Issue - Southern Medical Association

Editorial

MORE GROUND RULES

Editorial

DRUGS—AND HOW TO USE THEM

Editorial

THE CASE AGAINST THE FETAL MONITOR

Editorial

GENERAL ANNOUNCEMENTS

Editorial

Acoustic Neuroma Results of Brain Stem Evoked Response Audiometry

ABSTRACTBrain stem evoked response (BER) audiometry presents abnormal findings in patients with acoustic neuromas. The test involves averaging of recordings at the vertex as sound-triggered nerve impulses travel from the cochlea to the brain stem. From the time the sound stimulus arrives at the cochlea until it reaches the first…

Editorial

Saline Lavage A Rapid, Safe, Effective Method of Whole‐Gut Irrigation for Bowel Preparation

ABSTRACTThe standard preparation for cleansing the colon usually involves dietary restrictions, purgatives, and enemas. This is time-consuming, often uncomfortable, and at times unsuccessful. This study of 37 patients examines the efficacy of saline lavage as an alternative method for cleansing the bowel. Isotonic sodium chloride solution is pased into the…

Editorial

Arthroscopic Teaching Technics

ABSTRACTArthroscopy has benefited greatly by the development of the miniaturized television camera. Not only is televised arthroscopy a valuable teaching aid, but it also promises to shorten and make more efficient many of the necessary operative procedures on the knee. A method for accomplishing this is presented.

Editorial

Thoracic Outlet Syndrome A Comprehensive Evaluation

ABSTRACTUsing various modalities, we analyzed 110 patients with thoracic outlet compression syndrome who had extensive evaluation. Nerve conduction velocities and Directional Doppler studies are the most useful adjuncts in diagnosis. Diagnosis and selection of the proper treatment of these patients will be outlined.

Editorial

Malignant Melanoma in Children and Young Adults Effect of Diagnostic Criteria on Staging and End Results

ABSTRACTSince the entity of “juvenile melanoma” was first described, many pathologists have been reluctant to diagnose malignant melanoma in childhood by pathologic criteria alone. In this series of 125 cases, pathologic criteria are used to distinguish malignant melanoma of childhood from spindle and epithelioid nevus. Among the patients reviewed, 110…

Editorial

Small Airway Disease Comparison of Tests in Young Smokers Versus Nonsmokers

ABSTRACTA number of new tests for detection of small airway disease have been developed in the past several years. It is hoped that these will prove valuable as screening tests to detect those at risk of developing obstructive airway disease. We obtained data on the degree of discrimination of single…

Editorial

Value of Routine Flow Studies in Nuclide Brain Scanning

ABSTRACTNuclide brain scanning offers a noninvasive means of obtaining dynamic information about intracranial disease. Lesions which could be missed without the flow study are described, and other instances in which the differential diagnosis is greatly improved by the use of the vascular sequence are demonstrated. We recommend the routine use…

Editorial

Management of Low‐Velocity Gunshot Wounds of the Hand

ABSTRACTOf 41 consecutive patients with low-velocity gunshot wounds to the hand, 28 were treated by superficial debridement of wound edges and 13 were treated by meticulous debridement and exploration under operating room conditions. All patients received antibiotics. All wounds were closed primarily. Some had small drains for 24 to 48…

Editorial

Annotated Contract Technic Special Adolescent Groups

ABSTRACTFifty-six consecutive adolescent inpatients at the Adolescent Center of Houston International Hospital were subjects of a prospective study reviewing the efficacy of the Annotated Contract technic. Three primary diagnostic groups evolved: adjustment reaction of adolescence (ARA); borderline schizophrenia (BL-S); and antisocial personality (A-P). Follow-up of 6 to 20 months showed…

Editorial

Recent Experience With Tetanus in Alabama

ABSTRACTIn recent years, all cases of tetanus reported in the United States have occurred either in unimmunized persons, partially immunized persons, or persons whose immunization history was uncertain. We present our experience with three unimmunized individuals who acquired this disease. One patient became ill after a “clean, minor wound.” Present…

Editorial

Rational Management of Alcohol Withdrawal Seizures

ABSTRACTPhenytoin has traditionally been used for both prophylaxis and acute treatment of alcohol withdrawal seizures. With the exception of a well defined subgroup of withdrawing patients, this may not be appropriate. Chronic anticonvulsant therapy is not indicated without evidence of another underlying seizure diathesis.

