DOCSLIB.ORG

Tberapeuttcal Anb Lpbarnacolooical Section

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Tberapeuttcal Anb Lpbarnacolooical Section tberapeuttcal anb lPbarnacolooical section. OFFICERS FOR THE SESSION 1909-10. President- A, R. CUSHNY, M.D., F.R.S. Vice-Presidents T. E. BURTON BROWN, C.I.E., M.D. WILLIAM MURRAY, M.D. T. LL. BROWN. Sir JAMES SAWYER, M.D. Sir LAUDER BRUNTON, Bt., F.R.S. W. SOPER. W. T. PARKER DOUGLAS, M.B. R. B. WILD, M.D. Sir WILLIAM THISELTON DYER, JOHN INCE, M.D. K.C.M.G., F.R.S. Hon. Secretaries- J. GRAY DUNCANSON, M.B. H. CHARLES CAMERON, M.B. Foreign Secretary- J. GORDON SHARP, M.D. Other MUembers of Council Sir HUGH BEEVOR, Bt., M.D. C. SANGSTER. W. E. DIXON, M.D. F. H. SPOONER, M.D. HERBERT S. FRENCH, M.D. RALPH STOCKMAN, M.D. LEONARD GUTHRIE, M.D. FREDERICK TAYLOR, M.D. GEORGE HAYNES, M.D. W. BRAMLEY TAYLOR. ARTHUR F. HERTZ, M.D. NESTOR TIRARD, M.D. ROBERT HUTCHISON, M.D. CECIL WALL, M.D. Representative on Library Committee- HERBERT S. FRENCH, M.D. Bepresentative on Editorial Committee- J. GRAY DUNCANSON, M.B. IND1E X PR(OCEEDINGS OF THE ROYAL SOCIETY OF MEDICINE, Vol. III, 1910 INDEX (Prepared by Mr. A. L. CLARKE) Note.-The references are to the Sectional Proceedings, which are paged independently. The Proceedings of the Society as a whole are indicated by the letters R.S.M., and are placed first in the bound volumes under the heading "General Reports." They are followed by the Proceedings of the Sections, which are arranged alphabetically. Aachen, treatment of syphilis at, Surg. 216, 243, 245 AARONS, S. JBRVOIS.-Specimen of ectopic gestation, Obst. 130 Abdomen, operations on, choice of anesthetic for, Anaesth. 72 , pendulous, with atony of bladder, Electr. 147 -, pericarditis due to pneumococcal infection from, Med. 81 tumour in, disappearing, case of (P. Sargent), Clin. 85 ABERCROMBIE, P. H., and McKENzIE, D.-Hysterical deafness with active vestibular reac. tions, Otol. 74; discussion (p. 75): Dr. Law, Mr. Scott, Dr. McKenzie (reply) Abortifacient, phosphorus taken as, fatal case of poisoning with unusual subcutaneous hemorrhages (R. G. Hann and R. A. Veale), Therap. 64 ABRAHAM, PHINEAS S.-Case of alopecia areata (exhibited by J. E. R. McDonagh), Derm. 55 case of dermatitis herpetiformis, Derm. 24 of mycosis fungoides, Derm. 39; discussion (p. 40): Dr. Pringle, Mr. McDonagh - of probable pemphigus vegetans, Derm. 23 lichen planus in a child (exhibited by J. E. R. McDonagh), Derm. 89 Abscess, alveolar, acute, treatment by vaccine, R.S.M. 87 -following calomel injection in syphilis, Surg. 213 of ovary, probably due to infection by the A?nceba coli (H. Williamson and J. D. Barris), Obst. 152 Abscesses, case of, tuberculous nature diagnosed, R.S.M. 95 Accessory sinuses (nasal), suppuration, treatment by vaccine inoculations, R.S. M. 52, 53 Accouchement forc6, Obst. 174 Acetanilid, Therap. 88 Acetic acid, in weak solutions, ingestion of, factor in production of gastric ulceration, Therap. 132 Acetone, presence in breath and urine in recurrent or cyclic vomiting, Child. 79, 82, 87 -- ____ -in starvation, Child. 82 Acetyl salicylic acid, " aspirin " fancy name for, Therap. 100 confusing list of synonyms for, Therap. 87 Acholuric jaundice, case of (F. H. Jacob), Clin. 157 Achondroplasia, two cases of (R. Milne), Clin. 54 in twin (R. Hutchison), Child. 