Issue - Southern Medical Association

Article

EDITORIALS

Article

Amnioeentesis Indications, Technic, and Complications

ABSTRACTCommon indications for amniocentesis are to assess fetal maturity, to determine the prognosis of Rh isoimmunization, for genetic counseling, and occasionally to diagnose fetal distress or to localize the placenta. The percutaneous transabdominal technic is reviewed, and some of the common complications are discussed.

Article

Laryngeal Microsurgery Without Intubation

ABSTRACTReviewed are 200 cases in which endolaryngeal suspension microsurgical procedures were done using intravenous anesthesia and Venturi insufflation oxygenation. Patients included 177 adults and 23 children, ranging in age from 20 months to 88 years. No significant complications were observed. The technic allowed the glottic space to remain free of…

Article

Anesthetic Technic Using Profound Hypothermia for Correction of Congenital Heart Defects in Infants and Small Children

ABSTRACTProfound hypothermia can be a useful adjunct in the intraoperative management of infants and small children undergoing surgical correction of congenital heart defects. A case description of a 5½-month-old male infant with total anomalous pulmonary venous drainage who had successful repair using surface cooling, cardiopulmonary bypass, and pump cooling to…

Article

Evaluation of a Topical Enzymatic Debridement Agent—Sutilains Ointment A Preliminary Report

ABSTRACTIn a preliminary study of 18 patients, sutilains (Travase) ointment exhibited rapid, effective debridement in the treatment of burns, decubiti, and traumatic wounds; peripheral vascular ulcerations responded less predictably. The advantages of accelerated debridement are enumerated.

Book Review

The Physiological Basis of Starling's Law of the Heart

Book Review

Live Longer Now The First One Hundred Years of Your Life

Book Review

A Perspective Focus on the Indicated Surgical Treatment of Resistant Clubfoot in the Infant

ABSTRACTLigamentous contracture is the chief factor in maintaining clubfoot deformity. Precise plans of segmental ligamentous release are called “selective segmental syndesmotomies.” Critical segmental assessment by roentgenograms is required to choose the proper syndesmotomy. Proper early correction of resistant subtalar and midtarsal deformity by selective segmental syndesmotomy can solve much of…

Book Review

Acoustic Neuroma in von Recklinghausen's Disease

ABSTRACTBilateral acoustic neuromas are common in von Recklinghausen's disease. Their surgical removal likely will produce total hearing loss unless the lesions are small and intracanalicular. Therefore, a posterior fossa myelogram is indicated in all patients when a diagnosis of neurofibromatosis is made. To preserve hearing in resection of small tumors,…

Book Review

The Sexually Exploited Child

ABSTRACTSexual exploitation of children (under 14 years of age) is a common occurrence, although actual numbers are unknown. There are three major forms of sexual abuse: (1) incest, ie, sexual activity between consanguineous family members; (2) sexual assault, such as rape or molestation by adults not related to the child;…

Book Review

Galactorrhea

Book Review

Primer on Lupus Erythematosus

Book Review

The Effect of Food on Procainamide Absorption

ABSTRACTThe effect of food on the absorption characteristics of procainamide was assessed after oral administration of the drug to eight male patients in the fasting and postprandial states. Serum concentration-time curves showed no significant difference in peak serum levels of procainamide, in the time the peak value was reached, or…

Book Review

Plantar Neuroma Analysis of Results Following Surgical Excision in 145 Patients

ABSTRACTFew series deal with the long-term results of surgical excision of plantar neuromas. The results of a study with a 21.5 month average follow-up are presented. Of 145 patients undergoing surgery from 1970 to 1973, 85 returned for examination and roentgenograms. There were 13% with unsatisfactory results and 21.3% with…

Book Review

Sporotrichosis An Unusual Disseminated Cutaneous Case and a Fatal Pulmonary Case

ABSTRACTTwo unusual cases of sporotrichosis are presented. One patient had disseminated vesicular skin lesions which yielded Sporothrix schenckii on culture. The other, with extensive pulmonary sporotrichosis, continued to have sputum cultures positive for S schenckii during three years of intensive chemotherapy.

