The Journal of the American Osteopathic Association
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It is assumed that the atlas (C1) glides superiorly and laterally along the occipital (C0) condyle during translatory motion of the head in the opposite direction. To provide roentgenographic documentation, a translatory test of atlanto-occipital (C0-C1) motion was performed to the left and to the right on a healthy, asymptomatic volunteer subject. ⋯ The films indicate the change in atlantal position relative to the occiput and support the assumption. A translation of the head in the coronal plane to test for atlanto-occipital joint mobility is described.
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J Am Osteopath Assoc · Jul 1992
ReviewAdult respiratory distress syndrome: a review for the clinician.
Adult respiratory distress syndrome is a common respiratory problem with a wide array of precipitating causes and an overall mortality rate of more than 50%. Signs on physical examination tend to be nonspecific as do laboratory findings associated with the syndrome. ⋯ Therapy is primarily supportive and centers around the use of mechanical ventilator support. The authors discuss the pathogenesis and management of this syndrome together with some of the newer approaches to mechanical ventilation.
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J Am Osteopath Assoc · Dec 1991
Randomized Controlled Trial Clinical TrialCombining epidural fentanyl and lidocaine for postoperative pain.
Fifteen patients undergoing total hip and total knee replacement were studied prospectively to evaluate postoperative pain relief provided by an epidural infusion of fentanyl citrate, with and without lidocaine hydrochloride, and changes in arterial flow to the lower extremities. The patients were randomly placed in three groups: group 1 received epidural fentanyl, 5 micrograms/mL; group 2 received epidural fentanyl, 5 micrograms/mL with 0.75% solution of lidocaine; and group 3 received epidural fentanyl, 5 micrograms/mL with 1.0% solution of lidocaine. ⋯ The addition of lidocaine to the epidural fentanyl infusion did not improve pain relief or allow a decrease in the rate of infusion. Patients in all groups had improved arterial flow to the lower extremities 24 hours postoperatively.
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J Am Osteopath Assoc · Aug 1991
Case ReportsIncomplete rectal obstruction secondary to adenocarcinoma of the prostate.
Ureteral and bladder outlet obstruction are well-known sequelae of adenocarcinoma of the prostate. Contiguous extension of prostate cancer locally to involve the rectum is an uncommon phenomenon. It has been suggested that this is because Denonvillier's fascia is an effective barrier to posterior extension of malignant prostatic neoplasms. Herein, we report a case of this unusual association as well as a review of the literature.