41 Acid, resistant powers of teeth to action of, Odont. 75-77. Acidosis, relation of acute starvation to, Child. 82 iv Index Acids causing dental caries, enamel sole barrier against, Odont. 73 of decay, power of resistance of enamel to, Odont. 78, 81, 83 ACKERLEY, R.-Discussion on arthritis deformans, Baln. 98 observations on the condition of the mouth in 1,000 cases of chronic disease, Odont. 94-103; discussion (p. 104): Mr. W. Hern, Dr. H. Macnaughton-Jones, Mr. C. E. Wallis, Mr. Hunt, Mr. J. G. Turner, Dr. W. J. Midelton, Dr. J. Galloway, Mlr. P. Daniel, Mr. Sturridge, Mr. L. Payne, Mr. S. Spokes, Dr. R. Ackerley (reply) saline waters, and the use and abuse of common salt, Baln. 59-83; discussion (p. 83): Dr. Solly, Dr. Mouillot, Dr. G. E. Haslip, Dr. Ackerley (reply) Acne, extensive, case with scars (Sir M. Morris and S. E. Dore), Derm. 7 pathology of (A. Whitfield), Path. 172 treatment by application of vacuum electrode in static electricity, Electr. 85, 86 -- by electro-vaccination, R.S.M. 154 with keloids (E. G. G. Little), Derm. 107 by vaccine, R.S.M. 95, 184, 188 acne bacillus, R.S.M. 138 , staphylococcus, R.S.M. 137 -(pustular), treatment by vaccine, recurrences after, R.S.NI. 144 Acoustic aid for persons partially deaf (H. Macnaughton-Jones), Otol. 40 Acromegaly, case of (J. R. Lunn), Clin. 53 (E. I. Spriggs), Clin. 149 Actinomycosis, diagnosis, Surg. 67 of ovary, case of (E. H. Shaw), Obst. 146 ADAMS, F. S., and HERTZ, A. F.-Formation of cholesterol gall.stones containing typhoid bacilli within sixty-eight days of the onset of typhoid fever, Clin. 169; discussion (p. 171): Mr. G. Wright ADAMS, J. E.-Case of thoraeoplasty for very large empyemata,- Clin. 90; discussion (p. 91): Mr. A. Pearce Gould, Mr. C. H. Fagge, Professor W. Osler, 'Mr. Arthur Barker, Mr. Adams (reply) ADAMSON, H. G.-Case for diagnosis, Derm. 55 case of lichen planus annularis, Derm. 67; discussion (pp. 67, 68): Dr. MacLeod, Dr. Whitfield, Dr. J. J. Pringle - case of lichen simplex chronicus of Vidal, Derm. 41 --of onychia sicca syphilitica, Derm. 43; discussion (p. 44): Dr. Pringle, Dr. Whit- field, Dr. MacLeod, Dr. Adamson (reply) discussion on case of lichen planus in a diabetic, Derm. 46, 47 of pigmented moles in a female child, Derm. 31 on two cases for diagnosis, Derm. 72 -, elephantiasis associated with tertiary syphilis, Derm. 81; discussion (p. 83): Dr. MacLeod, Dr. Pringle keratosis palmaris et plantaris associated with generalized ichthyosis, Derm. 83 -, linear nmvus with combined verrucose and vascular elements, Derm. 103 multiple keloid associated with " neurotic excoriations " of " dug-out " type of Colcott Fox, Derm. 42; discussion (p. 42): Dr. Pringle multiple scars simulating leucodermia syphiliticum, Derm. 1 small follicular syphilide of the corymbose type, Derm. 1 two cases of chronic superficial dermatitis in patches with symmetrical distribution, Derm. 65 ADDISON, 0. L.-Congenital enlargement of one limb occurring in brother and sister, Child. 43; discussion (p. 44): Dr. F. Parkes Weber, Mr. Lockhart Mummery Addison's disease, dermic pigmentation in, dependent on disturbance of suprarenal glands, Baln. 11 -, symptoms not present in case of extensive yet incomplete fibro-caseous disease of both suprarenal capsules (H. French), Path. 93 Adeno-careinoma ? large solid ovarian tumour (A. E. Giles), Obst. 51 Index v Adenoids, bacteria isolated from, R.S.MI. 215 --, growths in nasopharynx resembling, suggesting malignant disease, cases of (J. Dundas Grant), Laryng. 