SMJ // October 1975, Volume 68 - Issue 10
Editorial
HYPOCOMPLEMENTEMIA IN GLOMERULONEPHRITIS
Editorial
EDITOR'S NOTE
Announcement
GENERAL ANNOUNCEMENTS
Article
Experience With Renal Vein Renin Ratios in the Identification of a Pressor Kidney
AbstractThe positive, preoperative recognition of a pressor kidney has many important ramifications, the most important being the ability to predict a reduction in blood pressure following surgical reconstruction or nephrectomy. One hundred forty hypertensive patients were selected for study for renal artery stenosis by measuring the differential plasma renin activity…
Article
Psychiatric Illness Associated With Systemic Lupus Erythematosus*
AbstractEstimates of the frequency of mental changes associated with systemic lupus erythematosus (SLE) range from 3% to 65%. Variations in classifying and reporting symptoms account for much of the difficulty in determining the true incidence. Other problems in study design also make it difficult to compare results of various studies,…
Clinical Brief
Treatment of Gonorrhea With Minocycline
Clinical Brief
Total Urinary Estrogens in Complicated Pregnancies
AbstractOne hundred fifty-seven pregnancies complicated by different degrees of diabetes, toxemia, and hypertension were studied with serial urinary placental estrogen determinations. A simple and fast method for total placental estrogen determination was used. The level of total estrogen excretion was related to Apgar score in cases of class B diabetes,…
Clinical Brief
Malignant Fibrous Histiocytoma
AbstractTwo patients are presented who had malignant fibrous histiocytomas of the skin and soft tissue. These tumors characteristically consist of a solitary mass, 0.5 cm to 12.0 cm, which has skin fixation, is circumscribed and firm. Microscopically, there is a pattern of histiocytes and bizarre histiocytic giant cells intermingled in…
Clinical Brief
The Role of Interstitial Sources in Radiotherapy
AbstractInterstitial sources of radiation are a useful and sometimes essential modality for achieving optimal dose distribution in radiotherapy. This paper presents examples of various applications of this technic. The essential advantage is not that survival statistics can be improved, but rather that whatever can be accomplished by ionizing radiation may…
Clinical Brief
Abdominal Urethropexy Vesicourethrolysis vs Marshall‐Marchetti-Krantz Procedure
AbstractIn a series of 35 cases, I used a relatively uncommon but simple operation to correct urinary stress incontinence by the abdominal route. The operation is known as vesicourethrolysis and consists of dissection of the tissues in the space of Retzius. This establishes an anatomical urethrovesical angle without suturing and…
Clinical Brief
Management of Pancreatic Ascites
AbstractTwo patients with persistent pancreatic ascites are presented. Both were managed successfully by internal drainage. A trial of nonoperative treatment with nasogastric intubation and intravenous hyperalimentation is advocated for patients with pancreatic ascites. Patients who fail to improve usually have a pancreatic duct disruption and should have internal drainage operation…
Clinical Brief
Cancer of the Vagina
AbstractCarcinoma of the vagina may be found in association with carcinoma of the vulva and cervix. Patients with neoplasms in any of these locations should have careful inspection of the entire anogenital tract. As in all malignancies, early diagnosis and prompt, adequate treatment offers the best opportunity for cure.
Clinical Brief
Delayed Open Reduction of Isolated Fractures of the Femoral Shaft*
AbstractTwenty-five isolated fractures of the femoral shaft treated by delayed open reduction and internal fixation are reported. On the average, operation was done 13.4 days after fracture. Several early postfracture complications, including fat embolism in 20% of the cases, were resolved before operation. There were no nonunions, refractures, or deep…
Clinical Brief
Remnant Function After Subtotal Thyroidectomy for Graves' Disease*
AbstractAlthough it has been thought that future thyroid function after subtotal thyroidectomy for Graves' disease was intimately related to the mass of the thyroid remnant, long-term functional results have not been clearly established. These questions were examined in a retrospective study of 86 surgical cases with histologically confirmed Graves' disease….
Clinical Brief
Further Observations on 85Sr Scintimetry in Intracapsular Fracture of the Hip
AbstractSixty-seven hip joints with intracapsular fracture and the 67 opposite, normal hip joints were studied with 85Sr scintimetry from two weeks to six years after fracture. Consistently, fractures that developed osteonecrosis showed extremely high counts at the fracture site and the femoral head; fractures that failed to unite also showed…
Clinical Brief
Differential Diagnosis of Midline Facial Granulomas
AbstractThe list of differential diagnoses in the case of midline facial granulomatous lesions is long. Intensive investigation into the true origin of disease must be done before definitive treatment can be begun. Extensive and repeated biopsies are necessary. The diagnosis may narrow down to the nonspecific midline lethal granuloma. Evidence…
Clinical Brief
The Surgical Treatment of Zenker's Diverticulum Endoscopic vs External Operation
AbstractTwenty years' experience with the surgical treatment of Zenker's diverticulum is discussed, with emphasis on 25 patients treated by the Dohlman endoscopic method since 1959. In these patients, mostly elderly, the sac was not removed, but the wall between the esophagus and pouch was divided endoscopically. There were no deaths…
