SMJ // October 1989, Volume 82 - Issue 10
Editorial
SOME JOKE
Primary Article
Epidemiology of Tuberculosis in North Carolina, 1966 to 1986 Analysis of Demographic Features, Geographic Variation, AIDS, Migrant Workers, and Site of Infection
We analyzed all cases of tuberculosis reported in North Carolina between 1966 and 1986, and related the incidence rate of tuberculosis (per 100,000 population) to age (0 to 4 years, 7.59; 5 to 14 years, 3.44; 15 to 24 years, 6.30; 25 to 44 years, 15.92; 45 to 64 years,…
Primary Article
Krukenberg Tumors CT Features and Growth Characteristics
We reviewed the computerized tomographic features of pathologically proven metastases to the ovary in 12 patients. Serial CT scans were available in nine of the 12 patients—before removal of the ovaries in five cases (showing typical growth characteristics of these metastases) and afterward in six (showing common patterns of tumor…
Primary Article
Auditory Perception During General Anesthesia Psychologic Consequences
Since the introduction of general anesthesia in the middle of the 19th century, incidents of auditory perception during general anesthesia have been reported in the medical literature. Most of these reports have dealt with purely medical issues, and surprisingly little has been written on the psychologic sequelae of these instances…
Primary Article
Metoclopramide Versus Droperidol for Prevention of Nausea and Vomiting During Epidural Anesthesia for Cesarean Section
In a randomized, double-blind study, we compared the efficacy of metoclopramide hydrochloride with that of low-dose droperidol for prevention of nausea and vomiting during and after elective cesarean section with epidural anesthesia. Immediately after the umbilical cord was clamped, each patient received fentanyl (50 μg) and the study drug intravenously…
Primary Article
Precordial Catch Syndrome in Children
Precordial catch syndrome was diagnosed in ten children whose primary complaint was chest pain. From published reports, nine characteristics of the pain were derived and their occurrence rate determined retrospectively in the ten patients. A close correspondence in type of pain was found between patients in previous reports and those…
Primary Article
Negative Findings on Laparotomy for Trauma
A retrospective review of 428 exploratory laparotomies for trauma included 199 patients with blunt trauma, 96 with gunshot wounds, and 133 with stab wounds. In the blunt trauma group, 16 laparotomies (8%) showed no injury and 24 (12%) showed that no repair was needed. Physical examination (68 cases) and diagnostic…
Primary Article
Radioimmunoguided Surgery in Recurrent Colorectal Cancer The Role of Carcinoembryonic Antigen, Computerized Tomography, and Physical Examination
From January 1986 to December 1987, 32 patients with recurrent colorectal cancer had second-look radioimmunoguided surgery (RIGS system). All patients had pathologic confirmation of recurrence. The RIGS system identified 81% of recurrences, and in six patients recurrent tumor was identified only by RIGS. All patients had physical examination, Carcinoembryonic antigen…
Primary Article
Repair of Pectus Excavatum Using a Substernal Metal Strut Within a Marlex Envelope*
In a retrospective review, 82 children aged 3 to 16 years who had repair of pectus excavatum from 1963 to 1987 were divided into three groups according to type of repair: those without a metal substernal strut, those with a metal substernal strut, and those with a metal substernal strut…
Primary Article
Cesarean Hysterectomy A Procedure for Modern Obstetrics?
The indications for emergency and elective cesarean hysterectomy have remained controversial throughout modern obstetric history. In an attempt to clarify the role of cesarean hysterectomy in todays practice, we retrospectively studied 216 peripartum hysterectomies done at our institution from 1956 to 1988. We analyzed indications, surgical procedures, and intraoperative and…