72, 73 nature of, R.S.M. 215 -, removal of, for gastric catarrh, Surg. 202 under anaesthetics, danger of, Anaesth. 60, 61 treatment by vaccines, R.S.1M1. 215 and lymphatism, Anaesth. 44 Adenoma of cervix of uterus, malignant, cystic (J. B. Hellier), Obst. 100 of liver, amyloid degeneration in (S. G. Shattock), Path. 153 malignant, of liver, different terms by which known, Path. 151 - , primary bile-producing tumour of liver (F. Parkes Weber), Path. 147 Adenomata, cystic, Odont. 141 Adenomyoma (tuberculous), definition of, Obst. 240 of Fallopian tube with tuberculous salpingitis (J. Inglis Parsons and B. Glendining), Obst. 238 of vaginal wall (T. G. Stevens), Obst. 57 Adiposis dolorosa, cases of (G. McMullan, A. M. Gossage), Clin. 55, 58 connexion with menopause, Clin. 59, 61 etiology of, suggested, Clin. 59 treatment by thyroid gland extract, Clin. 59, 60 Adolescence, nitrous-oxide gas followed by ether, routine anesthetic for, Anaesth. 66 Adults, acute empyema in, following acute pneumonia or pleurisy, prognosis, Surg. 55-61 Africa (North), and Egypt, influence of climate of, on disease (H. E. L. Canney), Baln. 115 -- (South), transmission of typhoid fever by flies in, Epid. 263 Agglutination, discovery of, R.S.M. 4 - of bacteria, difficulty in determining opsonic index owing to, R.S.M. 121 of streptococcus in case of malignant endocarditis, R.S.M. 118 Agglutinins, production of, R.S.M. 81, 92 Agricultural labourers, condition of, favourably compared with that of casual labourers in towns, Epid. 6 Ainsworth, H. H., transmission of typhoid fever by house-flies, quoted, Epid. 215 Air-passages, exclusion of, from alimentary canal after total excision of larynx, Clin. 119, 120' Air-swallowing, case of (T. R. Whipham), Child. 151 Air-temperature, course and interaction of, Epid. 163 effect on flies, Epid. 161 relation of-cases of and deaths from summer diarrhcea to, Epid. 153 Albers-Schonberg, treatment of fibroids by X-rays, quoted, Obst. 25 Albumin, absorption of, experiments as to, Therap. 139 Albuminuria, accompanying oxaluria, Med. 22 nephritic, not increased by egg-albumin in diet, Therap. 139 question of, in prognosis of chronic nephritis, Therap. 147 transient, common after severe exercise without excess of albuminous diet, Therap. 139 with rheumatoid arthritis, and with great enlargement of liver (W. P. Herringham), Clin. 61 Alcohol cause of pauperism, Epid. 9 ,ill-effects among poorest classes, Epid. 6, 7 on casual labourers, Epid. 6, 7 injection of, into left superior laryngeal nerve, for relief of tuberculosis of larynx, with extreme odynphagia, Laryng. 152 in treatment of dysphagia in tuberculous laryngitis, Clin. 201 of trigeminal neuralgia of left first and second divisions (W. Harris), Clin. 200 weekly expenditure on, among working classes, Epid. 9 see also Intemperance Alcoholics, addition of oxygen to nitrous oxide when administered to, Anaesth. 68 vi Inidex Alcoholics, anaesthetization of, difficulties in, Anmesth. 67 - , leg tremor during, Anesth. 68 -, posture in, Anaesth. 69 rapid in induction, important, AnEesth. 67, 68 reflexes dangerous in, Anawsth.
