SMJ // August 1978, Volume 71 - Issue 8
Case Report
Retroperitoneal Lymphangioma Ultrasonic Findings
Case Report
Otitic Hydrocephalus
Case Report
Intraoperative Aminoglycoside Apnea
Case Report
Massive Oral Theophylline Poisoning
Case Report
Single Coronary Artery Recent Considerations
Case Report
Tuberous Sclerosis in Old Age
Current Concepts
The Logic of Adjunctive Therapy in Surgical Patients With Resectable Cancer
ABSTRACT: The principles and rationale of using multiple modalities (surgery, chemotherapy, radiotherapy, and immunotherapy) to treat solid malignancies is reviewed. Animal models of human tumors have clearly demonstrated the superiority of combining local treatment (eg, surgery) with systemic treatment (eg, chemotherapy). Although the results of many trials of adjunctive therapy…
Editorial
EXCELSIOR: ONWARD AND UPWARD
Editorial
Dr. Devgan Replies
Editorial
MD
Announcement
GENERAL ANNOUNCEMENTS
Letter to the Editor
Undescended Testes
Letter to the Editor
Blastomycosis of Paranasal Sinuses
Announcement
Presidents Message
Primary Article
Three-Year Follow-up Study of Stroke Patients at the Medical College of Virginia
ABSTRACT: Thirty-two patients with recent stroke were followed up for a three-year period. Correlation of rehabilitation therapy, survival, and life-style integration is discussed. Problems related to physician-patient relationship are emphasized including impact of available facilities upon long-term prognosis.
Primary Article
Bronchial Adenoma—Benign or Malignant?
ABSTRACT:Bronchial adenomas grow slowly and are potentially malignant. Of the 45 cases reviewed, 36 were carcinoids, six were adenocystic carcinomas, two were tumors, and one was micoepidermoid carcinoma. The carcinoid group is subdivided into histologically typical 27 (75%),atypical 9 (25%), and; metastasizing 9 (25%) adenomas. There were 32 lobectomies, seven…
Primary Article
PPD-Tuberculin and PPD-Battey Dual Skin Testing of Hospital Employees and Medical Students
ABSTRACT:Tuberculin PPD-Battey skin were simulataneously applied to 3,882 emplouees of Charity Hospital and 408 medical students at Louisiana State University. The PPD was doubtful(5 to 9 mm induration) in 253 of the total 4,290 persons tested(5.9%). In 86 of these 253 persons, the reaction to PPD-Battey was greater than the…
Primary Article
Mental Effects of Mercury Poisoning
ABSTRACT: Three dentists suffered symptoms of mercury poisoning from the use of this substance in the production of amalgam for dental fillings. The problem of mercury absorption in dental offices has been well documented in the dental literature. The three cases are presented.
Primary Article
Cytosine Arabinoside for Varicella Zoster A Second Look
ABSTRACT: Herpes zoster and disseminated herpes zoster, or varicella (V-Z), continue to be dreaded complications of patients with immunosuppression. Currently, there is no available therapy for V-Z, except for general supportive measures. Seven cases of V-Z are presented, showing the results of cytosine arabinoside administration when given as an intermittent…
Primary Article
Freezing an Extremity in Preparation for Amputation
ABSTRACT: Patients requiring a major amputation for ischemia are frequently gravely ill. Physiologic amputation obtained by freezing the leg, usually with a tourniquet, will permit delay and intensive preoperative therapy. In an efficient, safe, and convenient method which we have developed and used in 46 patients, a pump circulates antifreeze…
Primary Article
Nasal Polyposis in Children
ABSTRACTIn this study, the cases of patients under age 18 who had been admitted to the hospital over a five-year period for nasel polypectomy were reviewed for evidence of allergy or other possible predisposing conditions.Two of the childern had cystic fibrosis and one had Kartageners syndrome. Of the remaining 21…
Primary Article
Multicystic Dysplastic Kidney Diagnostic Considerations and Management
ABSTRACT: A protocolled diagnostic approach for assessing various cystic and solid masses occurring in the neonate and infant, with particular emphasis on renal masses, is described. This protocol uses diagnostic examinations in such a sequence as to establish the diagnosis with acceptable confidence by the least invasive procedure and, therefore,…
Primary Article
Pancreatic Injury
ABSTRACT: During the ten-year period from 1967 to 1977, 50 cases of pancreatic trauma were reviewed. There were 40 gunshot wounds, six stab wounds, and four cases of blunt abdominal trauma. Ten of the patients died, a mortality of 20%. The overall complication rate was 57%, but only 27% had…
Primary Article
Epidemic Rubella in Military Recruits
ABSTRACT: Between Dec 1 and Feb 18, 1976, 320 cases of rubella occurred among recruits and dependent children at two Air Force bases in Illinois and Texas. Only 28 cases (9%) were identified in patients aged 17 and under. Routine serosurveillance before the outbreak revealed protective immunity in 89.1% of…
Primary Article
Repair of Rectal Prolapse Experience with the Ripstein Sling
ABSTRACT:Forty-eight patients with rectal prolapse were seen at Ochner Clinic from 1955 to 1977. The charts of these patients were reviewed to assess the treatment and to evalluate a suggested association between rectal prolapsr and solitary rectal ulcer syndrome. Since 1970 the Ripstein sling procedure has been used exclusively to…
Primary Article
Cutaneous Angiosarcoma of the Hip
In 1948, Stewart and Travesre 1ported six cases of lymphangiosarcoma occurring in a chronically edematous extremity after radical mastectomy for carcinoma of the breast. Since then over 100 cases have been reported. Most of these have also followed a radical mastectomy and, as might be expected, have been seen in…
Primary Article
Acute Acetaminophen Intoxication
ABSTRACT: Acetaminophen is a readily available, widely used drug which has been thought safer than aspirin. Overdosage which may result in fatal hepatic necrosis is commonly seen in the United Kingdom but is rarely reported in the United States. In a two-month period, three patients were admitted to a general…
Primary Article
Two and a Half Years of Acupuncture in Alabama
ABSTRACT: From the data presented it appears that acupuncture helped in more than 50% of the patients by either completely or partially controlling pain from certain disorders. Patients helped by acupuncture received 8.55 treatments on the average, while patients not helped by acupuncture only received 4.75 treatments. There is little…
Primary Article
Blunt Trauma to the Pancreas in Children
ABSTRACT: Sixteen children below the age of 12 were operated on for blunt injury to the pancreas during a ten-year period. Unless there was an associated injury, signs and symptoms did not immediately develop. Common to the delayed manifestation of an injury to the pancreas was a history of an…
Announcement
Georgia World Congress Center
Article
Drug Treatment of Anxiety
Article
Disposition and Elimination of Minor Tranquilizers in the Aged and in Patients With Liver Disease
ABSTRACTBoth old age and liver disease may affect the disposition and elimination of drugs and in the case of sedatives and tranquilizers such abnormalities may be associated with exaggerated sedation. Diazepam (Valium) elimination half-life (T) increases with advancing age and it correlates with increased volume of distribution but not with…
