SMJ // December 1987, Volume 80 - Issue 12
Editorial
ON THIN ICE
Abstract
Death and Dying
Primary Article
Roentgenographic Features of Pulmonary Disease Caused by Atypical Mycobacteria
ABSTRACT: In a retrospective evaluation of chest roentgenograms and medical records of 40 patients with non-M tuberculosis (atypical) mycobacterial pulmonary disease, 34 had M avium-intracellulare, five had M kansasii, and one had M fortuitum. The roentgenologic spectrum of disease closely resembled that of M tuberculosis. One third of the patients…
Primary Article
Sixty Years of Psychiatry at Carville
ABSTRACT: The hospital now known as the Gillis W. Long Hansens Disease Center is the only hospital in the United States solely treating Hansens disease (leprosy). From the time of its establishment in 1894 until 1923, the psychiatric patients presented treatment and management problems that remained unaddressed. Since 1923, however,…
Primary Article
Head Trauma Due to Child Abuse Serial: Computerized Tomography in Diagnosis and Management
ABSTRACT: We studied both the clinical features and CT findings in 24 children who had acute head trauma as a result of child abuse. Twenty-three of them were less than 1 year of age. The diagnosis of whiplash shaken infant syndrome was made in 17. Serial CT, done in 50%…
Primary Article
Intraperitoneal Radioactive Chromic Phosphate P 32 in the Treatment of Ovarian Cancer
ABSTRACT: The use of intraperitoneal radioisotopes in the management of women with ovarian cancer is controversial. We analyzed the experience with intraperitoneal chromic phosphate P 32 at our institution, from October 1979 to February 1983, in 22 patients with various stages and grades of ovarian malignancy. Survival in stage I…
Primary Article
Limited Stage Small Cell Lung Cancer: Analysis of Clinical Prognostic Factors
ABSTRACT: In an attempt to identify clinical features of prognostic value in patients with limited stage small cell lung cancer, we retrospectively reviewed the records and chest roentgenograms of 101 such patients seen at Vanderbilt University Hospital. All patients were treated with combination chemotherapy regimens of comparable efficacy with or…
Primary Article
Mediastinal Carinal Bronchogenic Cyst: Is Its Mere Presence an Indication for Surgical Excision?
ABSTRACT: A notion has prevailed that carinal bronchogenic cyst and other congenital mediastinal cystic lesions, particularly those occurring in older children and adults, are usually asymptomatic, innocuous, and frequently only an incidental finding on routine chest roentgenogram or postmortem examination. Some physicians, therefore, have adopted a policy of observation for…
Primary Article
Erythrocyte Sedimentation Rate in Temporal Arteritis
ABSTRACT: Some authors have reported that the erythrocyte sedimentation rate (ESR) is elevated in almost all patients with biopsy-proven temporal arteritis, while others believe it may be normal in up to 30% of such patients. We studied 62 patients with biopsyproven temporal arteritis, and found that all of the 54…
Primary Article
Dermatopathologic Findings in Patients With Acquired Immunodeficiency Syndrome
ABSTRACT: We recently undertook a survey of all patients with acquired immunodeficiency syndrome (AIDS) seen at the University of Miami/Jackson Memorial Medical Center (UM/JMMC) and reviewed all skin biopsies received from these patients. Skin was the second most common organ biopsied; 36% of all patients (78/217) with AIDS had at…
Primary Article
P-Fimbriated Escherichia coli Urinary Tract Infection: A Clinical Correlation
ABSTRACT: We designed a retrospective study to determine the incidence of P-fimbriated Escherichia coli in patients with asymptomatic bacteriuria, acute urethral syndrome, bacterial cystitis, acute pyelonephritis, possible acute pyelonephritis, and acute and chronic prostatitis. In addition, we compared the incidence in uncompromised vs compromised hosts, inpatients vs outpatients, and children…
Primary Article
Clinical Differentiation of Abscess From Neoplasm in Newly Diagnosed Space- Occupying Lesions of the Liver
ABSTRACT: The clinical presentations of liver abscess, hepatoma, and metastatic tumor to the liver may be quite similar, and procedures such as computerized tomography, radionuclide scanning, and ultrasonography of the liver cannot make a specific diagnosis. Therefore, we compared the clinical presentations of 38 patients seen during the last five…
Primary Article
Cornea Donation: Increasing Tissue Supplies
ABSTRACT: Postmortem cornea retrieval rates are inadequate to meet transplantation demands. Comparison of annual deaths versus donations (1982 to 1985) between Eisenhower Army Medical Center and the Medical College of Georgia reveals that Eisenhower had lower rates of cornea donation. Attitudinal surveys showed that physicians omitting organ donation requests rarely…
Current Concepts
Fab Fragments in the Treatment of Digoxin Overdose: Pediatric Considerations
ABSTRACT: Serious digoxin toxicity due to accidental or deliberate overdose is uncommon, but more than half of the cases reported in 1985 involved children. Toxicity can occur acutely, as with accidental overdose, or with long-term maintenance dosing. In children it is almost always acute. Conventional treatment includes gastric lavage or…
Current Concepts
Diagnostic Imaging in Children With Urinary Tract Infection: Review of Current Concepts and Suggested Guidelines
ABSTRACT: Symptomatic urinary tract infection (UTI) in childhood is estimated to occur with a frequency of up to 3% through adolescence. The practitioner caring for children requires both anatomic and physiologic information concerning the urinary tract to assist in diagnosis, treatment, and prognosis. Advances in diagnostic imaging have resulted in…
