Issue - Southern Medical Association

Editorial

WELCOME BACK, “OLD LOOK”

Editorial

COVERING THE PAST-HOW WE GOT HERE FROM THERE

Editorial

EVALUATING THE QUALITY OF MEDICAL RESEARCH-PIGEONS AND THE VILLAGE WATCHMAN

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…

Case Report

Primary Pseudomonas Pneumonia

Case Report

Coexisting Central Serous Choroidopathy and Retinitis Pigmentosa

Case Report

Congenital Retinal Arterial Loops With Spontaneous Vitreous Hemorrhage

Clinical Brief

Carotid Artery and Thyroid Gland

Brief Review

Esophageal Perforation Secondary to Benign Leiomyoma

Brief Review

Familial Renal Cystic Dysplasia Associated With Maternal Diabetes Mellitus

Brief Review

Group C Streptococcal Endocarditis

Brief Review

Postpartum Dissecting Aneurysm of Coronary Arteries in a Patient With Sarcoidosis

Brief Review

Hypopituitarism in Diabetes Mellitus

Brief Review

Reproductive Failure and Cervical Incompetence in Women Exposed to Diethylstilbestrol

Brief Review

Severe Adhesive Constrictive Pericarditis After Coronary Artery Bypass

Brief Review

CALL FOR ABSTRACT

Letter to the Editor

Sinistrality

Letter to the Editor

One or Two Minutes More

General Information

GENERAL ANNOUNCEMENT

Subject Index

SUBJECT INDEX

Author Index

AUTHOR INDEX