Free Bleeding Research Articles

Serum glutamic oxaloacetic transaminase activity after whole body irradiation.

SummaryNew Zealand strain rabbits were given varying dosages of total body x-irradiation. SGOT determinations were made at various intervals in the post-irradiation period up to 168 hours following irradiation. Initially the blood specimens were drawn by direct cardiac puncture and the results in these instances were too variable to be used for diagnostic or prognostic purposes. When the free bleeding technic was used for obtaining blood specimens, more consistent results were obtained. Average SGOT values for pre- and one hour post-irradiation were of the same order of magnitude. An increase in GOT activity was observed as early as 5 hours after total body irradiation and remained elevated for 25 hours. After 49 hours post-irradiation SGOT levels returned to normal. There was no correlation between SGOT activity and total irradiation or survival time of the animal.

Influence of severe hemorrhagic anemia during pregnancy on development of the offspring in the rat.

SummaryPregnant rats were rendered severely anemic by permitting free bleeding from the freshly severed tail on 3 successive days. This frequently caused early termination of pregnancy as a result ...

Radiological appearances following h˦moptysis

Summary Manifestations of clinical and radiological interest occurring after free bleeding into the respiratory tract are described, with illustrative cases, under the following headings:— 1. Opacities due to blood in the lung fields, their character, distribution, and rate of clearing receiving emphasis. 2. Bleeding as a cause of spread of disease. 3. Segmental collapse of the lung. 4. Fluid levels appearing after h˦morrhage. 5. Apparent tumour formation. 6. H˦mopneumothorax. 7. Chronic effects, from repeated bleeding.

Fractures of the petrous pyramid; report of a case with histological observations eight years after injury.

FRACTURES of the petrous pyramid are commonly classified as (1) longitudinal and (2) transverse. The longitudinal fractures have been encountered far more frequently than the transverse. This is well shown in the comprehensive clinical study by Grove. 1 He analyzed 211 cases of fracture of the skull including 162 cases of temporal bone fractures, of which 146 were longitudinal and 16 transverse. Longitudinal fractures are characterized by a break through the tegmen tympani or antri and by injury to the tympanic membrane and often to the external auditory canal. There is usually free bleeding from the ear. The bony capsule of the labyrinth is seldom involved. The transverse fractures, on the other hand, are characterized chiefly by injuries to the inner ear and bony capsule. Hemorrhage into the inner ear and tearing of the seventh and eighth nerves are frequent accompaniments. A third type to be considered, and one which

Ectopic pregnancy: Selective data from sixty-five cases

1.1. Sixty-five cases with the pathologic diagnosis of ectopic pregnancy are reviewed. For this report some general considerations are omitted in favor of the more pertinent and timely aspect of the problem.2.2. The impression that previous operations, abortions, and pelvic infection contribute to the incidence of ectopic pregnancy is supported by our findings.3.3. Hematology and blood pressure observations support generally accepted conclusions. Our experience with transfusion parallels that of most other observers. Autohemoclysis, as an emergency measure, has been used with consistent benefit, where more suitable blood is not available.4.4. In 28 cases surgery other than removal of the ectopic pregnancy was performed but not in the presence of infection or free bleeding. These patients did exactly as well as the rest of the group. It is thought that this surgical attention may account for the fact that no second ectopics are recorded (28 per cent sterilized). Other reported incidence is 3.6 to 22 per cent.5.5. Our mortality rate is 3 per cent. Diagnosis was 80 per cent correct. The routine use of the Friedman test has improved our percentage of correct diagnoses.6.6. Seventeen endometriums were available for pathologic examination. Had these tissues been obtained by curettage, diagnosis would have been assisted in only 6 out of the 17 and definitely confused in the remainder.7.7. Microscopic examination of the tubes and other tissues indicates some further basis for the hypothesis of ectopic placentation in areas of ectopic endometrium or decidua.8.8. Cul-de-sac puncture has been harmless and exceedingly valuable in diagnosis. The peritoneoscope has been used. Its status is discussed.9.9. Three unusual cases are reported and illustrated.

