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Showing papers in "The Medical Journal of Australia in 1961"



Journal ArticleDOI
TL;DR: There were signiflcant rising antibody levels in many patients who failed to yield virus from throat swabs; this suggests that these, too, were parainfluenza virus infections.
Abstract: antibody production was an accompaniment of virus isolation and there were signiflcant rising antibody levels in many patients who failed to yield virus from throat swabs; this suggests that these, too, were parainfluenza virus infections. In all probably 25 of the 29 patients (83%) from whom paired sera were tested had suffered infection with Myxo. parainjl,uenzre. Ina number of patients there were rising antibody levels to more than one virus type. On the evidence available we cannot decide whether this flnding is a reflection of common antigenic components in the three parainfluenza viruses or is due to mixed or superadded infections. It is not possible to exclude cross-infection between patients in the croup ward, nor is it possible to exclude the possibility of fresh infections occurring in the community during the long interval which elapsed between the taking of the first and third serum samples.

79 citations




Journal ArticleDOI
TL;DR: The usual complications of corticosteroid therapy were encountered as expected, but digestive upsets and weight gain were not a problem, with one exception in each case.
Abstract: When judged on these cases, the 0·5 mg. tablet of betamethasone appeared to be slightly less effective as an anti-inflammatory agent than the 5 mg. tablet of prednisolone. One milligramme of betamethasone is equivalent to 8 mg. of prednisolone. If Case V is excluded from consideration the effect is equivalent. The numbers are too small for this figure to be significant, but it may act as a guide. As established on treatment, tablet for tablet, equal numbers of patients preferred each preparation, two were unable to decide and in one case a comparison had not been made. The usual complications of corticosteroid therapy were encountered as expected, but digestive upsets and weight gain were not a problem, with one exception in each case. an early division of the normal zygote. Lejeune considered the former possibility more likely, and linked advancing maternal age with the increased frequency of non-disjunction.

56 citations


Journal ArticleDOI
TL;DR: A comparison of the behaviour of the Black Widow and the Sydney Funnel-Web Spider over a period of several years shows that the former is more docile than the latter, and the latter is more aggressive.
Abstract: RAVAIOLI, L., CANTORE, G. P., and J.3E'l.'l'INI, S. (~957?, \"PTepa1~a­ zione di un 8ie.-o Im?ll1me Antt-Latrodeotus \" Ri», PaTass,t., 18: 202. THORP, R. W., and WOODSOK, W. D. (1945), \"Black Widow, America's Most Poisonous Spider\", University of North Carolina Press, U.S.A. V>:LLARD, J. (1936), \"Les venin des anJ,;gnees\", Masson et Ole, Paris. \\VIENER, S. (1956), \"The Australian Red Back Spider (Latrodectus Hasseltii): 1. Preparation of Antiserum by the Use of Venom Adsorbed on Aluminium Phosphate\", MED. J. AUST., 1: 739. \\VIENER, S., and FRASER, A. N. (1956), \"Red Back Spider Bite Treated with Antivenene\", MED. J. Au ST., 1: 858. \\VII<.'NElR S. (1957), \"The Sydney Funnel-Web Spider (Atrax Robustus): 1. Collection of Venom and its Toxicity in Animals\", MED. J. AUST., 2: 377. •

54 citations


Journal ArticleDOI
TL;DR: Primary (endogenous) and secondary (physiological or neurotigenic) depression in these syndromes, although the distinction is not absolute.
Abstract: primary (endogenous) and secondary (physiological or neurotigenic) depression in these syndromes, although the distinction is not absolute. Because of its very nature, depressive illness may present to the physician in the guise of somatic illness, and it is of considerable importance to be constantly aware of this possibility. Depression carries a greater risk of suicide than any other medical condition, although suicide is by no means confined to depressive illness.

