SMJ // May 1977, Volume 70 - Issue 5
Acknowledgment
ACKNOWLEDGMENT
Article
Use of a Programmed, Self‐Instructional Text to Teach Psychiatry to Freshman Medical Students
ABSTRACTA self-instructional learning system including a text, videotape cassettes, and a test book was used as the core of freshman psychiatry at the Texas Tech University School of Medicine. The 52 hours previously taken up by tectures were used for small group discussions and exploring the doctor -patient relationship. Three…
Article
Colonoscopy in Clinical Practice
ABSTRACTColonoscopy is a relatively new and important diagnostic modality for evaluating colonic disease. In order to assess its value in the community hospital, all colonoscopies done by me (250 examinations in two hospitals) were reviewed. Colonoscopy was sometimes easy and sometimes long and tedious. It was difficult to reach the…
Article
Persistent Adenopathy in Coccidioidomycosis An Indication for Therapy
ABSTRACTThree patients seen recently at Wilford Hall USAF Medical Center emphasize the point that coccidioidomycosis may resemble lymphoma because of persistence of adenopathy on the chest roentgenogram after the initial infiltrate has resolved. Such a clinical picture strongly indicates dissemination and is probably sufficient reason to initiate therapy.
Article
Sickle Cell Hepatopathy
ABSTRACTHepatic dysfunction is a common finding in patients with sickle cell disease but viral hepatitis appears to be an unusual complication in the adult SS patient. Only five cases of viral hepatitis were recorded in 378 admissions for SS crisis. In contrast, hepatic crisis occurred as a distinct event in…
Announcement
GENERAL ANNOUNCEMENTS
Article
Brain Tumors of Mixed Tissue Origin Staining Procedures to Distinguish Glial From Connective Tissue
ABSTRACTDescribed is a unique mixed intracerebral turoor composed of schwannoma, piloid astrocytoma, and angiom-atous malformation. Review of conventional staining methods for distinguishing glial from connective tissue fibrils reveals that Mallory's phosphotungstic acid-hematoxylin (PTAH) method is less specific than is generally recognized. Knowledge of these pitfalls, combined with use of hematoxylin…
Article
Chemical Treatment of External Otitis
ABSTRACTFrom 1962 through 1969, 2,008 cases of external otitis were treated chemically. The auditory canal was cleaned and a gauze wick saturated with 20% silver nitrate solution was introduced. The next day the wick was replaced with one saturated with Burow's solution. After two to three days, this wick was…
Article
A Multifaceted Approach to Prevention of Thromboembolism A Report of 529 Cases
ABSTRACTThe morbidity and incidence of thromboembolic complications can be reduced by patient awareness, nursing staff concern, and physician responsibility using mechanical measures and drugs. Preoperative exercise instructions, early ambulation, calf exercise, antiembolism hose, postoperative circle-bed turning and use of the Trendelenburg position, the use of intravenous dextran postoperatively and, in…
Article
Value of Polytomography in Study of Dysphagia Due to Vertebral Osteophytosis
ABSTRACTPolytomography is a simple, noninvasive procedure useful in the diagnosis, preoperative assessment, and follow-up examination of dysphagia due to vertebral osteophytosis. It is especially recommended for all elderly patients undergoing endoscopy to evaluate possible difficulties or hazards which may be encountered due to the presence of osteophytosis. Tomographic study of…
Article
Routine Upper Gastrointestinal Examination in Preoperative Cholecystectomy Patients
ABSTRACTThe charts of 663 patients who had cholecystectomy were reviewed to determine the usefulness of preoperative radiologic examination of the upper gastrointestinal tract. In 14% of the patients a positive finding was reported. However, slightly less than half of these findings were confirmed at surgery. Only 2.9% of the patients…
Article
Growing Skull Fractures
ABSTRACTFour cases of growing skull fracture in children are presented and the reasons for poor surgical results are analyzed. The clinical presentation, causative factors, and operative findings are discussed.
