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The efficacy of demeclocycline hydrochloride in suppressing the tubular action of tumoral antidiuretic products was tested in seven patients with the syndrome of inappropriate antidiuretic hormone secretion. In all patients, demeclocycline hydrochloride (1,200 mg/day) induced production of...
To the Editor.—
With the advent of the fiberoptic colonoscope, colonoscopy has been used more widely as a diagnostic and therapeutic procedure. Colonoscopic polypectomy has almost replaced the transabdominal polypectomy and has substantially reduced the mortality and the morbidity.
A patient with hypersomnolence, micrognathia, and respiratory insufficiency had been treated eight years for narcolepsy. Sleep apnea because of upper airway obstruction was found, and a tracheostomy was performed. Following this the hypersomnolence and respiratory insufficiency resolved.
Of 99 patients with Crohn's disease whose rectal segment appeared normal on sigmoidoscopy, there was histologic inflammation in 45% and features characteristic of Crohn's disease in 30% of rectal biopsy specimens. Granulomas were found in 18% of patients, including 13% of those with ileitis, 13%...
THERE IS wisdom in demanding that the clinical diagnosis of gout, based on symptoms and signs, be confirmed by the demonstration of intracellular monosodium urate crystals in synovial fluid or tissues. The following case report details an instance in which metastatic carcinoma was responsible...
In the November 29 issue of JAMA (236:2534, 1976), an editorial, "Nutrition Instruction in Medical Schools—1976," stated that only 42% of US medical schools offer courses in nutrition. This study was based on the responses from 44 of 60 medical schools surveyed.
In early 1976 a survey of the 114...
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