31 citations


Journal ArticleDOI
TL;DR: Dr. Hogg thanked the members of the Tasmanian Branch of the British Medical Association for electing him president and said that the people as well as the State should not forget that the "labourer is worthy of his hire".
Abstract: Gentlemen, first of all let me thank you for the honour which you have done me by electing me President of the Tasmanian Branch of the British Medical Association, an honour which I value very highly coming as it does from my professional brethren. Our Branch in Tasmania is but in its infancy, Dr. Gregory Sprott whose name will always be associated with every movement which has aimed at advancing the reputation and dignity of the profession was our first president, the late Dr. Allwork of New Norfolk one of those fine types of country practitioner whose untimely loss we lament and who would have been to-night, had he been spared, filling this chair more worthily than I can do, was the second, and now comes myself. It is some twenty-two years since I joined the parent Association in England, when the Colonial Branches were few in number and weak in strength compared with what obtains to-day; since then the British Medical Association has continued to spread and increase throughout the Empire, and, wherever its Branches are to be found, its chief aim has been to uphold the honour and dignity of the profession, to defend its interests and in doing so to promote the welfare of mankind. A section of the public are apt to think that our aims are selfish ones. I know of no more unselfish profession than ours, whether it be in our organizations, or our everyday work; in our research, we spend not only money, but what is far more valuable than money, brains, bodies and too often our lives in the attempt to lessen the aggregate of disease, suffering and death. If the British Medical Association in addition to playing a great part in our life's work, also does its best to see that the conditions under which we do that work are fair and just, surely the people as well as the State should not forget that the "labourer is worthy of his hire". Dr. Hogg completed his address with these remarks:

30 citations


Journal ArticleDOI
TL;DR: Red Back Spider Antivenene, by Saul 'Wiener Red Back Spider Bite in Australia: An Analysis of 167 Cases, byaul Wiener
Abstract: Red Back Spider Antivenene, by Saul 'Wiener Red Back Spider Bite in Australia: An Analysis of 167 Cases, by Saul Wiener .. Surgery in Ulcerative Colitis, by E. S. R. Hughes Intoxication and Habituation to Glutethimide (\"Doriden\"), by Allen A. Bartholomew .. The Relationship between the Position of the Stomach and Peptic Ulcer, by Geoffrey Hagarty A Reassessment of Some Simple Tests for Renal Insufficiency, by D. Watson and A. Rothbart Blood Groups and Carcinoma of the Lurur, by H. Maynard Rennie and R. \"V. Haber

30 citations


Journal ArticleDOI
TL;DR: REPORTS OF CASESSpontaneous Perforation of the Colon In the Absence of any Pathological Condition, by William J. McCann.
Abstract: REPORTS OF CASESSpontaneous Perforation of the Colon In the Absence of any Pathological Condition, by William J. McCann . . . . . . . . . . 707 Illness Simulating Paralytic Poliomyelitis Associated with Coxsackie Group A Type 4 Virus Infection, by A. E. Duxbury, John White, B. M. Lipscomb and W. S. Williamson .. . . .. 708 Leptospirosis Acquired from Soil, by J. I. Tonge and D. J. W. Smith .. 711

