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WE RECENTLY encountered two men who, after being arrested, had symptoms and signs consistent with peripheral nerve injury at the wrist. In each case, we suspect that prolonged application of tight handcuffs was causally related to the nerve lesion, which was verified by electrophysiological...
As Dr Brown points out, the sign of Leser-Trélat is not well fixed in the medical literature; thus, definition of the syndrome is difficult. However, for practical purposes we suggest that the sign of Leser-Trélat refers to the sudden appearance and rapid increase in size and number of...
The distinguished authors of this illustrious book deserve better than the misprinting of Professor Russell's middle initial and the misspelling of Professor Rubinstein's last name on the cover. Inside, however, there is the same high quality of text and illustrations that students of...
To the Editor.—
The correspondence by Edward Willey, MD (238:1813, 1977), tends to point out an interesting phenomenon. It would appear, despite the fact that according to the medical literature the use of "cocaine mud" on the nasal mucosa is contraindicated, that it is not until the economic...
To the Editor. —
I would like to comment on the answer to the question concerning the possible lymphatic or venous spread of malignant melanoma induced by hydrostatic pressure following injection of local anesthetic.
Dr Adriani stated that he knew of no statistical data that could answer the...
The teaching of clinical medicine at the bedside is an enduring legacy of the Oslerian revolution in American education. The advantages of teaching clinical ethics at the bedside include dealing with actual cases to maximize personal accountability, reinforcing the relationship between technical...
We believe that mammograms should be done routinely on all patients in whom there is some question regarding the presence of carcinoma of the breast. This is done for two reasons: (1) the opposite breast needs to be evaluated because not infrequently second primary breast cancers occur...
To the Editor.—
The new β-2-adrenergic bronchodilator drugs are well known to cause muscle tremor by stimulation of β-2-adrenergic receptors in skeletal muscle. Not previously noted is that in predisposed persons they may also cause persistent and widespread muscle twitching and cramping....
INVARIABLY, when Bobby Smith arrives in the pediatric clinic, there is wailing and gnashing of teeth, followed by the frantic scurrying of staff members into the relative safety of their offices. So great are Bobby's clamorings and his mother's multidecibel response that a staff member once...
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