abstract：:Use of amiodarone, an investigational antidysrhythmic agent, has been associated with cases of pulmonary toxicity. The mechanism of amiodarone pulmonary toxicity is unknown, and recommendations for the assessment and treatment of patients with this condition continue to evolve. In two patients with clinically diagnose...

journal_title：Mayo Clinic proceedings

authors： Wood DL,Osborn MJ,Rooke J,Holmes DR Jr

更新日期：1985-09-01 00:00:00

abstract：:Constrictive pericarditis frequently poses a diagnostic challenge because of its varied manifestations. Accurate diagnosis is essential, however, because surgical decortication may yield excellent clinical results. Although new diagnostic procedures have helped the clinician to diagnose constrictive pericarditis, the ...

journal_title：Mayo Clinic proceedings

authors： Nishimura RA,Connolly DC,Parkin TW,Stanson AW

更新日期：1985-06-01 00:00:00

abstract：:In almost all dialysis patients, bone aluminum content (BAC) is elevated in comparison with levels in normal subjects. Extremely high BAC (200 micrograms or more of aluminum per gram of bone) is significantly associated with classic aluminum-related osteomalacia. We noted three patients with elevated BAC but without h...

journal_title：Mayo Clinic proceedings

authors： McCarthy JT,Kurtz SB,McCall JT

更新日期：1985-05-01 00:00:00

abstract：:From 1974 through 1982, fulminant hepatitis was diagnosed in 34 patients at our institution. Of these patients, only two survived (survival rate, 6%). This syndrome was caused by viruses (B and non-B hepatitis and herpes simplex) in 23 patients, hepatotoxic drug in 6, Wilson's disease (hepatolenticular degeneration) i...

journal_title：Mayo Clinic proceedings

authors： Rakela J,Lange SM,Ludwig J,Baldus WP

更新日期：1985-05-01 00:00:00

abstract：:Mechanical and bioprosthetic mitral prostheses may have many potential complications. In patients with isolated mitral stenosis and a small left ventricular cavity, low-profile prostheses are recommended to avoid myocardial impingement that can result from a high-profile valve and lead to possible left ventricular inf...

journal_title：Mayo Clinic proceedings

authors： Currie PJ,Seward JB,Lam JB,Gersh BJ,Pluth JR

更新日期：1985-03-01 00:00:00

abstract：:Thromboembolic complications continue to be potential hazards in patients with prosthetic heart valves, and cerebral infarct and transient neurologic deficits as a result of embolism are the most common manifestations. Actual thrombotic obstruction of the valve occurs less frequently but is often fatal unless it is re...

journal_title：Mayo Clinic proceedings

authors： Kontos GJ Jr,Schaff HV

更新日期：1985-02-01 00:00:00

abstract：:In a study of 49 consecutive patients for whom a test for platelet antibodies had been ordered, tests were performed for both cell-bound and serum platelet antibodies. In cases of autoimmune thrombocytopenia (ITP), the test result for cell-bound antibody was more likely to be positive than was the test result for seru...

journal_title：Mayo Clinic proceedings

authors： Moore SB,Wick MR,Richardson LM

更新日期：1984-12-01 00:00:00

abstract：:The feasibility and accuracy of continuous-wave Doppler echocardiography in measuring pressure gradients across the pulmonary artery band were assessed. Simultaneous continuous-wave Doppler and catheter pressure measurements were prospectively performed in 20 patients with complex congenital heart disease and prior pu...

journal_title：Mayo Clinic proceedings

authors： Fyfe DA,Currie PJ,Seward JB,Tajik AJ,Reeder GS,Mair DD,Hagler DJ

更新日期：1984-11-01 00:00:00

abstract：:The patient with a hypersensitive carotid sinus reflex and syncope may pose special challenges in evaluation and treatment. Specifically, although the finding of carotid sinus hypersensitivity may indeed indicate an exaggerated vagal tone that causes syncope, it may also be a chance association in a patient with synco...

journal_title：Mayo Clinic proceedings

authors： Sugrue DD,Wood DL,McGoon MD

更新日期：1984-09-01 00:00:00

abstract：:Radionuclide angiography was used to study the effects of supine and upright bicycle exercise and handgrip exercise in 17 (12 well-trained) normal subjects before (control) and immediately after the administration of propranolol (160 mg/day for 4 days). Cardiac hemodynamic values were related to position in that contr...