28 citations


Journal ArticleDOI
TL;DR: This chapter discusses the use of Histamine in the Treatment of Specific Types of Headache, and its applications in Migraine and Psychotherapy.
Abstract: References. ASK-UPMARK, E. (1960), \"Migraine as a Deadly Disease\", Brit. med: J., 2: 823. BICKERSTAFF, E. R. (1959), \"The Periodic Migrainous Neuralgia of Wilfred Harris\", Lancet, 1: 1069. BRAIN, W. R. (1951), \"Diseases of the Nervous System\", Fourth Edition. Oxford University Press. CARTER, E. A. (1958), \"Bilateral Thrombophlebitis after a Single Dose of Ergotamine Tartrate for Migraine\", Brit. med. J., 2: 1462. Dow\"D. J., and WHITTY, C. W. M. (1947), \"Electroencephalographic Changes in Migraine: Review of 51 Cases\", Lancet, 2: 52. EULEINBERG, A. (1~83), Dtsch. med. Wschr., 9: 637; quoted by Krantz, J. C., and Carr, C. J., loco citato. FRIEDMAN, A. P., VON STORCH, T. J. C., and MERRITT, H. H. (1954), \"Migraine and Tension Headache. A Clinical Study of 2,000 Cases\", Neurology (Minneap.) , 4: 773. FRIEDMAN, A. P. (1957), \"Migraine and Tension Headache\", CaUf. uea; 87: 15. GARDNER, W. J., SToWELL, A., DUTLINGER, R. (1947), \"Resection of the Greater Superficial Petrosal Nerve In the Treatment of Unilateral Headache\", J. neurosurg., 4: 105. GREENE, R. (1959), \"Migraine\", Brit. med. J., 1: 574. HALPERN, L., BEINTAL, E. (1958), \"Epileptic Cephalgla\", Neurology (Minneap.) , 8: 615. HARRIS, W. (1926), \"Neuritis and Neuralgia\", Oxford University Press, London. HARRIS, W. (1936), \"ClIlary Neuralgia\", Brit. med. J., 1: 457. HORTON, B. T. (1941), \"The Use of Histamine in the Treatment of Specific Types cf Headache\", J. Amer. med. Ass., 116: 377. HUNTER, R. A., and Ross, I. P. (1960), \"Psychotherapy in Migraine\", Brit. med. ,T., 1: 1084. KRANTZ, J. C., JUN., and CARR, C. J. (1951), \"The Pharmacologic Principles of Medical Practice\" Second Edition Williams and Wilkins, Baltimore.' , KUNKLE, E. C., PFEIFFER, J. B., JUN., WILHOIT, W. M., and HAMRICK, L. W., JUN. (1952), \"Recurrent Brief Headache In 'Cluster' Pattern\" Trans. Amer. 'IldJ

Journal ArticleDOI
TL;DR: S FROM MEDICAL LITERAL LITERATUREPathology Radiology 900
Abstract: S FROM MEDICAL LITERATUREPathology Radiology 900

Journal ArticleDOI
TL;DR: All forms are characterized by abscess formation, and blood-borne spread may follow, and by far the commonest is the pulmonary type, with or without generalized spread.
Abstract: Infection may become manifest in several well-defined clinical forms (Conant et alii, 1954). By far the commonest is the pulmonary type, with or without generalized spread. Localized infection of an extremity is less common, with the exception of \"madura foot\", which occurs in certain tropical areas. A rare form is cervico-facial nocardiosis, which is usually accompanied by involvement of the regional lymph glands. All forms are characterized by abscess formation, and blood-borne spread may follow.




Journal ArticleDOI
TL;DR: For all practical purposes it would seem reasonable to describe the cases in the neonatal period under the heading "torsion of the spermatic cord", and describe the more frequent occurrence in the older age group as examples of "tORSION of the testicle".
Abstract: TORSION of the testicle was originally described by Delasiauve in 1840; this description was ultimately followed in 1897 by the first report of torsion of the spermatic cord in a new-born infant. Whereas torsion of the testicle has become a well-documented clinical entity, occurring frequently in young adults and not uncommonly in childhood, torsion in the neonatal period is rare. In addition to its rarity, two aspects of this latter condition are of interest. Firstly, the torsion is supravaginal or extravaginal, so that the tunica itself is involved, in contrast to the more usual situation where the torsion is intravaginal. Secondly, in torsion of the testicle outside infancy, a predisposing anatomical abnormality is usually present; Johnson (1960) recently drew attention to this, commented on the frequency of a bilateral abnormality of the mesorchium, and made a \"plea for bilateral exploration\". This situation did not exist in the reported cases of torsion of the spermatic cord in infancy; in these the mesorchium always appeared to be normal on the affected side. Therefore, there is no reason to assume that, when torsion occurs in the neonatal period, there is an abnormality of the attachment of the testicle on the contralateral side. The terminology adopted in describing torsion provides considerable confusion, and statements such as the following, made by Charnock and Riddell (1955), do not help: \"Torsion of the spermatic cord . . . often goes under the misnomer of torsion of the testicle.\" For all practical purposes it would seem reasonable to describe the cases in the neonatal period under the heading \"torsion of the spermatic cord\", and describe the more frequent occurrence in the older age group as examples of \"torsion of the testicle\".


