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78 NORTH CAROLINA MEDICAL JOURNAL February, 194fi were going unrecognized, Dr. O. T. Davis and I studied sera of all patients admitted to the North Carolina Baptist Hospital for several months during 1944, but were unable to detect the presence of lysins or agglutinins in several hundred specimens. The disease must be relatively rare. CASE REPORTS FROM THE TUMOR CLINIC North Carolina Baptist Hospital Case 12 C. B. L., a 9-year-old girl, was admitted to the surgical service of this hospital on January 10, 1946. with the following history. When the child was 18 months old, her mother noticed a lemon-sized mass in the left pectoral fold. She consulted her local physician. who kept the patient under observation for three months. The tumor was then removed in another hospital on March 7, 1938. A diagnosis of sarcoma was made from the pathologic study of this tissue. Shortly thereafter the patient's case was reviewed in still another hospital, where the operative site was irradiated. Following this therapy, the child remained well, gained weight, and developed normally. Several x-ray examinations of the chest, the last one made in August, 1938, were reported entirely negative. Her present illness began on December 13, 1945, with an attack of influenza. Her symptoms, which were at first those of an upper respiratory infection, became exaggerated; her white cell count was elevated, and x-rays revealed two areas of increased density in the right lung field. The larger of the two was an orange-sized shadow at the level of the hilus; the smaller was lateral and inferior to the larger one. A diagnosis of pneumonia was made and penicillin therapy was instituted. The patient's acute symptoms subsided, though she continued to run a low-grade fever and the x-ray findings in her chest remained unchanged. She was referred to this hospital for further study and treatment. On physical examination, the temperature was 99.2 F., the pulse 94, respiration 18, blood pressure 110 systolic, 75 diastolic. The patient was a well developed and normally nourished 9-year-old female who did not ap- Fig. l pear acutely ill. An oblique, well healed scar 4 cm. long was located in the left pectoral region. There were several slightly enlarged, non-tender, freely movable lymph nodes in both axillas, in the groins, and in the anterior cervical chains. The tonsils were slightly enlarged and chronically inflamed. Otherwise, the physical examination was completely negative. Three urinalyses were made. Aside from the demonstration of a trace of albumin and sugar on one occasion, and the persistence of a moderate number of white cells per high power field, no abnormalities were noted. The blood count showed 12.1 Gm. of hemoglobin, 4,150,000 red blood cells, and 6200 white blood cells. The corrected sedimentation rate was 11 mm. per hour. The serum proteins were 6.4 Gm. per 100 cc. X-rays of her chest made on January 11, 1946 (fig. 1), were reported as follows: "The films of the chest showed two rounded, circumscribed lesions in the right lung field, one adjacent to the hilar shadow and a second smaller one in the peripheral portion of the right lower lobe just above the diaphragm. The lesions have the characteristic appearance of metastatic pulmonary infiltration."
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1946 |
Identifier | NCHH-17-007 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 7 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-007.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-007 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 78 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1946 |
Identifier | NCHH-17-007-0088 |
Form General | Periodicals |
Page Type | all; all images; x-ray; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed71946medi_0088.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 7 |
Issue Number | 2 |
Page Number | 78 |
Health Discipline | Medicine |
Full Text | 78 NORTH CAROLINA MEDICAL JOURNAL February, 194fi were going unrecognized, Dr. O. T. Davis and I studied sera of all patients admitted to the North Carolina Baptist Hospital for several months during 1944, but were unable to detect the presence of lysins or agglutinins in several hundred specimens. The disease must be relatively rare. CASE REPORTS FROM THE TUMOR CLINIC North Carolina Baptist Hospital Case 12 C. B. L., a 9-year-old girl, was admitted to the surgical service of this hospital on January 10, 1946. with the following history. When the child was 18 months old, her mother noticed a lemon-sized mass in the left pectoral fold. She consulted her local physician. who kept the patient under observation for three months. The tumor was then removed in another hospital on March 7, 1938. A diagnosis of sarcoma was made from the pathologic study of this tissue. Shortly thereafter the patient's case was reviewed in still another hospital, where the operative site was irradiated. Following this therapy, the child remained well, gained weight, and developed normally. Several x-ray examinations of the chest, the last one made in August, 1938, were reported entirely negative. Her present illness began on December 13, 1945, with an attack of influenza. Her symptoms, which were at first those of an upper respiratory infection, became exaggerated; her white cell count was elevated, and x-rays revealed two areas of increased density in the right lung field. The larger of the two was an orange-sized shadow at the level of the hilus; the smaller was lateral and inferior to the larger one. A diagnosis of pneumonia was made and penicillin therapy was instituted. The patient's acute symptoms subsided, though she continued to run a low-grade fever and the x-ray findings in her chest remained unchanged. She was referred to this hospital for further study and treatment. On physical examination, the temperature was 99.2 F., the pulse 94, respiration 18, blood pressure 110 systolic, 75 diastolic. The patient was a well developed and normally nourished 9-year-old female who did not ap- Fig. l pear acutely ill. An oblique, well healed scar 4 cm. long was located in the left pectoral region. There were several slightly enlarged, non-tender, freely movable lymph nodes in both axillas, in the groins, and in the anterior cervical chains. The tonsils were slightly enlarged and chronically inflamed. Otherwise, the physical examination was completely negative. Three urinalyses were made. Aside from the demonstration of a trace of albumin and sugar on one occasion, and the persistence of a moderate number of white cells per high power field, no abnormalities were noted. The blood count showed 12.1 Gm. of hemoglobin, 4,150,000 red blood cells, and 6200 white blood cells. The corrected sedimentation rate was 11 mm. per hour. The serum proteins were 6.4 Gm. per 100 cc. X-rays of her chest made on January 11, 1946 (fig. 1), were reported as follows: "The films of the chest showed two rounded, circumscribed lesions in the right lung field, one adjacent to the hilar shadow and a second smaller one in the peripheral portion of the right lower lobe just above the diaphragm. The lesions have the characteristic appearance of metastatic pulmonary infiltration." |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-007.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-007 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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