Editorial

ACUPUNCTURE—TIME FOR A SECOND LOOK

Editorial

“PRIMUM NON NOCERE”

Editorial

J.M.K

Retrospective

Historical Review of Early Dermatology

Primary Article

Occult Sclerosing Carcinoma of the Thyroid Potential for Aggressive Biologic Behavior

A 46-year-old woman with a 6 mm occult sclerosing thyroid carcinoma had multiple neck metastases and a distant metastasis over an eight-year period. The neoplasm metastasized to cervical lymph nodes, to soft tissues of the neck, and to the right humerus. She had tracheal cutaneous and tracheal esophageal fistulas after…

Primary Article

Smooth Muscle Neoplasms of the Stomach

We reviewed the records of 31 patients with smooth muscle tumors of the stomach seen at the First Surgical Department, Medical School, University of Athens, Greece, between the years 1961 and 1981 with special emphasis on the clinical data, diagnosis, and pathology. The majority of patients were symptomatic and were…

Primary Article

Acidosis and Other Metabolic Abnormalities Associated With Paint Sniffing

Acidosis (arterial pH 6.88 to 7.38) and many other metabolic abnormalities were found in eight patients observed during 16 hospitalizations for paint sniffing. In four episodes, a high anion gap was found, perhaps secondary to an accumulation of metabolites of toluene. The anion gap was normal during 12 episodes, of…

Primary Article

Cephapirin Therapy in Infective Endocarditis

Ten patients, eight of them heroin addicts, with infective endocarditis were treated with cephapirin. Causative organisms included Staphylococcus aureus in six patients and viridans streptococci, S bovis, and S pneumoniae in one patient each. In one of the patients with endocarditis, both S aureus and an organism of the beta-Streptococcus…

Primary Article

Successful Management of Decubitus Ulcers by the General Surgeon

Decubitus ulcers were handled by an aggressive routine of early wide excision and immediate advancement-rotation flaps of the thigh under antibiotic coverage. Of 23 patients referred for decubitus ulcers in two years, 20 were so managed, with primary healing in 15 and secondary healing in an additional four. There has…

Primary Article

Diabetic Nephropathy With Superimposed Immune Complex Glomerulonephritis

We describe six diabetic patients with superimposed immune complex glomerulonephritis. Renal manifestations included sudden change in renal function with hematuria in three patients and massive proteinuria in the other three. Renal histology showed the characteristic changes of diabetic nephropathy along with those of immune complex glomerulonephritis. Biopsy revealed the explanation…

Primary Article

Diabetic Neuropathic Pain Control by Amitriptyline and Fluphenazine in Renal Insufficiency

Seven patients with diabetes of ten to 24 years duration and renal insufficiency were treated with fluphenazine and amitriptyline in an attempt to control severe pain in the extremities. Six patients had relief of pain within five days of initiation of therapy. One patient had no pain relief despite mood…

Primary Article

Comparison of Cardiovascular Risk in Maximal Isometric and Dynamic Exercise

With the hypothesis that isometric exercise testing offers important clinical information yet is neglected because of overemphasis on its risk, we compared it with dynamic testing for variables indicative of myocardial ischemia. In a medical office, 287 patients were each subjected once to both a one-minute maximal handgrip stress test…

Primary Article

Skull Roentgenography in the Evaluation of Head Injury

The role of skull roentgenograms in determining choice of therapy, hospital admission, and length of hospitalization was evaluated in 106 consecutive patients with head injury. Thirty patients were discharged from the emergency room after initial evaluation and had uneventful recovery. Seventy-six were admitted and discharged without operative treatment one to…

Primary Article

Fractures of the Shaft of the Femur Treated With a Single AO Plate

During a ten-year period 37 femoral diaphyseal fractures were treated by a solitary AO (Arbeitsgemeinschaft füUr Osteosynthesefragen [Association for the Study of Problems of Internal Fixation]) plate. Thirty fractures united following the internal stabilization. The seven that received an autogenous cancellous bone graft with the plate united. Twenty nongrafted fractures…

Primary Article

Acute Upper Gastrointestinal Bleeding in Patients With Portal Hypertension A Correlation of Endoscopic Findings With Etiology

