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Showing papers by "Lincoln Hospital published in 1987"


Journal ArticleDOI
01 Mar 1987-Chest
TL;DR: It was concluded that unusual and atypical roentgenographic manifestations of PCP occur in AIDS, including localized infiltrate, cystic or honeycomb lesions, hilar enlargement and spontaneous pneumothorax.

243 citations


Journal ArticleDOI
01 Mar 1987-Chest
TL;DR: The first case of cryptococcal pleural effusion in association with the acquired immune deficiency syndrome is reported, with the initial and only clinical finding leading to the diagnosis of disseminated cryptococcosis.

44 citations


Journal ArticleDOI
01 Oct 1987-Chest
TL;DR: Three cases of pneumatocele formation in adults, including one with probable pneumococcal pneumonia, are reported, all of which were severely ill and two expired.

41 citations


Journal ArticleDOI
TL;DR: Assessment of the ability of AgNF-coated PTFE grafts to sterilize perigraft tissue after mixed bacterial contamination and the relative retention of the drug on the graft after subjecting it to the biological environment for 3 weeks and antibacterial activity against coagulase-positive Staphylococcus aureus and Escherichia coli were determined determined.

26 citations


Journal ArticleDOI
TL;DR: This survey describes the ecology of superficial dermatophyte infections in South Bronx, New York from 1969 to 1981, with the predominant species being Trichophyton rubrum (Castellani) Sabouraud, 1911.
Abstract: This survey describes the ecology of superficial dermatophyte infections in South Bronx, New York from 1969 to 1981. The predominant species were Trichophyton rubrum (Castellani) Sabouraud, 1911 (57.5%), followed by Trichophyton tonsurans Malmsten, 1845 (18.5%), Trichophyton mentagrophytes (Robin) Blanchard, 1986 (11.5%), Microsporum canis Bodin var. canis Matsumoto, Padhye, and Ajello, 1902 (5%), Epidermophylon floccosum (Harz) Langeron and Milochevitch, 1930 (3.9%), and M. audouinii Gruby , 1843 (2.8%).

25 citations


Journal ArticleDOI
TL;DR: Traumatic intraspinal pneumocele (TIP) is a radiologic finding in which air is visualized within the spinal canal on routine cervical spine x-rays following a head injury.

25 citations


Journal ArticleDOI
TL;DR: It appears, from a review of the various reports from different trauma centers, that there is an emergence of a consensus as to the best indications for the procedure.

16 citations


Journal ArticleDOI
TL;DR: The nutritional requirements for patients and the indications for, and complications from, total parenteral nutrition and enteral nutritional support are detailed.

15 citations


Journal ArticleDOI
TL;DR: The case of a patient with acid burns of the large bowel from a self-administered enema of 95 percent sulfuric acid solution is reported in this paper, where the patient presented in metabolic acidosis, and flexible sigmoidoscopy was of limited value.
Abstract: The case of a patient with acid burns of the large bowel from a self-administered enema of 95 percent sulfuric acid solution is reported. The authors were unable to find a similar case in the English medical literature. The patient presented in metabolic acidosis, and flexible sigmoidoscopy was of limited value. Peritoneal signs warranted early laparotomy, which revealed coagulation necrosis of the anus, rectum, and colon up to the hepatic flexure without any free perforation. The extent of damage was more severe than seen in the upper digestive tract from acid ingestion. Juxtaposed small bowel and the appendix sustained serosal burns. Subtotal proctocolectomy and perineal resection were done and the patient made an uneventful recovery. Early laparotomy is warranted, irrespective of endoscopic findings, for appropriate surgical correction.

6 citations



Journal ArticleDOI
TL;DR: Fifty patients with major fractures of the pelvis treated in an urban Level I Trauma Center were analysed to assess the role of peritoneal lavage and urological studies and injuries of the urinary tract requiring operative correction were associated with gross haematuria.
Abstract: Fifty patients with major fractures of the pelvis (Trunkey's classification types I and II) treated in an urban Level I Trauma Center were analysed to assess the role of peritoneal lavage and urological studies in the initial evaluation. The mechanisms of injury were automobile v. pedestrian (44 per cent), falls from heights (44 per cent), and motor vehicular accidents (12 per cent). Important hypotension was present in 46 per cent of patients on arrival. Peritoneal tap or lavage was selectively used in 11 patients (22 per cent). Four patients in refractory hypotension despite vigorous resuscitation had positive results. There were no false-positive results or missed intra-abdominal injuries in any of the 50 patients. Laparotomy was carried out in 10 of 50 patients. IVP or cystography was performed in 25 of 50 patients. However, injuries of the urinary tract requiring operative correction (eight injuries in six patients) were all associated with gross haematuria. Urological studies were negative in patients with 1 to 3+ microscopic haematuria. Peritoneal lavage is recommended on a selective basis in patients with pelvic fractures. Microscopic haematuria does not warrant contrast studies of the urinary tract.