SMJ // July 1975, Volume 68 - Issue 7
Commentary
Pain and Pentazocine Problems of Control
Primary Article
Mental and Emotional Disturbance With Pentazocine (Talwin) Use
Abstract:Pentazocine (Talwin) originally was believed to be a safe, non-addictive analgesic, but further experience has shown that severe mental and emotional disturbance, as well as addiction, may occur. This survey documents the experience in the Texas Medical Center and elsewhere. The accumulated data show the following: (1) Depressive states are…
Article
An Evaluation of Early Results
Abstract:An early evaluation of the Chiari pelvic osteotomy done on 19 hips in 16 patients is presented. Indications were: (1) congenital hip dysplasia, where conservative or other surgical treatment had failed or where the patient's age contraindicated conservative treatment, and (2) hypoplastic hip joints associated with neuromuscular disorders. Results were…
Primary Article
Antibiotics in the Treatment of Chronic Staphylococcal Osteomyelitis
Abstract:Fourteen patients with chronic osteomyelitis were treated with oral penicillin, oxacillin, or cloxacillin at a dose of 5 gm/day, plus 0.5 gm of probenecid (Benemid) three or four times per day. Treatment was continued for 2½ to six months. In ten patients, evidence of osteomyelitis disappeared and there has been…
Primary Article
Congenital Pseudarthrosis of the Tibia
Abstract:Congenital pseudarthrosis of the tibia is a rare and difficult problem. The cause is unknown, the treatment is nonstandardized, and the results are generally poor. One or two good attempts at union should be made, followed by amputation if union is not obtained or if deformity is worse than that…
Primary Article
Hypocalcemia in Leukemia
Abstract:Hypocalcemia is seen in patients with leukemia and is usually due to renal impairment or to low serum albumin concentrations. Four patients are reported who had hypocalcemia but without these usual explanations. One patient had chronic lymphatic leukemia and overwhelming infections which led to death. The other three patients had…
Primary Article
Gunshot and Fragment Wounds of the Metacarpus
Abstract:Based on a study of 120 gunshot and fragment wounds of the metacarpus, we conclude that these wounds should be debrided and subjected to delayed closure technics. Even relatively low-velocity missiles may cause serious damage. Metacarpal stabilization with Kirschner wires may be done with impunity to obtain proper alignment, rotation,…
Primary Article
Variables in Objective Audiometry
Abstract:Objective audiometry has a definite application in evaluating problem patients. Three basic tests, electrodermal response audiometry (EDR), evoked cortical response audiometry (ERA), and impedance audiometry, are used to evaluate pediatric and adult patients. Each measurement technic, however, has limitations of which the physician should be aware. Impedance audiometry has the…
Primary Article
Peritoneal Dialysis Its Potential for Use in the Community Hospital
Abstract:Peritoneal dialysis is a treament of proven efficiency for a variety of disorders. Experience with 53 peritoneal dialyses performed on 28 patients over a three-year period at two community hospitals without permanent house staffs is summarized. Proper adherence to a few basic principles can lead to a very low incidence…
Primary Article
Acute Slipped Capital Femoral Epiphysis
Abstract:Of 12 cases of acute slipping of the capital femoral epiphysis (representing 11 patients), results were satisfactory in nine cases and poor in three cases at follow-up (in two of the three cases with poor results, reduction was lost postoperatively). Five of nine patients with prodromal symptoms were seen by…
Primary Article
Spontaneous Rupture of the Spleen With Hematoma
Primary Article
Lymphoid Response of the Burn Patient
Abstract:Clinical observations have long suggested immunologic compromise in burned patients. Resolution of the immune system into cooperative dual components of T-cells mediating delayed hypersensitivity and B-cells mediating antibody responses prompted the present survey of T-cell and B-ceil changes after acute thermal burn injury. Adults and children sustaining extensive burn injuries…
Primary Article
Hereditary Nephritis (Alport's Syndrome) in a New Kindred
Abstract:A new kindred with Alport's syndrome is presented with the clinical and historical data permitting diagnosis. History of family members with nephritis and oto-ophthalmologic anomalies in the presence of nephritis in a given patient continues to be the strongest clue to Alport's syndrome. As the disease is one of the…
Primary Article
Comparative Survey of Psychiatrists' Prescription Preferences
Abstract:The present survey compares the treatment preferences of New York and Texas psychiatrists using a questionnaire report of a single psychiatric case. The characteristics of this approach enable the investigator to hold the symptoms and syndromes of the patient constant. All clinicians respond to identical stimuli. What varies naturally, then,…
Primary Article
Indications for Fiberoptic Colonoscopy
Abstract:In certain clinical situations, fiberoptic colonoscopy has proved most useful and effective as a diagnostic and therapeutic tool. Colonoscopy is indicated to remove polyps when feasible and to rule out the presence of other polyps or tumors undetected by barium enema. Patients with cancer of the colon should have preoperative…
Primary Article
Fluid Shifts After Burn Injury
Abstract:Following significant burn injury, severe translocations occur in the distribution of water and solute. These result in major deficits in functional extracellular fluid and circulating water volume which may result in shock. The weight of evidence suggests that resuscitational regimens must contain large quantities of water which should be at…
