SMJ // July 1983, Volume 76 - Issue 7
Acknowledgement
ACKNOWLEDGMENT
Retrospective
Gastric and Duodenal Ulcer
Primary Article
Impact of a Maternal Transport Program on Newborn Service
We reviewed the maternal transfers for one year (1980) to the Emory Perinatal Center, a tertiary care center for North Georgia. Of 445 telephone consultations or patient referrals, 150 women gave birth at the tertiary center. Indications for maternal transfer were predominantly based on the needs or anticipated needs of…
Primary Article
Maternal Deaths Associated With Antepartu Fetal Death in Utero, United States, 1972 to 1978
ABSTRACT: Little is known about the overall incidence of fetal death in utero (FDIU) in the United States or about the risks associated with its management. To address these questions, this study provides nationwide incidence data and reviews nine deaths of women with FDIU in the United States from 1972…
Primary Article
Aspirin in the Treatment of Episiotomy Pa
ABSTRACT: We studied 160 postpartum women having moderate to severe episiotomy pain to determine the efficacy of aspirin analgesia, with 5, 10, and 20 grain doses, as compared to placebo. Over a four-hour period, all groups treated with aspirin showed significantly more improvement in pain intensity scores than those given…
Primary Article
Use of Quinine for Self-Induced Abortion
ABSTRACT: We present four recent cases in which quinine was used for self-induced abortion. Abortion was achieved in only one of these cases. Literature review suggests that quinine is an ineffective abortifacient, even when taken in toxic doses. Adverse effects of quinine include cinchonism, potentially fatal renal failure, and possible…
Primary Article
Ultrasonic Guidance of Liver Biopsy and Fine-Needle Aspiration in Difficult Cases
ABSTRACT: Liver biopsy under the guidance of ultrasonography, rather than ordinary liver biopsy, appears to be the procedure of choice in patients with ascites, small liver, hepatic focal defect, jaundice, and chronic lung disease. Moreover, fine-needle aspiration of liver masses under ultrasonic guidance is as good as liver biopsy under…
Primary Article
Campylobacter Enterocolitis in New Orleans
ABSTRACT: Campylobacter is being increasingly recognized as a common pathogen producing acute diarrheal illness. During 1981, all stool cultures at Charity Hospital were routinely screened for Campylobacter. Twenty-nine of 2,233 total cultures were positive. We performed a retrospective study to evaluate the diseases clinical picture and epidemiologic features. Campylobacter-positive cultures…
Primary Article
Piperacillin Therapy for Pseudomonas Infections
ABSTRACT: Piperacillin, a new broad spectrum semisynthetic penicillin derivative, was administered to 22 patients with 25 Pseudomonas aeruginosa infections. All initially responded favorably, although five complicated urinary tract infections and two infections involving prostheses relapsed. In 15 cases, microbiologic eradication of the Pseudomonas was achieved. Failure to achieve a clinical…
Primary Article
Giardiasis A Common, Sexually Transmissible Parasit Diarrhea With Pitfalls in Diagnosis
ABSTRACT: Giardia lamblia is the number one intestinal parasite in the United States. Symptoms of giardiasis include upper abdominal pain and distress, flatulence, nervousness, and diarrhea. Multiple stool specimens examined for ova and parasites by nonexpert parasitologists will frequently not provide the diagnosis, and special studies must then be done….
