Pub Date : 2020-06-03DOI: 10.1542/aap.ppcqr.396499
A. T. Gordon
Otitis externa most commonly caused by Pseudomonas aeruginosa or Staphylococcus aureus bacteria.Examination noted to have swelling of ear canal, possible discharge, pain on movement of pinna or tragus.TreatmentFor intact tympanic membrane, can use neomycin, polymyxin B, or trimethoprim sulfate.For non-intact tympanic membrane or tympanostomy tube–associated otorrhea, use fluoroquinolones (eg, ciprofloxacin, ofloxacin).Malignant otitis externa (ie, rapid soft tissue and bone involvement) is characterized by severe pain, copious discharge, and possible facial paralysis and requires admission with imaging and intravenous antibiotics.
{"title":"Otitis externa.","authors":"A. T. Gordon","doi":"10.1542/aap.ppcqr.396499","DOIUrl":"https://doi.org/10.1542/aap.ppcqr.396499","url":null,"abstract":"\u0000 Otitis externa most commonly caused by Pseudomonas aeruginosa or Staphylococcus aureus bacteria.Examination noted to have swelling of ear canal, possible discharge, pain on movement of pinna or tragus.TreatmentFor intact tympanic membrane, can use neomycin, polymyxin B, or trimethoprim sulfate.For non-intact tympanic membrane or tympanostomy tube–associated otorrhea, use fluoroquinolones (eg, ciprofloxacin, ofloxacin).Malignant otitis externa (ie, rapid soft tissue and bone involvement) is characterized by severe pain, copious discharge, and possible facial paralysis and requires admission with imaging and intravenous antibiotics.","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"8 3 1","pages":"245"},"PeriodicalIF":0.0,"publicationDate":"2020-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48684440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
cells, 2,050,000; hgb. (Sahli), 45 per cent; white blood cells, 2,400, with polymorphonuclear leucocytes 63 per cent, lymphocytes 31 per cent, mononuclear cells 5 per cent, and eosinophiles 1 per cent. The absolute scarcity of blood platelets precluded an accurate count. Vital staining for reticulocytes revealed only three reticulated erythrocytes after careful search of approximately 12,000 cells. Blood smears revealed erythrocytes of normal size and shape, but with a considerable degree of hypochromia. Bleeding and coagulation times were slightly prolonged. The red cell fragility test was within normal limits, as was the sedimentation rate. The serum calcium level was normal. The capillary resistance test was strongly positive, and it was noted that wherever the finger was punctured a small zone of subdermal heemorrhage resulted. Efforts to determine a toxic factor in this case were unsuccessful. No focus of infection was demonstrable in nose, sinuses, throat, or teeth. The final diagnosis was idiopathic aplastic antemia, with grave prognosis. The patient returned to her home in a distant city on the third day after admission. The therapeutic use of small frequent blood transfusions was recommended to the patient's physician but, in spite of this treatment, she expired within one month. An autopsy was not obtained.
{"title":"Portal cirrhosis.","authors":"J. Mintz","doi":"10.32388/0vocyj","DOIUrl":"https://doi.org/10.32388/0vocyj","url":null,"abstract":"cells, 2,050,000; hgb. (Sahli), 45 per cent; white blood cells, 2,400, with polymorphonuclear leucocytes 63 per cent, lymphocytes 31 per cent, mononuclear cells 5 per cent, and eosinophiles 1 per cent. The absolute scarcity of blood platelets precluded an accurate count. Vital staining for reticulocytes revealed only three reticulated erythrocytes after careful search of approximately 12,000 cells. Blood smears revealed erythrocytes of normal size and shape, but with a considerable degree of hypochromia. Bleeding and coagulation times were slightly prolonged. The red cell fragility test was within normal limits, as was the sedimentation rate. The serum calcium level was normal. The capillary resistance test was strongly positive, and it was noted that wherever the finger was punctured a small zone of subdermal heemorrhage resulted. Efforts to determine a toxic factor in this case were unsuccessful. No focus of infection was demonstrable in nose, sinuses, throat, or teeth. The final diagnosis was idiopathic aplastic antemia, with grave prognosis. The patient returned to her home in a distant city on the third day after admission. The therapeutic use of small frequent blood transfusions was recommended to the patient's physician but, in spite of this treatment, she expired within one month. An autopsy was not obtained.","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"9 7 1","pages":"566-77"},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48043243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pulmonary infarction.","authors":"J. Chasnoff","doi":"10.32388/f8ayib","DOIUrl":"https://doi.org/10.32388/f8ayib","url":null,"abstract":"","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"6 1","pages":"125-39"},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46327324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rheumatoid arthritis of the spine.","authors":"D C CRAIN","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"9 12","pages":"1005-11"},"PeriodicalIF":0.0,"publicationDate":"1949-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24710369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tumors of the testis; importance of early diagnosis.","authors":"J C KIMBROUGH, J C DENSLOW","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"9 12","pages":"993-7"},"PeriodicalIF":0.0,"publicationDate":"1949-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24711018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Portal hypertension with intrahepatic obstruction caused by portal cirrhosis and death from rupture of esophageal varices.","authors":"C S SVARE, L D HEATON","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"9 12","pages":"1022-34"},"PeriodicalIF":0.0,"publicationDate":"1949-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24710370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Estimation of pulmonary function in thoracic surgery.","authors":"J H FORSEE, E D ERMAN","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"9 12","pages":"961-74"},"PeriodicalIF":0.0,"publicationDate":"1949-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24711015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rooming-in and natural childbirth.","authors":"C D KIMBALL, W M HOOVER","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"9 12","pages":"975-80"},"PeriodicalIF":0.0,"publicationDate":"1949-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24711016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intestinal parasites in patients with viral hepatitis.","authors":"J A SHEEDY","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"9 12","pages":"998-1004"},"PeriodicalIF":0.0,"publicationDate":"1949-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24711019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Para-aminosalicylic acid blood levels.","authors":"W E DYE, O L WEISER","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87067,"journal":{"name":"Bulletin of the U.S. Army Medical Department. United States. Army. Medical Department","volume":"9 12","pages":"1053-5"},"PeriodicalIF":0.0,"publicationDate":"1949-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24711023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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