Primary and secondary tumors of the heart are the rarest of all generally benign and malignant neoplasms of the human organism, and therefore each new case is of interest because of the clinical features with which it is accompanied. The following case deserves attention not only because of the localization of the neoplasm in the myocardium, but also because of the extraordinary multiplicity of metastases, apparently originating from the pancreas.
The described case of visceral syphilis is of interest from our point of view, both in terms of differential diagnosis and in terms of combined rheumatic and luetic heart disease with simultaneous specific central nervous system involvement.
Patient V., 53 years old, foreman of a tramway park, came to hospital No. 24 on 2/IV-38 with complaints of dyspnea during physical exertion, weakness, chest pains. He felt sick on 15/III-38, when shortness of breath when climbing stairs and pains in the heart area appeared.
Osarsol is a complex organic compound of arsenic (para-oxy-acetamido-phenyl-arsinic acid), synthetically obtained by Gosmedtorgprom in 1924 and commercialized in tablets of 0.25 g for internal administration as an antisyphilitic agent. Doses for adults, according to the instructions I osmedtorgproma, 0.5-1.0 per day with intervals of 3-5 days after taking every 5 g osarsol, in total for a course of treatment for syphilis is given 25-30 g of the drug. In addition to syphilis, Osarsol is used in worm infestations, in protozoan-trypanosomal diseases and in spirillosis. The literature shows that osarsol, as well as its analogues, together with salvarsan, proposed by Yakimov for the treatment of giardiasis as early as in 1917, proved to be an effective remedy for giardiasis (Chapurskaya-Bazhenova, Georgievskaya, Volodin, Limcher and Traikina, Filipchenko, etc.). This drug has been widely used in recent years in Giardia infestations.
The plethora of surgical methods proposed for the treatment of varicocele suggests that no one method is completely reliable. In general, many surgeons question the appropriateness of surgical intervention because the long-term results do not lead to a radical cure. However, the presence of dilated veins of the spermatic cord, in addition to subjective phenomena in the form of discomfort in the scrotum, pulling pain in the testicle, intensified by walking and physical exertion, gives objective changes in the form of sagging testicle, venous stasis and, ultimately, testicular atrophy. These phenomena make us skeptical about the proposals of conservative surgeons and force us to speak in favor of surgical methods of treatment.
Multiple fistulas in the area of the salivary gland ducts are extremely rare. The authors of monographs devoted to diseases of these glands (Pelshinsky, Opokin, Bereznegovsky) do not mention them at all. Only P. A. Gertsen cites a case of bilateral parotid gland fistulas in a young woman who underwent surgical intervention for parotitis in typhus.
The problem of rheumatism is one of the most current and interesting topics of medicine of the last 10-15 years. It is devoted to a large number of works in the world literature, it was and is dealt with by doctors all over the world. There are several reasons for this. The first of them is an excessive number of "rheumatic diseases" among the population of the whole globe; statistics of different countries speak eloquently about it. The second reason that has prompted physicians to study this question is that, until recently, there has been a great deal of confusion about what we mean by "rheumatism".
On February 10-11, 1939, a plenum of the All-Union Committee for the Study and Control of Rheumatism was held in Moscow. Among other issues, the plenum discussed the treatment of rheumatism (Buyo's disease) with salicyl preparations. This seemingly quite definite question still required a special exchange of opinions, since some therapists and pediatricians have recently expressed doubts about the usefulness of salicyl treatment of rheumatism.
The article contains the theses of the dissertation for the degree of Doctor of Medical Sciences, defended on December 28, 1938 in a public meeting of the Academic Council of VIEM in Leningrad.
The article contains the theses of the dissertation for the degree of Doctor of Medical Sciences, defended on December 28, 1938 in a public meeting of the Academic Council of VIEM in Leningrad.
The author used for prophylactic purposes the injection of placental extract in 80 children (from 1 to 8 years old) who had been in contact with measles patients. This inoculation was done on the 4th-5th day of incubation in 5-10 cm3, depending on age. As a result, it turned out that only two of this group became ill with measles (2.5%) of almost abortive form, and, in the author's opinion, the sick children were vaccinated late.
The disadvantages of cow's milk are, on the one hand, its high resistance to changes in pH, i.e., its high buffering capacity, and, on the other hand, its tendency to produce dense, difficult-to-digest curds when coagulated with rennet. Attempts to make cow's milk more digestible went in two directions. One was to increase the concentration of hydrogen ions and thereby reduce the buffering of milk by adding acids to the milk.
In eastern France, where acrodynia is common, the authors observed malignant forms of the disease with fatal outcome. They cite 4 cases of acrodynia in young children with a general characteristic picture of the course of the disease - The disease in all these cases began after an infection (influenza, measles, pneumonia) and proceeded initially with the usual symptoms of acrodynia: weakness, lack of appetite, insomnia, irritability, redness and swelling of the extremities, profuse sweating, peeling of the skin, traces of scratching on the body, red or blue and cold nose, hypotonia of the muscles.
In a short time the author observed 5 cases of acute pyuria caused by dysentery bacillus. A. assumes that such patients were carriers of the dysentery bacillus before the disease; only after entering the urinary tract, the bacillus causes an acute inflammatory process. The dysentery bacillus most likely enters the urinary tract by an ascending route, like bact. coli. This is supported by the fact that all 5 cases observed by the author were girls and none of them showed signs of sepsis.
An important aid in the diagnosis of gonorrhea in old and atypical cases is the culture method. Observations in recent years show that the best medium for this purpose is McLeod's chocolate agar placed in an atmosphere of 8% carbon dioxide. Using this method, Carpenter and his associates examined 245 women. They also took swabs from them. Of the 223 laboratory tests that were positive, the culture method detected gonococcus in 205 cases, or 91.9%, and the swab method in 107 cases, or 48%. In 18 cases, the smear was positive but the culture was negative, so the combination of the two methods greatly increases the chances of detecting gonococcus.
Having given a brief account of the embryology and anatomy of the compartment glands, the author describes the symptoms of compartmentitis. In the presence of perineal fluctuations, the author recommends surgical treatment.
There are as many as 200,000 girls with gonorrhea in the United States. Diagnosis requires clinical symptoms, smears, and cultures. For smears, vaginal secretions should be collected with a glass catheter containing some saline. The pH of the discharge is of diagnostic value: all girls with gonorrhea have an alkaline reaction. The pH of vaginal discharge from healthy girls is always less than 7.