Issue - Southern Medical Association

Editorial

THE OLD ORDER CHANGETH

Editorial

SIDE EFFECTS OF CIMETIDINE

Editorial

THESE ARE THE DAYS

Editorial

ACKNOWLEDGMENT

Primary Article

Hemophilus parainfluenzae Endocarditis

We describe a case of Hemophilus parainfluenzae endocarditis in a previously healthy 26-year-old man, and review 21 cases from the literature. Although H parainfluenzae is considered to be part of the normal flora of the upper respiratory tract in man, it can cause serious disease. H parainfluenzae endocarditis is often…

Primary Article

Infectious Mononucleosis With Severe Neutropenia and Opsonic Antineutrophil Activity

Severe granulocytopenia is an uncommon complication of infectious mononucleosis, only 18 cases having been reported previously. Our review and experience with this case would indicate that (1) severe granulocytopenia is usually diagnosed at about the third or fourth week of illness, (2) bone marrow examination most commonly reveals lack of…

Primary Article

Prolongation of the Q‐T Interval in a Victim of Sudden Infant Death Syndrome Cause or Effect?

A 3-week-old infant died of sudden infant death syndrome (crib death, cot death). Although prolongation of the Q-T interval was found on an electrocardiogram taken at birth, this child appeared to have died of terminal respiratory failure as judged by a postmortem arterial oxygen tension of 4 mm Hg. The…

Primary Article

Posterior Pseudoaneurysm of the Left Ventricle A Prospective Echocardiographic Diagnosis

A 69-year-old man had a posterior pseudoaneurysm of the left ventricle shown by echocardiography and cardiac catheterization. The patient had resection of the pseudoaneurysm and did well. The case illustrates the usefulness of echocardiography for detecting and evaluating left ventricular pseudoaneurysm and die effectiveness of surgery for that entity.

Primary Article

Renal Tubular Dysfunction in Transplanted Kidneys

We studied 15 renal transplant recipients for evidence of tubular dysfunction. Eight patients were hypophosphatemic, and two had systemic acidosis with a urinary acidification defect. Mild aminoaciduria and bicarbonaturia were present in four and 14 patients, respectively. Elevated parathyroid hormone level was found in only one patient. Tubular reabsorption of…

Primary Article

In Utero Distal Pulmonary Meconium Aspiration

We have recently had eight cases of severe meconium aspiration syndrome which occurred despite clearing of the posterior pharynx of meconium after delivery of the head but before delivery of the body. Seven of the eight cases had documented fetal distress before delivery. Two stillborns with meconium aspiration are presented…

Primary Article

Left Main Coronary Artery Disease

Eighteen patients with significant stenosis of the left main coronary artery are reported and compared with 1,040 patients described in the ten largest published series. In comparison to previous reports, our patients have a higher incidence of congestive heart failure, previous myocardial infarction (especially inferior wall), poorer left ventricular function,…

Primary Article

Retrograde Jejunogastric Intussusception

Jejunogastric intussusception is an infrequently reported complication of gastroenterostomy. Prognosis and treatment are functions of the anatomic type (Shackman's classification). Gastroscopy and sometimes subsequent roentgenograms are the major diagnostic tools. Surgical treatment is required in the acute types where incarceration or strangulation occurs, and in the chronic types when function…

Primary Article

Preventing Disruption of Abdominal Wounds

The use of silver wire retention sutures requires added operating room time and expense, and it incurs the potential hazards of caught viscera, the possibility of more adhesions, leakage of intraperitoneal fluid through the exit wound, mild infection of exit wounds, and, on removal of the sutures, pain despite sedation,…

Primary Article

Gastroduodenal Crohn's Disease

Three new cases of gastroduodenal Crohn's disease are presented, two with obstruction and one with massive gastrointestinal bleeding. Of the 124 cases reported in the literature up to 1972, only four had massive gastrointestinal bleeding. An accurate preoperative diagnosis is difficult. When peptic epigastric distress and retention type of vomiting…

Primary Article

Myopathy of Chronic Organophosphate Poisoning A Clinical Entity?

The acute aspects of organophosphate poisoning are well understood. Persistent weakness and muscular wasting in some cases have been attributed to neuropathic effects resulting in muscular atrophy from denervation. Recently, necrosis of skeletal muscle has been induced by chronic inhibition of cholinesterase with organic phosphates in a reproducible experimental model….

