Issue - Southern Medical Association

Editorial

THE NEW CATARACT SURGERY PHACOEMULSIFICATION

Editorial

SATELLITES FOR PUBLIC SERVICE?

Original Article

Low Dose, Long‐Term Treatment of Rheumatoid Arthritis With Azathioprine

ABSTRACTSixteen patients with classical rheumatoid arthritis which had been present for longer than two years, representing anatomic stages II-IV, were treated with azathioprine in doses of 50 to 175 mg/day. They were followed up for up to six years. Using the criterion of ability to work, 93% of the patients…

Original Article

Femoral Tibial Bypass Grafts

ABSTRACTThe results of 53 femoral to tibial artery bypass grafts have been reviewed. All were carried out in an attempt to salvage severely ischemic extremities which resulted from arteriosclerotic occlusive disease involving the femoral, popliteal, and tibial arterial systems as demonstrated by arteriography. Most grafts were done with autogenous vein;…

Original Article

The Mobile Clinic of St. Mary's Health Center—A Functional Plan*

ABSTRACTSpecialized medical facilities tend to be concentrated in medical centers in metropolitan areas, which results in unavailability of adequate medical care to large portions of our population. One solution is a mobile unit, staffed by personnel representing several different disciplines (physicians, nurses, social workers, nutritionists, etc) and extending a health…

Case Report

Eosinophilia and Amyloidosis

Case Report

Ferruginous (Asbestos) Bodies in the Lungs of Rural Dwellers, Urban Dwellers, and Patients With Pulmonary Neoplasms

ABSTRACTThe lungs of 100 consecutive patients at autopsy and of 24 patients with various pulmonary neoplasms were analyzed for the presence of ferruginous (asbestos) bodies. The population comprised both rural dwellers and urban dwellers, in contrast to previous similar studies involving only urban dwellers. More than 90% of both population…

Case Report

Ovarian Conservatism*

ABSTRACTEveryone is conscious of the prime role of the ovaries in making a female a “female.” However, too little attention has been directed toward the systemic mechanism of estrogens that protects against coronary artery disease and osteoporosis. Exogenous estrogen appears to be almost as effective as the ovaries are in…

Case Report

Malignant Thymoma With Penetration Into the Gastrointestinal Tract Report of Two Cases

ABSTRACTTwo cases of thymoma, one epithelial and one seminoma type are presented. In both instances, the thymoma infiltrated and later perforated the gastrointestinal tract by direct extension. One is the 30th reported case of thymoma with extrathoracic metastasis; this patient had metastasis to the bone marrow and kidney. Neither patient…

Case Report

Smoking Among Medical Students

ABSTRACTA survey of smoking habits of medical students was done using basic medical science graduate students at the same institution as a comparison group. Smoking status was not significantly related to sex, race, or academic classification. Knowledge of adverse health consequences of smoking was related to time spent in medical…

Case Report

The Perioperative Management of Pericardial Tamponade*

ABSTRACTA case report of a patient with acute pericardial tamponade is presented. The etiology, pathophysidlogy, and management of cardiac tamponade is discussed. Preoperative management includes volume expansion, administration of catecholamines, and pericardiocentesis. Intraoperatively, monitoring should include continuous measurement of arterial and central venous pressures. Ketamine has been found to be…

Case Report

Femoropopliteal Bypass for Salvage and Claudication A Comparison of Long‐Term Results

ABSTRACTSeventy-seven femoropopliteal grafts placed for salvage were compared to 51 grafts placed for claudication. Patient profiles of age, preexisting cardiovascular disease, and risk factors were notably similar. Previous vascular procedures were twice as common in the salvage group. The accumulated graft patency in the salvage group of 77% at one…

Case Report

Delayed Hypersensitivity Skin Testing for Assessing Anergy in the Mid‐South

ABSTRACTAlthough skin testing with ubiquitous antigens is widely employed to assess delayed hypersensitivity, little is known about the effect of geographic location on the frequency of skin test reactions to given antigens. To assess skin test reactivity in the mid-South, 82 hospitalized patients and 68 normal controls had skin tests…

Case Report

Eosinophilic Gastroenteritis

ABSTRACTFour patients with eosinophilic gastroenteritis are presented to illustrate the protean manifestations of this disorder. While the cause is unknown, the complications many, and the differential diagnosis often challenging, the treatment is simple and consists of low-dose, alternate-day administration of corticosteroids. Diagnosis depends on gastrointestinal biopsy, which usually can be…