Load more

Recommended publications
  • Prioritization of Health Services
    PRIORITIZATION OF HEALTH SERVICES A Report to the Governor and the 74th Oregon Legislative Assembly Oregon Health Services Commission Office for Oregon Health Policy and Research Department of Administrative Services 2007 TABLE OF CONTENTS List of Figures . iii Health Services Commission and Staff . .v Acknowledgments . .vii Executive Summary . ix CHAPTER ONE: A HISTORY OF HEALTH SERVICES PRIORITIZATION UNDER THE OREGON HEALTH PLAN Enabling Legislatiion . 3 Early Prioritization Efforts . 3 Gaining Waiver Approval . 5 Impact . 6 CHAPTER TWO: PRIORITIZATION OF HEALTH SERVICES FOR 2008-09 Charge to the Health Services Commission . .. 25 Biennial Review of the Prioritized List . 26 A New Prioritization Methodology . 26 Public Input . 36 Next Steps . 36 Interim Modifications to the Prioritized List . 37 Technical Changes . 38 Advancements in Medical Technology . .42 CHAPTER THREE: CLARIFICATIONS TO THE PRIORITIZED LIST OF HEALTH SERVICES Practice Guidelines . 47 Age-Related Macular Degeneration (AMD) . 47 Chronic Anal Fissure . 48 Comfort Care . 48 Complicated Hernias . 49 Diagnostic Services Not Appearing on the Prioritized List . 49 Non-Prenatal Genetic Testing . 49 Tuberculosis Blood Test . 51 Early Childhood Mental Health . 52 Adjustment Reactions In Early Childhood . 52 Attention Deficit and Hyperactivity Disorders in Early Childhood . 53 Disruptive Behavior Disorders In Early Childhood . 54 Mental Health Problems In Early Childhood Related To Neglect Or Abuse . 54 Mood Disorders in Early Childhood . 55 Erythropoietin . 55 Mastocytosis . 56 Obesity . 56 Bariatric Surgery . 56 Non-Surgical Management of Obesity . 58 PET Scans . 58 Prenatal Screening for Down Syndrome . 59 Prophylactic Breast Removal . 59 Psoriasis . 59 Reabilitative Therapies . 60 i TABLE OF CONTENTS (Cont’d) CHAPTER THREE: CLARIFICATIONS TO THE PRIORITIZED LIST OF HEALTH SERVICES (CONT’D) Practice Guidelines (Cont’d) Sinus Surgery .
    [Show full text]
  • Pruritus Vulvae
    628 BRITISH MEDICAL JOURNAL 17 MARCH 1973 may wronglly lead to the diagnosis of primary hyperaldo- 13 Mitchell, J. D., Baxter, T. J., Blair-West, J. R., and McCredie, D. A., Archives of Disease in Childhood, 1970, 45, 376. steronism and even to the excision of the wrong endocrine 14 Voute, P. A., Meer, J. van der, and Staugaard-Kloosterziel, W., Acta Endocrinologica, 1971, 67, 197. Br Med J: first published as 10.1136/bmj.1.5854.628 on 17 March 1973. Downloaded from gland. 15 Hudson, J. B., Chobanian, A. V., and Relman, A. S., New England The opposite clinical syndrome-primary lack of renin or J'ournal of Medicine, 1957, 257, 529. 16 Jacobs, D. R., and Posner, J. B., Metabolism, 1964, 13, 522. hyporeninism-has also been recognized recently. In this 17 Vagnucci, A. H., Journal of Clinical Endocrinology and Metabolism, 1969, disease primary lack of renin (and hence of its active pro- 29, 279. 18 Perez, G., Siegel, L., and Schreiner, G. E., Annals of Internal Medicine, duct angiotension II) apparently leads to selective deficiency 1972, 76, 757. of aldosterone associated with normal cortisol production. 19 Ferrara, E., Werk, E., Hanenson, I., Privirera, P., and Kenyon, C., Clinical Research, 1970, 18, 602. The literature contains reference to some 20 cases of isolated 20 Schambelan, M., Stockigt, J. R., and Biglieri, E. G., New England J ournal of Medicine, 1972, 287, 573. analdosteronism, the first a report by J. B. Hudson and his 21 Weidman, P., et Clinical Research, 1972, 20, 249. colleagues15 in 1957. Only recently however has the primary al., deficiency been recognized as renin lack in at least some of these patients.