Journal ArticleDOI
TL;DR: This failure of hremolymph to neutralize the toxic action of venom in vivo contrasts with the apparent successful therapeutic use of the hesmolymph of the scorpion L. quinquestriatus, which can protect a mouse from the lethal effects of a similar amount of venom.
Abstract: protect a mouse from the lethal effects of a similar amount of venom. This failure of hremolymph to neutralize the toxic action of venom in vivo contrasts with the apparent successful therapeutic use of the hesmolymph of the scorpion L. quinquestriatu»: In a case reported by Adler et alii (1955), a volume of 2·3 ml. of hsemolymph collected from 35 scorpions was injected into an infant, aged 19 months, six hours after a sting had been sustained. At this time the patient was semicomatose, but four hours later a marked improvement was noticeable and complete recovery eventually occurred. The mortality rate in infants from a sting by L. quinquestriatus is stated to be 75% (Adler et alii, 1955). One can, therefore, not be certain that in this case recovery would not have occurred spontaneously. On the other hand, one cannot exclude the possibility that the hremolymph of the scorpion neutralizes the toxic effects of venom in vivo as well as in vitro. In addition, the absence of any added toxic manifestations when heemolymph was inj-ected into the infant indicated that in the amount used the hremolymph of this species of scorpion is not toxic to man.

Journal ArticleDOI
TL;DR: In syncytial masses the nuclei tended to be centrally situated in human amnion and human kidney cultures, but in HEp-2 cultures nuclei were situated peripherally, and stained preparations, which consisted of cleared areas with central pyknotic nuclear remnants, were frequently the first evidence thatsyncytia had been present.
Abstract: Over the period July to November, 1960, we isolated syncytial agents from 19 patients. These strains appeared alike, but their identity was obscure. On analysis of clinical histories two striking features became apparent: first, all patients were infants or young children; secondly, the majority had left hospital with a final diagnosis of bronchiolitis. stained preparations consisted of cleared areas with central pyknotic nuclear remnants, were frequently the first evidence that syncytia had been present. In syncytial masses the nuclei tended to be centrally situated in human amnion and human kidney cultures, but in HEp-2 cultures nuclei were situated peripherally.



Journal ArticleDOI
TL;DR: It must be emphasized that cytology is primarily a screening procedure, and that every effort should be made to confirm positive reports by bronchosoopic, histological and radiological investigation, but in a considerable proportion of cases it will provide the only acceptable pre-operative evidence of neoplasm.
Abstract: physicians when they first suspect the possibility of lung cancer. In many cases a conclusive cytological diagnosis will be made at this early stage, and weeks or even months of indecision and delay avoided. It must be emphasized that cytology is primarily a screening procedure, and that every effort should be made to confirm positive reports by bronchosoopic, histological and radiological investigation. However, in a considerable proportion of cases it will provide the only acceptable pre-operative evidence of neoplasm, and a serially reproducible grade V report, \"cells conclusive for malignancy\", issued by a competent cytologist, is, by itself, justification for thoracotomy, even when supportive clinical and radiological findings are minimal. Although the results of treatment are at present not very encouraging the challenge of early and precise diagnosis remains. If this challenge is, as in other forms of cancer, believed to be an important one, then the contribution of cytology cannot be ignored.

