J Natl Med Assoc
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Nineteen patients, nine males and ten females had 24 episodes of diabetic ketoacidosis. Infection was the precipitating factor in the development of ketoacidosis. ⋯ Hypoglycemia, hypokalemia, and alkalosis were not developed in our children. Ketoacidosis was adequately corrected by 2.5 mEq of sodium bicarbonate per kg of body weight.
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The diagnosis of Crohn's disease in 13 patients (ten females and three males) at the Howard University Hospital during the ten-year period, 1965-1975, is examined. The most common presenting symptoms were right lower quadrant (RLQ) pain, diarrhea, anorexia, weight loss, and vomiting, while the most common physical finding was RLQ tenderness. Ileocolic involvement occurred most frequently. ⋯ Crohn's disease seems to occur in blacks much less frequently than in whites. When compared to series of white patients reported by others, the series studied here has more females and more ileocolic involvement. In most other series, the greatest involvement is in the "ileum only" group.
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A ten-year retrospective study of cancer of the pancreas in black patients at Howard University Hospital is presented. A total of 68 patients was studied. The authors concluded that no form of treatment had significant effect in terms of survival in stages II, III, and IV disease.
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Despite rigorous control measures by local, state, and federal health agencies, salmonellosis continues to be one of America's most troublesome epidemiological problems. Salmonellosis, a reportable disease, is estimated to infect more than two million persons each year. ⋯ To study the impact of salmonellosis at Howard University Hospital, the authors made a statistical analysis of non-typhosa Salmonella isolated during a two-year period. The study emphasizes the epidemiological aspects of, and useful isolation and identification techniques for, non-typhosa Salmonella.
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A method of care applicable to all forms of critical illness is presented. A patient is considered to be critically ill when he is threatened with hypoxia. ⋯ The relevant physiology and monitoring of the components of the oxygenating system are described. The treatment of patients with impaired function of these components is described.