    [Show full text]
  • Gene, Vaccine and Immuno- Therapies Against Cancer: New Approaches to an Old Problem
    EUROPEAN PARLIAMENT Scientific Technology Options Assessment S T O A Gene, Vaccine and Immuno- therapies against Cancer: New Approaches to an Old Problem Results of the project “Future Development of Cancer Therapy” Study (IP/A/STOA/FWC/2005-28/SC17) IPOL/A/STOA/ST/2006-21 PE 383.215 P This publication is the result of a project commissioned by STOA under Framework Contract IP/A/STOA/FWC/2005-28 on "Future Development of Cancer Therapy". It contains contributions and discussions arising from a workshop that took place at the European Parliament in Brussels in February 2007 under the title "Gene, Vaccine and Immuno- therapies against Cancer: New Approaches to an Old Problem". Only published in English. Authors: ETAG European Technology Assessment Group Institute for Technology Assessment and Systems Analysis (ITAS), Karlsruhe Danish Board of Technology (DBT), Copenhagen Flemish Institute for Science and Technology Assessment (viWTA), Brussels Parliamentary Office of Science and Technology (POST), London Rathenau Institute, The Hague Volker Reuck, ITAS E-mail: [email protected] Arnold Sauter, ITAS E-mail: [email protected] Administrator: Mr Marcelo Sosa-Iudicissa Policy Department A: Economic and Scientific Policy DG Internal Policies European Parliament Rue Wiertz 60 - ATR 00K066 B-1047 Brussels Tel: +32 (0)2 284 17 76 Fax: +32(0)2 284 69 29 E-mail: [email protected] Manuscript completed in February 2007. The opinions expressed in this document do not necessarily represent the official position of the European Parliament. Reproduction and translation for non-commercial purposes are authorised provided the source is acknowledged and the publisher is given prior notice and receives a copy.
    [Show full text]
  • Some Aspects of Œstrogenic Therapy
    Edinburgh Medical Journal February 1942 SOME ASPECTS OF (ESTROGENIC THERAPY * By W. F. T. HAULTAIN, O.B.E., M.C., B.A., M.B., F.R.C.S.Ed., F.R.C.O.G. I HAVE chosen the subject of cestrogenic therapy for this lectui e for several reasons. The first is that the discovery of the female sex hormones is of comparatively recent origin and, though no doubt there is still much to be discovered with regard to sexual physiology, the work on the natural and synthetic oestrogens has advanced rapidly, with the result that various preparations are even now of the greatest use to the clinician. Secondly, cestrogenic therapy has always been of particular interest to me, even long before I had heard of such a name, and in 1928 I 1 wrote a paper on the administration of ovarian extract for the artificial menopause, gleaned from work which I had been carrying out clinically for five years previously. Since that time I have continued my clinical observations with the various natural and synthetic oestrogenic products which have been introduced, and in this lecture I intend to include my further observations in their appropriate place. Thirdly, special work in the clinical use of has oestrogens been carried out during the last three years in my obstetrical and gynaecological wards. That being so, I intend to deal chiefly in this lecture with conditions with which I have had some clinical experience in regard to the value of oestrogens, and will do no more than refer to other conditions for which have oestrogens been recommended, of which I have no personal experience.
    [Show full text]
  • Is There Any Reason of Irritating Vulvar Itching?
    Mini Review ISSN: 2574 -1241 DOI: 10.26717/BJSTR.2021.33.005347 Is there Any Reason of Irritating Vulvar Itching? Magdalena Bizoń Szpernalowska* and Włodzimierz Sawicki Chair and Department of Obstetrics, Medical University of Warsaw, Poland *Corresponding author: Magdalena Bizoń Szpernalowska, Chair and Department of Obstetrics, Gynecology and Gynecological Oncology, ul. Kondratowicza 8, 03-242 Warsaw, Poland ARTICLE INFO ABSTRACT Received: Published: December 27, 2020 Vulvar complains like itching, burning and pain are reported mainly by women in peri- and postmenopuasal age. Severity of symptoms influence on well-being. The most January 11, 2021 frequent reason of vulvar symptoms is lichen sclerosus. Diagnose is given after vulvar Citation: biopsy, which is crucial in exact diagnosis. Sometimes histological result can also reveal hypertrophy of epithelium, acanthosis, lichen planus, vulvar intraepithalial neoplasia or Magdalena Bizoń S, Włodzimierz even vulvar cancer. Lichen sclerosus cause leucoplacia, vulvar atrophy and narrowing of S. Is there Any Reason of Irritating Vulvar the vagina. Delay of diagnosis cause quicker progression of disease and intensification Itching?. Biomed J Sci & Tech Res 33(1)- of vulvar symptoms. The first line of treatment is based on ointments according to 2021.Abbreviations: BJSTR. MS.ID.005347. glicocorticosteroids. If there is no response on this method, the alternative way is photodynamic therapy (PDT). The aim of the treatment is to protect against progression LS: Lichen Sclerosus; PDT: ofKeywords: lichen sclerosus and decrease vulvar symptoms. Photodynamic Therapy; VIN: Vulvar In- traepithelial Neoplasia lichen sclerosus; itching; photodynamic therapy Mini Review weissflechen dermatose and white spot disease [5]. Nomenclature Clinical vulvar symptoms like itching, burning and pain are include also term of lichen sclerosus and atrophicus [6].
