Issue - Southern Medical Association

Editorial

Correlation of Ultrasonic Gallbladder Studies With Operative Findings

ABSTRACTIn a retrospective study to correlate preoperative ultrasonic findings with operative findings in 80 patients with symptoms of biliary tract disease, ultrasound was 75% accurate in predicting the presence or absence of gallstones. Of all positive ultrasonic studies, 95% correlated with gallbladder disease of some kind. The diseased gallbladder without…

Primary Article

Use of Blood Products During Elective Cholecystectomy

ABSTRACTTo determine the value of preoperative blood typing and crossmatching, we reviewed the transfusion needs of 100 consecutive patients who had elective cholecystectomy in a city-county teaching hospital. One hundred forty-eight units of blood were typed and crossmatched for 76 patients (1.48 units/patient). Blood was typed and screened for seven…

Primary Article

Various Intraperitoneal Irrigation Solutions in Treating Experimental Fecal Peritonitis

ABSTRACTTo study the efficacy of several commonly used peritoneal lavage solutions in the treatment of experimental fecal peritonitis, lethal peritonitis was created in 100 rats by placing a gelatin capsule containing 0.1 ml of human stool and barium sulfate within the abdominal cavity. At reoperation up to eight hours after…

Primary Article

Jejunoileal Diverticulosis

ABSTRACTJejunoileal diverticulosis, an uncommon bowel disorder afflicting the elderly, may be asymptomatic, cause nonspecific upper gastrointestinal symptoms, or lead to panmalabsorption. Perforation, hemorrhage, and obstruction are life-threatening acute complications. Ten patients with Jejunoileal diverticulosis diagnosed during the past nine years at the Medical College of Virginia are reported and include…

Primary Article

Carotid Phonoangiography and Oculoplethysmography for Noninvasive Evaluation of Carotid Occlusive Disease

ABSTRACTIn evaluating results of carotid phonoangiography (CPA) and Oculoplethysmography (OPG) in 53 patients who had carotid arteriography, we found the accuracy of CPA to be 61% and the accuracy of OPG, 60.4%. Until future investigation clarifies significant differences in the reported results of CPA and OPG, these tests cannot be…

Primary Article

Improved Operative Risk After Myocardial Revascularization

ABSTRACTAt Ochsner Medical Institutions from 1970 to 1979, 96 patients who had previously had myocardial revascularization later had a total of 136 noncardiac operations. There were no postoperative myocardial infarctions and only one noncardiac death. Transitory postoperative arrhythmias occurred in 3.6% of patients. It appears that myocardial revascularization protects the…

Primary Article

Clinical Applications of the CO2 Laser in Neoplastic Lesions of the Aerodigestive Tract

ABSTRACTThe use of the CO2 laser in otolaryngologic microsurgery offers the opportunity to reduce morbidity and deformity, and to decrease hospitalization time associated with resection of neoplasms of the oral cavity, pharynx, and larynx. We used the CO2 laser to resect a variety of lesions in 14 patients. Laser resection…

Primary Article

Associated Anomalies of Mullerian and Wolffian Duct Structures

ABSTRACTOver a ten-year period, we identified 457 patients with renal or uterine anomalies. Only 12 of 55 patients with anomalies of mullerian development had an intravenous pyelogram, which revealed an associated renal anomaly in five. Conversely, only two of 21 women with renal anomalies had a gynecologic evaluation; one of…

Primary Article

Chlamydial Genital Infections Manifestations and Management

ABSTRACTInfection with Chlamydia trachomatis is an important cause of nongonococcal urethritis and cervicitis, and may be the most common sexually transmitted disease in the United States. Associated complications include epididymitis, proctitis, salpingitis, bartholinitis, arthritis, perihepatitis, and endocarditis. Perinatal transmission of infection may result in neonatal inclusion conjunctivitis and/or pneumonia of…

Primary Article

Roentgenographic Manifestations of Bacterial Endocarditis

ABSTRACTWe reviewed and analyzed 18 cases of bacterial endocarditis (15 surgically proven, three diagnosed clinically) to evaluate its manifestations on chest roentgenograms. Five cases involved the aortic valve, four the mitral, six both mitral and aortic, and three the tricuspid and pulmonic valves. No roentgenographic findings were specific for the…

Primary Article

Left Ventricular Function in End-Stage Renal Disease

ABSTRACTWe used echocardiography (ECHO) to detect pericardial effusions and assess left ventricular (LV) function in 39 patients with end-stage renal disease (ESRD). Pericardial effusions were present in 24 patients (62%). Thirty-one patients (79%) had concentric hypertrophy and 20 patients (51%) had decreased LV compliance. The majority of patients with concentric…

Primary Article

Neurologic Emergencies in Cancer Patients

ABSTRACTThe neurologic complications of cancer include a group of emergency situations that are often difficult to diagnose, but are treatable and may be readily reversible if recognized early. These include spinal cord compression, encephalopathy, seizures, increased intracranial pressure, and stroke. Early recognition of symptoms and signs and current aspects of…

Primary Article

Radiologic Aspects of Hemobilia

ABSTRACTThis article discusses the typical radiologic findings of hemobilia, as well as its origins and etiology. Newer procedures have been helpful in diagnosing hemobilia. One new therapeutic technic, arterial embolization, is a possible alternative to surgical intervention in treating biliary tract hemorrhage. Early diagnosis is important for proper medical and/or…

Primary Article

Suntan Salons and the American Skin

ABSTRACTSuntan salon franchises burst upon the economic scene in the United States in 1978 and proliferated rapidly. At present it is estimated that between 1,000 and 2,000 salons are active in the country. Of the two types in use, the more common uses a fluorescent UVB source which emits primarily…

Review Article

Treatment of Lactic Acidosis

ABSTRACTSevere lactic acidosis is often associated with poor prognosis. Recognition and correction of the underlying process is the major step in the treatment of this serious condition. Intravenous administration of sodium bicarbonate has been the mainstay in the treatment of lactic acidosis. Aggressive use of this therapeutic modality, however, can…

Current Concepts

Management of Flail Chest After Blunt Trauma

ABSTRACTThe treatment of flail chest injury should now be individualized to the need of the particular patient. Three forms of therapy should be considered before using the standard treatment of intubation and continuous positive pressure ventilation. The newer approaches in the treatment of flail chest are expectant therapy, intermittent mandatory…

Current Concepts

Radiologic Spectrum of Polypoid Lesions in Ulcerative Colitis and Crohns Disease

ABSTRACTVarious types of polypoid lesions are found in patients with ulcerative colitis and Crohns disease. True adenomatous polyps are rare. In addition to the sessile or pedunculated “pseudopolyps” of inflammatory bowel disease, the lesions may also assume a filiform shape or reach a giant size. These polypoid lesions are inflammatory…