SMJ // November 1975, Volume 68 - Issue 11
Editorial
“FULL SERVICE” ORGAN BANKS
Primary Article
A Functional Classification of Hypochondriasis With Specific Recommendations for Treatment
Abstract: A review of both past and present psychiatric literature reveals that the concept of hypochondriasis is inexact and confusing. In an attempt to make hypochondriasis a meaningful and useful concept for practicing clinicians, a functional classification is presented that views hypochondriasis from four aspects—(1) as a “warning signal,” (2)…
Primary Article
Gonococcal Arthritis in Pregnancy: A Ten-Year Review
Abstract: Thirty-two cases of gonococcal arthritis in pregnant women admitted to Jackson Memorial Hospital between 1962 and 1971 are reviewed. Our specific aim is to reinforce awareness of this serious complication in pregnancy. The incidence of gonococcal arthritis is higher in women, but more significantly, it appears that the pregnant…
Primary Article
Childhood Brain Tumors: A 15-Year survey of Treatment in a University Pediatric Hospital
Abstract: Eighty-seven children with histologically confirmed brain tumors were reviewed. Fifty-nine of the tumors were in the posterior fossa, 19 were cerebral gliomas, and nine were miscellaneous supratentorial tumors, including five craniopharyngiomas and two papillomas of the choroid plexus. In the posterior fossa there were 22 astrocytomas, 11 medulloblastomas, and…
Primary Article
Tuberculosis of the Wrist: A Report of Ten Cases
Abstract: Ten patients with tuberculosis of the wrist are reported. In three, the disease was limited to the tenosynovium and these patients were treated by synovectomy. Seven patients had disease involving the carpal bones. In six of these an arthrodesis of the wrist was done, and solid fusion was attained…
Primary Article
Leiomyoblastoma of the Stomach
Abstract: Two cases of leiomyoblastoma of the stomach are reported. Endoscopic features, ie, submucosal mass with umbilication and apical ulceration, presence of normal peristalsis, and absence of stenosis or irregularity, help differentiate this tumor from carcinoma of the stomach. Case histories are presented and pathologic features are described.
Primary Article
Georgia Plan for Education in Long-Term Care
Abstract: A successful program for reaching long-term care to students of the Medical College of Georgia is described. Five years of experience have proved its importance in medical education. Such a program could be instituted in community hospitals or in other medical colleges. Improvement in the quality of long-term care…
Primary Article
Male Pattern Baldness: classification and Incidence
Abstract: The need for a widely accepted, accurate, and reproducible standard of classification for male pattern baldness has increased with the advent and increasing popularity of hair transplant surgery. This report establishes such a classification, and reports its use in determining the incidence of male pattern baldness at various ages…
Primary Article
Intravenous Hyperalimentation in the Treatment of Difficult Urologic Problems
Abstract: Intravenous hyperalimentation has gained great acceptance in the management of complex medical and surgical problems. This paper presents two cases of fistula developing in patients treated with irradiation and who had total cystectomy and ileal conduit diversion for carcinoma of the urinary bladder. The fistulas closed completely after two…
Primary Article
Trauma to the Portal Venous System
Abstract: During a 16-year period, 47 wounds of the portal and/or superior mesenteric veins were encountered. Overall mortality was 57%. Survival was greatest in patients with injury to the superior mesenteric vein, wounds repairable by lateral phleborrhaphy, absence of associated major vascular trauma, and only transient or minimal hypovolemic shock….
Primary Article
Radiologic Aids in the Diagnosis of Appendicitis in Children
Abstract: Chest and abdominal radiograms are most helpful in evaluating acute abdominal pain in children. When basilar pneumonia is found, the likelihood of associated appendicitis is slim. Evidence of appendicolithiasis on abdominal films secures the diagnosis of acute appendicitis and should prompt the surgeon to early operative intervention, since the…
Primary Article
Acute Systemic Toxicity From Bupivacaine During Epidural Anesthesia in Obstetric Patients
Abstract: Convulsions occurred within 30 seconds after the injection of bupivacaine through the epidural catheter in four obstetric patients in labor, and mild excitation without convulsions occurred in three others. Since the time between injection and the reaction was so short and since the dose was so small, the response…
Primary Article
Another Look at Pereyra's Stint Urethropexy
Abstract: Twenty-five women with stress incontinence had stint urethropexy as described by Pereyra. Unqualified success was achieved in only 53%. These cases are analyzed and criteria suggested for selecting patients suitable for stint urethropexy.
Primary Article
Temporal Bone Radiography: A saeening Survey Approach
Abstract: For preliminary evaluation of the temporal bone, a combination of conventional radiographs and hypocycloidal tomography in the frontal projection is advocated. If significant abnormalities are detected in this screening survey, a more in-depth study can then be pursued.
Primary Article
Diagnostic Value of Serum Creatine Phosphokinase in Motor Neuron Disease
Abstract: In ten cases of amyotrophic lateral sclerosis, creatine phosphokinase was, without exception, elevated, in 12 cases of other diseases of the central or peripheral nervous system, values were elevated only in two cases of peripheral neuropathy
Primary Article
Newer Treatment in Dermatology
Abstract: The future of a drug depends upon what it can do in the hands of the practitioner. Medicine is practiced on the basis of probabilities, and treatment must be selected which has the best chance of helping the patient, with the least amount of harm. There are many new…
Primary Article
A Rational Approach to Carcinoma of the Ovary
Abstract: Carcinoma of the ovary is the leading cause of death from pelvic gynecologic malignancies in the United States. Factors which may reduce mortality from ovarian cancer include (1) emphasis on early diagnosis by awareness of neoplastic possibility and by an aggressive approach to persistent ovarian enlargement, (2) concentration upon…
Primary Article
Innovar as a Preoperative Medication
Abstract: Innovar, administered intramuscularly 45 minutes preoperatively, provides excellent operative sedation, analgesia, and patient cooperation. Postoperative complications are minimized, and the quantity of postoperative analgesics and antiemetics is drastically reduced when Innovar is used as a preoperative medication.
Abstract
Repair of Vesicovaginal Fistulas: Simultaneous Transvaginal-Transvesical Approach
Abstract: The records of 91 patients with vesicovaginal fistulas at the Ochsner Clinic between 1942 and 1974 were reviewed. The fistulas were managed in several ways: spontaneous closure, palliative operation, urinary diversion, transvesical repair, transvaginal repair, and a combined transvaginal-transvesical procedure. The latter had a 100% success rate in the…