Journal ArticleDOI
TL;DR: The pattern of Er-ythrocyte Destruction in Hremolytic Anremia, as Studied with Radioactive Chromium, as well as the Sites of Red-Cel!
Abstract: BOTHWELL, T. H., CALLENDER, S.. MALLE'rT, B.. and WITTS, L. J. (1956). \"Tha Stud'y of Erythropoiesis Using Tracer Quantities of Radioactive Iron\", Brit. J. Hcemat., 2: 1. BOTHWELL, T. H.. HURTADO, A. V., DONOHUE, D. M., and FINCH, C. A. (1957). \"Erythrokinetics IV. The Plasma Iron Turnover as a Measure of Erythropoiesis\", Blood, 12: 409. CRAWFORD, H., and DE GRUCHY, G. C. (1958). \"The Use of Radioactive Chromium (5lCr) in Clinical Medicine\", MED. J. AUST., 1: 657. CROOK, A .• and SZUR, L. (1960), \"A Simple Method for the in Vivo Discrimination of Chromium 51 and Iron 59\". Brit. J. Radiol., 33: 447. DE GRUCHY, G. C. (1961), \"Splenectomy in Leukremia and Allied Dlsorder's\", in preparation. DE GRUCHY. G. C .• and WILLIAMS, R. A. (1961). \"Testosterone in the Treatment of Bone Marrow Depression in Lymphosarcoma\". in preparation. ELMLINGER, P. J. HUFF, R. L., TOBIAS, C. A .• and LAWRENCE, J. H. (1953), \"Iron Turnover Abnormalities in Patients having Anremia: Serial Blood and in Vivo Tissue Studies with Fe5.... Acta hcemat., 9: 73. FREY MANN, J. G., VANDER, J. B .• BURRELL, S. B., and MARLER, E. A. (1960), Acta Un. into Comer, 16: 849. GIBLETT, E. R., COLEMAN, D. H., PIRZIO-BIROLI, G., Doxon tnc, D. M.. MOTULSKY, A. G.. and FINCH, C. A. (1956), \"Erythrokinetics: Quantitative Measurements of Red Cell Production and Destruction in Normal Subjects and Patients with Anemia\". Blood, 11: 291. HUFF, R. L., HENNESSY, T. G., AUSTIN, R. E., GARCIA, J. F., ROBERTS, B. M., and LAWRENCE, J. H. (1950). \"Plasma and Red Cell Iron Turnover in Normal Subjects and in Patients having Various Hematopoietic Disorders\". J. clin. Invest., 29: 1041. HUGHES JONES, N. C .• and SZUR, L. (1957). \"Determination of the Sites of Red-Cel! Destruction Using 5lCr-Labelled Cells\". Brit. J. Htemat., 3: 320. JANDL, J. H., GREENBERG. M. S., YONEMOTO, R. H .• and CASTLE, W. B. (1956), \"Clinical Determination of the Sites of Red Cel! Sequestration in Hemolytic Anemias\". J. cun. Invest., 35: 842. LEWIS, S. M., SZUR, L .• and DAcrE, J. V. (1960). \"The Pattern of Er-ythrocyte Destruction in Hremolytic Anremia, as Studied with Radioactive Chromium\". Brit. J. Hcemat., 6: 122. MOLLISON, P. L. (1959), \"Red Cel! Survival in Hremolytic Syndromes\", B1it. med. Bull., 15: 59. PRINGLE, J. C., JUN., and GARDNER, F. H. (1959). \"Treatment of Myeloid Metaplasia with Testosterone\", Glin. Res., 7: 210. SHAHIDI, N. T .• and DIAMOND, L. K. (1959), \"TestosteroneInduced Remission in Aplastic Anemia\", Amer. J. Dis. cuia., 98: 293. VEALL, N., and VETTER, H. (1958), \"Radioisotope Techniques in Clinical Research and Diagnosis\". Butterworth, London: 254. WETHERLEY-MEIN, G., EpSTEIN, I. S.. FOSTER, W. D., and GRIMES, A. J. (1958). \"Mechanisms of Anremia in Leuksem!a\", Brit. J. Hcemat., 4: 281. WETHERLEY-MEIN, G. (1960), \"Radioactive Iron Studies in Clinical Pathology\", in \"Recent Advances in Clinical Pathology\", edited by Dyke, S. C .• Churchill, London: 241.

Journal ArticleDOI
Chev Kidson1
TL;DR: It is suggested that the phenotypic expression may be modified in the female or that the trait may be heterogeneous, and in one family a mother with a very low G6PD level who gave birth to four normal sons.
Abstract: Observations by several investigators suggest that the trait deficiency of G6PD in inherited as a sex-linked gene of intermediate dominance (Gross et alii, 1958; Szeinberg and Sheba, 1958; Childs et alii, 1958). Two groups of persons with reduced erythrocyte G6PD are evident: those with low levels, mostly males, and those with intermediate levels, who are females (Marks and Gross, 1959a). The suggestion has been proffered that the low and intermediate levels represent respectively the homozygous and heterozygous states (Childs et alii, 1958). However, Marks and Gross (1959a) have observed in one family a mother with a very low G6PD level who gave birth to four normal sons. These workers suggested that the phenotypic expression may be modified in the female or that the trait may be heterogeneous.

