[Clinical study of head injuries in the emergency unit of Veterans General Hospital].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to H C Pan.
Explore the source record for details and available documents.
Analysis of 14 cases of high-pressure injection injury to the hand revealed that the mechanism of injury, the nature of the injected substance, the site of injection, delay in treatment, and treatment specifics all influence prognosis. Injuries from paint or spray guns appear to be the most devastating; injuries to digits are worse than those to the hand. Paint, thinners, and solvents cause great impairment. Delay in treatment likely compromises the outcome; steroids may be effective in some cases in reducing eventual impairment. Early recognition of the gravity of these wounds is important and early decompression, tetanus prophylaxis, antibiotics, and judicious steroid usage are advocated. Significant impairment results from many high-pressure injuries despite seemingly adequate treatment.
A case of superior vena cava syndrome secondary to longstanding benign obstructing disease is presented. A new method of surgical technique is detailed. Clinical manifestations, etiology, anatomy, diagnosis, and treatment of superior vena cava syndrome are reviewed and principles of successful surgical treatment of the venous system are elucidated. The multiplicity of clinical and experimental techniques utilized in the past is succinctly tabulated.
Three cases of slipping rib syndrome are presented. The pertinent anatomy of the costal margin and nerve supply are reviewed. The treatment of the disease is presented along with case histories. This entity is little known to the medical profession, although first described in 1919. Probably far more common than is realized, it should always be included in the differential diagnosis of thoracic and abdominal pain.