The determination of rupture of the membranes

1. The admixture of alkaline amniotic fluid to the normally acid vaginal secretions changes the reaction in the vagina. The resultant pH may be indicated by bromthymol blue which is exceedingly sensitive, and the dye may be used to determine whether or not the membranes are intact.2. A simple technic is presented which employs sterile applicators dipped in a 0.2 per cent alcoholic solution and the results are easily read: an orange color indicates intact membranes, a bluish green, ruptured membranes.3. The experiment involved 314 women. The test was accurate in 99 per cent of cases of intact membranes and 95 per cent cases of ruptured membranes. The cause of the single false positive reading and the 9 (6 per cent) incorrect negative readings is suggested.4. The percentage error with ruptured membranes increases with the elapse of time following rupture: from 2 per cent within four hours through 8 per cent in from twelve to twenty-four hours, to over 50 per cent after twenty-four hours.5. The test is likely to be positive in the presence of free bleeding and in the rare case where but one of the two enveloping membranes has ruptured.

TREATMENT OF THROMBOSIS OF THE LATERAL SINUS: A SUMMARY OF THE RESULTS OBTAINED DURING TWELVE YEARS AT THE MASSACHUSETTS EYE AND EAR INFIRMARY

This report is the result of a study of the cases of thrombosis or phlebitis of the lateral sinus as reported in the records of the Massachusetts Eye and Ear Infirmary from 1921 to 1932, inclusive. A definite diagnosis was not made until the sinus was opened. The treatment was the same in cases in which merely suspicious findings were present, and for that reason the diagnosis was always recorded as sinus thrombosis. The patients were operated on by various members of the staff. The treatment of the sinus and that of the jugular vein was, with rare exceptions, the same. The procedure consisted of ligation of the jugular vein, free exposure of the lateral sinus and incision and removal of the wall of the sinus and the thrombus, when present, until free bleeding occurred, if possible. The bleeding was controlled by iodoform packs. The packs were also

Postoperative separation of the cesarean section wound, with subsequent abdominal pregnancy. Report of four cases

Rupture of the cesarean section scar during labor is not at all uncommon. It usually occurs during the first labor after the section, but cases are on record in which this particular labor was terminated successfully by vaginal delivery, only to have rupture of the scar in the next labor. Rupture before labor has begun is also by no means infrequent. It is generally held that the cicatrix following the classical operation is more likely to give way than the one due to the low section. This is denied by some, who hold that statistics will ultimately show a much higher incidence of rupture of the low section scar than is at present admitted by those advocating this operation.In rupture of the scar of the classical section immediate laparotomy offers the only chance of saving the mother (the child is practically always lost), and even this is often of no avail, as the hemorrhage is so rapid and so profuse that death supervenes rapidly. On the other hand, rupture in the relatively avascular lower segment is not associated with such free bleeding, unless the uterine vessels are involved, and hence the prognosis is much more favorable.The cases under discussion in this report, however, can hardly be classed as instances of rupture of the scar, but would rather fall under the heading “postoperative separation of the cesarean section wound.” So far as I know, such a condition has not heretofore been reported. A brief review of these cases will be of interest.

THE TREATMENT OF ASPHYXIATION IN CROUPOUS PNEUMONIA BY FREE BLEEDING

Medical Journal of AustraliaVolume 1, Issue 11 p. 233-234 Article THE TREATMENT OF ASPHYXIATION IN CROUPOUS PNEUMONIA BY FREE BLEEDING E. H. Embley M.D., E. H. Embley M.D. MelbourneSearch for more papers by this author E. H. Embley M.D., E. H. Embley M.D. MelbourneSearch for more papers by this author First published: 01 March 1915 https://doi.org/10.5694/j.1326-5377.1915.tb22544.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume1, Issue11March 1915Pages 233-234 RelatedInformation

Traumatic Tetanus Treated by Free Bleeding

Traumatic Tetanus Treated by Free Bleeding