Issue - Southern Medical Association

Editorial

ESTROGENS AND CANCER OF THE ENDOMETRIUM

Editorial

THE ROLE OF PODIATRY IN HEALTH CARE

Editorial

GENERAL ANNOUNCEMENTS

Editorial

Type A Botulism From Commercially Canned Beef Stew

ABSTRACT:Two of three persons who ate lunch together became ill with symptoms characteristic of botulism. One died before botulism was suspected and before specimens could be collected for laboratory testing, but a serum specimen from the other patient, who survived, yielded botulinal toxin, type A. The third person remained asymptomatic,…

Editorial

Posterior Fracture Dislocation of the Hip

ABSTRACT:We have reviewed 46 posterior fracture dislocations of the hip treated at the University of Alabama in Birmingham Hospitals and the Birmingham Veterans Administration Hospital from 1963 to 1973. Of the 13 injuries which were followed up for at least one year, there were two good, five fair, and six…

Editorial

Pediatric Pesticide Poisonings in North Carolina Epidemiologic Observations

ABSTRACT:In four years, 218 pesticide exposures were reported among North Carolina children. Epidemiologic follow-up revealed 50 symptomatic cases with nine fatalities. Mean age of exposed children was 27 months; boys were involved twice as frequently as girls. Agents most often implicated were anticoagulant rodenticides (17%) and organophosphate insecticides (16%). Sixty-eight…

Editorial

The Urine Culture Revisited

ABSTRACT:A review of urine cultures over a period of several months revealed the importance of critical review of the cultures for contamination, and also pointed up the need for developing studies to evaluate criteria used in selecting patients for urine cultures.

Editorial

Cryosurgery of the Anus

ABSTRACT:To further study the effectiveness of cryosurgery of the anus, cryolesions were produced in the rectum of pigs and healing was followed by microangiography and histologic study. In addition, cryosurgery was used on 105 patients (35 as outpatients) with anal pathologic lesions. Results demonstrated that cryosurgery is an effective method…

Editorial

Effects of Diphenylhydantoin in 41 Epileptics Institutionalized Since Childhood

ABSTRACT:Institutionalized epileptic patients on long-term anticonvulsant diphenylhydantoin (DPH) therapy were examined clinically. DPH plasma levels were unexpectedly high in 54% despite rather poor seizure control. No patient was free from side effects, which included gingival hypertrophy (90% of patients), increased alkaline phosphatase activity (55%), suggestion of a sensory peripheral neuropathy…

Book Review

Your Thyroid Gland—Fact and Fiction

Book Review

Phacoemulsification and Aspiration The Kelman Technique of Cataract Removal

Book Review

The Intraocular Implant Lens Development and Results, With Special Reference to the Binkhorst Lens

Book Review

Obstructive Hydrocephalus as a Cause of Hypopituitarism

ABSTRACT:Two patients in whom the signs and symptoms of intracranial hypertension resolved after surgical correction of hydrocephalus are described. In both instances skull roentgenograms showed an abnormal sella turcica, and an arteriogram and air study were necessary to prevent misdiagnosis as “pseudotumor cerebri.” Evidence of clinical endocrine dysfunction is an…

Book Review

Erythema Nodosum in Patients With Tinea Pedis and Onychomycosis

ABSTRACT:To document association between erythema nodosum and concomitant fungus infection, we studied seven white women seen during a six-year period in our office practice. Five patients are presented. Unilateral erythema nodosum occurred in three patients on the same side as unilateral tinea. Tests with potassium hydroxide (KOH), cultures of nodules…

Book Review

Surgical Experience With Postinfarction Ventricular Aneurysm

ABSTRACT:Fifty-eight patients had surgical treatment of postinfarction ventricular aneurysm. Resection was performed in 47 patients and plication in 11. There were 44 combined procedures, mostly myocardial revascularizations. Indications for operation included congestive heart failure, angina, arrhythmias, and thromboembolic phenomena. All aneurysms were documented by cineventriculography, and 54 patients had coronary…