Article
Zinc Sulfate Supplementation for Treatment of Recurring Oral Ulcers
ABSTRACTUse of zinc sulfate in promotion of wound healing and in maintenance of epithelial integrity suggested its possible use in the treatment or prevention of recurrent oral ulcers. In a series of 32 patients with recurrent aphthous ulcers (RAU), serum zinc levels were observed. Seventeen patients, eight with initial serum…
Article
Acute Erosive Gastritis Induced by Aspiring, Ketoprofen, Ibuprofen, and Naproxen Its Prevention by Metiamide and Cimetidine
ABSTRACTAspirin, ketoprofen, ibuprofen, and naproxen all produced acute gastric erosions in rats. Aspirin produced significantly more erosions than ketoprofen, ibuprofen, or naproxen. There was no significant difference between the effects of ketoprofen, ibuprofen, and naproxen. Aspirin and naproxen produced a synergistic effect at higher dosage. Metiamide and cimetidine were effective…
Article
Leukopenia and Granulocytopenia After Oxacillin Therapy
ABSTRACTTwo cases of granulocytopenia and leukopenia developing after high-dosage oxacillin therapy given intravenously are described. One patient developed leukopenia and granulocytopenia after 17 days of therapy. The conditions were reversible when oxacillin therapy was discontinued. In the other case, the adverse reaction developed within 48 hours after therapy began and…
Article
Evaluation of the Gravlee Jet Washer Using Combined Cell Block/ Cytologic Interpretations
ABSTRACTTwo hundred patients at high risk for endometrial adenocarcinoma were screened using the Gravlee Jet Washer. Tissue obtained from the first 100 patients was processed by cell block technic alone; tissue from the second 100 patients was processed by cell block plus direct smear and Nucleopore* filtration stained by the…
Article
Increased Serum Calcium Levels Induced by Furosemide
ABSTRACTThirteen male patients were treated with furosemide at a dosage of 40 mg by mouth daily for three weeks Atomic absorption serum calcium determinations before and after treatment revealed a consistent elevation of the serum calcium level. It is suggested that at low dosages, furosemide is likely to raise the…
Case Report
Water Intoxication in Psychogenic Water Drinkers Taking Thiazide Diuretics
COMPULSIVE DRINKING OF WATER produces no symptoms other than polyuria and perhaps manifestations of an underlying psychiatric disturbance.1–3 However, if the usual mechanisms for excreting water are compromised these patients may occasionally develop acute hyponatremic encephalopathy, manifested by decreased levels of consciousness, seizures, coma, irreversible brain damage, and even death.4.5Treatment…
Case Report
Total Hip Replacement in the Previously Infected Hip
ABSTRACTTen patients with a history of previous hip joint sepsis including one with active tuberculosis of the hip have had total hip replacement using acrylic cement. With duration of follow-up ranging from six months to over three years, all but one have had satisfactory results with no evidence of persistent…
Case Report
Medial Displacement Osteotomy for Unstable Intertrochanteric Femoral Fractures
ABSTRACTThe charts and roentgenograms of 86 consecutive patients treated by medial displacement osteotomy between 1970 and 1974 were reviewed. All patients had unstable, four-fragment intertrochanteric fractures and were treated by the residents and attending staff of the hospitals served by the University of Alabama Medical Center. Thirty patients had sufficient…
Case Report
Routine Chest Roentgenograms on Hospital Admission Do Not Discover Tuberculosis
ABSTRACTOf 95 cases of tuberculosis diagnosed at Grady Memorial Hospital in 1972, only six patients were not already diagnosed or suspected of having TB at the time of admission to the hospital. In only two of these cases was the diagnosis of TB made because of the routine admission chest…
Case Report
Traumatic Left Anterior Descending Coronary Artery to Right Ventricle Fistula Report of Two Cases
ABSTRACTTwo cases of traumatic fistulas between the left anterior descending coronary artery and right ventricular outflow tract are presented. One was due to a stab wound and the other to blunt chest trauma. Both patients had small left-to-right shunts. The first patient had surgical closure of the fistula, but it…
Case Report
Systemic Candidiasis Following Cardiac Surgery An Improved Outlook
ABSTRACTSystemic candidiasis following cardiac surgery, previously regarded as fatal, has now a much improved prognosis. Prognosis depends largely on early diagnosis and treatment. Four of five patients we recently treated for this disease survived. The presence of several predisposing factors in a febrile patient following cardiac surgery should alert the…
Case Report
Acetaminophen‐Induced Bronchospasm
Case Report
Condyloma Acuminatum and Squamous Carcinoma of the Vulva
ABSTRACTReported is the association of condyloma acuminatum and squamous carcinoma of the vulva in three cases and condyloma followed by squamous dysplasia in a fourth case. This association has previously been reported in both male and female genitalia and in the perianal area. In our four cases, cancer or squamous…
Case Report
Unusual Fractures During Convulsions in Two Patients With Renal Osteodystrophy
ABSTRACTTwo men undergoing chronic hemodialysis sustained unusual fractures during grand mal convulsions. Both patients showed radiologic evidence of renal osteodystrophy. In one, the fractures involved both femoral necks. In the other, a comminuted fracture occurred in the inferior portion of the left scapula.