journal_title：Mayo Clinic proceedings

authors： Clements IP,Offord KP,Baron DW,Brown ML,Bardsley WT,Harrison CE Jr

更新日期：1984-09-01 00:00:00

abstract：:Cataract operations are commonly performed in either a primary-care or a tertiary-care center. A plethora of information (some of which is unfounded) has been disseminated in the lay news media about the advances in the surgical techniques of cataract removal. This article reviews some of the recent concepts about the...

journal_title：Mayo Clinic proceedings

authors： Liesegang TJ

更新日期：1984-08-01 00:00:00

abstract：:Among 169 adult pathologically staged patients with Hodgkin's disease who were treated at the Mayo Clinic between 1974 and 1978, we identified four cases of second malignant lesions that developed. The median duration of follow-up after diagnosis for the entire population was 4.1 years. Of the 169 patients, 73 receive...

journal_title：Mayo Clinic proceedings

authors： Schomberg PJ,Evans RG,Banks PM,White WL,O'Connell MJ,Earle JD

更新日期：1984-07-01 00:00:00

abstract：:Nine patients with a progressive neurologic disorder that was characterized by mental deterioration, supranuclear vertical gaze paresis, and foam cells or sea-blue histiocytes in the bone marrow are described and compared with patients who were previously described as having " neurovisceral storage disease with vertic...

journal_title：Mayo Clinic proceedings

authors： Yan-Go FL,Yanagihara T,Pierre RV,Goldstein NP

更新日期：1984-06-01 00:00:00

abstract：:Almost all pacemakers currently implanted in patients in the United States are now capable of some degree of noninvasive programmability. Although programmability seems to be a very useful feature and allows flexibility in the patient's pacemaker system, the use of programmability in the late follow-up period has not ...

journal_title：Mayo Clinic proceedings

authors： O'Keefe JH Jr,Hayes DL,Holmes DR Jr,Vlietstra RE

更新日期：1984-04-01 00:00:00

abstract：:The symptoms of progressive dyspnea, hemoptysis, spontaneous pneumothorax, chylous effusions, and cough in conjunction with ventilatory obstruction and abnormal gas exchange in a young woman should prompt the diagnosis of pulmonary lymphangiomyomatosis. Cytosol steroid-receptor assays and postmortem studies were condu...

journal_title：Mayo Clinic proceedings

authors： Graham ML 2nd,Spelsberg TC,Dines DE,Payne WS,Bjornsson J,Lie JT

更新日期：1984-01-01 00:00:00

abstract：:Herein we review the symptoms, physical findings, and test results in 131 patients with acoustic neurinoma. The earliest symptoms are unilateral hearing loss, tinnitus, and dysequilibrium. As the disease progresses, facial numbness, facial weakness, and headaches become more prominent. Physical findings other than hea...

journal_title：Mayo Clinic proceedings

authors： Harner SG,Laws ER Jr

更新日期：1983-11-01 00:00:00

abstract：:Considerable morbidity and mortality are associated with infections of vascular prosthetic grafts. Most vascular surgeons believe that once vascular prosthetic graft infections occur, any form of therapy short of removal of the prosthesis will fail. Although recent reports have noted the successful conservative treatm...

journal_title：Mayo Clinic proceedings

authors： Knight CD Jr,Farnell MB,Hollier LH

更新日期：1983-07-01 00:00:00

abstract：:A prospective, stratified, randomized 3-year clinical trial was conducted on the effect of rigorous versus conventional glucose control on peripheral nerve function in 33 insulin-treated diabetic patients with a duration of diabetes of less than 2 years. The goals for conventional glucose control were the mean of fast...

journal_title：Mayo Clinic proceedings

authors： Service FJ,Daube JR,O'Brien PC,Zimmerman BR,Swanson CJ,Brennan MD,Dyck PJ

更新日期：1983-05-01 00:00:00

abstract：:To assess the advantages and complications of a new universal (DDD) pacemaker, we studied retrospectively the initial 38 patients who received such a pacing device. This group consisted of 27 men and 11 women whose ages ranged from 23 to 89 years. The pacemaker was the initial one for 32 patients and was the replaceme...

journal_title：Mayo Clinic proceedings

authors： Hayes DL,Holmes DR Jr,Vlietstra RE

更新日期：1983-05-01 00:00:00

abstract：:Effective antituberculous drugs have radically improved the prognosis of the patient with active tuberculosis. Surgical therapy is rarely needed, and sanitoriums have largely vanished. Triple-drug therapy may be indicated initially for cavitary pulmonary disease, meningitis, miliary disease, and moderate to severe ren...

