Editorial

“THE TRUTH AND THE TRUTH ONLY ON EVERY PAGE FROM COVER TO COVER”

Editorial

INTO THE BRIER-PATCH

Retrospective

Plague of Pellagra

Retrospective

Whipples Disease Pathogenetic Considerations

ABSTRACTA typical case of Whipples disease was manifested by malabsorption and nondeforming peripheral arthritis for five years. A definite diagnosis was made by duodenal mucosal biopsy which revealed the characteristic histologic features by light microscopy, intracellular and extracellular Whipples bacilli by electron microscopy, and a typical immune cross-reactivity pattern by…

Retrospective

Mucocutaneous Lymph Node Syndrome in North Louisiana Review of 15 Cases

ABSTRACTMucocutaneous lymph node syndrome (MLNS) is being more frequently reported in the United States, and it appears to be an important disease of childhood. Fifteen infants and children with MLNS were treated at the Louisiana State University teaching hospitals in Shreveport and Monroe between August 1978 and January 1981. A…

Retrospective

Marine Noncholera Vibrio Infections in Florida

ABSTRACTIn the past decade, there has been a dramatic increase in the number of reported cases of clinical illness from noncholera (marine) vibrio infections, leading to a greater recognition of this potentially lethal disease. The wide spectrum of pathogenicity of this organism is reflected in the six cases in this…

Retrospective

Diagnosis and Treatment of Echinococcal Cyst of the Liver

ABSTRACTUltrasonography and computerized tomography now allow quick and accurate diagnosis of hydatid disease of the liver. A case diagnosed by these means and confirmed surgically is presented. The clinical features, diagnosis, and treatment of this disease are reviewed.

Retrospective

Wringer Injuries of Extremities

ABSTRACTThe manifestations of injuries caused by wringer washing machines were examined in 24 children with a total of 26 injured extremities. The extent of injury was almost always determined at admission and delays of four hours or more from injury resulted in longer hospitalization. The majority of the injuries were…

Retrospective

Posttraumatic Osteolysis of the Clavicle

ABSTRACTPosttraumatic osteolysis of the distal clavicle should be considered when continued pain follows trauma. The osteolysis and accompanying symptoms can be partially alleviated by immobilization of the shoulder joint. The pathology is poorly understood, but synovial hyperplasia appears to play an integral part in the resorptive process.

Retrospective

Retinal Reflex Photometry as a Screening Device for Amblyopia and Preamblyopic States in Children

ABSTRACTAberration in the physical structure or alignment of the eyes may produce pathologic neurocompensatory changes in the brain that, if left unattended, become irreversible. Two common examples of this abnormal state are accommodative esotropia and amblyopia. Both have a large optic component in their etiology and in most cases are…

Retrospective

Bulimia Diagnostic Clues

ABSTRACTBulimia is an eating disorder characterized by the ingestion of large amounts of food, usually followed by self-induced vomiting or laxative abuse. Although sometimes a symptom of obesity or anorexia nervosa, bulimia is often associated with borderline weight and nutritional status and thus may be difficult to detect. Since secrecy…

Retrospective

MMPI Evaluation of Patients With Chronic Pain

ABSTRACTTo determine the usefulness of the MMPI as part of the multidisciplinary evaluation process, we reviewed the records of 21 patients who had had psychologic assessment at the Medical College of Virginia Pain Center. The four case histories selected illustrate the value of data obtained from MMPI profiles.

Retrospective

Hypnosis in the Treatment of Chronic Pain

ABSTRACTChronic pain can be treated by combining hypnosis with brief psychotherapy. Hypnosis alone, though useful for acute pain, is seldom effective in relieving chronic pain because it does not address the significant psychologic components in the patients illness. Treatment using self-hypnosis in conjunction with brief psychotherapy, however, can enable the…

Retrospective

Cerebrospinal Fluid Pleocytosis After Seizures

ABSTRACTCerebrospinal fluid (CSF) pleocytosis after seizure activity has been anecdotally reported for many years, but it has not been well documented. We reviewed the records of all adult patients admitted to Grady Memorial Hospital from November 1979 through October 1980 with die diagnosis of seizure. Of 102 patients whose CSF…

Retrospective

Effect of Written Information on Physicians Knowledge of Drug Prices

ABSTRACTFifty-four residents in internal medicine and primary care medicine were surveyed before and after receiving a prescription drugs price guide booklet to determine whether providing written price information to the residents would improve their knowledge of drug costs. Results indicated that the pricing information did not improve the residents knowledge…

Retrospective

Esophageal Perforation Associated With Combined Use of the Thumper Resuscitator and Esophageal Airway

