ABSTRACT
Ascaris has been found in a variety of places aside from its usual habitat in the jejunum. Its discovery in the common bile duct is notedA study of 10 cases where ascaris has been found in the common bile duct shows that this condition brings about signs and symptoms that are considered pathognomic and characteristic of a gall bladder disease. That a gall bladder disease is really coexistent with the presence of ascaris in the common bile duct seems to be borne out by the invariable observation that the gall bladder in these cases shows at least a chronic inflammatory condition. A hypothesis is, therefore, advanced to the effect that a pre-existing gall bladder disease is responsible in attracting the ascaris into the common bile duct, or at least makes it possible for the wandering ascaris to penetrate into the biliary system by causing a dysfunction in the sphincter of Oddi which normally would impede such an entrance. It is evident that, in the presence of a gall bladder disease, the removal of the ascaris alone will not cure the disease; the gall bladder disease; the removal of the ascaris alone will not cure the disease; the gall bladder may also have to be removed. (Summary)
ABSTRACT
The experimental and clinical evidence supporting the theory of renal ischemia as a cause of hypertension is reviewed. A case is reported of a 33 year old female who had hypertension due to obstruction of the left renal artery by arteriosclerotic plaques in the lumbar aorta. Left nephrectomy was done with immediate return of the blood pressure to normal. The clinical picture, mechanism and treatment of this type of hypertension is discussed. (Summary)
ABSTRACT
A new diagnostic vectorcardiogaphic technique was employed in the study of 21 patients with congenital heart disease under 1 year of age. The QRS vectrocardiograms were studied according to the position of the 0.02, 0.03., 0.04 and 0.05 second vectors and the rotation of the loop in the horizontal plane of the cube system of Grishman. Abnormalities in the location of these vectors and changes in the rotation of the loop including the appearance of figure of 8 loop during the first week of life were found useful in detecting ventricular hypertrophy in this age group. Criteria for the vectorcardiographic diagnosis of right ventricular hypertrophy and left ventricular hypertrophy were outlined for this method. Combined ventricular hypertrophy was diagnosed in 2 patients.(summary)
Subject(s)
VectorcardiographyABSTRACT
Forty-three cases of fatty infiltration of the heart were studied from a review of 1787 consecutive autopsies done at White Cross Hospital from 1932 to 1950 inclusive. This constituted 2.4 per cent of the total autopsies and 7.61 per cent of 565 autopsied cases of heart disease during this period of studyFatty infiltration of the myocardium was frequently found in the right ventricle. This entity was more commonly seen in the older age group, past 50 years and both men and women equally affected in this series. There was no relationship to obesity or alcoholismThe clinical histories of 31 cases revealed that the patients were seriously ill and the conditions were severe enough to cause the death of the patients even without fatty infiltration of the myocardium. Two patients supposedly died from fatty infiltration. of the heartLiver biopsy as a diagnostic procedure in this condition offers no real possibilities. The critical condition of these patients may actually be a limiting factor as far as diagnostic procedures are concerned. The electrocardiogram may offer nothing specific. Perhaps myocardial biopsy will provide a specific diagnosis. (Summary)
ABSTRACT
The experimental and clinical evidence supporting the theory of renal ischemia as a cause of hypertension is reviewed. A case is reported of a 33 yr. old female who had hypertension due to obstruction of the left renal artery by arteriosclerotic plaques in the lumbar aorta. Left nephrectomy was done with immediate return of the blood pressure to normal. The clinical picture, mechanism, and treatment of this type of hypertension is discussed. (Summary)