Case Report

Tracheal‐Innominate Artery Fistula Successful Management of Two Cases*

Case Report

Gastric Emptying of Hypertonic Glucose in Diabetes Meliitus and Duodenal Ulcer

ABSTRACTGastric emptying of hypertonic glucose liquid meals was studied in diabetes, duodenal ulcer, and hospitalized controls by means of the 10% glucose 30-minute test meal, with phenol red as nonabsorbable marker. Acid secreted into the meal was measured. Results revealed no significant difference in gastric emptying between controls and patients…

Case Report

Polydactyly Report of a Large Kindred

ABSTRACTThe occurrence of polydactyly in a 33-year-old woman with a patent ductus arteriosus stimulated a study of her family. Four generations of her kindred were examined. No other case of congenital heart disease was discovered, but a large number of individuals with polydactyly were found. Inheritance of this trait is…

Case Report

Metastatic Carcinoma in Histologic Sections of Aspirated Bone Marrow A Comparative Autopsy Study

ABSTRACTThe incidence of metastatic carcinoma to bone marrow was studied by two different approaches in 220 consecutive autopsies of patients with carcinoma: histologic sections of aspirates from the iliac spine, as usually done in living patients; and gross and microscopic examination of the thoracolumbar spine. Ten percent of the autopsies…

Case Report

Pauciarticular Juvenile Arthritis*

ABSTRACTPauciarticular juvenile arthritis begins insidiously, involves no more than five joints, causes few systemic symptoms, and has a relatively mild course. The disease may recur at the same site or in previously uninvolved joints. It generally runs its course in four years. The authors believe that synovectomy is contraindicated in…

Case Report

Reduction in Myocardial Infarct Size Prevention of Heart Cell Death

ABSTRACTThe course of myocardial necrosis, the clinical syndrome, and methods of treatment are presented. Heart cell death may be prevented by maintaining the balance between myocardial oxygen and energy supply and consumption. New technics of improving this balance by reducing myocardial energy demand, altering metabolism, increasing myocardial substrate supply, and…

Case Report

Recent Survey of Infectious Meningitis in Adults Review of Laboratory Findings in Bacterial, Tuberculous, and Aseptic Meningitis

ABSTRACTInfectious meningitis in adults was reviewed to establish the frequency of meningitis due to each causative agent and to reexamine the laboratory parameters that help to distinguish aseptic, bacterial, and mycobacterial meningitis. Aseptic meningitis occurred 2.2 times more often than bacterial and mycobacterial meningitis combined. The most common nonviral causative…

Errata

Erratum

Errata

Mikulicz's Disease and Mikulicz's Syndrome

ABSTRACTThe pathogenesis, clinical manifestations, and historical development of Mikulicz's disease and Mikulicz's syndrome are given. It is recommended that the term “Mikulicz's syndrome” be dropped to avoid confusion with the rare and well defined entity “Mikulicz's disease.”

Errata

General Announcements

Errata

Neurilemoma Presenting as a Lump in the Breast

Errata

Photosensitivity Papules—A Cutaneous Sign of Systemic Disease Erythropoietic Protoporphyria

ABSTRACTErythropoietic protoporphyria is an unusual autosomal dominant syndrome characterized by increased deposits of protoporphyrin in erythrocytes, liver, feces, and skin. Symptomatic chronic cutaneous papules in sun-exposed areas, cholelithiasis, cirrhosis, hepatic failure, and anemia are manifestations of this systemic disorder. Treatment of cutaneous symptoms is with oral beta-carotene, but there is…

Errata

Recent Advances in Viral Hepatitis Part I

Errata

Adverse Effects of Transfusions

Errata

Diffuse Interstitial Pulmonary Fibrosis (Cryptogenic Fibrosing Alveolitis)

Errata

Macrocheilia Due to Lymphangiectasia

Errata

Recurring Spontaneous Pneumothorax Associated With Menses

Errata

Intramural Hematoma of the Duodenum

Errata

Leiomyoma Arising Adjacent to a Maxillary Tooth Socket An Intraosseous Leiomyoma Presenting as an Odontogenic Lesion

Errata

Colitis Cystica Profunda

Errata

Alkalosis and Seizure Due to a Cation‐Exchange Resin and Magnesium Hydroxide

Errata

Weber‐Christian Disease After Weight Loss

Errata

Neoplasia of the Colon A Late Complication of Ureterosigmoidostomy*

Errata

Ichthyosiform Scaling in Association With Lymphoma

Errata

Death Due to Fluorooarbon Inhalation

Errata

Systemic Lupus Erythematosus Unusual Presentation With Gastric Polyps and Vasculitis

Errata

Hepatoma Induced by Thorium Dioxide

Errata

Metastatic Carcinoma in Meningioma

Errata

Choledochoduodenostomy An Answer to Some Biliary Surgical Problems

Errata

Chronic Arachnoiditis After a Pantopaque Study of the Posterior Fossa

Letter to the Editor

To the Editor