journal_title：Mayo Clinic proceedings

authors： Van Scoy RE,Wilkowske CJ

更新日期：1983-04-01 00:00:00

abstract：:Effective antimicrobial therapy for most urinary tract infections has been available since the sulfonamide era. Innovations in chemotherapy now include single-dose treatment of acute bacterial cystitis and acute urethral syndrome and effective suppression of recurrent bacteriuria with low-dose antimicrobial agents. ...

journal_title：Mayo Clinic proceedings

authors： Keys TF,Edson RS

更新日期：1983-03-01 00:00:00

abstract：:During the past 16 years, in which 1,600 patients were surgically treated for primary hyperparathyroidism, 10 of these patients also were operated on for hypernephroma; in another patient a hypernephroma was detected 7 2/3 years after treatment for hyperparathyroidism. Four additional patients have elevated serum calc...

journal_title：Mayo Clinic proceedings

authors： Purnell DC,Scholz DA,van Heerden JA

更新日期：1982-11-01 00:00:00

abstract：:Multilocular cysts of the peritoneum diagnosed at the Mayo Clinic from 1907 through 1981 were examined and divided, on the basis of their light microscopic features, into two groups--cystic mesotheliomas and cystic lymphangiomas. There are apparent clinical differences between the two groups. Cystic mesotheliomas tend...

journal_title：Mayo Clinic proceedings

authors： Carpenter HA,Lancaster JR,Lee RA

更新日期：1982-10-01 00:00:00

abstract：:A calcium-binding IgG K monoclonal protein in a patient with multiple myeloma and asymptomatic hypercalcemia was recognized, isolated, and characterized. In addition to binding by the whole IgG molecules, calcium was bound by purified Fab fragments and recombined heavy and light chains. In a competitive binding study,...

journal_title：Mayo Clinic proceedings

authors： Annesley TM,Burritt MF,Kyle RA

更新日期：1982-09-01 00:00:00

abstract：:Many types of psychotherapeutic drugs (especially antidepressants) directly and indirectly interact with neurotransmitter receptors, the recognition sites for the chemical messengers released by neurons. These interactions can result in increased or decreased sensitivity of certain receptors. Hypotheses exist to expla...

journal_title：Mayo Clinic proceedings

authors： Richelson E,El-Fakahany E

更新日期：1982-09-01 00:00:00

abstract：:Studies were undertaken to determine the effects of lidocaine on ischemic myocardium, which was induced by coronary artery constriction in open-chested dogs. A real-time epicardial fluorescent technique to detect in vivo-reduced nicotinamide adenine dinucleotide (NADH) during 60 seconds of ischemia was used. Blood flo...

journal_title：Mayo Clinic proceedings

authors： Baron DW,Walls JT,Anderson RE,Harrison CE Jr

更新日期：1982-07-01 00:00:00

abstract：:A case of inguinal hernia with massive scrotal enlargement is presented. Walking and voiding had become extremely difficult for the patient; only one testicle could be palpated, and the penis could not be delivered from the scrotal mass. Surgical reduction of the massive hernia was accomplished. The right testis with ...

journal_title：Mayo Clinic proceedings

authors： Hodgkinson DJ,McIlrath DC

更新日期：1982-06-01 00:00:00

abstract：:Eleven patients with Alport's syndrome had renal transplantation between 1963 and 1980. The mean follow-up is 6 years (6 months to 14 years). All 11 patients are currently alive. Ten have functioning grafts, and in nine the serum creatinine concentration is less than 2 mg/dl. Three patients received a second allograft...

journal_title：Mayo Clinic proceedings

authors： Milliner DS,Pierides AM,Holley KE

更新日期：1982-01-01 00:00:00

abstract：:Frequently, the presence of endocarditis is disguised. The emphasis of this description of the clinical manifestations of endocarditis is on the various modes of presentation, rather than on individual symptoms and signs. Endocarditis can manifest with cardiac, pulmonary, ophthalmic, central nervous system, renal, ort...

journal_title：Mayo Clinic proceedings

authors： Hermans PE

更新日期：1982-01-01 00:00:00

abstract：:Wide-angle two-dimensional echocardiography was used to establish criteria for recognition of ventricular situs and ventricular morphology in 27 patients (ages 2 month to 58 years) with atrioventricular amd ventriculoarterial discordance (corrected transposition of the great arteries). The morphologic left ventricle w...