Journal ArticleDOI
TL;DR: While the veins undoubtedly become more prominent, regression after parturition is often remarkable and no decision regarding operation should be made for three months after confinement, when the residual condition is assessed.
Abstract: If the indications exist, operation should be undertaken as soon as conditions permit. Ulceration and infection should have been controlled for at least six weeks. Operation during pregnancy is hardly ever justified. While the veins undoubtedly become more prominent, regression after parturition is often remarkable and no decision regarding operation should be made for three months after confinement, when the residual condition is assessed. During pregnancy the legs require constant firm and adequate support, usually by stockings. However, Dodd (Dodd and Payling Wright, 1959), operates on pregnant women whose varicose veins are not controlled by other measures, and he reports good results.

Journal ArticleDOI
TL;DR: The use of Adrenal Steroids in Subacute and Chronic Cholangiolitic Hepatitis, a Clinicopathologic Syndrome of Varied Etiology, and Observations of the Use of Corticotrophin as a Diagnostic Tool are reviewed.
Abstract: NonLiponea; CRIGLER, J. F. JUN., and NAJJAR, V. A. (1952), \"Congenital Familial Non-hemolytic Jaundice with Kernicterus\", Pediatric8, 10: 169 .. ' DIBLE, J. H., McMICHAEL. J., and SHERLOCK, S. (947), \"Chronic Retention Jaundice in Elderly Patients\", GaBtrofmterology, 9: 736. DUBIN, L N. (1956), \"Cholestatic Hepatitis (Primary Pericholangitis: Cholangiolitic Hepatitis)\", Bun. N.Y. Acad. Med., 32: 396. DUBIN, I. N., and JOHNSON, F. B. (1954), \"Chronic Idiopathic Jaundice with Unidentified Pigment in Liver Cells\", Medicine (Baltimore), 33: 155. . ELIAKIM, M., and RACHMILEWITZ, M. (1956), \"Cholangiolitic Manifestations in Virus Hepatitis\", aaetroeeterotoo», 31: 369. FOULK, W. T., BUTT, H. R., OWEN, C. A. JUN., WHITCOMBE, F. F. JUN., MASON, H. L. (1959), \"Constitutional Hepatic Dysfunction (Gilbert's Disease): its Natural History and Related Syndromes\", Medicine (Baltimore), 38: 25. GALL, E. A., and BRAUNSTEIN, H. (1955), \"Hepatitis with Manifestations Simulating Bile Duct Obstruction\", Amer. J. elin. Path., 25: 1113. GOLDGRABER, M. B., and KIRSNElR, J. B. (1959), \"The Use of Adrenal Steroids in Subacute and Chronic Cholangiolitic Hepatitis\", A.M.A. Arch. intern. uea., 103: 354. GOLDSTEIN, F., SELIGSON, D., and BOCKUS, H. L. (1959), \"Serum Glutamic Oxaloacetic Transaminase and Iron in the Differential Diagnosis of Jaundice\", Gastroenteroloqu, 36: 487. HANGER, F. M. JUN., and GUTMAN, A. B. (1940), \"Postarsphenamlne Jaundice\", J. Amer. med. A88., 115: 263. HAVERBACK, B. J., and WIRTSCHAFTElR, S. K. (1960), \"Familial Non-hemolytic Jaundice with Normal Liver Histology and Conjugated Bilirubin\", New EngJ. J. Med., 262: 113. JOHNSON, H. C. JUN., and DOENGES, J. P. (1956), \"Intrahepatic Obstructive Jaundice (Primary Cholestasis), a Clinicopathologic Syndrome of Varied Etiology: a Review with Observations of the Use of Corticotrophin as a Diagnostic Tool\", Ann. intern. Med., 44: 589. JOSKE, R. A., and KING, W. E. (1955), \"The 'L.E.