Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

MCV/Q, Medical College of Virginia Quarterly

1975

Keyword

Articles 1 - 30 of 38

Full-Text Articles in Medicine and Health Sciences

Contents Jan 1975

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1975, Volume Eleven, Number One.


Mcv/Q, Medical College Of Virginia Quarterly, Vol. 11 No. 1 Jan 1975

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 11 No. 1

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.


Treatment Of Amenorrhea: When Pregnancy Is And Is Not Desired, John A. Board Jan 1975

Treatment Of Amenorrhea: When Pregnancy Is And Is Not Desired, John A. Board

MCV/Q, Medical College of Virginia Quarterly

We have had three discussions this afternoon concerning amenorrhea, and most of these have dealt with the diagnosis of causative conditions. I am going to discuss the treatment of these women.


Patient Factors Limiting Success Of Cancer Detection, Dean R. Goplerud Jan 1975

Patient Factors Limiting Success Of Cancer Detection, Dean R. Goplerud

MCV/Q, Medical College of Virginia Quarterly

The American College of Obstetricians and Gynecologists has established as one of its goals for the next decade the reduction of mortality from breast and pelvic cancer by 50%. Radiation therapy and surgery are the main modalities of treatment for most genital cancers. These modalities have advanced to the level of diminishing returns. Immunotherapy is in its infancy, and chemotherapy is presently used mainly for palliation and for prolongation of life except for a few malignancies, choriocarcinoma being the classic example.


Abstracts Of Papers Presented At The 46th Annual Mcguire Lecture Series Jan 1975

Abstracts Of Papers Presented At The 46th Annual Mcguire Lecture Series

MCV/Q, Medical College of Virginia Quarterly

Abstracts of papers presented at the 46th Annual McGuire Lecture Series, Medical College of Virginia, December 5-6, 1974. Summary includes: Control of Endometrial Cancer by Saul B. Gusberg; and The Diagnosis and Management of Cervical Intraepithelial Neoplasia by Richard T. Upton.


Introduction, Klaus Ranniger Jan 1975

Introduction, Klaus Ranniger

MCV/Q, Medical College of Virginia Quarterly

During my residency at the University of Chicago twenty years ago, I performed the few diagnostic studies employing radioactive isotopes as a "sideline," spending a couple of hours each day in the laboratory. Nuclear Medicine since then has grown into a vast field incorporating in vitro studies, in vivo procedures, and treatment with radioactive isotopes.


Mcv/Q, Medical College Of Virginia Quarterly, Vol. 11 No. 2 Jan 1975

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 11 No. 2

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.


The Diagnosis And Treatment Of Carcinoma Of The Thyroid, Richard H. Kirkland Jan 1975

The Diagnosis And Treatment Of Carcinoma Of The Thyroid, Richard H. Kirkland

MCV/Q, Medical College of Virginia Quarterly

The major point I would like to make is that we should try to prevent thyroid carcinoma by administration of thyroid hormones to all patients with potentially high TSH and damaged-thyroid disease, using suppressive doses of levothyroxine. In my opinion, all patients who have thyroid disease should be treated with thyroid hormone indefinitely, once hyperthyroidism has been eliminated.


Use Of Bone Scanning And Skeletal Radiography In The Diagnosis Of Bone Metastasis, Jay C. Mall, Paul B. Hoffer Jan 1975

Use Of Bone Scanning And Skeletal Radiography In The Diagnosis Of Bone Metastasis, Jay C. Mall, Paul B. Hoffer

MCV/Q, Medical College of Virginia Quarterly

The radionuclide bone scan is becoming increasingly useful for evaluating a wide variety of bone and joint disorders. However, the commonest application is still the detection of skeletal metastases in the patient with known or suspected neoplastic disease. The role of this examination relative to other well established methods of evaluating these patients, especially the radiographic skeletal survey, is not clear to all physicians. We hope in this communication to define the role of the radionuclide bone scan and to place in perspective the integral relationship between the "scan" and the "survey," the two radiologic modalities which today are the …


Radionuclide Imaging Evaluation Of The Patient With Trauma, Letty G. Lutzker, Leonard M. Freeman Jan 1975

Radionuclide Imaging Evaluation Of The Patient With Trauma, Letty G. Lutzker, Leonard M. Freeman

MCV/Q, Medical College of Virginia Quarterly

Trauma is now a major medical problem. Accidental injuries constitute the fourth leading cause of death in the United States, and the primary cause of death below the age of 37. The costs of immediate medical and surgical care, prolonged hospitalization, and lost productivity amount to several billions of dollars annually.


Contents Jan 1975

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1975, Volume Eleven, Number Four.


