Care of the patient for surgery of large bowel

This paper deals with an established method of preparing patients for elective surgery of the large bowel, including the anorectum. Preoperative operation, which includes general and local measures, and postoperative care was discussed

Paragonimiasis westermani: an unexpected case with cystic formation in the anterior abdominal wall

1. A case of Paragonimiasis westermani diagnosed for the first time in life in the Philippines through a histopathological examination of an excised cyst from the anterior abdominal wall discharging pus through the umbilicus, is here presented as a unique contribution to the very meager literature on the subject. The parasitic nature of the cyst was never thought of even by the surgeons until after eggs were found in the tissue section, which were identified as Paragonimus ova by the senior author. This discovery through biopsy may be considered unusual at present; but it is hoped, that after this report, such findings would no longer be strange, especially considering that eggs of Paragonimus are found not only in the lungs but also in many other organs and tissues of the body. The attention of the general and cancer pathologists is called to this important possibility in biopsy2. A further study of the patient, as suggested by the histopathological finding, has revealed that it is not difficult to establish the presence of pulmonary paragonimiasis, since the ova are easily demonstrable both in the sputum and the feces. This procedure of demonstrating and recognizing the Paragonimus ova, especially in the grayish or brownish sputum of patient, can easily be done by a competent parasitologist3. The X-ray examination of this patient further revealed an important finding of cyst-like shadows on both sides of the lungs, more especially on the right, which, to the radiologist, is very suggestive of pulmonary paragonimiasis. The attention of the radiologist, especially those engaged in tuberculosis work, is called to this important X-ray finding; and, whenever such suspicious cases are encountered, the sputum of the patient whould always be examined, not only for T.B. bacilli, but also for Paragonimus ova. The stress should naturally be more in the intelligent and active search, in order to discover hidden, unseen, or hitherto unrecognized casesWith these few hints and the sustained interest of the entire medical profession all over the Islands in Paragonimiasis manifested either individually or with others who may have the facilities, we hope that, before long, we can become Paragonimus-conscious4. With the interest or Paragonimus-mindedness that might be brought about by the suggestions given in this paper, it is hoped that, in the near future, every-one will be able to contribute towards enriching our knowledge of Paragonimiasis, which is still very meager, because of our own neglect and indifference. (Summary and Conclusions)

Statistical studies on urolithiasis: II. clinical aspects

A series of 134 operative cases of urolithiasis is presented. There were 22 kidney stones, 18 ureteral, 87 bladder, and 7 urethral. There have been 12 deaths in these showed a preponderance of phosphates in 28 samples or 70%. All of these stones were associated with urinary infection. (Summary)

Cranial metastases from thyroid malignancy

1. The statistical incidence, pathology, symptomatology, and diagnosis of cranial metastases from malignancies of the thyroid gland are discussed2. Four cases of such metastases are reported. (Summary)