-Cell' Phenomenon in Active Chronic Viral Hepatitis\", The Lancet, 2: 477. KATZ, R,. DUCCI, H., and ALESSANDRI, H. (1957), \"Influence of Cortisone and Prednisolone on Hyperbilirubinremia\", J. clin. tnvest., 36: 1370. KLATSKIN, G. (1956), \"Toxic Hepatitis\", in \"Diseases of the Liver\", Edited by L. Schiff, Philadelphia: 328. LAST, P. M. (1957), \"The Treatment of Active Chronic Infectious Hepatitis with ACTH (Corticotrophin) and Cortisone\", MED. J. AUST., 1: 672. LATNER, A. L., and SMITH, A. J. (1958), \"Serum Transaminase: Alkaline Phosphatase Ratio in Differential Diagnosis of Jaundice\", The Lancet, 2: 915. LICHTMAN, S. S. (1953), \"The Liver in Pregnancy..Diseases of the Liver, Gallbladder and Bile Ducts\". Philadelphia, 2: 940. LIPSCHUTZ, E. W., and CAPSON, D. (1955), \"Cholangiolitic Hepatitis, with Special Reference to its Physiopathologic Concept, Diagnosis and Therapy\", Ann. intern. ]lIed., 43: 1037. MAcKAy, L R. (1958), \"Primary Biliary Cirrhosis Showing a High Titer of Autoantibody\", New Engl. J. Med., 258: 185. MACKAY, I. R., TAFT, L. I., and COWLING, D. C. (1956), \"Lupoid Hepatitis\", The Lancet, 2: 1323. MCSWAIN, B., HERRINGTON, J. L. JUN., EDWARDS, \",V. H., SAWYERS, J. L., and CATE, W. R. JUN. (1958), \"Intrahepatic Cholangiolitic Hepatitis: its Surgical Significance\", Ann. 8urg., 147: 805. OVERHOLT, E. L., and HARDIN, E. B. (1959), \"Cholangiolitic Hepatitis. Clinical-pathologic Studies and Response to Steroid Therapy in Four Cases\", A.M.A. Arch. intern. Med., 103: 859. PALMER, E. D. (1958), \"Anuria and Cholangiolitic Hepatitis\", Amer. J. dig. Di8., 3: 469. PHILLIPS, G. B., and DAVIDSON, C. S. (1957), \"Liver Disease of the Chronic Alcoholic Simulating Extrahepatic Biliary Obstruction\", GaBtroenterology, 33: 236. POPPER, H., and SCHAFFNER, F. (1959), \"Pathology of Jaundice Resulting from Intrahepatic Cholestasis\", J. Amer. med. A88., 169: 1447. POPPER, H., and SZANTO, P. B. (1956), \"Intrahepatic Cholestasis ('Cholangiolitis')\", Gaetroenterotoiiu, 31: 683. REICHEL, J., GOLDBERG, S. B., ELLENBERG, M., and SCHAFFNER, F. (1960), \"Intrahepatic Cholestasis Following Administration of Chlorpropamide\". Amer. J. Med., 28: 654. ROSENBLUM, L. E., KORN, R. J., and ZIMMERMAN, H. J. (1960), \"Hepatocellular Jaundice as a Complication of Iproniazid Therapy\", A.M.A. Arch. intern. Med., 105: 583. SAINT, E. G. (1952), \"Infectious Hepatitis in Old Age Groups\", MI!lD. J. AUST., 2: 613. SAINT, E. G., KING, W. E., JOSKE, R. A., and FINCKH, E. S. (1953), \"The Course of Infectious Hepatitis with Special Reference to Prognosis and the Chronic Stage\", A UBt. Ann. Med., 2: 113. 8BoROV, V. M., GIGES, B., PLOUGH, I. C., and MENDEL, W. (1954), \"ACTH Therapy in Acute Viral Hepatitis\", J. Lab. elin. Med., 43: 48. SHALDON, S., and SHERLOCK, S. (1957), \"Virus Hepatitis with Features of Prolonged Bile Retention\", Brit. med. J., 2: 734. SHAW, R. K., and GOLD, G. L. (1960), \"Jaundice Associated with Norethandrolone ('Nilevar') Therapy\", Ann. intern. Med., 52: 428. SHORTER, R. G., PATON, A., and PINNIGER, J. L. (1959), \"Hepatic Jaundice\", Quart. J. Med., 28: 43. SOLEM, J. H., and OLSEN, A. (1953), \"The Course of Icterus Index and Prothrombin Value During Corticotropin Treatment of Acute Hepatitis and Obstructive Jaundice\", Acta med. scand., 146: 281. SPRINZ, H., and NELSON, R. S. (1954), \"Persistent hmmolytlc Hyperbilirubinremia Associated with chrome-like Pigment in Liver Cells\", Ann. intern. 