The author has experienced a case of malignant melanoma of the choroid in a 57-years old Korean male. The patient visited our hospital's emergency room in August 1981, with severe right ocular paiq and headache. The eyeball was slightly protruded and enlarged. And the cornea wea edematous. The vision of right eye was complete blindness. The intraocular tumor was suspected by patient's history and ocular examinations. So enucleation was performed and histopathologically the tumor was confirmed to choroidal malignant melanoma composed of spindle cells and epitheloid cells. And the metastasis to lung was suspected on chest X-ray.
Blindness ; Choroid* ; Cornea ; Emergency Service, Hospital ; Headache ; Humans ; Lung ; Male ; Melanoma* ; Middle Aged ; Neoplasm Metastasis ; Thorax

No abstract available.
Immobilization* ; Rib Fractures* ; Ribs*

No abstract available.
Esophagus* ; Rupture*

No abstract available.
Esophagus* ; Rupture*

BACKGROUND: The purpose of this study was to discover ways to screen urine culture specimens through Gram stains, urine stick analyses and microscopic examinations for the laboratory cost saving. METHODS: One hundred and fifty-eight urine specimens for culture were included. Fifty uL of urine were inoculated onto one well each of 10-well slide, dried on the hot plate, and Gram-stained. The results combined with routine urinalyses including urine nitrite and leukocyte esterase, and pyuria, were compared with the routine culture results. RESULTS: The screening of bacteriuria by Gram stains, urinalyses and microscopic examinations revealed the high sensitivity (91.9%) and negative predictive value(95.5%) with cost saving of 41.8% of inoculating media. Not considering the Gram stains, the screening revealed 83.8% sensitivity and 92.5% negative predictive value, even if the cost saving of inoculating media were as high as 50.1%. CONCLUSION: It was demonstrated that it was sensitive and economic and produced rapid preliminary results to screen bacteriuria by the Gram stains combined with urinalyses and microscopic examinations.
Bacteriuria ; Coloring Agents ; Cost Savings ; Leukocytes ; Mass Screening* ; Pyuria ; Urinalysis*

No abstract available.
Blood Gas Analysis* ; Respiratory Function Tests* ; Tuberculosis, Pulmonary*

No abstract available.
Guillain-Barre Syndrome* ; Plasmapheresis*

Malignant fibrous histiocytoma of the bone is relatively rare than that affecting the soft tissue. The authors have first experienced a case of malignant fibrous histiocytoma affecting the distal tibia of thirty-two years old woman in Korea. We obtained good results from free vascularized fibular graft after radical resection in stead of amputation. A case of malignant fibrous histiocytoma of the bone is reported with brief review of literature.
Amputation ; Female ; Histiocytoma, Malignant Fibrous ; Humans ; Korea ; Tibia ; Transplants

No abstract available in English.
Lasers, Gas ; Wound Healing ; Wounds and Injuries

The value of replantation of parts of the upper limb is well established and replantation of a digit has now be come a standard procedure. However, there are few reports of replantation of hand amputated through the palmar arch level. We have reviewed 14 cases of 14 patients replantation of hand amputated through the arterial palmar arch level from Mar. 1976 through Mar. 1982. The success rate in our series is 64 percent. This is slightly lower than the other levels due to its anatomical complexity. According to the anatomical complexity and distribution of nerves and vessels, it is divided to three levels. In level A, the superficial palmar arch and/or the deep palmar arch should be repaired. In level B, the princeps pollicis artery should be repaired after anastomosis of the superficial and deep palmar arch. In level C, each common palmar digital artery should be repaired but if it is impossible to repair of all fingers, replantation of thumb and index should be performed as possible. Meticulous microsurgical technique and precise anatomical knowledge is mandatory for replantation of the palmar arch level.
Arteries ; Extremities ; Fingers ; Hand ; Humans ; Replantation ; Thumb ; Upper Extremity