Review Article
Recent Advances in the Diagnosis and Treatment of Congenital Heart Disease
ADVANCES IN MEDICINE are based on consolidation of previous gains with analysis of long-term effects of management so that remaining problems can be solved and good results can be extended. New ideas as well as improvements of old concepts and technics contribute to progress. In the field of congenital heart…
Current Concepts
Treatment of Rheumatoid Arthritis With Gold
ABSTRACTThere have been three important double-blind studies evaluating the use of gold therapy in rheumatoid arthritis. Patients treated with gold have decreased number of joints with synovitis, decreased ring size, increased grip strength, and roentgenographic evidence of arrest or decrease in the progression of skeletal lesions. If a patient with…
Article
Failure to Define Death The Unsettled Question
ABSTRACTMany states have passed the Uniform Anatomical Gift Act, which places the burden of determination of actual death of the patient upon the physician. The House of Delegates of the Connecticut State Medical Society has endorsed a definition of death. The Kansas Legislature was the first to adopt a statute…
Article
Lipoma of the Colon With Intussusception
Lipomas, while uncommon, are the second most common benign tumor of the colon after adenomas. They are usually located in the cecum or ascending colon of older individuals, but may be seen (in order of decreasing frequency) in the transverse, descending, or sigmoid colon. The vast majority of lipomas are…
Case Report
Cervical Spondylotic Dysphagia
ANTERIOR CERVICAL OSTEOPHYTES are an uncommon cause of dypahagia. Mosher1 first reported this syndrome in 1926, but it was not until 1938 that Iglauer2 reported a good result after the first case treated by surgical exicision. Brooks and Ochsner3 reported a case from this clinic in 1964. The following is…
Case Report
Male Infertility and 21/1 Translocation
ALTHOUGH THE ASSOCIATION OF OLIGOSPERMIA with autosomal chromosome aberrations has been well known since 1964, it is not often reported.1 In those cases which are reported. D/D translocations are most frequently involved, with D/G translocations next in frequency.2 Translocations involving the No. 1 chromosome are rare, though reported.3–8 Cases involving…
Case Report
Fatal Colitis in a Hemophilic Patient With Inhibitor
PSEUDOMEMBRANOUS ENTEROCOLITIS is a recognized complication resulting from the use of diverse kinds of antibiotics. Recent reports have noted this development following the use of lincomycin and a related antibiotic, clindamycin.1–4 The following report describes a fatal case of colitis associated with an antibiotic program which included clindamycin. Our patient…
Case Report
Skin Blanching Induced by Hydrogen Peroxide
Hydrogen peroxide (H2O2) was recognized as a chemical in 1818 by Gay-Lussac and Thenard1 and introduced into medical practice by Richardson2 in 1856 as a disinfectant before asepsis was appreciated as a medical necessity. The irritating properties of H2O2 on the respiratory mucosa, the eyes, and skin was recognized. Swallowing…
Case Report
Cardiac Malformations Presenting as Congenital Atrial Flutter
THE TERM “CONGENITAL ATRIAL FLUTTER” has been used to indicate that the flutter is believed to have been present before birth and has been documented in the perinatal period.1 This condition is extremely rare. In the literature up to 1970, Anttolainen and Simila1 were able to find only 16 cases…
Case Report
Intracranial Hypertension Resulting From a Cerebrovascular Malformation
PATIENTS WITH CEREBRAL ARTERIOVENOUS malformations usually present with evidence of focal neurologic deficit, convulsions, or subarachnoid hemorrhage. In their review of 110 patiets with intracranial angioma, Paterson and McKissock1 described 17 patients who were found to have papilledema, and these patients had suffered intracerebral or subarachnoid hemorrhage. Only one patient…
Case Report
Pulmonary Talcosis as a Result of Massive Aspiration of Baby Powder
IN 1954 Cless and Anger1 reported a fatal case of massive aspiration of baby powder. In 1962 Molnar and associates2 added to the literature another instance, and in 1963 Jenkins3 reported a third case in which death resulted shortly after aspiration. Hughes and Kalmer,4 in 1966, recorded survival of an…
Case Report
Cardiac Arrhythmia and Hypopotassemia in Association With Lithium Carbonate Overdose
For over 100 years, lithium salts have been used in the treatment of various disorders including rheumatism, gout, hyperthyroidism. diabetes mellitus and as a salt substitute in patients with congestive heart failure. These uses, however, proved unrewarding and were associated with significant toxic effects. Therapeutic efficacy of lithium salts in…
Case Report
Preoperative Diagnosis of Hyperneproma in a Renal Cyst Wall by Selective Renal Angiography
THE ACTUAL INCIDENCE of a tumor within or adjacent to a renal cyst wall is difficult to establish and therefore controversial. It is widely thought, however, that the association of renal cysts and neoplasms is higher than could be explained by mere coincidence. Several theories therefore have been advanced linking…
Case Report
Hyperkalemia Due to Selective Hypoaldosteronism
Case Report
Chronic Radiation Enteritis Complicating Non‐Hodgkin's Lymphoma
MEGAVOLTAGE RADIOTHERAPY, currently in use as curative therapy for stage I, II, and III A Hodgkin's disease, is effective also in localized non-Hodgkin's lymphoma.1–9 Abdominal lymphoma can be treated with megavoltage irradiation of para-aortic and pelvic lymph nodes delivered in large opposing fields in the shape of an inverted-Y.10 Such…