41: 952. STRAUSS, A. A., STRAUSS, S. F., SCHWARTZ, A. H., TENNElNBAUM, W. J., KRAM, D. D., and SILVER, J. M. (1959), \"Liver Decompression by Drainage of the Common Bile Duct in Subacute and Chronic Jaundice\", Amer. J. Burg., 97: 137. STEIGMAN, F., and POPPER, H. (1943), \"Intrahepatic Obstructive Jaundice\", aaetroenterotoou, 1: 645. SUMMERSKILL, W. H. J., and JONES, F. A. (1958), \"Corticotrophin and Steroids in the Diagnosis and Management of 'Obstructive' Jaundice\", Brit. med. J., 2: 1499. SUMMElRSKILL, W. H. J., and WALSHEl, J. M. (1959), \"Benign Recurrent Intrahepatic 'Obstructive' Jaundice\", The Lancet, 2: 686. SVANBOURG, A. (1954), \"A Study of Recurrent Jaundice in Pregnancy\", Acta obet, Gynec. scand., 33: 433. SvANBOURG, A., and OHLSSON, S. (1959), \"Recurrent Jaundice of Pregnancy\", A mer. J. nea., 27: 40. THORLING, L. (1955), \"Jaundice in Pregnancy\", Acta med. scand., Supplement: 302. TRETHOWAN, W. H., and SHAND, J. W. (1958), \"Resolution of Chlorpromazine Jaundice Without Withdrawal of the Drug\", MElD. J. AUST., 1: 568. TURNER, R. H., SNAVELY, J. R., GROSSMAN, E. B., BUCHANAN, R. N., and FOSTER, S. O. (1944), \"Some Clinical Studies of Acute Hepatitis Occurring in Soldiers after Inoculation with Yellow Fever Vaccine: with Special Consideration of Severe Attacks\", Ann. intern. Med., 20: 193. WATSON, C. J., and HOFFBAUER, F. W. 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Journal ArticleDOI
TL;DR: The state of the pulses and the presence of acute ischremic and leg pain must be closely watched in the first 24 hours after operation, as in some instances it is possible to perform successfully an embolectomy or thrombectomy.
Abstract: There are many complications which can arise. Owing to the great dissection by the bleeding and by the surgery of the posterior abdominal wall, a degree of ileus is usual. However, this has been readily managed in orthodox ways. Post-operative ischremia of the legs from thrombosis or embolism is frequently reported (Farrar et alii, 1956; Shumacker and King, 1955). The state of the pulses and the presence of acute ischremic and leg pain must be closely watched in the first 24 hours after operation, as in some instances it is possible to perform successfully an embolectomy or thrombectomy. Wound healing may be imperfect, owing partly to the age and general condition of the patient, and to some extent to the elimination of the lumbar contribution to the abdominal wall blood supply. Technical failure at the anastomotic line with a delayed heemor rhage is uncommon and probably usually follows infection at this site. Mavor et alii (1959) report colonic necrosis after resection which is attributable to the division of the inferior mesenteric artery, infiltration of the mesentery with blood, hypotension and interference with the internal iliac circulation. Severe pre-operative or operative hypotension may lead, as in Cases II and IV, to immediate or delayed death from cardiac, cerebral or renal causes.

Journal ArticleDOI
TL;DR: S FROM MEDICAL LITERATURENeurology Pathology Brush up your medicines and treatment of Insomnia Out of the PA·ST .. 96.
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