Biomedical subjects

A O Feingold

Publications and source records attributed to A O Feingold.

4 recordsLinked to original sources

PubMed1977

Routine chest roentgenograms on hospital admission do not discover tuberculosis.

Of 95 cases of tuberculosis diagnosed at Grady Memorial Hospital in 1972, only six patients were not already diagnosed or suspected of having TB at the time of admission to the hospital. In only two of these cases was the diagnosis of TB made because of the routine admission chest roentgenogram (out of a total of 39,017 hospital admissions for the year). Both of these patients had respiratory symptoms for which a diagnostic chest film was indicated. On the basis of this review, routine chest films for all hospital admissions are not of significant value in discovering unsuspected tuberculosis.

Adult↗

PubMed1976

Association of tuberculosis with alcoholism.

To define the extent of the association between tuberculosis and alcoholism, all cases of tuberculosis reported in 1972 to the Fulton County Health Department (Georgia) were reviewed. Alcoholics accountered for 49% of all adult cases. Because of this high association, alcoholics should be screened regularly for possible tuberculosis.

Adult↗

PubMed1975

Tuberculosis without fever.

Fever is usually thought to accompany tuberculosis. However, a review of 103 cases of tuberculosis presenting to a general hospital showed that 53% of the patients did not have fever when they first came to the outpatient clinic, and 10% did not have fever at any time while under observation. Absence of fever in a patient with pulmonary disease should not be used as evidence against the presence of tuberculosis.

Adolescent↗

PubMedDate not supplied

Cost effectiveness of screening for tuberculosis in a general medical clinic.

Over a 3-year period, only 22 new active cases of tuberculosis were discovered as a result of taking 48,000 70-mm X-ray films of generally elderly and chronically ill patients. The cases were among the patients of the general medical outpatient clinic of Grady Memorial Hospital in Atlanta, Ga. Costs for the X-ray screening program exceeded $90,000. Ten of the 22 patients with new cases were alcohol abusers. Further analysis of the program revealed a yield of 1 new active case per 240 alcoholics screened, but only 1 new active case per 3,806 nonalcoholic patients screened. It is argued that screening of alcoholics for tuberculosis should be widely practiced, but routine yearly X-rays for detection of tuberculosis--even in a chronically ill population--is unwarranted.

Alcoholism↗