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Biomedical subjects

W Jolly

Publications and source records attributed to W Jolly.

7 recordsLinked to original sources

Traumatic rupture of an aortic ulcerative atherosclerotic plaque producing aortic dissection: a complication of interscapular back blows used to dislodge objects from the esophagus.

Penetrating atherosclerotic ulcer of the aorta is a rare entity which usually occurs in the descending thoracic aorta. Herein, we report an unusual case of penetrating aortic ulcer which ruptured into the mediastinum. Interscapular back blows were performed on our patient in an attempt to dislodge an aspirin which she thought was lodged in her esophagus. Unlike previously reported cases of this entity, the penetrating aortic ulcer in our patient was located in the distal thoracic ascending aorta. Diagnosis of penetrating aortic ulcer can be made by utilizing aortography, contiguous dynamic contrast-enhanced computed tomography or magnetic resonance imaging. Treatment consists of adjunctive medical therapy until surgery can be performed.

Aged

Rare or unusual causes of chronic, isolated, pure aortic regurgitation.

Six patients undergoing aortic valve replacement had rare or unusual causes of isolated, pure aortic regurgitation. Two patients had congenitally bicuspid aortic valves with a false commissure (raphe) displaced to the aortic wall ("tethered bicuspid aortic valve"), two had floppy aortic valves, one had a congenital quadricuspid valve, and one had radiation-induced valve damage.

Adult

The genogram.

The genogram is presented as a technique to record both genetic and interpersonal family-household data. Working with model patients, and using standard instructions and symbols, family medicine residents elicited and recorded an average of 83 percent of available information items during interviews that lasted an average of 16 minutes. Interpretation of data derived from genograms written by other physicians was achieved with a high degree of accuracy (91 to 96 percent correct answers to 25 questions on each of three family-households). The genogram appears to be a practical instrument to record and retrieve family-household data, but its wide application will require standardization of both the technique of recording and the symbols employed.

Family Characteristics

Pseudo-tricuspid stenosis: a rare entity.

A case is presented in which features of constrictive pericarditis and a pericardial pseudotumor coexisted. Preoperative cardiac catheterization revealed a gradient across the tricuspid valve. Exploratory surgery revealed a blood-filled cavity within the thickened pericardium overlying the right atrium and right ventricle and a normal tricuspid valve. After pericardiectomy, right cardiac catheterization revealed normal pressures and no gradients.

Fibroma