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The first section outlines a problem-oriented approach for evaluating children with renal diseases as they might present in a general pediatric practice. Hypertension, azotemia, hematuria, proteinuria, short stature, and polyuria are discussed, from the viewpoint of history and physical...
To the Editor.—
I was extremely pleased to see the article by Margaret Deanesly, MD, entitled "Breast Prostheses" (236:499, 1976). The title of the article immediately caught my eye because of our interest in breast reconstruction after radical mastectomy. I was extremely pleased by the...
To the Editor.—
In the article "Quinacrine Ochronosis and Rheumatoid Arthritis" by Egorin et al (236:385, 1976), the pigmentation noted in the patient reported was similar to that which we had noted1 in 25 patients treated with antimalarials. However, I object to the use of the term...
ANNUALLY evaluating the staff is one of the duties of the president of our local county medical society. While busily engaged in checking staff members' performance against responsibilities, it was discovered that there was no provision for judging the president. Of course, the society's bylaws...
Two hundred two patients participated in a double-blind random crossover study of the effectiveness of human chorionic gonadotropin (HCG) vs placebo in a weight reduction program. Serial measurements were made of weight, skin-fold thickness, dropout rates, reasons for dropping out, and patient...
Two patients with hemiparesis were thought to have intracranial sions. Cervical spondylosis was discovered, and the condition of both patients improved after laminectomy. Although it has been rarely emphasized in the past, cervical spondylosis should be considered in the differential diagnosis...
A 73-year-old woman was found to have clinically significant pancytopenia in association with procainamide hydrochloride ingestion. The syndrome, resembling systemic lupus erythematosus, which has been reported to develop in patients treated with this agent, is characterized by mild to moderate...
To the Editor.—
In their article on the management of tuberculosis in the mid-1970s, Drs Mc Conville and Rapoport (235:172, 1976) state that, according to some evidence, patients discharged on a regimen of chemotherapy, even those with sputum positive for the infecting organism, do not...
In a patient with progressive neurological deterioration, multiple lumbar CSF studies and extensive serological testing failed to demonstrate cryptococcal infection, while a single cisternal puncture produced viable cryptococcal organisms.
(JAMA 236:2517-2518, 1976)
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