Southern medical journal
-
From Jan 1, 1971 through June 30, 1979, 113 cases of massive liver injury were managed by insertion of a viable omental pack. Significant active hemorrhage was present in all cases, while the source of hepatic bleeding was primarily venous in the 102 injuries due to blunt trauma. ⋯ Nine deaths produced a mortality of 8%. Arrest of liver hemorrhage by tamponade with viable omentum was almost uniformly successful in patients with nonpenetrating injury.
-
We have described a patient with fulminant sepsis and bullous skin lesions due to L + Vibrio. The histologic features of these lesions as well as the rapid onset of refractory shock and complete heart block at least suggest that potent bacterial toxins are involved in the pathogenesis of disease caused by this "unnamed lactose-positive marine Vibrio."
-
Southern medical journal · Aug 1980
Case ReportsNonrepair of exposed frontal bone after Mohs' surgery for extensive basal cell carcinoma.
When it is necessary to expose frontal bone with or without periosteum after Mohs' surgery for extensive carcinomas of the forehead, simple wound care will allow granulations to cover the bone and healing will be complete. In situations where it is not advisable to cover exposed frontal bone with or without periosteum, simple care of the defects should allow complete healing.
-
Southern medical journal · Aug 1980
Randomized Controlled Trial Clinical TrialAnalgesic efficacy of ibuprofen for treatment of primary dysmenorrhea.
Fifty-five women with primary dysmenorrhea were enrolled in a study which each took ibuprofen (400 mg), propoxyphene hydrochloride (64 mg), or a placebo alternately in consecutive menstrual cycles for relief of pain. Fifty-one completed the study during three successive cycles in this triple-blind, crossover, randomized investigation. Ibuprofen was clearly superior to propoxyphene and the placebo in patient preference, degree of relief, and need for supplementary analgesics. ⋯ Propoxyphene was superior to the placebo but not to the same extent as ibuprofen. Only three side effects were reported during the study, two relative to propoxyphene and one recorded during a placebo cycle. These data show that ibuprofen is an effective agent when used for treatment of dysmenorrhea without organic etiology.