SMJ // July 1978, Volume 71 - Issue 7
Announcement
GENERAL ANNOUNCEMENTS
Commentary
ECTOPIC PREGNANCY
Primary Article
Ectopic Pregnancy A 15‐Year Review of 160 Cases
ABSTRACT:Our review of the incidence of ectopic pregnancy in metropolitan Oklahoma City hospitals from 1960 through 1975 revealed an overall statistically significant increase. Review of the incidence of gonorrhea during the same period for the State of Oklahoma also showed a statistically significant increase. There was a significant correlation between…
Primary Article
VIGNETTES ON MEDICAL WRITING
Primary Article
Chronic Peritoneal Dialysis in a Patient With Primary Amyloidosis, Renal Failure, and Factor X Deficiency
ABSTRACT:Chronic peritoneal dialysis was used in a patient with renal failure due to primary amyloidosis. Paraprotein was demonstrated in serum and urine, and was removed in peritoneal dialysate. The patient objectively improved as long as he was receiving peritoneal dialysis. When dietary indiscretion necessitated hemodialysis for fluid removal, he died…
Primary Article
The Adolescent's First Pregnancy A Controlled Study
ABSTRACT:The records of 1,021 primigravida women who delivered single infants from 1973 to 1976 and who were in the adolescent (ages 10–15) and mature (ages 20–24) age groups were reviewed. It was found that the adolescent patient is more often black and unmarried, and has less prenatal care than the…
Primary Article
Pulmonary Gangrene With Vascular Occlusion
ABSTRACT:Characteristic sequential roentgenographic changes have been revealed in three cases of pulmonary gangrene. The microscopic findings of endarteritis obliterans were present in all cases. The present series brings the total of such cases in the literature to 14. Etiologic factors are discussed.
Primary Article
The Seductive Patient
ABSTRACT:Women referred to as hysterical personalities comprise the largest group of seductive patients. We will discuss (1) how to recognize them, (2) how they behave with physicians, (3) the reactions evoked by them, (4) what brings them to physicians, (5) what they are really seeking, and (6) how to cope…
Primary Article
Changes in Liver Enzyme Values After Halothane and Enflurane for Surgical Anesthesia
ABSTRACT:For over a decade there has been concern about hepatitis related to halothane anesthesia. No dose relationship or other direct cause has ever been established, and jaundice has been found to occur after other anesthetics for surgical operations. Enflurane is a newer halogenated compound with a remarkable record of safety,…
Primary Article
Complications From Unrecognized Defects in Endotracheal Tubes
ABSTRACT:Considerable effort has been made to improve endotracheal tubes and make them safer than they have been in the past; yet complications continue to occur, due, in most’ instances, to inherent defects in the tube. It is not possible to identify these defects in a routine preoperative examination. Three cases…
Primary Article
Total Hearing Rehabilitation Within‐Clinic Hearing Aid Dispensing
ABSTRACT:Federal (FDA) regulations recently passed require physician clearance before hearing aid sales. Discussed herein are numerous evaluative and rehabilitative procedures necessary for proper hearing aid fittings. A program of total professional management of the hearing rehabilitation process, including the direct dispensing of hearing aids by the otology-audiology team, is described…
Primary Article
Intraturbinal Steroid Injection indications, Results, and Complications
ABSTRACT:Intraturbinal injection of steroid can yield rapid relief of nasal obstruction caused by severe allergic or vasomotor rhinitis, rhinitis medicamentosa, or acutely enlarged nasal polyps. This modality is not meant to replace the traditional means of therapy for these diseases. Despite previous reports of visual loss after intraturbinal steroid, thousands…
Primary Article
Carbon Dioxide Laser Treatment of Dermatologic Lesions
ABSTRACT:Each of the four general classes of laser (gas, solid, liquid, and semiconductor) emits a particular wavelength of light. This beam of light can be focused to a minutely accurate diameter and the depth of penetration can be controlled by the power input. Thus, there is minimal damage to surrounding…
Primary Article
Flutamide Therapy for Carcinoma of the Prostate
ABSTRACT:In our three-year experience with the use of flutamide for the treatment of carcinoma of the prostate, 20 patients with previously untreated stage D carcinoma of the prostate were enrolled in a 12-week double-blind study. Seven patients received 1.5 gm of flutamide daily, seven patients received 0.75 gm of flutamide…
Primary Article
Squamous Cell and Basal Cell Carcinomas Preliminary Study of 3,817 Primary Skin Cancers
ABSTRACT:A series of patients with 3,817 cutaneous carcinomas of different types observed in a private practice setting is reported. Preliminary computerized analyses indicate that 88% of these squamous cell and basal cell carcinomas were < 25 mm. Scalpel surgery, curettage and desiccation, or radiation therapy was used for most tumors…
Primary Article
Adenocarcinoma of the Bladder as Seen at Ochsner Medical Institutions
ABSTRACT:Adenocarcinoma of the bladder is an uncommon malignancy comprising less than 2% of all bladder tumors. Eleven cases of adenocarcinoma of the bladder were seen from 1947 to 1977 at the Ochsner Medical Institutions. Six of the tumors were urachal in origin, and five involved the base and lateral walls…
Primary Article
Metastatic Tumors of the Foot
ABSTRACT:Four metastatic tumors of the foot, of colonic, renal and humeral origin, are described. They involved three calcanei and two tali. All four patients died within a few months after the appearance of metastasis to the foot. Bony destruction, pain, and swelling can closely resemble the clinical signs and symptoms…
Primary Article
Colposcopic Evaluation of DES‐Exposed Progeny at Two Large Medical Centers The Squamous Neoplasia Problem
ABSTRACT:Two hundred eight patients with confirmed or suspected diethylstilbestrol exposure were examined colposcopically at two separate medical centers. Cervicovaginal ridges were present in 90 (43.3%) and ectopy was found in 188 (90.4%) of the patients. Evidence of vaginal adenosis was present in 122 (58.6%) of the cases. Seventy-four percent of…
Primary Article
Bacterial Endocarditis in Narcotic Addicts Analysis of Arterial Blood Gases
ABSTRACT:We studied the arterial blood gas determinations done on the first hospital day in 14 narcotic addicts with bacterial endocarditis (group 1) and six addicts with other medical complications of narcotic addiction (group 2). The arterial oxygen tension (PaO2) was 67.3 ± 3.3 mm Hg (SEM) in group 1, and…