Book Review

Indications for and Results With the Swanson Distal Ulnar Prosthesis

ABSTRACTClassically, wrist synovectomy, when the distal radioulnar joint is involved, includes excision of the distal ulna (the classical Darrach procedure). Orthopedists and rheumatologists are well aware of the propensity for extensor tendon rupture, particularly of the ring and little finger, in this area. Dr. Alfred Swanson has presented his results…

Book Review

Betamethasone Dipropionate Ointment in the Treatment of Psoriasis and Atopic Dermatitis A Double‐Blind Study

ABSTRACTThis report describes the use of a new corticosteroid ointment in the treatment of psoriasis and atopic dermatitis. It further summarizes the results of treatment with the active medication versus the vehicle alone in these two disease categories. In the group with psoriasis 13 of 17 patients (76.4%) treated with…

Book Review

Mitral Regurgitation Secondary to Ruptured Chordae Tendineae Clinical, Hemodynamic, and Electrocardiographic Findings

ABSTRACTThe clinical, hemodynamic, and electrocardiographic findings in 11 patients with mitral regurgitation secondary to ruptured chordae tendineae are presented. Left atrial overloading, as manifested by a large terminal negative force in the P wave of lead V1, was present in 8 of the 11 patients. Six of the eight patients…

Book Review

The Multiply Operated Back Fusion of the Posterolateral Spine With and Without Nerve Root Compression

ABSTRACTThis report reviews the outcome of surgery for back pain in 50 patients who had had previous back surgery. All were treated by exploration and posterolateral fusion of the spine. Those with nerve root irritation had thorough nerve root decompression including wide laminectomy when needed. Back pain was relieved in…

Book Review

Genitourinary Complications of Abdominoperineal Resection

ABSTRACTThe genitourinary complications of 86 consecutive cases of abdominoperineal resection at the University of Oklahoma Health Sciences Center are described. Vesical dysfunction was the most common problem, occurring in 11 patients in our series. Eight required prostatectomy for urinary retention. The significance and treatment of vesical dysfunction is somewhat controversial,…

Book Review

The Embryology and Management of Vascular Rings

ABSTRACTAmong 34 patients with vascular rings, symptoms of tracheal and esophageal compression or both occurred during the first six months of life in 24 (71%). Diagnosis was made in all cases on either plain x-ray film or esophagogram, and was confirmed by operation or angiogram. Associated defects were numerous, with…

Book Review

Hyperkalemia and Acidosis in Lead Nephropathy

ABSTRACTDefective potassium excretion with clinical acidosis, associated with fixed moderate sodium wasting, has been found to be a common abnormality in lead nephropathy. Lead poisoning has been shown by others to be associated with depression of the renin-aldosterone system and of sodium and potassium activated adenosinetriphosphatase (ATPase). Since these hormonal…

Book Review

The Oxytocin Challenge Test

ABSTRACTIn a group of 152 high-risk pregnancies, 266 oxytocin challenge tests were reviewed. There were 137 patients with persistently negative oxytocin challenge tests with only one false-negative test being recorded. Fifteen patients who displayed a positive test at some time in their antepartum course are discussed along with other aspects…

Book Review

Necrotic Arachnidism

ABSTRACTTen bites by Loxosceles reclusa, the North American brown recluse spicier, are reported from South Carolina. Envenomation by the brown recluse spider is becoming a public health problem in the United States. The spider reportedly now is found from coast to coast in the southern half of the country and…

Book Review

Gastric Devascularization An Alternate Approach to the Surgical Treatment of Massive, Diffuse Hemorrhage From Gastritis

ABSTRACTDuring a three-year period on the surgical services at the University of Texas in San Antonio, eight critically ill patients had various types of gastric devascularization to control erosive hemorrhagic gastritis. Among these patients were two women and one child. There were five chronic alcoholics, one aspirin abuser, one severely…

Book Review

Food Allergy and the Allergic Patient, a Simple Review of Problems Encountered by the Recently Diagnosed Patient

Book Review

Bronchial Asthma

Book Review

Drug Metabolism in Man

Book Review

Carotid Endarterectomy A Perspective

ABSTRACTCarotid endarterectomies have been performed for over a decade now. To review the knowledge derived from this surgical experience, I studied 18 reports on the subject, giving attention to four specific phases of patient care: the diagnostic, preoperative, intraoperative, and postoperative periods. Emphasis was placed on studying the causes of…

Book Review

Fat Embolism Revisited

ABSTRACTDespite continuing interest in fat embolism, the precise pathogenesis and the best treatment of the syndrome are still in doubt. To assess the effect of a high index of suspicion about the outcome of the syndrome, we have compared 37 patients seen from 1962 to 1968 with 16 patients seen…