Primary Article

Endometrial Hyperplasia A Five‐Year Study

Because of the recent controversy concerning estrogen and endometrial cancer, we studied the possible potential precursor lesions of the endometrium, reviewing 263 patients hospitalized in a community teaching hospital. The estrogen hormonal status, either exogenously or endogenously produced, plays a large role in the histologic structure of the uterine endometrium…

Primary Article

Arthrography in Acute Shoulder Dislocations

Arthrography of the shoulder was performed on 50 patients with acute traumatic shoulder dislocations. The mean interval between injury and arthrogram was 2.3 days, with a median interval of one day. Anterior dislocations occurred in 96% of patients, and posterior dislocations in 4%. Initial dislocations were present in 74%, and…

Primary Article

Pulmonary Function Studies in Acute Pulmonary Histoplasmosis

We performed follow-up pulmonary function studies on three patients with acute pulmonary histoplasmosis over a period of several months, and found that the disease is benign and usually responds well to treatment or is self-limiting. There are four major changes in lung function, namely a restrictive defect, an impairment of…

Primary Article

Preoperative Diagnosis of Splenic Abscess by Ultrasonography and Radionuclide Scanning

Abscess of the spleen is uncommon and potentially lethal, but until recently it was rarely diagnosed except by exploratory celiotomy or at autopsy. Now, with the advent of radionuclide scanning, ultrasonography, and selective angiography, earlier diagnosis is possible in most cases. We report a case of traumatic abscess of the…

Primary Article

Comparison of Butorphanol and Pentazocine as Postoperative Analgesics

Sixty patients with moderate or severe postsurgical pain were randomly divided into three equal groups for a double-blind comparison of the analgesic effectiveness of intramuscular butorphanol (2 and 4 mg) and pentazocine (60 mg). The groups were demographically similar. Pain intensity and pain relief were scored at 10, 20, 30,…

Primary Article

Value of Nephrotomography in Evaluating Nonvisualized Kidney in Renal Absence The Colon Sign

Nephrotomography is a simple, highly accurate, noninvasive procedure and is extremely helpful in differentiating a nonvisualized kidney due to renal agenesis, ectopia, or nephrectomy from other acquired renal diseases. Early recognition of the characteristic malpositioning of the colon, “the colon sign,” eliminates the need for more invasive investigations.

Primary Article

Microsurgical Technics in Reconstructive Surgery of the Fallopian Tube*

Only in the last few years have gynecologists begun to investigate the use of microsurgical technics. Investigators in Europe, Canada, and the United States have recently reported improvements in patency and intrauterine pregnancy rates using these meticulous technics. At Vanderbilt University Medical Center, gynecologic microsurgery has been applied for the…

Primary Article

Assessment of Adenoidal Hyperplasia*

Adenoidal tissue recovered at surgery was weighed to see if it would correspond with clinical evidence of increased secretory otitis media and nasal blockage. It was observed that adenoidal enlargement was directly proportional to the severity of clinical signs and symptoms. This was also predicted by lateral roentgenogram of the…

Primary Article

Serum Ferritin as an Early Determinant of Decreased Iron Stores in Pregnant Women

Serum ferritin has been shown to be an excellent determinant of iron stores. In a consecutive group of women registering at the regular prenatal clinic, we measured serum ferritin, iron, iron-binding capacity, and hemoglobin to determine their hematologic status as to anemia. It was found that serum ferritin is the…

Review Article

Immune Function of the Spleen

Our Medical Heritage

Notes on the History of Leprosy in Louisiana

In the late 1880s it became apparent in Louisiana that leprosy was endemic in the southern part of the state. Initially, the intention was to establish a leprosy hospital in the city of New Orleans, close to medical facilities, and where the bulk of the patients were to be found….

Article

Eponym Henry Bence Jones Of Sugars, Stones, and Suspicious Proteins

Case Report

Rat Bite Fever Misdiagnosed as Rocky Mountain Spotted Fever

A patient who had been exposed to ticks and who had also been bitten by a laboratory rat developed fever, headache, and a rash. He was treated with chloramphenicol for Rocky Mountain spotted fever, and recovered. Blood cultures, however, grew Streptobacillus moniliformis, a causative agent of rat bite fever. The…

Case Report

Treatment of Localized Pulmonary Phycomycosis

Case Report

Percutaneous Catheterization of the Gallbladder With Ultrasonic Guidance

Case Report

Prevention of Recurrent Ventricular Fibrillation by Atrial Pacemaker and Sympathectomy

Case Report

Hypoplasia of the Abdominal Aorta Associated With Rubella Syndrome

Case Report

Coexisting Malignant Lymphoma and Adenocarcinoma of the Stomach

Case Report

Metastatic Carcinoma With Carcinocythemia Mimicking Leukemia

Case Report

Gonadoblastoma Associated With Malignant Teratoma

Case Report

Penile Tourniquet Syndrome Caused by Hair

Article

Diagnosis of Subphrenic Abscess by Ultrasound

Article

Intussusception After Jejunoileal Bypass

Article

Fibrous Dysplasia and Precocious Puberty (McCune‐Albright Syndrome)

Article

Lightning A Rare Cause of Intrauterine Death With Maternal Survival

Article

Cyclophosphamide Effect on Coumarin Anticoagulation

Clinical Brief

Self‐Retaining U‐Tube Nephrostomy

Letter to the Editor

Transfusion Bacteriology

Letter to the Editor

Chlordiazepoxide as an Antipsychotic Agent

Letter to the Editor

Clarification “MB”

Letter to the Editor

Reply

Original Article

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