Editorial

Combined Use of Lithium and Diuretics

ABSTRACTThree cases demonstrating the effects of the combined use of lithium carbonate and a diuretic are reported. In each case, the serum lithium level rose, or the daily dose was decreased, or both. No clinical problems were noted because of careful monitoring and patient education. The renal excretion of lithium…

Editorial

Blood Transfusion Practices in Surgery An Approach to Intrahospital Analysis

ABSTRACTThis study presents a two-year experience with the use of methods for the intrahospital analysis of surgical blood transfusion practices. Statistical and graphic methods were used to classify 21 types of operations (comprising 2,261 surgical procedures) by patterns of blood requests and usage. Surgical procedures were separated into three groups…

Editorial

Vigorous Intrathoracic Needle Aspiration Biopsy A Micropathologic Technic

ABSTRACTModification of intrathoracic needle aspiration using a vigorous technic consisting of multiple short, plunging, and rotating movements of the needle tip allows retrieval of a micropathologic rather than a cytologic specimen. This often facilitates more specific diagnosis and allows pathologists not expert in cytology to interpret the results. Increased incidence…

Editorial

Serum Lysozyme Activity in Inflammatory Bowel Disease

ABSTRACTSerum lysozyme activity was determined in the sera of 70 patients with inflammatory bowel disease by the lysoplate method. Serum lysozyme levels were significantly elevated only in patients with Crohn's disease of the small bowel. Patients with either granulomatous or ulcerative colitis had serum lysozyme values not different from normals,…

Editorial

Total Hip Replacement in Patients With Rheumatoid Arthritis

ABSTRACTIn this prospective study, 50 patients with a confirmed diagnosis of rheumatoid arthritis had total hip replacement. Preoperatively and at regular intervals postoperatively, all patients had evaluation of pain, ambulation, and range of motion according to the scale of d'Aubigne and Postel. Follow-up ranged from three to seven years, with…

Article

Clinicopharmacologic Perspective of Duodenal Ulcer Therapy

Review Article

Chronic Inflammatory Bowel Disease in Children and Adolescents Part II

Current Concepts

Current Status of Antiviral Chemotherapy

Current Concepts

BOOKS RECEIVED

Current Concepts

The Isolated Case of Legionnaires' Disease

Article

Sir John Harington, Thomas Crapper, and the Flush Toilet

ABSTRACTWith the population explosion of the last century, major changes in sewage removal and sanitation were necessary. Two men offered important designs for the modern flush toilet. Sir John Harington was a poet in 16th Century England, while Thomas Crapper was a plumber and businessman in the same country 300…

Article

Eponym Sir William R. Gowers

Our Medical Heritage

Cholera Went Up the River Too!

Case Report

Bilateral Renal Loss Resulting From Intravesical Formalin Instillation

Case Report

Facial Pain From an Elongated Styloid Process (Eagle's Syndrome)

Case Report

Granulomatous Hepatitis Associated With Salicylazosulfapyridine Therapy

Case Report

Dermatomyositis Complicated by Acute Granulocytic Leukemia

Case Report

Spindle Cell Lipoma A Benign Lipoma Variant With Potential Hazards of Diagnostic Misinterpretation

Case Report

Successful Treatment of Invasive Pulmonary Aspergillosis in the Immunocompromised Host

Case Report

Cushing's Syndrome and Functioning Adrenal Black Adenoma

Case Report

Purpura and Schamberg's Disease

Case Report

Lymphoma of the Prostate Presenting as Benign Prostatic Hypertrophy

Case Report

Unusual Cause of Jugular Foramen Syndrome

Case Report

Thyrotoxicosis in a Patient With Secondary Hypothyroidism

Case Report

Coronary Aneurysms After a Febrile Illness Probable Mucocutaneous Lymph Node Syndrome

Case Report

Lingual Thyroid

Clinical Brief

Crossed Leg Palsy in the Elderly

Letter to the Editor

On Unsigned Letters

Letter to the Editor

Reply

Letter to the Editor

Subcutaneous Mastectomy