    [Show full text]
  • Therapeutic Vaccines for Cancer: an Overview of Clinical Trials
    REVIEWS Therapeutic vaccines for cancer: an overview of clinical trials Ignacio Melero, Gustav Gaudernack, Winald Gerritsen, Christoph Huber, Giorgio Parmiani, Suzy Scholl, Nicholas Thatcher, John Wagstaff, Christoph Zielinski, Ian Faulkner and Håkan Mellstedt Abstract | The therapeutic potential of host-specific and tumour-specific immune responses is well recognized and, after many years, active immunotherapies directed at inducing or augmenting these responses are entering clinical practice. Antitumour immunization is a complex, multi-component task, and the optimal combinations of antigens, adjuvants, delivery vehicles and routes of administration are not yet identified. Active immunotherapy must also address the immunosuppressive and tolerogenic mechanisms deployed by tumours. This Review provides an overview of new results from clinical studies of therapeutic cancer vaccines directed against tumour-associated antigens and discusses their implications for the use of active immunotherapy. Melero, I. et al. Nat. Rev. Clin. Oncol. 11, 509–524 (2014); published online 8 July 2014; doi:10.1038/nrclinonc.2014.111 Centro de Investigación Medica Aplicada (CIMA) Introduction and Clínica Universitaria (CUN), Universidad de Immunotherapies against existing cancers include active, unstable leading to numerous changes in the repertoire Navarra, Spain (I.M.). passive or immunomodulatory strategies. Whereas active of epitopes (so-called neo-antigens) they present, sug- Department of Immunology, immunotherapies increase the ability of the patient’s gesting that, in theory, tumours should be ‘visible’ to The Norwegian Radium own immune system to mount an immune response T lymphocytes. Hospital, Cancer to recognize tumour-associated antigens and eliminate The mechanisms required to mount effective anti­ Research Institute, University of Oslo, malignant cells, passive immunotherapy involves admin- tumour responses have been reviewed by Mellman and Norway (G.G.).
    [Show full text]
  • Vulvar Lichen Sclerosus Et Atrophicus Pragya Ashok Nair
    [Downloaded free from http://www.jmidlifehealth.org on Friday, June 16, 2017, IP: 201.13.5.108] Review Article Vulvar Lichen Sclerosus et Atrophicus Pragya Ashok Nair Department of Dermatology Vulvar lichen sclerosus (VLS) is a chronic inflammatory dermatosis characterized and Venereology, by ivory‑white plaques or patches with glistening surface commonly affecting the Pramukshwami Medical College, Karamsad, Gujarat, vulva and anus. Common symptoms are irritation, soreness, dyspareunia, dysuria, and India urinary or fecal incontinence. Anogenital lichen sclerosus (LS) is characterized by Abstract porcelain‑white atrophic plaques, which may become confluent extending around the vulval and perianal skin in a figure of eight configuration. Thinning and shrinkage of the genital area make coitus, urination, and defecation painful. LS is not uncommon in India and present as an itchy vulvar dermatosis which a gynecologist may mistake for candidal vulvovaginitis. There is often a delay in diagnosis of VLS due to its asymptomatic nature and lack of awareness in patients as well as physicians. Embarrassment of patients due to private nature of the disease and failure to examine the genital skin properly are the other reasons for delay in diagnosis. There is no curative treatment for LS. Various medications available only relieve the symptoms. Chronic nature of the disease affects the quality of life. Proper and regular follow‑up is required as there are chances of the development of squamous cell carcinoma. Keywords: Dermatosis, lichen sclerosus et atrophicus, vulva Introduction old.[3] Women are more commonly affected than men ulva is the most visible female genital structure, with 10:1 ratio, particularly during menopausal age V but it has received the least attention in the medical group, but younger women or girls may also be affected.