Practical Office Therapy Of Hypertension, A. Jarrell Paper Jan 1975

Practical Office Therapy Of Hypertension, A. Jarrell Paper

MCV/Q, Medical College of Virginia Quarterly

Because of the sheer number of patients and because of their location, the community practitioner is in a position to deal with the vast majority of problems that occur in hypertension. The trend in hypertension therapy is toward individualizing the work-up of the hypertensive patient, which with many patients can be very simple. When emphasizing aspects of practical office care of the hypertensive, one of the first questions that comes to mind is: what exactly is the blood pressure? There is not any one universally accepted definition of hypertension. Until such a one is adopted, we have put together a …


Asthma In Adults, James P. Baker Jan 1975

Asthma In Adults, James P. Baker

MCV/Q, Medical College of Virginia Quarterly

Asthma, or acute reversible obstructive airways disease (ROAD), is a major respiratory disease affecting approximately eight million people in the United States. The disease is characterized by attacks of wheezing dyspnea with coughing and sputum production. Although most adult patients who have the disease demonstrate either bronchospastic episodes during childhood or will have repeated episodes of respiratory infection, upper and lower or both during early years, some patients do begin only in later life, that is, adult onset asthma. All of these patients usually have no symptoms or signs during interval periods, but with proper stimuli will demonstrate airways obstruction.


Sprains And Strains, Robert W. Waddel Jan 1975

Sprains And Strains, Robert W. Waddel

MCV/Q, Medical College of Virginia Quarterly

The management of sprains and strains is not difficult. A history of the mechanism of injury is invaluable in determining what structures might have been injured. Careful examination with particular attention being paid to abnormal motion is essential. Stress x-rays should always be made if there is a question as to whether or not the injury is severe enough to be classified as a third-degree injury. Once the injury has been graded, management presents no particular problem.


Table Of Contents, Volume Eleven, 1975. Jan 1975

Table Of Contents, Volume Eleven, 1975.

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1975, Volume Eleven.


Diagnostic Use Of Radionuclides In Diseases Of The Thyroid, Alton R. Sharpe Jr. Jan 1975

Diagnostic Use Of Radionuclides In Diseases Of The Thyroid, Alton R. Sharpe Jr.

MCV/Q, Medical College of Virginia Quarterly

Since the introduction of radionuclides into clinical medicine, a number of specific tests have been designed to test thyroid function and to diagnose disease of the thyroid gland. These studies can be broadly grouped into in vivo and in vitro studies. Using 131I and 125I , tests have been designed to measure thyroid function at the hypothalamic, pituitary, or thyroid level and at the peripheral level by radioimmunoassay or radioassay of circulating thyroid hormones. The following schema of testing may be used to assess thyroid function.


Radiopharmaceutical Production And Quality Control, Jerry I. Hirsch Jan 1975

Radiopharmaceutical Production And Quality Control, Jerry I. Hirsch

MCV/Q, Medical College of Virginia Quarterly

With the development of shorter-lived, organ-specific radiopharmaceuticals, much of the manufacture and quality control of these products have shifted from commercial manufactures to individual nuclear medicine laboratories. Recognizing this fact, the Nuclear Regulatory Commission (NRC) is encouraging quality assurance by proposing that "an authorized physician may permit technicians and other paramedical personnel to perform the preparation and quality control testing of radiopharmaceuticals..." Cohen has categorized pharmaceutical controls into chemical, biological, and physical. Figure 1 is a diagram of these controls. In each control a degree of purity is implied and is often determined by comparison to standard.


Introduction, Fitzhugh Mayo Jan 1975

Introduction, Fitzhugh Mayo

MCV/Q, Medical College of Virginia Quarterly

Since the awakening of the public and the medical educational establishment to the growing deficit of appropriately trained physicians to deliver primary care in the community, attention is now turned to the provision of educational programs appropriate for such physicians at the graduate and continuing educational levels. In the past, the inability to measure outcomes of patient care systems (that is, to use the scientific method in community settings) has hampered the union of the educational system with that of patient care. Many studies now are showing that outcomes are profoundly affected by communication and compliance between physician and patient. …


The Endocrinologic Evaluation Of Amenorrhea, Charles B. Hammond, R. Herbert Wiebe, Lee Tyrey, David Schomberg Jan 1975

The Endocrinologic Evaluation Of Amenorrhea, Charles B. Hammond, R. Herbert Wiebe, Lee Tyrey, David Schomberg

MCV/Q, Medical College of Virginia Quarterly

The purpose of this paper is to review the endocrinologic evaluation of 58 patients who presented to our institution this past year with a chief complaint of absent or irregular menses. The primary goal for presenting these patients is to review the results of several newer studies as well as older and more classical studies which are useful in the differential diagnosis of amenorrhea. Such newer studies not only take advantage of the more current knowledge of the ovulatory process but also utilize recently developed and highly sensitive techniques of hormonal assay. It is hoped that this will provide the …


