SMJ // April 1978, Volume 71 - Issue 4
Editorial
VENI, VIDI, VINCI
Editorial
OVERTREATMENT OF SKIN DISEASE
Editorial
Atypical Lobular and Papillary Lesions of the Breast A Follow‐Up Study of 30 Cases
ABSTRACTSections from 879 consecutive breast biopsies performed for clinically and grossly benign disease between 1962 and 1966 were reviewed. Twenty-four cases of undiagnosed lobular carcinoma in situ or atypical lobular hyperplasia and six cases of intraductal papillary carcinoma were found. Only one patient later developed invasive carcinoma, an infiltrating lobular…
Editorial
Carcinoma of the Ampulla of Vater
ABSTRACTAdenocarcinoma of the ampulla of Vater represents about 10% of periampullary neoplasms. This tumor is slow-growing, often amenable to radical surgical resection, and associated with a better prognosis than the other neoplasms which arise in the periampullary area. Correct identification of ampullary carcinoma may be difficult but is essential because…
Editorial
Verrucous Carcinoma of the Vagina
ABSTRACTThe case histories of three women with verrucous carcinoma of the vagina are presented. Verrucous carcinoma, in the female genital tract as elsewhere, is a relentlessly growing, destructive, but generally nonmetastasizing neoplasm of stratified squamous epithelium with a characteristic gross and microscopic appearance. It should be recognized and segregated from…
Editorial
VIGNETTES ON MEDICAL WRITING
Editorial
Unusual Incidence of Testicular Tumors
ABSTRACTAlthough carcinoma of the testicle is a rare lesion, one family physician saw three cases in 18 months. He diagnosed all correctly and referred the patients for treatment immediately. All three patients are living and well. We believe his alertness is worthy of note because, given the rarity of the…
Editorial
Hodgkin's Disease in Pregnancy
ABSTRACTTwo cases of Hodgkin's disease associated with pregnancies are presented. Review of the literature failed to show that pregnancy had any deleterious effect on either the course or survival of patients with Hodgkin's disease; nor did therapeutic abortion alter the survival curves of these patients. There is only one report…
Editorial
Localization of Bronchogenic Carcinoma in Tuberculous Lobes
ABSTRACTThe pronounced predilection of bronchogenic carcinoma for tuberculous lobes of the lungs is not generally recognized. In this plus 11 other series of patients with coexisting disease, an average of 52% had the neoplasm in a tuberculous lobe. In the present study, tuberculosis was confined to one or two lobes…
Editorial
Severe Electrolyte Disturbances Associated With Metolazone and Furosemide
ABSTRACTIn two patients with severe hypertension and moderately severe renal insufficiency, metolazone and furosemide were used in combination with propranolol, methyldopa, and hydralazine to augment control of blood pressure. This combination of diuretics also was used in five patients with refractory congestive heart failure. The patients developed severe electrolyte disturbances…
Editorial
Acute Renal Failure in Patients With Acute Leukemia
ABSTRACTAcute renal failure may be a contributory cause of death in patients with acute leukemia. The purpose of this study was to define the causes and course of acute renal failure in a group of patients with acute leukemia in order to identify preventive measures and reversible aspects of the…
Editorial
Vascular Access for Chronic Hemodialysis Use of Bovine Xenografts to Create Arteriovenous Fistulas
ABSTRACTAdequate vascular access is the hallmark of successful chronic hemodialysis for end-stage renal disease. Between May 1972 and August 1975, it was necessary to use a bovine xenograft in 91 instances to create an arteriovenous fistula for vascular access in patients receiving chronic hemodialysis at the Vanderbilt University Affiliated Hospitals….