ABSTRACTEsophageal perforation is an uncommon but catastrophic complication of resuscitation with the esophageal obturator airway. Three cases of esophageal perforation are reported associated with combined use of an obturator airway and Thumper mechanical resuscitator. The possibility of increased risk when these devices are used together has not been previously discussed…

Retrospective

Effect of Therapy on the Neutropenia of Hyperthyroidism

ABSTRACTObservations in a patient with recurrent hyperthyroidism, each time associated with neutropenia which resolved after therapy, prompted a chart review of other patients referred for radioactive iodine therapy. Of 99 untreated patients, 18 had neutrophil counts of less than 2,000/cu mm. After therapy with either thionamides or 131I, 41 of…

Retrospective

Efficacy of Technetium Tc 99m Pyrophosphate Imaging in Patients With Equivocal Myocardial Infarction

ABSTRACTWe studied the efficacy of technetium Tc 99m pyrophosphate imaging in patients with equivocal evidence of acute myocardial infarction. Only patients with positive enzyme findings (regardless of ECG findings) had scans with ≥2 + focal uptake. None of 26 patients with negative or equivocal enzyme findings (regardless of ECG findings)…

Retrospective

Comparison of Various Methods of Diagnosis of Renal Cystic Masses

ABSTRACTTwo hundred fifty patients with renal cystic masses were evaluated by several diagnostic modalities, including sonography, angiography, cystography, and cytology. This presentation demonstrates the relative advantages of these methods as well as their relative level of confidence and diagnostic accuracy. When the lesion fulfilled all of the sonographic criteria for…

Review Article

Systemic Effects of Topical Ophthalmic Medications

ABSTRACTOphthalmic drugs topically applied have significant systemic absorption, which may result in widespread adverse side effects. All physicians involved in the care of patients receiving these drugs should be cognizant of such actions, interactions, and toxic effects. They should also be familiar with the prevention, diagnosis, and treatment of these…

Review Article

Cardiovascular Involvement in Kawasaki Syndrome

ABSTRACTDeath occurs in a small but significant percentage of patients with Kawasaki syndrome. Cardiovascular involvement is the major cause of death, which may be delayed and sudden. Much has been written about diagnosis and medical and surgical therapy. We reviewed the current understanding of this disease and its cardiovascular manifestations…

Abstract

Intensive Care

Current Concepts

Use and Interpretation of Serologic Tests for the Diagnosis of Syphilis

ABSTRACTSyphilis has become a disease of low prevalence in the general population of the United States. In addition, serologic tests for syphilis are not as specific as commonly believed. These two facts cast doubt on a diagnosis of syphilis based solely on serologic evidence. However, ordering tests selectively on the…

Article

Psychologic Effects of Residency

ABSTRACTThe intense situational and physiologic stresses that accompany postgraduate training may have serious psychosocial ramifications. Although only a small proportion of residents have overt psychiatric illness, virtually all display some psychologic impairment. Contributing factors include life-changes, stresses associated with providing patient care, loss of social support, long working hours, sleep…

Case Report

Enterohepatic Fistula Associated With Amebic Liver Abscess

Case Report

Sonographic Findings in Gastric Leiomyosarcoma

Case Report

Communications in Uterovaginal Duplication

Case Report

Acute Interstitial Nephritis Associated With Chronic Active Hepatitis

Case Report

Irradiation as the Initial Therapy for Metastatic Anaplastic Dysgerminoma

Case Report

Lactic Acidosis in Lung Cancer

Case Report

Pneumocephaly From Epidural Anesthesia

Case Report

Neonatal Sepsis and Meningitis Due to α-Hemolytic Streptococcus

Case Report

Abnormal Left Cardiac Border Due to an Atherosclerotic Coronary Artery Aneurysm

Case Report

Multiple Webs of the Esophagus

Breif Report

Fatal Acute Hyperparathyroidism and Parathyroid Carcinoma

Breif Report

Urinary Retention With Theophylline

Breif Report

Episodic Leukopenia Associated With Amphotericin B

Breif Report

Serum Sickness Associated With Metronidazole

Breif Report

Primary Actinomycotic Empyema

Breif Report

Low-Dose-Rate Irradiation in the Treatment of Hairy Cell Leukemia

Breif Report

Hypoparathyroidism in Sarcoidosis

Breif Report

Clostridium septicum Arthritis

Breif Report

Reversible Leukoerythroblastic Response in Pregnancy

Letter to the Editor

Rotavirus Screening in Adult Cancer Patients

Letter to the Editor

Working Hours of Interns

Letter to the Editor

Nonhemolytic Transfusion Reactions Reducing the Incidence With Leukocyte-Poor Red Blood Cells

SMA Menu