SMJ // December 1983, Volume 76 - Issue 12
Editorial
UNEASY RESTS THE HEAD
Primary Article
Correlation of the One-Minute Apgar Score and the pH Value of Umbilical Arterial Blood
ABSTRACT: The one-minute Apgar score, proven useful for rapid assessment of the neonate, is often poorly correlated with other indicators of intrauterine well-being. Fetal asphyxia is directly associated with neonatal acidosis. A low Apgar score in the face of normal pH and base deficit does not, therefore, indicate an asphyxiated…
Primary Article
Fetal Heart Rate Responses to Meperidine Alone and in Combination With Propiomazine
ABSTRACT: A study was performed to evaluate the effects of three regimens of intrapartum analgesia upon fetal heart rate characteristics. Either meperidine 50 mg (M50), meperidine 50 mg plus propiomazine 20 mg (M50/P20), or meperidine 25 mg plus propiomazine 10 mg (M25/P10) was given intravenously for intrapartum analgesia to 204…
Primary Article
Diabetic Halo
ABSTRACT: In 42 diabetic patients evaluated by ultrasonography in the third trimester of pregnancy, 12 fetuses were found to have the diabetic halo. Of that group, the estimated fetal weight exceeded the 90th percentile in eight of nine studies in which the weight could be estimated sonographically. Overgrowth of the…
Primary Article
Late Postpartum Eclampsia An Update
ABSTRACT: Eclampsia occurring more than 48 hours postpartum has been observed in an unusual number of patients. From August 1977 to November 1982 at E. H. Crump Womens Hospital and Perinatal Center (Memphis), there were 132 documented cases of eclampsia, of which 36 (27%) occurred postpartum. Seventeen (47%) of these…
Primary Article
Assessment of Transportability of a Perina Education Program
ABSTRACT: We evaluated a perinatal outreach education program to determine its “transportability” (usefulness to other regional centers). Three kinds of data were available from seven regional centers: (1) participation in the program by health care providers, (2) changes in cognitive knowledge, and (3) changes in neonatal care practices. Data were…
Primary Article
Excision of Mediastinal Parathyroid Gland Mediastinoscopy
ABSTRACT: Mediastinal parathyroid tissue continues to be a significant problem in patients with recurrent or persistent hypercalcemia after parathyroid surgery. In two such cases, we used mediastinoscopy to locate and remove mediastinal parathyroid glands, thus avoiding the morbidity of median sternotomy.
Primary Article
Emission Tomography of the Kidney
ABSTRACT: Single photon emission computerized tomography (SPECT) was done on two patients with suspected renal masses. Nuclear scintigraphy was equivocal on two tumors readily identified by SPECT. Single photon tomography is cost effective and increases the reliability of nuclear scintigraphy.
Primary Article
Computed Tomography for Metastatic Lesions of the Osseous Pelvis
ABSTRACT: Significant metastatic lesions of the osseous pelvis can be easily missed by conventional x-ray studies. Although the radionuclide bone scan is the method of choice for detection of metastatic lesions of the osseous pelvis, computed tomography should be used as a complementary study in certain patients.
Primary Article
Brain Stem Infarction Due to Chiropractic Manipulation of the Cervical Spine
ABSTRACT: A case of brain stem infarction after chiropractic manipulation of the cervical spine is presented. Proposed mechanisms and sites of possible arterial injury are discussed. A diagnosis of vertebral artery occlusion was made using conventional brachial angiography. Digital intravenous angiography, a relatively new and less invasive vascular imaging technique…
Primary Article
Diagnostic Radiation Exposure in Trauma Patients
ABSTRACT: Thermoluminescent dosimeters (TLDs) were read from 31 patients with multisystem trauma after emergency stabilization to determine radiation dosage from diagnostic studies. Exposures did not greatly exceed permissible dose limits for the general population.
Primary Article
Lesions at the Foramen of Monro Evaluation Computed Tomography, Angiography, and Pneumoencephalography
ABSTRACT: The majority of abnormalities at the foramen of Monro identified by computed tomography (CT) are colloid cysts, but a number of other diseases in this location may produce a similar CT appearance. In a series of 21 patients the radiologic findings included six colloid cysts, two neoplasms, five vascular…
Primary Article
Arteriography With Simultaneous Gastric Distention to Detect Insulin-Secreting Tumc of the Pancreas
ABSTRACT: Gaseous distention of the stomach at the time of arteriography enhances the contrast of densities within the pancreatic parenchyma, resulting in excellent visualization and therefore precise preoperative localization of insulin-secreting tumors of the pancreas. This relatively simple modification of selective arteriography was used in the last three consecutive patients…
Primary Article
Femoral Head Blood Flow in Long-Term Steroid Therapy Study of Rabbit Model
ABSTRACT: Using a rabbit model, previous studies showed steroid-induced hyperlipidemia with subsequent fatty embolization of the subchondral arteries and hypertrophy of the marrow fat cells, followed by elevation of femoral head pressure from the normal level of 25 cm to nearly 60 cm H2O after eight weeks of treatment. This…
Review Article
Anterior Interosseous Nerve Syndrome
ABSTRACT: The anterior interosseous nerve syndrome is a partial motor paralysis of the median nerve. Despite being well protected in the deep forearm, the nerve may be subject to traction and pressure phenomena occurring spontaneously or related to trauma. Forearm pain, fracture of an upper extremity, or the characteristic disturbance…
Current Concepts
Esophagitis in Immunocompromised Patients A Diagnostic Challenge
ABSTRACT: Esophagitis in an immunocompromised patient is a frequent problem that may have grave consequences. A specific etiologic diagnosis is difficult and often based upon esophageal symptoms and barium swallow. Diagnostic fallibility is demonstrated by the results of esophageal biopsy, cytology, and culture in four immunocompromised patients with similar esophageal…
Our Medical Heritage
Perspectives in Radiology—1922 to 1982
Case Report
Ultrasonic Appearance of Pyelogenic Cysts
Case Report
Tunga penetrans in South Florida
Case Report
Adult Hypophosphatasia
Case Report
Medical Treatment of Splenic Abscess
Case Report
Cholelithiasis in Adult Cystic Fibrosis
Breif Report
Magnesium Deficiency in Cystic Fibrosis
Breif Report
Duodenoureteral Fistula
Breif Report
Metastatic Carcinoma of Breast in the Hypopharynx
Breif Report
Serratia ficaria Isolated From a Leg Ulcer
Letter to the Editor
Condom Catheter Drainage
Letters to the Editor are welcomed. They may report new clinical or laboratory observations and new developments in medical care or may contain comments on recent contents of the Journal. They will be published, if found suitable, as space permits. Like other material submitted for publication, Letters must be typewritten…