Editorial
Liver‐Kidney Relationship in Radioisotopic Localization of Retrohepatic and Subhepatic Masses
ABSTRACTCombined liver-kidney scintigrams in 46 patients were obtained by administering two radiopharmaceuticals labeled with 99mTc. A mass in the right adrenal or subhepatic area was demonstrated as a void or absence of activity between the organs. Normally, the activity in the liver and right kidney blends together so visual separation…
Editorial
Effects of Acupuncture on Tissue Oxygenation of the Rat Brain
ABSTRACTAcupuncture has been claimed to be effective in restoring consciousness in some comatose patients. Possible mechanisms to explain alleged acupuncture-induced arousal may include vasodilatory effects caused by sympathetic stimulation which leads to an augmentation of cerebral microcirculation and thereby improves oxygen supply to the brain tissue. Experiments were performed in…
Editorial
Transcutaneous Electrical Nerve Stimulation in the Management of Pancreatitis Pain
ABSTRACTThe application of transcutaneous electrical nerve stimulation (TENS) to the abdomen produced prompt and sustained relief of the pain associated with pancreatitis in five patients and in another patient with probable acute pancreatitis. The disorder was acute in two patients and recurrent in four. Multiple hospitalizations, including the need for…
Editorial
Neural and Dural Optic Nerve Measurements With A‐Scan Ultrasonography
ABSTRACTUltrasonography has been shown to be of great value in studying drusen, cupping, and elevation of the optic disk, as well as mass lesions of the orbital optic nerve. We have found A-scan ultrasonography to be an accurate and simple method of measuring both the diameter of the retrobulbar optic…
Editorial
Ultrasonic Demonstration of a Cyst of the Velum Interpositum
ABSTRACTTwo-dimensional ultrasonic echograms may be used to demonstrate intracranial anatomy in infancy. An ependymal cyst of the velum interpositum and hydrocephalus was diagnosed in this manner.
Editorial
Initial Evaluation of Patients With Hypertension An Office Procedure
ABSTRACTTraditionally the initial evaluation of a patient with high blood pressure has focused on excluding secondary correctable causes of hypertension. Such all-inclusive evaluations are expensive, time-consuming, and expose the patient to some risk. A complete history, physical examination, and relatively simple laboratory procedures such as CBC, urinalysis, SMA-6 and 12,…
Editorial
Interesting Approaches to the Diagnosis of Angina Pectoris
ABSTRACTTwelve different approaches to laboratory diagnosis of angina pectoris are reviewed here. They employ no fewer than seven different means of intentionally provoking a disparity between myocardial requirement and supply: dynamic exercise, hypoxia, prandial stress, raised systemic vascular resistance, paced tachycardia, mental stress, and exposure to normal environment. Of these,…
Editorial
Laboratory Diagnosis of Sickling Hemoglobinopathies
ABSTRACTSickle cell trait is present in about 8% of black Americans, and clinically significant sickling disorders are common in this population. These disorders can be accurately defined by combinations of quantitative hemoglobin electrophoresis at alkaline pH, citrate agar electrophoresis, solubility tests for sickle hemoglobin, fetal hemoglobin measurements, blood counts, erythrocyte…
Editorial
Perioperative Antibiotics in Major Elective Gynecologic Surgery
ABSTRACTThe efficacy of a three-dose, perioperative regimen of cefazolin or placebo in reducing postoperative infectious morbidity was evaluated in a double-blind study in 206 patients undergoing elective vaginal or abdominal hysterectomy. Postoperative infectious morbidity was defined as: an oral temperature of 100.4 F (38 C) or greater on any two…
Editorial
Posterior Dislocation of the Shoulder Report of Six Cases
ABSTRACTPosterior dislocation of the shoulder is a rare lesion. We have seen six of these dislocations in recent years. Review of these six cases indicated that posterior dislocations of the shoulder have consistent causes and physical and roentgenographic findings. Recent dislocations can be treated conservatively with closed reduction. Recurrent or…
Editorial
Maximal Inspiratory Force in Infants and Children
ABSTRACTThis paper discusses the use of inspiratory pressure measurements as part of the criteria for extubation of anesthetized children. Maximal inspiratory effort was measured in 18 children, aged 1 month to 8 years, before extubation.
Review Article
Medical Treatment of Epilepsy Part II
Current Concepts
Drug Therapy for Parkinson's Disease
Case Report
Chylothorax and Lymphangiomas of Bone Unusual Manifestations of Lymphatic Disease
ABSTRACTA patient with chylothorax, mediastinal lymphangiomatous malformation of the thoracic duct, and multiple lymphanglomas of bone is reported. If a patient has radiographic findings of increased pleural fluid with multiple lucent lesions of the skeleton, the possibility of a generalized abnormality in the lymphatic system should be considered. Early diagnosis…
Case Report
Snake‐to-Human Transmission of Aeromonas (Pl) shigelloides Resulting in Gastroenteritis
ABSTRACTA healthy young man developed acute gastroenteritis after handling an infected boa constrictor. The animal died after contracting “mouth-rot disease,” a progressive ulcerative stomatitis of snakes characteristically caused by Aeromonas species. Stool cultures from the patient yielded a heavy growth of Aeromonas (Plesiomonas) shigelloides but no other enteric pathogens. Treatment…