    [Show full text]
  • What's Going on Down There?
    What’s Going on Down There? Denise Rizzolo, PhD, PA-C Introduction • Vulvovaginitis is inflammation of the vulva and vaginal tissues. • Characterized by vaginal discharge and/or vulvar itching and irritation as well as possible vaginal odor. • Accounts for 10 million visits yearly in the US and is the most common gynecologic complaint in prepubertal girls. History- What should you ask? • Pruritus -General or just one spot • Soreness: stinging / burning / pain • Difficulty with sex • Lumps • Discharge • Partner’s have any symptoms • History of similar symptoms Physical Examination • Careful gynecologic exam • Inspection of discharge • Close examination of vulvovaginal area • Careful inspection of cervix • Look at perineum as well Physiologic Discharge • Responsible for 10 percent of cases of vaginal discharge. • Composed of vaginal squamous cells suspended in fluid medium. • Clinical characteristics: • clear to slightly cloudy • non-homogeneous • highly viscous • Changes throughout the month Normal Vaginal Discharge • Not associated with: • itching • burning • malodor • Normal increase in volume • ovulation • following coitus • after menses • during pregnancy The Big 3 •Three most common causes of vulvovaginitis include: • Bacterial Vaginosis • Vaginal candidiasis • Trichomonas Vaginalis •Others include: atrophic vaginitis, irritant vaginitis, and other STIs. Vaginal Candidiasis- Overview • Less common in postmenopausal women, unless taking estrogen. • 90% of yeast infections are secondary to Candida Albican (Most common). • Risk Factors
    [Show full text]
  • What's Going on Down There?
    What’s Going on Down There? Denise Rizzolo, PhD, PA-C Introduction • Vulvovaginitis is inflammation of the vulva and vaginal tissues. • Characterized by vaginal discharge and/or vulvar itching and irritation as well as possible vaginal odor. • Accounts for 10 million visits yearly in the US and is the most common gynecologic complaint in prepubertal girls. History- What should you ask? • Pruritus -General or just one spot • Soreness: stinging / burning / pain • Difficulty with sex • Lumps • Discharge • Partner’s have any symptoms • History of similar symptoms Physical Examination • Careful gynecologic exam • Inspection of discharge • Close examination of vulvovaginal area • Careful inspection of cervix • Look at perineum as well Physiologic Discharge • Responsible for 10 percent of cases of vaginal discharge. • Composed of vaginal squamous cells suspended in fluid medium. • Clinical characteristics: • clear to slightly cloudy • non-homogeneous • highly viscous • Changes throughout the month Normal Vaginal Discharge • Not associated with: • itching • burning • malodor • Normal increase in volume • ovulation • following coitus • after menses • during pregnancy Terminology Normal Anatomy Histology Review candidiasis Histology Review Gonorrhea Histology Review Chlamydia Histology Review BV- Clue Cell Histology Review Trichomonas The Big 3 •Three most common causes of vulvovaginitis include: • Bacterial Vaginosis • Vaginal candidiasis • Trichomonas Vaginalis •Others include: atrophic vaginitis, irritant vaginitis, and other STIs. Vaginal Candidiasis-
    [Show full text]
  • The Use of the Hormones in Dermatology'
    THE USE OF THE HORMONES IN DERMATOLOGY' MILTON M. IIAIITMAN, M.D., F.A.C.A. San Francisco, California T he endocrine glands exert far reaching effects that we are only now beginning to understand. Aside from the direct specific effects of the various endo- crinopathies on the skin, there may be effects mediated through the autonomic nervous system. Endocrine dysfunction may affect the emotional state and aggravate or initiate psycho-somatic disorders. Allergic disturbances, in eluding those of the skin, comprise an important group of ailments. That specific sensitivities arc not the complete answer to the etiology of allergic disorders, and that the approach by many of them is not the invariable answer to their treatment has long been known. Why a given allergen can at one time provoke a clinical manifestation of allergy and at other times not, is determined by factors which modify the allergic status. Endocrine dysfunctions are among the important factors modifying this status. It is obvious that some knowledge of endocrinology is a necessity to the dermatologist wishing to arm himself \vith the maximum in effective therapeutic weapons. A summary of the clinical and experimental uses of hormones in dermatology is herein presented under three logical headings: A. 5KIN DISORDERS DUE TO THR DEFIC1RNCY OR ABSENCR OF A SPRCIFIC ENDOCRINE PRODUCT RRSPONDING TO SUBSTITUTIVE THERAPY rihe following phenomena should be matters of common knowledge: 1) The brownish pigmentation of adreno-cortieal deficiency (Addison's disease) being arrested and even reversed by adrenal cortex extracts and the synthetic desoxy- corticosterone acetate. 2) The myxedema of hypothyroidism being fully cor- rected by dessicated thyroid or thyroxin.
