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W J Walker

Publications and source records attributed to W J Walker.

66 records · Page 4Linked to original sources
PubMed1970

Psittacosis in Hamilton: a case report and epidemiological study.

A case report of a patient severely ill with psittacosis is presented, together with an epidemiological study of his fellow workers. This study illustrates the contagiousness of the disease and indicates that it is probably more prevalent than clinical experience suggests. Only three of the 83 persons studied who were exposed became ill enough to seek medical attention. It is important that both the physician and the public be made aware of this disease so that definitive treatment can be instituted as early as possible. Tetracycline is the drug of choice. Since this infection is widespread among many varieties of birds, and is not confined to those of the parrot family, this disease must be considered in any patient with an atypical pneumonia, especially when there has been contact with a bird. Since there is not likely to be a reinstitution of the ban on the importation of psittacine birds as domestic pets, the only alternative means of controlling outbreaks of this disease is public and physician awareness. Since some outbreaks appear to be spread from man to man, sometimes with high mortality, it is important that any patient suspected of having this disease be kept in strict isolation.

Adult↗
PubMed1967

Steroids and shock.

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Adrenal Cortex Hormones↗
PubMedDate not supplied

Ovarian artery: angiographic appearance, embolization and relevance to uterine fibroid embolization.

PURPOSE: To describe the angiographic appearance of the ovarian artery and its main variations that may be relevant to uterine fibroid embolization. METHODS: The flush aortograms of 294 women who had been treated by uterine artery embolization for fibroids were reviewed. Significant arterial supply to the fibroid, and the origin and diameter of identified ovarian arteries were recorded. In patients with additional embolization of the ovarian artery, the follow-up evaluation also included hormonal levels and Doppler imaging of the ovaries. RESULTS: A total of 75 ovarian arteries were identified in 59 women (bilaterally in 16 women and unilaterally in 43 women). All ovarian arteries originated from the aorta below the level of the renal arteries with a characteristic tortuous course. Fifteen women had at least one enlarged ovarian artery supplying the fibroids. Fourteen women (14/15, 93%) presented at least one of the following factors: prior pelvic surgery, tubo-ovarian pathology or large fundal fibroids. CONCLUSION: We advocate the use of flush aortography in women with prior tubo-ovarian pathology or surgery or in cases of large fundal fibroids. In the case of an ovarian artery supply to the fibroids, superselective catheterization and embolization of the ovarian artery should be considered.

Adult↗