Issue - Southern Medical Association

Editorial

Advances in the Hemodialysis Management of Phenobarbital Overdose

ABSTRACT: N/A When a comatose man requiring ventilatory support for acute ingestion of phenobarbital was admitted to the University of Utah Hospital, he was managed by a multispecialty team, which included a nephrologist and a clinical pharmacologist. Since the patient could not be moved to the dialysis unit, a mobile…

Primary Article

Complications of Tube Gastrostomy Radiologic Manifestations

ABSTRACT: N/A Many gastrostomy tube complications can be diagnosed with readily available radiologic technics. A review of four cases seen at one institution over a period of 3½ years demonstrates the role of this approach in establishing the presence of intraperitoneal leakage, tube migration, and catheter-induced intussusception. It is suggested…

Primary Article

Oxygen Concentrations in Commercial Aircraft Flights

ABSTRACT: N/A Measurements of ambient oxygen concentrations were made in 22 commercial flights (707 and DC-9 aircraft) starting at an altitude of 1,500 meters (5,000 feet) with two oxygen analyzers, one calibrated at sea level (158.8 torr) and a second for Denvers altitude. Peak “pressurized cabin” altitudes ranged between 6,050…

Primary Article

Nontuberculous Mycobacterial Trends at the Veterans Administration Medical Center in Oklahoma City

ABSTRACT: N/A Laboratory culture results, dating back to 1960, were reviewed at the Veterans Administration Medical Center in Oklahoma City. Nontuberculous mycobacterial incidence increased substantially during the 21-year period as tuberculosis incidence decreased. Nontuberculous mycobacteria were found to represent 13.7% of all mycobacterial isolates, with Mycobacterium kansasii and M intracellulare-avium…

Primary Article

Atypical Chest Pain A Computer-Assisted Study*

ABSTRACT: N/A We have recently developed a Data Bank for Digestive Disorders, with primary data derived from the performance of upper gastrointestinal endoscopy. By using this system to analyze the clinical characteristics of patients with atypical chest pain, we found information from the patients history (reflux, dysphagia, abdominal pain) useful…

Primary Article

Percutaneous Transluminal Angioplasty of the Abdominal Aortic Bifurcation

ABSTRACT: N/A Percutaneous transluminal angioplasty (PTA) of the abdominal aortic bifurcation was performed in three patients with atherosclerotic disease. All three patients had experienced severe claudication on exertion. The dilatations were performed with Gruntzig balloon catheters after determination of a significant pressure gradient (greater than 20 mm Hg) across the…

Primary Article

Paraesophageal Hernias Early Operation Provides the Key to Safe, Simple Repair

ABSTRACT: N/A Five cases of paraesophageal hernia recently came under the care of the Surgical Service of the University of Maryland. Major morbidity and mortality resulted only when early repair was postponed. In contrast, elective repair was uniformly simple and safe.

Primary Article

Unusual Manifestations of Gallstone Migration Into the Gastrointestinal Tract

ABSTRACT: N/A Eighty-one cases of mechanical small bowel obstruction were seen at our hospital in the three year period 1978 to 1980. Four (5%) were due to gallstone ileus, three of them in women. All four patients were more than 75 years of age. Because most patients with biliary-enteric fistulas…

Primary Article

Maximal Use of Microcomputers in Anesthesiology*

ABSTRACT: N/A Microcomputer applications in anesthesiology are increasing rapidly. All areas are affected: research, education, administration and clinical care. In research, microcomputers are accomplishing both process control and analysis, as well as storage of large data banks. In education, computer-aided instruction permits the student to progress at his own speed,…

Primary Article

Comparison of Radionuclide Imaging and Ultrasonography of the Liver*

ABSTRACT: N/A Radionuclide liver scans and gray scale ultrasonography of the liver were compared in 456 patients with various abnormalities including normal variants, jaundice, abscesses, and metastatic diseases. In general the better resolution of sonography detected smaller and deeper focal lesions than nuclide scans, but nuclide studies were more informative…

Primary Article

Aplastic Anemia and Red Cell Aplasia Due to Pentachlorophenol

ABSTRACT: N/A Repeated exposure to commercial (technical grade) pentachlorophenol (PCP) preceded aplastic anemia in four patients and pure red cell aplasia in two. Two patients developed concomitant or subsequent Hodgkins disease and acute leukemia. The hematologic, mutagenic, and carcinogenic effects of PCP and its chemical contaminants have been documented in…

Primary Article

Transluminal Angioplasty of the Iliac Artery Combined With Femorofemoral Bypass

ABSTRACT: N/A Significant aortoiliac occlusive disease commonly occurs in patients who are not acceptable risks for conventional aortoiliac or aortofemoral bypass reconstruction. We propose that, in suitable candidates, the lower extremities can be revascularized by combining intraluminal angioplasty of stenotic iliofemoral segments with femorofemoral bypass graft. We present three patients…

Primary Article

Mini-Object Test A New Brief Clinical Assessment for Aphasia-Apraxia-Agnosia*

ABSTRACT: N/A Primary degenerative dementia (Alzheimers disease) is characterized by intellectual decline with impairment of memory, judgment, and abstract thinking. Also common are personality changes and disturbances of higher cortical function such as aphasia, apraxia, and agnosia. Standardized brief cognitive tests are useful for evaluating mental status, which is often…

Review Article

Slow Channel Blockers

Review Article

Eosinophilic Granuloma of the Temporal Bone Medical and Surgical Management in the Pediatric Patient*

ABSTRACT: N/A Eosinophilic granuloma is frequently confused with infectious diseases or neoplastic conditions of the temporal bone. It is one of a spectrum of diseases classically known as histiocytosis X. Eosinophilic granuloma usually takes a benign clinical course; however, progression of disease has frequently been documented in the pediatric age…