Esophagogastric variceal hemorrhage is a common cause of upper gastrointestinal bleeding in patients with portal hypertension. In addition, it is now recognized that patients with alcohol-induced chronic liver disease and portal hypertension frequently bleed from acute mucosal lesions. Since alcohol can cause these lesions in the absence of portal hypertension,…

Primary Article

Clinical Expression of Sickle Cell Anemia in the Newborn

The clinical records of 14 neonates with hemoglobin S homozygosity were reviewed. The infants were identified through a statewide cord blood testing program in Georgia for abnormal hemoglobins. Nine of the 14 patients had neonatal jaundice, most likely due to hemolysis. In one patient, significant anemia appeared as early as…

Primary Article

Driving With Epilepsy A Contemporary Perspective

A committee of concerned neurologists in cooperation with the Tennessee Department of Safety and other agencies reviewed the present state licensing rules for epileptics and offered recommendations for amendments. Epileptics, diabetics, and patients with cerebrovascular disease have an accident rate of approximately twice that of the general population. Seizures probably…

Primary Article

Postresection Bronchopleural Fistula Detection by Regional Ventilation-Perfusion Studies

In three patients, bronchopleural fistula developed after right pneumonectomy for bronchogenic carcinoma. In each instance, radiologic and clinical evidence was inconclusive. Xenon 133 regional ventilation-perfusion studies confirmed the diagnosis of a bronchopleural fistula in both the immediate and late postoperative periods.

Primary Article

Corticosteroids in the Management of Allergic Rhinitis

Allergic rhinitis unresponsive to conservative therapy with antihistamines, decongestants, and environmental control may require the use of corticosteroids for symptomatic relief, even while hyposensitization is being carried out. Such therapy may be given orally, intramuscularly, as a nasal aerosol, or by intraturbinal injection. This discussion deals with the characteristics and…

Review Article

Lupus Nephritis The Dogma Deliberated

Current Concepts

Endoscopic Sclerotherapy for Management of Variceal Bleeding

Our Medical Heritage

History and the Understanding of Acupuncture Anesthesia

Observations of western surgeons in China during the mid-18th Century give a valuable historical perspective to the evaluation of acupuncture anesthesia.

Case Report

Orf Occurring in Missouri

Primary Article

Snake Antivenin Administration in a Patient Allergic to Horse Serum

Primary Article

Thrombocytopenia Secondary to Trimethoprim-Sulfamethoxazole

Primary Article

Torulopsis glabrata Pneumonia Value of Serologic Testing

Primary Article

Aspergillus fumigatus Endocarditis on a Normal Heart Valve

Primary Article

Systemic Mast Cell Disease

Primary Article

Intraperitoneal Insulin During Peritoneal Dialysis for Patients With Diabetes and Renal Failure

Primary Article

Aldosteronism in Pregnancy-Associaation With Virilization of Female Offspring

Primary Article

Computerized Tomographic Diagnosis of Retroperitoneal Fibrosis

Primary Article

Intracranial Metastases From Carcinoma of the Cervix

Primary Article

Adult Intussusception Due to Metastatic Tumors

Primary Article

Primary Malignant Melanoma Metastatic to Vitreous Humor of the Eye Treatment with BCNU

Primary Article

Thrombocytopenia and Low-Dose Heparin

Case Report

Regression of Pituitary Tumor After Thyroid Replacement in Primary Hypothyroidism

Case Report

Pure Red Cell Aplasia Obscured by a Diagnosis of Carcinoma

Case Report

Discoid Lupus Erythematosus in a Burn Scar

Case Report

Perforated Neonatal Appendicitis

Breif Report

Herpes Simplex Virus Type II Meningoencephalitis in an Immunocompromised Adult

Breif Report

Chylous Ascites Resolution After Denver Peritoneovenous Shunt

Breif Report

Punishment by Salt Poisoning

Breif Report

Blunt Traumatic Rupture of the Main Pulmonary Vessels

Breif Report

Glossopharyngeal Neuropathy

Breif Report

Amoxapine Intoxication in an Infant Seizures Arrested With Diazepam

Breif Report

Hair Growing in the Esophagus Complication of Reconstruction of the Pharynx and Esophagus

Letter to the Editor

Haloperidol-Induced Neuroleptic Malignant Syndrome

SMA Menu