Biomedical subjects

J S Montrey

Publications and source records attributed to J S Montrey.

5 recordsLinked to original sources

PubMed1996

Wire fragments after needle localization.

OBJECTIVE: Scant information exists on the natural history of a retained wire fragment after needle localization for breast biopsy. We review 10 cases in which wire fragments were present 1.5-11 years after surgery. CONCLUSION: Only one patient had symptoms attributed to the retained wire. Position of the wire fragment in the breast remained stable over time. Our management recommendations include early mammographic follow-up at 3 and 6 months to reveal stability in asymptomatic patients and excision of fragments in symptomatic patients.

Adult↗

PubMed1989

Boxing-related injuries in the US Army, 1980 through 1985.

Boxing-related injuries, serious enough to involve hospitalization in US Army hospitals, were studied from 1980 through 1985. On average, there were 67 hospitalizations annually, with the injured spending an average of 5.1 days in bed and 8.9 days disabled, unfit for duty. There was one death from serious head injury and one instance of unilateral blindness from ocular trauma requiring enucleation. Head injuries accounted for 68% of all the injuries and were more common in the younger and presumably less experienced boxers. The advisability of continued promotion of boxing in the military needs to be addressed.

Adolescent↗

PubMed1985

Thromboembolism following hip fracture.

Two hundred forty-eight patients following hip fracture were studied for deep venous thrombosis and pulmonary embolus. Ventilation-perfusion lung scans and contrast ascending venography were performed on the sixth to eighth postoperative days. Low-dose intravenous heparin (3,000-5,000 units every 6 hours) was followed by a decreased incidence of pulmonary embolism more than twofold. Although heparin administration was not associated with a significantly decreased incidence of deep venous thrombosis as assessed by venographic studies, thrombi in the nonheparin-treated patients were more likely to occur above the knee and were at higher risk for pulmonary embolus. Pneumatic and mechanical compression devices alone did not protect patients from deep venous thrombosis above the knee, but were associated with a decreased incidence of pulmonary embolus compared to control.

Aged↗

PubMed1985

Nonaccidental burns in child abuse.

Nonaccidental or inflicted burns account for a significant subset of children hospitalized for the treatment of burns and are a form of child abuse. We review our experience with inpatient treatment of pediatric burns and examine the characteristics of patients with accidental and nonaccidental burns. Abused children were of a younger age group. Their burns more frequently involved the buttocks and perineum and were more often caused by hot tap water. Unstable social factors and chronic medical problems were more common among those with inflicted burns. We suggest guidelines to differentiate between accidental and inflicted burn victims.

Accidents↗

PubMed1985

Total parenteral nutrition cholestasis: a cause of mechanical biliary obstruction.

In a newborn baby with Hirshsprung's disease obstructive jaundice developed following prolonged parenteral nutrition. At laparotomy, thick inspissated bile was flushed from the biliary tree and prompt resolution of the jaundice followed. To our knowledge, this is the first reported case in which inspissated bile appeared to be a complication of total parenteral nutrition. Mechanical obstruction must be recognized as an extreme in the spectrum of total parenteral nutrition cholestasis.

Anti-Bacterial Agents↗