RESUMEN
The first case of mild Tropical Sprue in a Filipino is reported. The symptoms, as well as the microscopic changes in the jejunal and elial mucosa, were mild and non-specific. There was malabsorption of vitamin B12 which reverted to normal after a course of oral tetracycline and parenteral vitamin B12. The occurrence of tropical sprue in a Filipino and American visitors suggests a large reservoir of the disease exists in the Philippines
RESUMEN
Whether one should assist a failing heart by giving inotropic agents or administer vasopressor amines to elevate systemic blood pressure thus increasing coronary perfusion, or give alpha adrenergic blocking agents to increase perfusion to ischemic viscera and decrease the external work load on the heart, is still controversialWe feel that cardiogenic shock is primarily a pump failure and needs assistance; however, we feel that the method suggested by Gold a combination of the two schools of thought giving drugs with inotropic, alpha-beta action, and peripheral alpha adrenergic blocking agent to prevent excessive rise in peripheral pressure, as the most appealing. Admittedly, however, clinical data is insufficient to take a firm definite stand on any position. (Conclusions)