SMJ // December 1976, Volume 69 - Issue 12
Announcement
GENERAL ANNOUNCEMENTS
Primary Article
Adverse Psychologic Reactions to ileal Bypass Surgery
ABSTRACTOf 33 patients who underwent ileal bypass surgery for morbid obesity and were followed up with psychiatric interviews and consultation postsurgery, five appear to have had adverse psychologic sequeiae related to the procedure. The emotional problems of these five patients were in part related to or precipitated by their drastic…
Primary Article
Pneumatosis intestinalis in Association With Connective Tissue Disease
ABSTRACTPneumatosis intestinalis in association with connective tissue diseases is an unusual combination whose pathogenesis is not yet understood. Furthermore, steroid medication, often used to treat these diseases, may itself cause pneumatosis. Three cases of scleroderma, systemic lupus erythematosus, and amyioidosis in association with pneumatosis and without prior steroid therapy are…
Case Report
Exophthalmos and Epidural Hematoma
Case Report
Long‐Term Follow‐Up of Hip Fractures
ABSTRACTHip fractures on 117 patients treated surgically and followed up for an average of 10.2 months are reviewed. Among the parameters analyzed were complications, mortality, clinical follow-up by the operating surgeon, and the ability to ambulate after surgery. Postoperative surgical complications occurred in 36% and medical complications in 18% of…
Case Report
Vaginal Hysterectomy by Anterior Delivery of the Uterine Corpus
ABSTRACTOf 285 vaginal hysterectomies done by a modification of the Doderlein-Kronig technic, almost 70% of patients had an intraoperative blood loss of less than 200 ml. Only four required transfusions. A postoperative pelvic abscess was the only severe infection, and it responded to treatment. One patient had a ruptured ectopic…
Case Report
Induced Hypothermia Electrocardiographic Abnormalities
ABSTRACTHypothermia was induced intermittently in a patient to combat hyperpyrexia. The electrocardiogram taken during the hypothermic phase displayed typical abnormalities and consisted of: pronounced sinus bradycardia, marked prolongation of the Q-T interval, muscle tremor artifact, and the characteristic “Osborn wave.” Spontaneous rewarming resulted in disappearance of the electrocardiographic alterations, underscoring…
Case Report
Autoimmune Atrophic Gastritis With Hypergastrinemia
ABSTRACTElevation in fasting serum gastrin levels was lound in three patients being evaluated for persistent upper abdominal pain without radiographic evidence of peptic ulcer disease. Fiberoptic endoscopy of the upper gastrointestinal tract in each patient revealed characteristic changes of chronic atrophic gastritis. Gastric biopsies showed diffuse chronic inflammation in the…
Case Report
Mediastinal and Subcutaneous Emphysema in Labor
ABSTRACTThe recent world literature on mediastinal emphysema has been reviewed and two cases added. This condition is relatively benign, and the supportive treatment is discussed. Subsequent pregnancies have been uncomplicated.
Case Report
Pelvic Lipomatosis
Case Report
Roentgenographic Recognition of Bronchoceles
ABSTRACTBronchoceles often have characteristic plain film, tomographic, and bronchographic appearances, and they may trap air. Roentgenographic recognition of bronchoceles can allow them to be distinguished from neoplasms and sometimes help avoid unnecessary surgery.
Case Report
Complications of Total Hip Replacement
ABSTRACTThe most common complications of total hip replacement are infection, loosening, dislocation, phlebothrombosis and embolism, neurovascular deficits, periarticular calcification, nonunion of the greater trochanter, malposition of components, fractures, and discrepancy in leg length. The cause, prevention, and treatment of these complications are reviewed.
Case Report
Macrodactylia Fibrolipomatosis
ABSTRACTThe clinical, pathologic, and roentgenographic features of macrodactylia fibrolipomatosis described are based on 40 cases from the literature and five cases seen by the authors. This condition previously has been described as macrodactyly, megalodactyly, macrodystrophia lipomatosa, dactylomegaly, and local gigantism. We believe macrodactylia fibrolipomatosis is the best term because it…
Case Report
Follow‐Up of Rape Victims in a Family Practice Setting
ABSTRACTHealth care for rape victims traditionally has been crisis oriented, focused solely upon the victim, and provided either by a gynecologist or psychiatrist. A family practice health team, working in a county hospital, offered rape victims and their families crisis counseling in the emergency room, and follow-up care in a…
Case Report
Sequestration of the Lung in Children
ABSTRACTThree instances of intralobar pulmonary sequestration are reported to call attention to the occurrence of this lesion in children. In all three patients, the sequestration was diagnosed by arteriography and treated by lobectomy. Extralobar and intralobar sequestrations are described and the differential diagnosis is discussed.
Case Report
Hair Transplant Surgery Planning the Procedure
ABSTRACTFactors important in planning hair transplant surgery are presented. The procedure must be designed for each patient individually. Success with hair transplantation depends upon developing surgical skill and having an appreciation of esthetically pleasing designs.
Case Report
The Diagnosis of Subcapsular Hematoma of the Liver by Scintigraphy
ABSTRACTThe diagnosis of subcapsular hematoma of the liver following blunt abdominal trauma has assumed clinical importance with recent reports of improved mortality with conservative management. There is increasing use of hepatic scintigraphy in evaluation of upper abdominal trauma. Two recently observed cases are used to illustrate the typical findings in…
Case Report
Massive Skeletal Trauma in Renal Transplant Patients
ABSTRACTA review of 251 renal transplants done at the Vanderbilt University Medical Center since October 1962 revealed three patients who had suffered subsequent skeletal injuries sufficient to cause hospitalization. In a 37-year-old woman, a closed fracture of the pelvis healed satisfactorily in the usual period of time. In a 30-year-old…
Book Review
Leukemia in Childhood
Book Review
Obsessive Children
Book Review
Clinical Applications of Zinc Metabolism
Book Review
The Splinting of Burn Patients
Book Review
Epidemiology for the Health Sciences
Book Review
Health Care in the People's Republic of China
Primary Article
Psychotherapy as Adjunct in Treatment of Vomiting During Pregnancy
ABSTRACTAdjunctive psychotherapeutic measures were used to treat ten consecutive pregnant women referred to a psychiatric consultation service because of severe intractable vomiting. In addition to customary medical measures, they received three types of psychotherapy: (1) supportive psychotherapy (establishment of positive relationship, frequent reassuring conversations, and encouragement of expression of thoughts…
Primary Article
Management of Intermittent Esotropia
ABSTRACTManagement of patients with intermittent esotropia having either normal or high accommodative convergence to accomodation (AC:A) ratios is discussed. Treatment should be based on liberal use of miotics to build up fusional reserves and use of hyperopic corrections or bifocals or both whenever specifically indicated. Divergent fusional reserve training is…
Primary Article
Teaching Sex Education and Counseling for the Primary Physician
ABSTRACTToday's family physicians are being confronted by increasing numbers of patients who desire and need sex education and counseling. It is suggested that the family and primary physician can approach the multiple sex-related needs of the family by understanding the family life cycle and by using permission-giving, limited information, and…
Primary Article
Microvascular Procedures in Reconstructive Surgery
ABSTRACTThe application of microvascular technics to problems in reconstructive surgery has enabled the surgeon to revascularize ischemic digits, replant amputated digits, and to transfer directly composite tissue from one area of the body to another for reconstructive purposes. The success of these procedures is directly dependent upon the ability to…