Interpretation Of Cerebral Dynamic Perfusion Studies, Frank H. Deland Jan 1975

Interpretation Of Cerebral Dynamic Perfusion Studies, Frank H. Deland

MCV/Q, Medical College of Virginia Quarterly

As stated earlier, increased, decreased, or no change in perfusion does contribute to the differential evidence in the diagnosis of cerebral lesions. For example, a 40-year-old man developed right-sided symptoms over a period of several months. The static images revealed an area of increased activity of the left cerebral hemisphere, limited to the cortex, and correlated with the configuration of the rolandic branch of the left-middle cerebral artery. From the static images the lesions was interpreted as a possible arteriovenous malformation, or as a lesser possibility, a progressive stroke. The dynamic study demonstrated early concentration of radioactivity in the correct …


Introduction, Leo J. Dunn Jan 1975

Introduction, Leo J. Dunn

MCV/Q, Medical College of Virginia Quarterly

Few areas in medicine can equal the rapid proliferation of information that has occurred and continues to occur in the area of human reproduction. The progress in our understanding of the underlying mechanisms which control the human female reproductive system has led to an ever-increasing refinement in the definition of pathologic states and the development of specific, effective therapeutic agents for some of these. It is clear that not all is yet known and that there is need for repetitive reassessment of our knowledge in order to keep abreast of these rapid discoveries. Pregnancy, once achieved, is subject to yet …


Contents Jan 1975

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1975, Volume Eleven, Number Three.


Evaluation Of Thyroid Nodules-Hot And Cold, Melvin J. Fratkin Jan 1975

Evaluation Of Thyroid Nodules-Hot And Cold, Melvin J. Fratkin

MCV/Q, Medical College of Virginia Quarterly

Thyroid nodules occur frequently, are more common in women, and the incidence increases with age for both sexes. Clinically normal thyroid glands commonly contain nodules in autopsy series. In 20- to 50-year-old females, as high as 50% of the thyroid glands are nodular, whereas in males the incidence approaches 30%. When the prevalence of clinically palpable thyroid nodules was the objective of the Framingham population researchers, Vander et al detected nodules in 6.4% of females and 1.5% of males aged 30-50 years. Even with diligent, thorough examination of the neck, only about one tenth of pathologically nodular thyroid glands can …


Contents Jan 1975

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1975, Volume Eleven, Number Two.


Pitfalls And Artifacts In Nuclear Imaging Studies, Leonard M. Freeman Jan 1975

Pitfalls And Artifacts In Nuclear Imaging Studies, Leonard M. Freeman

MCV/Q, Medical College of Virginia Quarterly

In interpreting scintillation images, one often is confronted with a variety of deviations from the typically normal study that need not represent definite pathology. Apart from normal anatomic variants in the position, shape, or configuration of an organ, one must also be prepared to appreciate alterations due to the radiodiagnostic agent employed and aberrations caused by faulty or improperly used instruments. Additionally, physiologic and/or functional changes associated with specific organ studies have provided a major source of error in routine image interpretation. It is the purpose of this article to acquaint (or reacquaint, as the case may be) the reader …


Author Index, Volume Eleven, 1975. Jan 1975

Author Index, Volume Eleven, 1975.

MCV/Q, Medical College of Virginia Quarterly

Author index for MCV/Q, Medical College of Virginia Quarterly, 1975, Volume Eleven.


Mcv/Q, Medical College Of Virginia Quarterly, Vol. 11 No. 3 Jan 1975

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 11 No. 3

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.


Mcv/Q, Medical College Of Virginia Quarterly, Vol. 11 No. 4 Jan 1975

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 11 No. 4

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.


Amenorrhea Due To Defects In Steroid Biosynthesis, H. Oliver Williamson, Rajesh S. Mathur Jan 1975

Amenorrhea Due To Defects In Steroid Biosynthesis, H. Oliver Williamson, Rajesh S. Mathur

MCV/Q, Medical College of Virginia Quarterly

Amenorrhea as the first manifestation of a steroid biosynthetic defect is rather unusual. The common forms of congenital adrenal hyperplasia are classic examples of steroid biosynthetic defects. Yet in genotypic females, this disorder is usually evident from birth because of virilization. Effective treatment usually ensues and amenorrhea is only a problem when control is inadequate. However, there are individuals whose disorder will be manifest for the first time in the postnatal or adult period. In addition, multiple other steroid defects have now been clearly delineated. Many of these individuals will have amenorrhea, virilization, or sexual ambiguities as part of the …


The Birth Of A New Department At Mcv/Vcu-Human Genetics, Peter Mamunes Jan 1975

The Birth Of A New Department At Mcv/Vcu-Human Genetics, Peter Mamunes

MCV/Q, Medical College of Virginia Quarterly

In recognition of the central role of genetics in the health professions, the MCV/VCU School of Basic Sciences and Graduate Studies substantially enlarged its commitment to this discipline by creating a new Department of Human Genetics as of September 1, 1975, under the chairmanship of Walter E. Nance, M.D, Ph.D., an internationally renowned medical geneticist. Dr. Nance comes to Richmond from Indianapolis where he was Professor of Medicine and Medical Genetics at the Indiana University School of Medicine. Here at MCV/VCU, Dr. Nance will also have joint appointments in both the Departments of Medicine and Pediatrics.