Primary Article
Two-Step Tuberculin Testing in a Veterans Domiciliary Population
ABSTRACT: Seven hundred ninety-six veterans were scheduled for tuberculin testing during a hospital/domiciliary employee health program in southern Ohio. The Mantoux test, using 5 TU of commercial purified protein derivative (PPD) was used. Nonsignificant reactors were retested at one week to detect and quantitate the “booster phenomenon,” following Centers for…
Primary Article
First Aid for Jellyfish Envenomation
ABSTRACT: To determine a reliable first aid topical remedy for jellyfish stings, we investigated several commonly available preparations to determine their ability to prevent nematocyst rupture from sea nettle (Chrysaora quinquecirrha) and Portuguese man-of-war (Physalia physalis) tentacles. The application of a baking soda slurry was a good inhibitor of nematocyst…
Primary Article
High School Football Injuries in Birminghar Alabama
ABSTRACT: To investigate high school football injuries, we analyzed 1,877 injuries (661 game, 1,216 practice) treated from 1976 through 1979 at the Sports Medicine Clinic at the University of Alabama in Birmingham. The common injury types were sprain (32.2%), contusion (24.8%), strain (12.4%), fracture (11.0%), tear (3.8%), dislocation (2.1%), myositis…
Primary Article
Experience With a Multidisciplinary Emergency Medicine Clerkship
ABSTRACT: In 1979 a required emergency medicine clerkship was added to the senior curriculum at the Medical College of Virginia. Coordinated by the Department of Surgery but receiving active support from other disciplines, the emergency medicine clerkship combined clinical participation in emergency care with a balanced academic program of lectures,…
Primary Article
Adhesive Capsulitis of the Shoulder Arthrographic Diagnosis and Treatment
ABSTRACT: Thirty-one patients (33 shoulders) had clinical adhesive capsulitis confirmed by arthrography and simultaneously treated by intra-articular injection of lidocaine and long-acting corticosteroid introduced with the contrast material during the examination. The routine arthrographic procedure was modified to include gentle passive manipulation of the joint while under the effect of…
Primary Article
Pulmonary Arteriovenous Fistula Simulating Vanishing Tumor
ABSTRACT: In a patient with an asymptomatic left upper lobe pulmonary arterivenous fistula, preoperative chest roentgenograms simulated bronchogenic carcinoma, but no overt feeding vessel was demonstrated. Intraoperatively no lesion could be palpated. Postoperative evaluation revealed a pulmonary arteriovenous fistula. This entity should be considered in the differential diagnosis of single…
Primary Article
Neuroanesthesiology Expansion Into Diagnosis
ABSTRACT: Anesthesiologists are now active in the diagnosis of unusual neurologic and neuromuscular disorders. Their skill derives both from a firm understanding of basic sciences and a facility with invasive procedures. Five representative cases are presented to illustrate the scope of diagnostic neuroanesthesiology and the endeavors of the neuroanesthesiologist outside…
Review Article
Malignant Hyperthermia
ABSTRACT: Malignant hyperthermia, a rapidly progressive, frequently lethal syndrome was not described until quite recently. Although treatment with the drug dantrolene has changed its face, a clear understanding and deep respect for the syndrome are necessary to keep fatalities and tragic sequelae to a minimum. The etiology and pathophysiology, preanesthetic…
Review Article
Cancer of the Larynx Occupational and Environmental Associations
ABSTRACT: This paper briefly reviews the available evidence for the influence of environmental and occupational factors in the development of cancer of the larynx. Although several occupational exposures have been suggested to play a role in the etiology of this disease, few have been convincingly confirmed. The strong association between…
Article
Epidemiology of a Thermonuclear Bomb-Burst Over Nashville, Tennessee A Theoretic Study
ABSTRACT: A thermonuclear bomb explosion over any city in the world would have a devastating effect on the population and environment. For those who survive, with or without injuries, life would become primitive with little or no uncontaminated food or water, and with inadequate housing, fuel, and medical care, resulting…
Current Concepts
Acyclovir
ABSTRACT: Acyclovir, the new virucidal drug recently approved by the Food and Drug Administration for the treatment of herpes simplex virus (HSV), is the first available effective drug to treat such infections. Acyclovir boasts activity against four of the five major herpes-group viruses, including herpes simplex (types 1 and 2),…
Medical Education
Commitment to Teaching Myth or Reality?
Our Medical Heritage
Salernitan Wisdom
Acknowledgement
BOOKS RECEIVED
The receipt of the following books is acknowledged, and this listing must be regarded as sufficient return for the courtesy of the sender. Books that appear to be of particular interest will be reviewed as space permits.