journal_title：Mayo Clinic proceedings

authors： Hagler DJ,Tajik AJ,Seward JB,Edwards WD,Mair DD,Ritter DG

更新日期：1981-10-01 00:00:00

abstract：:Hypothyroidism and hyperthyroidism are common medical disorders that are often accompanied by diverse types of neurologic and neuromuscular dysfunction. Although some of these associated disorders are well known to physicians, others are not. All of these neurologic manifestations are important because they can severe...

journal_title：Mayo Clinic proceedings

authors： Swanson JW,Kelly JJ Jr,McConahey WM

更新日期：1981-08-01 00:00:00

abstract：:Six insulin-requiring chronically hyperglycemic diabetic patients underwent glucose control for 72 hours with an artificial endocrine pancreas, the Biostator Glucose Controller. Euglycemia was within 4 hours and was maintained (110 leads to 2 mg/dl) thereafter. The concentration of hemoglobin A (HbA) was elevated, at ...

journal_title：Mayo Clinic proceedings

authors： Service FJ,Fairbanks VF,Rizza RA

更新日期：1981-06-01 00:00:00

abstract：:In 51 patients, the cause for pleural effusion remained indeterminate immediately after thoracotomy. Thirty-one (60.8%) had no recurrence of the effusion, and no cause became apparent during a follow-up period of from 1 1/2 to 15 years. Two patients (3.9%) died relatively soon after thoracotomy, but death was not clea...

journal_title：Mayo Clinic proceedings

authors： Ryan CJ,Rodgers RF,Unni KK,Hepper NG

更新日期：1981-03-01 00:00:00

abstract：:Eighty-two consecutive orthopedic patients were assessed nutritionally at the time of hospital admission and then at 10-day intervals until hospital dismissal. Forty-eight percent of the patients had one or more abnormal findings suggestive of protein-calorie malnutrition. In spite of this prevalence of abnormal findi...

journal_title：Mayo Clinic proceedings

authors： Dreblow DM,Anderson CF,Moxness K

更新日期：1981-01-01 00:00:00

abstract：:Glucocorticoids are potent anti-inflammatory agents that play an important role in the therapy of many patients with connective tissue diseases, including systemic lupus erythematosus, polymyalgia rheumatica, various types of vasculitis, and complications of rheumatoid arthritis. Glucocorticoids reduce the number and ...

journal_title：Mayo Clinic proceedings

authors： Nelson AM,Conn DL

更新日期：1980-12-01 00:00:00

abstract：:The toxic shock syndrome has only recently been described. Eleven female patients aged 13 to 43 years (median 17) with toxic shock syndrome have been seen at the Mayo Clinic since August 1975. One patient died. Seven patients had one or more recurrences. As previously described, the syndrome was often life-threatening...

journal_title：Mayo Clinic proceedings

authors： McKenna UG,Meadows JA 3rd,Brewer NS,Wilson WR,Perrault J

更新日期：1980-11-01 00:00:00

abstract：:The recent Mayo Clinic experience in the diagnosis and treatment of infectious diseases in Indochinese refugees is discussed. One hundred patients from whom stool and blood specimens were submitted for parasitic examination showed a high percentage of parasitic infection, often with multiple agents. An outline for the...

journal_title：Mayo Clinic proceedings

authors： Jones MJ,Thompson JH Jr,Brewer NS

更新日期：1980-08-01 00:00:00

abstract：:Seven cases of bacteremia following transrectal needle biopsy of the prostate were reviewed. Symptoms developed within 24 to 72 hours after the procedure and required hospitalization and treatment with parenteral antibiotics. Escherichia coli was the causative agent in five patients and Klebsiella pneumoniae in two. A...

journal_title：Mayo Clinic proceedings

authors： Edson RS,Van Scoy RE,Leary FJ

更新日期：1980-08-01 00:00:00

abstract：:Four patients with infective endocarditis caused by Actinobacillus actinomycetemcomitans are reported. The clinical course was characterized by chronicity. Three of the four patients were treated with combined penicillin and aminoglycoside therapy on an empiric basis; the fourth patient was given ampicillin alone for ...

journal_title：Mayo Clinic proceedings

authors： Geraci JE,Wilson WR,Washington JA 2nd

更新日期：1980-07-01 00:00:00

abstract：:This report represents a retrospective analysis of preoperative echophonocardiographic studies in 118 patients who had surgery for the repair or replacement of malfunctioning prosthetic valves. A variety of prostheses implanted in the mitral, aortic, and tricuspid positions were assessed. The most frequent prosthetic ...

journal_title：Mayo Clinic proceedings

authors： Cunha CL,Giuliani ER,Callahan JA,Pluth JR

更新日期：1980-04-01 00:00:00