Interstate medical journal (1919) (14764109205)

Identifier: interstatemedica2619unse (find matches)
Title: Interstate medical journal
Year: 1919 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities



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flashes, with headacheand dizziness. She was instructed to take thyroid extract. October 5, 1918. The patient reported in person today. She nowweighs 267 pounds. She has not taken the thyroid extract verypersistently. The thyroid gland is somewhat decreased in size. Herhands still have the typical appearance of myxedema. She wasdirected to take large doses of thyroid extract, and was also giveniodine. She was requested to report each month, so that we couldbe advised as to her condition. November 1, 1918. The patient reported that she had lost 10pounds and was feeling better. There was a small hernia, about1 inch in diameter, at the left end of the incision. 106 INTERSTATE MEDICAL JOURNAL INTESTINAL OBSTRUCTION CAUSED BY ADENOCARCI-NOMA OF THE SIGMOID IN A BOY OF NINETEEN.* By W. HOWARD BARBER, M.D., F.A.C.S., New York. This case is reported on the assumption that adenocarcinomaof the sigmoid is very uncommon under the third decade and com-paratively unheard-of under 20 years of age.
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Fig. 1.—Adenocarcinoma of the sigmoid colon in a boy aged 19 with symptomscovering one year. Note tumor divided and small lumen of colon. *From the Department of Surgery, New York University and Bellevue HospitalMedical College. Barber: Intestinal Obstruction Caused by Adenocarcinoma 107 The subject is a boy aged 19, entering the hospital on January 1,1918, with symptoms of acute intestinal obstruction. His motherhad died of intestinal cancer in middle life. For the past year hehad suffered from intestinal cramps, but had kept at his work untilthe past two weeks. He had always been constipated, but hadnever had pain when the bowels moved until the past year. He