Diabetes mellitus occurs in a high percentage of patients with acromegaly.
A most unusual case is described with the very rare combination of pulmonary tuberculosis, diabetes mellitus, diabetic neuropathy, pyogenic infections, cardiomegaly and arthritis, all complicating long-standing acromegaly.
In summary, inspiratory positive pressure breathing (IPPB) by itself and independently has therapeutic value, particularly in asthma, bronchitis and emphysema. It probably accomplishes this result by helping to clear the bronchial airways of obstructing secretions and exudations, although other effects as yet unknown may be important. The therapeutic results are erratic and the use of IPPB is justified only by the otherwise inexorable progress to an asphyxial death of crippling chronic pulmonary disease.
The technique may also be used as a means of temporarily diminishing venous return in acute pulmonary œdema, and of expanding collapsed segments of lung in respiratory paralysis and post-operative immobilisation of the lung. The hazards of this form of treatment are slight.
A comparison is made of the progress with regard to resolution of fluid of 16 steroid-treated and 14 otherwise-treated acute tuberculous effusions of recent onset.
In the cases treated with ACTH (40 units daily) or prednisone (20 mg. daily) supported by streptomycin and isoniazid, the fluid absorbed dramatically without the need for other than diagnostic aspiration.
A case in which a myxoma was successfully removed from the left atrium is described.
The tumour was removed via the right atrium under hypothermia.
The diagnosis was not made before the operation, but the tumour was removed through a trans-sternal incision after suture of the original postero-lateral thoracotomy.
Experiences with bronchographic tomography in pulmonary tuberculosis, based on a series of 218 sets of tomobronchograms, are described.
This method of investigation yielded information of clinical importance in 15 per cent. of the cases examined.
As considerations of time and cost make tomobronchography unsuitable for routine use, an attempt has been made to indicate the type of case in which it may be most profitably employed.
Eighteen patients suffering from gastro-intestinal irritation due to PAS compounds were treated with Antrenyl.
Antrenyl is effective in relieving this irritation.
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