In order to reassess the diagnostic reliability of the abdominal plain film examination in suspected intussusception, the findings in 100 consecutive cases of this disorder were analysed. Then, these were compared with the same number of cases in which the diagnosis had been rejected by means of barium enema. It ...

The 4th case of botulism in South Africa is reported. Unusual features are the detection of toxin in the patient's serum 7 weeks after the onset of the illness and the need for 14 weeks' intermittent positive pressure ventilation. Symptomatic treatment and meticulous nursing resulted in complete recovery. The microbiology, ...

We report two cases of acute infectious supraglottitis in adults seen recently in our emergency department. The recent literature appropriate to the diagnosis and treatment of the entity is reviewed. In each of our cases the diagnosis was established with indirect laryngoscopy in the emergency department and appropriate therapy instituted ...

Trophoblastic pseudotumor, a type of gestational trophoblastic neoplasia, is discussed in the context of a case report. The criteria for diagnosis, lack of placental villi, cytotrophoblast, extensive hemorrhage, and necrosis, can only be fulfilled on histopathologic study of a hysterectomy specimen. Clinical management should be based on the titer of ...

Visceral actinomycosis is extremely rare in childhood. Two cases of visceral actinomycosis in children are described, and the importance of accurate mycological diagnosis and early treatment emphasized. The outcome in one case would very probably have been fatal had the diagnosis not been considered promptly, and in the other the ...

The clinical and anatomopathological features of angioma of the iris are described and the relevant literature is briefly reviewed. A personal case in a 47-year-old woman is presented. Reference is made to the fact that, unlike many of the cases in the literature, histological confirmation of the diagnosis was obtained. ...

Probability theory provides a simple method for physicians to use their "intellectual linkages" to their past clinical experience in making current diagnoses. Only a pencil and paper are required for making a few likelihood calculations. To illustrate this method, evaluation was done of a new diagnostic sign (presence of knee ...

Five cases of children with nontuberculosis pericardial constriction with effusion are reported. The disease is not as rare as has been thought, and the aetiology in these cases was probably a previous virus infection. A previous diagnosis of hepatitis, nephrotic syndrome, or protein-losing enteropathy had been made and the correct ...

A case of gastrointestinal phycomycosis, a highly lethal fungal infection, is presented. Radiographic, operative and histopathologic features are discussed. Pathogenesis of the disease and the importance of underlying illness, malnutrition, immunosuppression and antibiotic therapy are considered. The literature is reviewed and current approaches to diagnosis and management are summarized. Greater ...

This study was conducted to compare DSM-II and DSM-III in the diagnosis of childhood and adolescent psychiatric disorders. Twenty psychiatrist-raters completed standardized diagnostic questionnaires for 24 actual case histories. This report, the first of four, presents the rater agreement with the "expected diagnosis," ie, the diagnosis that we considered most ...

Ten cases of herpes simplex infections of a digit were observed during a 3 year period. The diagnosis was confirmed in seven cases by culture or tests of serum antibodies. In three cases the clinical characteristics were sufficient to suggest the diagnosis. Medical and dental personnel are particularly prone to ...

Xanthogranulomatous pyelonephritis (XGP) is a rare form of chronic pyelonephritis. The present author has found about 150 cases on going through the literature. The lipid filled "foam cell" is typical of the condition. The preoperative diagnosis is often renal carcinoma. The treatment is nephrectomy. It is important to make the ...

All patients (1,328) suspected of having transient ischemic attacks (TIA) who came to six institutions over a 21-months period were identified. Each case was reviewed by a neurological investigator, and a definite diagnosis of TIA was supported in 39% and ruled out in 30%. The reliability of the neurologist's review ...

Three patients presented with an asymptomatic longitudinal pigmented band in a nail. A junctional melanocytic naevus in the nail matrix was suspected; this was confirmed by histological examination in each case. Differential diagnosis and management are discussed, together with a review of the literature. Local excision is considered to be ...

Four cases of chondrosarcoma of the skull are presented. The clinical and radiographic features and differential diagnosis are discussed. The previous literature is reviewed and all cases tabulated. Computed tomography and angiography are important radiologic tools in suggesting the correct diagnosis prior to operation. Stippled, finely speckled, or amorphous calcification ...

The first case of idiopathic chondrolysis of the hip from South-East Asia is reported, with a review of the literature. The problems of differential diagnosis are discussed. As the condition is rare, it is likely to be misdiagnosed and may well be over-treated. The rarity of the condition and its ...

A study of 156 cases of SS and SC disease diagnosed at Igbo-Ora between 1962 and 1975 is described. In 1971 haemoglobin electrophoresis was introduced for all previously untested patients with a PCV of less than 30 and/or a clinical suspicion of SS or SC. Following this, the total known ...

The radiographic, angiographic, hemodynamic, and surgical features of 2 cases of cor triatriatum complicated by other cardiac anomalies are presented. In the first case, the patient had tetralogy of Fallot, the scimitar syndrome, and left ventricular obstruction. In the second case the patient had truncus arteriosus. The first case was ...

The most characteristic electrocochleografic features of Menière's disease are a broad waveform, steep input-output curves, normal amplitude-latency relations and large summating potentials. The electrocochleografic data obtained in an individual case can be compared with the parameters of a reference set composed of a great number of patients with a well ...

The clinical and roentgenographic findings in traumatic esophageal perforation in the newborn are specific enough to enable a diagnosis to be made rapidly. A case of this entity is discussed and the literature on this subject is reviewed. This case demonstrates that the diagnosis can be strongly suspected from the ...

The diagnostic efficacy of a commercially available diagnostic slide-rule (the Logoscope) was evaluated on 50 cases detailed in the leterature. In only 13 cases (26%) was the Logoscope of any practical assistance in diagnosis and even then it did not always indicate the entire final clinical diagnosis. Some major deficiencies ...

A description of some of the clinical features of low back pain in the horse has been given and a number of methods for assisting diagnosis considered. As well as a complete clinical examination both at rest and during exercise, a useful diagnostic aid in some chronic cases was the ...

A case of cystic adventitial degeneration of the popliteal artery is described. This is an unusual cause of intermittent claudication, but the diagnosis should be suspected in young persons, especially men, where the arteriogram shows a stenosis due to compression and arteriosclerotic changes are not demonstrable. A brief review of ...

A case of quadripartite patella of the right knee is presented. Although multipartite patellar anomalous development is not uncommon, its differential diagnosis is critical to appropriate patient management. This case is somewhat unique in that it not only presented with multiple centers of nonunion, but was unilateral and symptomatic.

This paper reviews the varied presentations of Arnold-Chiari Malformation (ACM) in terms of anatomy, clinical presentation, diagnostic workup, and therapeutic considerations. Emphasis is placed on the Type I condition as it appears in the adult. ACM is a developmental anomaly in which the cerebellar tonsils and portions of the posterior ...

The first report of an autochthonous case of Wuchereira bancrofti in Zambia is presented. Observations are made on the diagnostic features of the microfilatiae particularly in relation to their periodicity and aggulutination in sequestrinated blood. The criteria used to identify the worms in section and the problems in diagnosis are ...