INTRACORONARY thrombus formation has an important role in the genesis of acute transmural myocardial infarction.¹ Coronary angioscopic and arteriographic evidence suggests that the syndrome of unstable angina is related to a partially occlusive thrombus.² ...

PATIENTS with angina-like chest pain and normal coronary arteries may represent approximately 10 to 20 percent of patients undergoing diagnostic cardiac catheterizations for evaluation of chest pain.¹ In previous investigations, we described a subgroup of ...

CYTOGENETIC evaluation is still the definitive method of prenatal diagnosis of Down's syndrome. However, there are now several sonographic signs that can be used in the second trimester to identify fetuses with an increased risk of having Down's syndrome. ...

NOSOCOMIAL pneumonia occurs in 5 to 10 patients per 1000 patients admitted to the hospital and is the leading cause of death due to nosocomial infection.^{1 2 3} Hospital-acquired pneumonia is frequently caused by gram-negative bacilli and usually results ...

EARLY in 1985, a member of a departmental ad hoc committee evaluating the appointment of Robert A. Slutsky, M.D., as associate professor of radiology at the University of California, San Diego, raised some questions about apparently duplicated data in two ...

DIABETES arises through two etiologically distinct routes.¹ Type I diabetes is the result of immunologically mediated destruction of the pancreatic beta cells, and usually requires replacement therapy with insulin. Type II appears to result from a ...

Presentation of Case

A 27-year-old man was admitted to the hospital because of hemoptysis.

The patient was well until 3 1/2 years earlier, when a routine x-ray film of the chest (Fig. 1) showed a mass, 2.5 cm, with well-defined margins in the right lower ...

Standards of medical practice have traditionally been set by physicians on the basis of their best judgment of what constitutes good patient care. This tradition is in danger. The structure of medical practice — factors such as cost containment, the ...

IN recent years, much has been written about the physician–patient relationship. A less common but more intricate situation arises when physicians themselves become patients. Typically, this special relationship is then complicated by preexisting bonds ...

No extract is available for articles shorter than 400 words.

To the Editor: In Part I of their review on congenital adrenal hyperplasia (June 11 issue),¹ White et al. discuss the steroidogenic enzymes and the clinical manifestations of disorders involving those enzymes; another detailed review has recently been ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Dr. Bernard Lo's review of ethics committees (July 2 issue)¹ paints a promising picture of the committee as a consultant. Unfortunately, this illustration is incomplete.

Any medical consultant's peer acceptance is based on clinical ...

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These authors and editors have undertaken the monumental task of writing an entirely new major textbook of surgery. They have succeeded in producing an outstanding comprehensive work that emphasizes a dynamic problem-solving approach to surgical education ...

This textbook of surgery is designed for the surgeon of the future. In his preface the editor states that the work is a compact textbook of surgical principles containing "all information regarded as essential for all medical students, regardless of ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.