Book Review

Nosocomial Klebsiella Infections in an Intensive Care Nursery

ABSTRACT:Nosocomial infections in an intensive care nursery (ICN) due to kanamycin-resistant Klebsiella pneumoniae during a four-month period with an infection rate of 12% and mortality of 47% are reported. Emergence of this organism was thought to be due to the widespread use of kanamycin. Transmission probably occurred via hands of…

Book Review

Planning for Cardiac Care

Book Review

Ulnar Nerve Instability Ulnar Nerve Injury Due to Elbow Flexion

ABSTRACT:The term “ulnar nerve instability” describes the chronic condition of subluxation and relocation of the ulnar nerve at the elbow with flexion and extension of the elbow, respectively. This condition is more common than generally thought. Recurrent subluxation of the nerve at the elbow results in a tractional and frictional…

Book Review

Penicillin V Therapy for Streptococcal Pharyngitis Comparison of Dosage Schedules

ABSTRACT:Two dosage regimens of penicillin V were compared in 327 patients with mild to moderately severe streptococcal pharyngitis. Patients fulfilling study criteria were randomly assigned to a b.i.d. or a t.i.d. dosage schedule. Those in the b.i.d. group were given 500 mg twice daily; those in the t.i.d. group were…

Book Review

The Value of Multiple‐Plane Angiography in the Assessment of Aortoiliac Disease

ABSTRACT:Aortography, regarded as a definite diagnostic study in evaluating patients with peripheral vascular occlusive disease, is usually done in the anteroposterior projection only. Occasionally, a significantly diseased area may not be identified on this projection, and an oblique view of the aortoiliac region may clarify the presence and severity of…

Book Review

Topical Clotrimazole in Tinea Pedis

ABSTRACT:Clotrimazole is a new antifungal agent which is effective topically in dermatophytosis, cutaneous candidiasis, and tinea versicolor. The authors performed a controlled double-blind clinical trial comparing topical clotrimazole with its vehicle in the treatment of 66 patients with dermatophytic infections of the skin of the feet. Clotrimazole proved to be…

Book Review

Ibuprofen in Osteoarthritis

ABSTRACT:In a double-blind, multiclinic study, 437 patients with osteoarthritis were treated sequentially with ibuprofen, 1,800 mg/day, and placebo, or with aspirin, 3,600 mg/day, and placebo. Each treatment was given for four weeks. Considering relief of pain, ability to function, and general well-being, the patients preferred drug to placebo, usually by…

Book Review

Coal Workers' Pneumoconiosis

ABSTRACT:Pathologic features and pathogenesis of coal workers' pneumoconiosis are reviewed. Roentgenographic aspects of CWP have been examined; it is concluded that there is little or no correlation with physiologic abnormalities, and no abnormality is pathognomonic of this condition. It is suggested that coal workers who are physiologically disabled by any…

Book Review

Lymphomatoid Papulosis and Other Pseudomalignancies of the Skin

ABSTRACT:Lymphomatoid papulosis, keratoacanthoma, juvenile melanoma, and atypical fibroxanthoma are clinically benign yet histologically malignant cutaneous disorders which have been designated as pseudomalignancies of the skin. Other disorders which may be classified as pseudomalignant include angiolymphoid hyperplasia with eosinophilia, nodular fasciitis, lymphocytoma cutis, actinic reticuloid and, occasionally, insect bites. A patient…

Book Review

VIGNETTES ON MEDICAL WRITING Language, a la Mode

Book Review

Pulsus Alternans Its Therapeutic Implications

ABSTRACT:Pulsus alternans is a pulse pattern in which the beats occur at constant intervals but with the regular alternation of the peak of the pressure pulse. Pulsus alternans frequently indicates heart failure due to disease of the left ventricle and will be seen with increasing frequency as more patients are…

Book Review

Disseminated Histoplasmosis Diagnosed From Peripheral Blood Film

ABSTRACT:Demonstration of Histoplasma capsulatum in conventional films of peripheral blood establishes the diagnosis of disseminated histoplasmosis. We describe two new examples of this phenomenon and tabulate relevant data from 11 similar cases.

