SMJ // August 1975, Volume 68 - Issue 8
Commentary
The Coronary Care Unit–Quo Vadis?
Primary Article
Carcinoma of the Renal Pelvis A Ten‐Year Review
Abstract:Twenty-two cases of renal pelvic carcinoma are reviewed, of which nine were squamous cell and 13 were transitional cell carcinomas. No difference in symptoms between the two types was seen except for an increased incidence of a palpable mass and weight loss among patients having the squamous cell variety. Thirteen…
Primary Article
Survival in a Coronary Care Unit
Abstract:The mortality among 253 patients with definite, acute myocardial infarction admitted to the coronary care unit (CCU) of the New Orleans VA Hospital during a two-year period is reported. Thirty-one (12.3%) of these patients died in the CCU. Five others died on the medical wards after release from the CCU….
Primary Article
Hypersensitivity Pneumonitis
Abstract:Hyersensitivity pneumonitis, a disease caused by repetitive inhalation of nonviable organic dust, is increasingly recognized as a cause of acute and chronic lung disease in both children and adults. Twenty-one of 32 children and adults who went on a hayride in Arkansas developed this disease. These cases are reported. The…
Primary Article
Polypoid Lesion of the Acalculous Gallbladder
Abstract:The controversy aboutgallbldder polyps has centered chiefly around their potential for malignancy. Among 3,525 cholecystectomies done over a 25-year period, there were 26 cases of carcinoma with only 9% not acalculous gallbladder were investigated. The classic symptoms of pain, flatulence food intolerance, and nausea were present in the great majority…
Primary Article
Antimicrobial Susceptibility of Clinical Isolates of Gram‐Negative Bacilli
Abstract:No one can doubt the increased incidence of gram-negative bacillary infections and the importance of an awareness of this increase. Today's hospital, where one finds aggressive surgery, patients with multiple indwelling polyethylene lines and Foley catheters, and widespread use of prophylactic antibiotics, serves as a haven for resistant gram-negative bacilli….
Primary Article
Cromolyn sodium in the Treatment of Asthma Its Effectiveness and Use
Abstract:Thirty-six asthmatic children received placebo and cromolyn sodium, a new drug, in a double-blind crossover study; the majority were not using corticosteroids. Singificant dcreases in wheezing, breathlessness at rest, and cough occurred when the active drug was compared to placebo. Marked preference for cromolyn over placebo ws expressed at the…
Primary Article
Primary Adenocarcinoma of the Appendix
PRIMARY MALIGNANT TUMORS of the appendix are unusual. The rarest is a primary adenocarcinoma with only 165 cases reported in the English-language literature. The lesion is rarely diagnosed preoperatively and usually presents with the clinical symptoms of acute appendicitis. This paper reports a primary adenocarcinoma of the appendix recently seen…
Primary Article
An Evaluation of the Performance of Minimal Resistance Non‐Rebreathing Systems*
Abstract:Minimal resistance to spontaneous respiration has been proposed as a safe method for reducing operative bleeding. The Magill, Bullough, and Gilston T-piece non-rebreathing systems have been tested for resistance in steady-state conditions of pressure gradient and gas flow. The slope of the lines on the graph of the pressure gradient…
Article
Treatment Methods in Tibial Condylar Fractures
Abstract:A series of 915 tibial condylar fractures has been analyzed for the type of treatment used and some of the pitfalls encountered with emphasis on preservation of fracture position. The most commonly used treatment methods are discussed in depth, emphasizing the advantages and disadvantages of each and their indications in…
Case Report
Arteriovenous Shunting in Renal Pelvic Tumors
Primary Article
Bacteroidosis
Abstract:Bacteroides infection frequently complicates surgery, instrumentation, or trauma to the alimentary, upper respiratory, and female genitourinary tracts. Bacteroides sp, alone or with other organisms, also may cause infections in the ear, nose, and throat, and other tissues where defenses are lowered. Foul-smelling pus, sinus drainage, material from an abscess or…
Primary Article
Chelation Therapy in Lead Nephropathy
Abstract:Although treatment has been well defined for childhood lead poisoning and for industrial lead exposure, the treatment of lead nephropathy has been poorly studied. The available chelating agents are reviewed and the results of treatment in 17 cases of lead nephropathy are shown. It is concluded that lead nephropathy should…