    [Show full text]
  • A Clinico-Pathological Study of Vulval Dermatoses
    J Clin Pathol: first published as 10.1136/jcp.28.5.394 on 1 May 1975. Downloaded from J. clin. Path., 1975, 28, 394-402 A clinico-pathological study of vulval dermatoses P. C. LEIGHTON AND F. A. LANGLEY From the Departments ofObstetrics and Gynaecology and ofPathology, University ofManchester SYNOPSIS A long-term review of 108 women suffering from various forms of vulval dermatosis is described and a detailed analysis of those with chronic hypertrophic vulvitis, lichen sclerosus et atrophicus, and neurodermatitis is made. One case of neurodermatitis and two cases of lichen sclerosus progressed to carcinoma but no case of chronic hypertrophic vulvitis became malignant. It is possible that vulval dermatoses occur more commonly in the nulliparous than in the parous women and there is a slight preponderance of women who are blood group A. It is suggested that the term 'leukoplakia' should be abandoned and that vulval lesions should be described in precise and meaningful histological terms. Although the vulva may be regarded as part of the vulva were recorded in the laboratory diagnostic genital tract it is also part of one of the largest file in the 19 years, 1949 to 1968, but after 1968 organs of the body, namely, the skin. For this reason very few cases of leukoplakia were recorded because most of its disorders are those of the skin modified of uncertainty about the diagnostic criteria and only by site. However, when well defined derma- these have not been investigated further. All the tological conditions such as psoriasis and candida available histological material from the 108 cases infections are excluded, a residue ofill-defined derma- was reviewed.
    [Show full text]
  • Final Program
    FINAL PROGRAM SOCIETY FOR IMMUNOTHERAPY OF CANCER 26 TH ANNUAL MEETING NOVEMBER 4-6, 2011 • NORTH BETHESDA, MD www.sitcancer.org SITC Supporters (As of September 27, 2011) GENERAL EDUCATION SUPPORTERS SILVER BRONZE Center for Cancer Research National Cancer Institute National Institutes of Health Health and Human Services COPPER ANNUAL MEETING SUPPORTERS PLATINUM GOLD SILVER BRONZE (Annual Meeting Abstract Book) COPPER (2 Young Investigator Awards) FINAL PROGRAM • SITC 26 TH ANNUAL MEETING November 4-6, 2011 • North Bethesda, MD • www.sitcancer.org Table of Contents GENERAL INFORMATION Message from the President . ........................2 INFORMATION Meeting at a Glance . ..............................3 GENERAL General Meeting Information . ..........................4 Hotel Information. ..................................7 Hotel Map . ......................................8 ASSOCIATED PROGRAM DETAILS Associated Programs . .............................9 26 TH ANNUAL MEETING DETAILS Early Career Scientists Committee Information . ..........11 Presidential and Travel Awards . ............................12 Richard V. Smalley, MD, Memorial Award and Lectureship. ..........14 Plenary and Concurrent Sessions. ....................15 Program Schedule . ...............................17 Faculty Listing . ...................................24 Disclosures . ....................................26 EXHIBIT INFORMATION Exhibit and Poster Hall Floor Plan . ..................29 Exhibitor Listing . ................................30 ABOUT SITC SITC Membership
    [Show full text]