SMJ // January 1980, Volume 73 - Issue 1
Editorial
THE GREAT WORLD OF MEDICINE
Primary Article
Audiometric and Radiologic Findings in Acoustic Tumor
We surveyed 13 proven cases of neuro-otologic tumors to determine the value of audiometric and radiologic studies. Angle myelography was positive in 100% of cases tested. CT scan with intravenous enhancement was positive in 91% of cases tested. Stapedial reflex decay or tone decay was positive in 100% of cases…
Primary Article
Deposits on the Surface of Intraocular Lenses-A Pathologic Study
The clinical course of implanted intraocular lenses is frequently complicated by the formation of deposits or “precipitates” on the lens surfaces. These lesions are related to the amount of inflammation in the eye, the use of pilocarpine, and the presence of lens cortex in extracapsular procedures. Corticosteroids cause the lesions…
Primary Article
Practical Value of Phlebography
Phlebography is a useful examination if a standardized technic is carefully used, and it can be relied upon to diagnose acute thrombophlebitis definitively or to rule it out. The 200 consecutive phlebograms reviewed produced no mortality or pulmonary embolism, and only minimal morbidity. Phlebograms are also useful in mapping before…
Primary Article
Posttraumatic Acalculous Cholecystitis
Acalculous cholecystitis occurred in six patients after trauma and burns. The majority developed signs and symptoms similar to acute calculous cholecystitis. All were treated by cholecystectomy after traditional conservative treatment failed. All had either gangrenous changes or focal necrosis of the gallbladder. Postoperative recovery was uniform. Acalculous cholecystitis occurs in…
Primary Article
Tumors of Gastric Smooth Muscle
Primary Article
Primary Lymphomas and Sarcomas of the Stomach
The records of patients with primary gastric lymphoma and sarcoma treated at M. D. Anderson Hospital and Tumor Institute between 1945 and 1975 were reviewed. Weight loss, abdominal pain, nausea, and vomiting were the most common presenting symptoms, while palpable abdominal mass was the most common sign. The lymphomas were…
Primary Article
Esophageal Carcinoma-A Survey of Populations at Risk
Carcinoma of the esophagus is found more commonly in association with head and neck tumors, lye stricture, achalasia, and Barrett esophagus than in the general population. Our experience with these associated entities in a population of 680 patients with carcinoma of the esophagus is reviewed. Carcinoma of the esophagus has…
Primary Article
Morphologic Types of Breast Cancer-Age, Bilaterality, and Family History
Morphologic type is not generally included in the study of cancer risk factors. In breast cancer, attention is being given to age at diagnosis. In this study cases were analyzed by morphologic type as well as age at diagnosis for occurrence of bilateral disease and for family history of breast…
Primary Article
Delayed Presentation of Testicular Tumors
Germ cell testicular tumors constitute a highly lethal group of neoplasms. Although recent diagnostic and therapeutic developments have altered the prognosis in this disease, delay in diagnosis and occasional mismanagement of patients continue to inhibit further improvement in survival. A ten-year retrospective study of germ cell tumors of the testis…
Primary Article
BOOKS RECEIVED
Primary Article
Recent Advances in Pediatric Otology
An overview of the clinical applications of electroencephalic response audiometry, electrocochleography, and hypocycloidal polytomography are presented. Biocompatible ossicular implants provide a new and superior method of ossicular chain reconstruction. A case in which all of these newer modalities of diagosis and treatment were used is presented.
Primary Article
Chronic Neck and Back Pain-A Reassessment of Usual Surgical Treatment
One hundred seventeen patients with chronic (noncancerous) back or neck pain had multidisciplinary evaluation in the Medical College of Virginia Pain Center and were followed up for one year. They ranged in age from 26 to 57 years. The 57 patients who had surgery had an average of 2.5 procedures…
Primary Article
Diagnosing Deep Vein Thrombosis by Doppler Ultrasound and Impedance Plethysmography
To evaluate the diagnostic accuracy of Doppler ultrasound (DU) and impedance plethysmography (IPG) in deep vein thrombosis (DVT), hospital records of 904 patients having 1,084 studies of blood flow in the lower extremities were retrospectively reviewed, and 544 were found abnormal. In 128, both DU and IPG showed abnormalities, 86…
Primary Article
Unstable Ankle Fractures-Comparison of Closed Versus Open Treatment
To determine what factors were important in final clinical results, we evaluated 145 patients admitted to Vanderbilt University Hospital with ankle fractures between January 1971 and December 1976. There was a strong correlation between anatomic results of reduction and final clinical results. Talar displacement of more than 5 mm before…
Primary Article
Posterior Approach for Total Hip Arthroplasty
Experience with the posterolateral approach to total hip replacement arthroplasty in 229 patients is reported. The technic has the advantages of providing excellent exposure and decreased operative time, minimal blood loss, and absence of the complications associated with removal and replacement of the greater trochanter. Capsulectomy may be done or…
Primary Article
Nutritional Assessment in the Community Hospital
Innovative technics in the recognition and treatment of malnutrition in hospitalized patients have blossomed in the past decade. A comprehensive nutritional assessment program available in larger institutions has been adapted for use in a community hospital. The procedure of nutritional assessment and its interpretation as employed in 50 hospitalized patients…
Review Article
Minoxidil
Minoxidil (U-10,858) has been shown in several controlled and blind studies and numerous uncontrolled studies to be a potent peripheral vasodilator for use in the management of sustained, severe, accelerating or malignant hypertension and moderate hypertension inadequately controlled by conventional therapy. Some effect may be seen four hours after oral…
Review Article
Polyps of the Colon Reappraisal of the Problem
Current Concepts
Primary Hyperparathyroidism Surgical Update
The current diagnostic and therapeutic technics in the management of primary hyperparathyroidism are presented, based on a review of 118 patients treated surgically. Some of the controversial and perplexing problems that confront the surgeon treating this condition today are emphasized.
Article
Christian Science Visited
An objective appraisal of Christian Science and its relevance to the contemporary practice of medicine are presented. The history, nature, and healing aspects of the movement are briefly surveyed. Emphasis is placed upon the fact that despite more than 100 years of coexistence no accommodation between points of view is…
