
Papillomas of the Nasal and Paranasal Cavities
AbstractIntranasal papilloma is an uncommon, benign tumor of the nasal cavity and, by extension, the paranasal sinuses. It occurs only once for every 25 cases of ordinary nasal polyps. A recent case is reported, followed by a summary of the cases treated at the Emory University Hospitals in the last…
Article
Endoscopic Retrograde Choiedochopancreatography
AbstractEndoscopic retrograde choledochopancreatography (ERCP) was attempted in 77 patients. Of 33 patients suspected of having bilitary tract disease, ductograms were obtained in 21. Of 56 patients suspected of having pancreatic disease, ductograms were obtained in 35. Since 12 patients were thought to have disease of both ductal systems, the total…
Article
Volvulus of the Sigmoid Colon
AbstractA study of 37 patients with sigmoid volvulus is presented. Subsequent bouts of recurrent volvulus are very common after sigmoidoscopic intubation, and overall mortality rates are high. Surgical resection is the preferred method of treatment.