SMJ // March 1975, Volume 68 - Issue 3
Primary Article
Gram‐Negative Bacillus Pneumonia
AbstractOur experience with gram-negative bacillus pneumonia (GNBP) was examined to assist us in the diagnosis and treatment of this serious condition. The patients were divided into three categories: those with primary GNBP, those with primary nosocomial GNBP, and those with superinfection GNBP. Mortality correlated highly with the severity of underlying…
Primary Article
Osteopoikilosis Possible Association With Dystocia and Keloid
Primary Article
Massive Orbital Invasion by Small Malignant Lesions*
AbstractIn diagnosing and treating small malignant lesions of the eyelids, physicians should be alert for possible extension of the cancer into the orbit, endangering not only the patient's sight but his life as well. Important signs and symptoms include bone thickening, disturbances of ocular motility, intermittent epiphora, and positive results…
Primary Article
Guidelines for Blood Pressure Mass Screening Projects
AbstractCommunity-wide blood pressure screening is one of many methods of detecting unknown or inadequately treated hypertension. The first mass blood pressure screening in a major metropolitan area was conducted in New Orleans on April 28 and 29, 1973. The 43 public and parochial schools were used as screening sites. Medical…
Primary Article
Manpower and the Future Role of Otolaryngology*
AbstractMuch discussion has taken place in the past three years in the media and in Congress concerning the delivery of health care in the United States. Our concern is to supply manpower to deliver adequate health care, to train enough new specialists, and to encourage needed research. There is presently…
Primary Article
Congenital Posterior Angulation of Tibia and Fibula
AbstractCongenital posterior angulation of the tibia occurs less frequently than congenital anterior bowing. Concomitant deformities of the foot and contractures of the soft tissue usually exist. A review of the literature indicates that nonoperative treatment is usually successful in correcting the deformity. Tibial growth is frequently less than normal and…
Primary Article
Carcinoma in Situ of the Gallbladder A Dilemma*
AbstractThe prognosis for advanced carcinoma of the gallbladder is grave, but a reappraisal of the histologic and gross presentation of the disease may uncover a group of patients with significantly better prognosis. During any cholecystectomy, the gallbladder should be opened by the surgeon and frozen sections should be obtained for…
Primary Article
Loss of Transferase Enzyme Activity of Transfused Erythrocytes in Galactosemia
AbstractRapid loss of erythrocyte galactose-1-phosphate uridyl transferase in hemolysates from an infant 26 days after transfusion led to investigation of the possibility of an unstable enzyme or other variant of galactosemia. However, the child was found to have the classic type of galactosemia. The seeming transferase instability was attributable to…
Primary Article
Colestipol Hydrochloride, a New Hypolipidemic Drug A Two‐Year study*
AbstractColestipol hydrochloride is an insoluble, nonabsorbable copolymer with bile-acid-binding capacity. It prevents reabsorption of cholates from the intestinal tract into the enterohepatic circulation causing a net loss of bile acids, and therefore of cholesterol. Sixty subjects with cholesterol levels over 250 mg/100 ml were studied for 104 weeks. Patients with…
Primary Article
Carotid Artery Injury Produced by Blunt Neck Trauma
AbstractThree patients with extracranial carotid artery injury are presented. The trauma to the neck was blunt and nonpenetrating. Two patients showed the progressive neurologic signs of an intracranial lesion three and seven days respectively after head injuries. Injury to the neck did not appear to be a factor in one…
Primary Article
Aspirin Allergy A clinical study*
AbstractThe following beliefs about aspirin sensitivity are widely held: (1) It usually is accompanied by nasal polyps. (2) It occurs primarily in nonallergic patients. (3) Its most common manifestation is asthma. (4) When it is combined with polyps and asthma (the so-called “aspirin triad”), the prognosis is unfavorable. (5) Polypectomy…
Review Article
Primary Prevention of Atherosclerosis A Challenge to the Physician Caring for Children
SummaryThis review article stresses the importance of prevention in the reduction of the incidence of atherosclerotic disease, especially coronary heart disease. Evidence accumulated from autopsy studies, animal experimentation, and long-term epidemiologic studies supports the concept that atherosclerosis has its inception in childhood. Adult programs designed to change life styles and…
Current Concepts
The Management of Organophosphate Intoxication
SummaryThis review attempts to reiterate the problem of organophosphate intoxication and the pathophysiologic problems created by these compounds. A discussion of management is included. The case reported of a two-year-old child serves to illustrate the tremendously high doses of atropine which may be required to block the acetylcholine accumulated at…
Current Concepts
Elegant Digitalization
Case Report
Sebaceous Carcinoma of the Caruncle
Case Report
Fatal Paralytic Ileus Complicating Phenothiazine Therapy
SummaryThe occurrence of fatal paralytic ileus with peritonitis in a patient receiving phenothiazines and an antiparkinsonian agent is described. Although sporadic reports of this complication have appeared, it has not been emphasized in the literature. Only by being alert to dais problem can one hope to achieve earlier diagnosis and…
Case Report
Protein‐Losing Enteropathy in Lymphoma of the Small Intestine
SummaryA patient with crampy abdominal pain was found to have involvement of the jejunum and ileum with innumerable small polypoid filling defects. At laparotomy, dilated serosal lymphatics were seen, and a diagnosis of lymphoma was established on the basis of intestinal and lymph node biopsy. Later, he was determined to…
Case Report
Fraudulent Feculent Fever in a Female Fabulist
Case Report
Salmonella Empyema and Hodgkin's Disease
SummaryBilateral Salmonella empyema was diagnosed in a 34-year-old woman with active stage IV-B Hodgkin's disease and marked depression of immunologic function. Factors which might have predisposed to her infectious complication are discussed. The patient's dramatic response to treatment is stressed.
