SMJ // March 1979, Volume 72 - Issue 3
Primary Article
Symposium Peptic Ulcer Disease
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Pathophysiologic Considerations in Peptic Ulcer Disease
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Recognition Rays and Scopes
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Modern Radiology in Peptic Ulcer Disease
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Pharmacotherapy A Perspective
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Intractable Peptic Ulcer Disease
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Bile Alkaline Reflux Gastritis
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Elective and Selective Surgical Treatment of Duodenal Ulcer
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The Postoperative Ulcer
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Question and Answer Session
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Advanced Digoxin Toxicity in Renal Failure Treatment With Charcoal Hemoperfusion
ABSTRACT:Glycoside toxicity, a common and potentially fatal complication among patients taking digoxin, is treated basically by managing cardiac arrythmias until the patient can excrete enough drug to decrease the intoxication. Patients with renal failure, however, are particularly difficult to manage. We describe a case of advanced digoxin toxicity in an…
Primary Article
Patterns of Infection in Untreated Acute Leukemia Impact of Initial Hospitalization
ABSTRACT:Several previous authors have examined the association between infection and acute leukemia, especially at the time of death, but none has assessed this problem at the time of diagnosis and initial hospitalization. We have undertaken a retrospective review of cases of acute leukemia diagnosed at the affiliated hospitals of the…
Primary Article
Computerized Tomography in Selected Intracranial Vascular Abnormalities
ABSTRACT:Computerized axial tomography (CAT) is a reliable technic for examining patients with a variety of intracranial abnormalities. In acute lesions where there is extravasated blood, the CAT scan shows areas of increased density on the precontrast study which measures 70 to 90 Hounsfield units. In lesions with increased flow or…
Primary Article
Transient Global Amnesia
ABSTRACT:Transient global amnesia is a clinical syndrome characterized by sudden onset of short-term memory loss followed by retrograde amnesia in an otherwise healthy subject. During the attack, the patient remains alert and retains much of his personal identity. The patient usually becomes upset and concerned about his memory loss. This…
Primary Article
“Empty” Sella Review of 76 Cases
ABSTRACT:We reviewed 76 cases of the empty sella syndrome. Headache was the chief complaint in 47 cases (62%), and 45 patients (60%) presented with signs and symptoms related to increased intracranial pressure and/or pituitary dysfunction. The CSF pressure was elevated in 35 of the 62 patients who had lumbar puncture,…
Primary Article
Ultrasonography in Trophoblastic Disease
ABSTRACT:Five cases of trophoblastic disease evaluated by gray scale ultrasonography were reviewed. The ultrasonographic findings of trophoblastic disease are discussed and illustrated. Thecalutein cyst is reported to be associated with high levels of human chorionic gonadotropin (HCG). From our limited study, there was no correlation between theca-lutein cyst formation or…
Primary Article
Traumatic Rupture of the Thoracic Aorta
ABSTRACT:Our experience with 36 cases of traumatic rupture of the aorta has prompted an aggressive investigative and surgical approach. Age range, mechanism of injury, and associated injuries are quite variable. Aortogram is essential for diagnosis and should be done with any evidence of mediastinal abnormality following a deceleration injury. The…
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Rehabilitation of Patients With Cardiac Disease and Associated Cerebrovascular Accident
ABSTRACT:The physician is faced with multiple rehabilitation problems when a patient with cardiac disease develops a cerebrovascular accident. This presentation outlines the recommended rehabilitation procedure used for such patients referred to the Physical Medicine and Rehabilitation Service of St. Luke's Episcopal Hospital. The implementation of combined cardiac and stroke rehabilitation…
Primary Article
Sodium Pyruvate Treatment for Hyperkeratotic Disorders
ABSTRACT:We have successfully used 5% sodium pyruvate in Eucerin for the treatment of congenital disorders with hyperkeratosis. It was most effective in those disorders with the most hyperkeratosis, and it was nonirritating even after extensive use. The efficacy of pyruvate may be due to the relatively low pKa of pyruvic…
Primary Article
Methotrexate‐Induced Diffuse Interstitial Pulmonary Fibrosis
ABSTRACT:Three patients received respectively 190 mg, 175 mg, and 196 mg of methotrexate and developed bilateral pulmonary infiltrates without evidence of peripheral blood eosinophilia. Sputum in the three cases failed to reveal acid-fast bacilli, pathogenic fungi, or opportunistic organisms by cultures and appropriate stains. Despite discontinuance of the drug and/or…
Primary Article
Rheumatic Fever and Gonococcal Pharyngitis in an Adult
ABSTRACT:The arthritis of rheumatic fever in adults may mimic acute gonococcal arthritis. To further characterize this clinical picture the features of six patients presenting with the migratory polyarthritis of acute rheumatic fever have been analyzed. There were two men and four women, ranging in age from 18 to 43; in…
Primary Article
Long‐Term Follow‐up of Patients With Austin Moore Prostheses
ABSTRACT:A retrospective study of the long-term follow-up of patients with Austin Moore prostheses is presented. Sufficient data were present to evaluate 78 hips postoperatively at six months, and 1, 5, 10, and 15 years when applicable. The average age of patients at the time of operation was 56.1 years. Most…
Primary Article
Malacoplakia of the Vagina
ABSTRACT:Malacoplakia of the vagina was incidentally discovered in a 47-year-old white woman with a history of chronic active hepatitis and steroid hormone therapy. The relation between malacoplakia, liver disease, and steroid therapy is discussed.
Primary Article
Cecal Volvulus
ABSTRACT:A recent experience with cecal volvulus of acute and chronic types is presented. The four cases were treated surgically by both reconstructive and extirpative means with equally good results. Early diagnosis and vigorous treatment are emphasized to avoid a high mortality rate in this condition.
Review Article
Epidemiology of Cerebrovascular Disease
Current Concepts
Rapid Treatment of Psychosis With Haloperidol
ABSTRACT:Rapid parenteral treatment of agitated psychotics is now possible with haloperidol. A review of its pharmacology and clinical trials is presented, and protocols are derived which will rapidly effect and maintain a substantial remission in a majority of cases.
Article
Status of the Physician‐Patient Privilege
ABSTRACT:While in most states information physicians obtain from and about patients is confidential and cannot be disclosed without the patient's permission, a recent California Supreme Court decision affirms that when the doctor reasonably believes his patient can cause violent harm to third persons, he has an overriding duty to warn…