Book Review

Septic Arthritis and Reiter's Syndrome in Sickle Cell Disorders Case Reports and Implications for Management

ABSTRACTTwo patients with sickle cell disorders developed gram-negative septic arthritis and responded poorly to conventional management. Unfavorable factors included (1) confusion with the nonseptic arthropathy of a sickle crisis; (2) impaired articular perfusion, perhaps related to local sickling; (3) conversion of an infecting organism to an L-form in the presence…

Book Review

Induction of Labor With Prostaglandin E2 Administered Orally

ABSTRACTThe effectiveness of orally administered prostagiandin E., in inducing labor was studied in 60 patients with uncomplicated, full-term pregnancies, using three dosage schedules. Although 40 patients did deliver, 11 patients' amniotic membranes ruptured at a time considered by the investigators to introduce an undesired variable in attempting to evaluate the…

Book Review

Laryngeal Neoplasm Mortality in Oklahoma 1950–1970

ABSTRACTA survey of death certificates of victims with laryngeal cancer in Oklahoma for the period 1950 to 1970 attempts to corroborate findings of the current literature. Sex-race specific death rates per 100,000 for white, nonwhite, and American Indian populaces displayed a distinct sex and racial pattern: respectively, 38.52, 28.11, and…

Book Review

Routine Magnification Cerebral Angiography A Practical System Designed for Community Hospital Application

ABSTRACTMagnification cerebral angiography is no longer to be considered a tool only of clinical investigation; its routine application is clearly advantageous. A relatively inexpensive system has been developed which can be applied in a special procedure suite where cardiac and abdominal angiography as well as other radiographic procedures must be…

Book Review

The Human Lens in Relation to Cataract

Book Review

Practical Spanish for Medical and Hospital Personnel

Book Review

Gastrointestinal Phenomena in Childhood Typhoid Fever

ABSTRACTNinety-four children with typhoid fever presented with the primary complaints of fever, diarrhea, and vomiting. Fifty-two percent had hepatomegaly and derangements of SGOT and LDH. None developed hepatic decompensation and all had rapid clinical recovery. The abnormal liver function test served no prognostic purpose.

Book Review

Combined Chemotherapy (COP) in Treatment of Mycosis Fungoides Report of Four Cases

ABSTRACTFour consecutive patients with mycosis fungoides received cyclic chemotherapy using cyclophosphamide, vincristine, and prednisone (COP). In one case, there was complete remission of disease for 15 months. In another, there was 50% regression of tumors with healing of the ulcerated surfaces. The third patient showed complete clearing of scaling and…

Review Article

Genetic and Environmental Factors in the Etiology of Congenital Heart Diseases

Grand Rounds

UNIVERSITY OF MISSISSIPPI MEDICAL CENTER Carotid Artery Surgery

Book Review

Crises in Medicine

Book Review

Your Future Health Care

Current Concepts

Diagnostic Evaluation of Patients With Fever of Unknown Origin

Current Concepts

Nephrolithiasis Recent Advances in Therapy

ABSTRACTThe stone-forming process includes crystal formation, crystal aggregation, and retention time to allow growth. The crystal-forming process, in turn, is influenced by the pH of the urine, the solute load, and inhibitors of crystallization. Idiopathic stone disease is characterized by recurrent formation of calcium oxalate, calcium phosphate, and hydroxyapatite stones…

Article

Medicine Among the Ancient Maya

ABSTRACTMedicine among the ancient Mayas was a blend of religion and science. It was practiced by priests who inherited their position and received extensive education. The Mayas sutured wounds with human hair, reduced fractures, and used casts. They were skillful dental surgeons and made prostheses from jade and turquoise and…

Article

Eponym Rounds With Dr. Thomas Willis

Case Report

Osteochondritis Dissecans Following Legg‐Perthes Disease

Case Report

Is Myxedema Coma Respiratory Failure?

Book Review

Is It Moral to Modify Man?

Case Report

Acute Erythremic Myelosis Occurring Eight Years After Renal Allograft

Case Report

Renin and Juxlaglomerular Apparatus in a Patient With Primary Aldosteronism Complicated by Chronic Renal Failure

Case Report

Aortic Insufficiency in Reiter's Syndrome

Case Report

The Southern Medical Association Cancer Information Center DIAL ACCESS SYSTEM

Clinical Brief

Cold Pack Sling for the Upper Extremity

Letter to the Editor

Infections, Then and Now

Letter to the Editor

Elegant Digitalization