Clinical Brief

Color Fluorescein Photography

Clinical Brief

Sllicone Sling for Ptosis

ABSTRACT:The history of using brow suspension to correct blepharoptosis is reviewed. The disadvantages of earlier materials are discussed. The use of a silicone band, 0.8 mm in diameter, as the material for brow suspension is proposed. Five stab incisions are used, and the band is passed with the aid of…

Case Report

Endometriosis Involving the Femoral Vein

Case Report

Combination Flap Closure of Facial Defects

ABSTRACT:In the past, combining local flaps to close skin defects has emphasized the shape of the defect. Combining local flaps on the basis of facial features and available donor skin has clear-cut advantages over single flap and regional flap closures in selected cases. Facial features may be more readily preserved…

Case Report

Trabeculectomy

ABSTRACT:During a one-year period, 31 trabeculectomies were done in 25 patients. Of these procedures, 27 (87%) were done for chronic open angle glaucoma, three (10%) for congenital glaucoma, and one for chronic open angle glaucoma in an aphakic patient. Our overall success rate was 87%. Complications were few: only two…

Case Report

Malpractice Viewed in Perspective

Case Report

Osteotomy of the Metatarsals for Pes Cavus

ABSTRACT:Described is a surgical procedure for pes cavus which includes multiple osteotomies of the metatarsals, usually combined with Steindler fasciotomy and extensor tenotomy. This method permits the correction of the cavus deformity and preserves the length of the foot without disturbing any joint. A total of 11 patients with 14…

Case Report

Congenital Heart Disease in de Lange's Syndrome

ABSTRACT:Seven (29%) of 24 patients with de Lange's syndrome were found to have congenital heart disease. Rightsided obstructive lesions were most commonly encountered. Approximately one in five of all patients with the de Lange syndrome exhibit congenital heart disease, usually ventricular iteptal defect or pulmonic stenosis.

Book Review

Auditory Assessment of the Difficult‐to-Test

Book Review

Stedman's Medical Dictionary

Book Review

Significance of the Pecten Band in Anorectal Surgery

ABSTRACT:Constricting fibrous tissue in the subepithelial tissue of the terminal anus found at operation should be partially resected. Postoperative anal stenosis is prevented thereby, and superior functional and anatomic end results are attained.

Book Review

Use of a Crisis Committee in a Therapeutic Community

ABSTRACT:Described is the use of a patient crisis committee in an adult therapeutic community. The crisis committee is a function of the patient government and is called into action in situations formerly handled by physicians or nurses. This method appears to be highly successful in the therapeutic community described.

Book Review

Understanding Anesthesia Equipment Construction, Care and Complications

Book Review

Alexis Carrel Visionary Surgeon

Review Article

Clinical Use of Echocardiography A Review

Book Review

Physical Diagonis in Medicine

Current Concepts

Differential Diagnosis of Persistent Cholestatic Jaundice in Infancy

Current Concepts

Pathophysiology of Propranolol in Hypertension

Article

Eponym Yes, Virginia, There Is an Apgar Score

Case Report

1/21 Translocation

Case Report

Dr. Galbraith Receives SMA's Distinguished Service Award

Case Report

Multiple Giant Cell Tumors

Case Report

Amphetamine‐Induced Angiitis Leading to Renal Failure

Case Report

Thioridazine‐Hydrochloride-Associated Agranulocytosis

Case Report

Intrathoracic Splenosis

Case Report

Infection of Disk Space Secondary to Fistula From Pelvic Abscess*

Case Report

Phencyclidine Ingestion Therapy Review

Case Report

Adenovirus Type 7 Pneumonia Associated With a Large Pleural Effusion

Case Report

Tick Paralysis Electrophysiologic Measurements

Case Report

Cervical Teratoma in Infants and Children

Case Report

Difficulties in Diagnosing Unusual Spread of Cervical Carcinoma

Case Report

LETTERS TO THE EDITOR

Letters to the Editor are welcomed. They may report new clinical or laboratory observations and new developments in medical care or may contain comments on recent contents of the Journal. They will be published, if found suitable, as space permits. Like other material submitted for publication, Letters must be typewritten…