Hepler & Frank 71 Intraoccular Pressure_ JAMA

8/8/2019 Hepler & Frank 71 Intraoccular Pressure_ JAMA

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ID

Minneapolis

Marihuana Smoking and


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Intraocular Pressure

To the

ment a bird whose name has become a

household word in the 20th century,

the barium swallow, Cousin of thebismuth swallow hatched in Walter

Cannons laboratory, he is as white as

the great arctic owl, although less air-

worthy. He is a bland, but gritty fel-

low with an atomic weight of 137, and

his nickname is ambiguity.

The point of this is that the world

would be a better place if the barium

swallow were extinct. His name on

any x-ray film requisition prompts a

flurry of telephone calls until the

most appropriate of his many aliasescan be established in the case at hand.

Sometimes it mean9 gastroin-

testinal tract study or even small

bowel study. In any case we wish he

had never been conceived. He has

generated more confusion than the

combined imprecisions of the index of

suspicion, the

Barium Swallow

Capistrano Revisited

To the Editor.-Consider for a

murmur, and the

possible minimal pulmonary infil-

trate.

roscopy, but who can be sure? Barium

swallow sometimes means

the-heart usually means cardiac

of the United States has called for a

major effort to study drug effects in a

scientific manner. In an attempt to

investigate the effects of marihuana

smoking upon the human visual sys-


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tem, complete ocular examinations

were performed in a group of youth-

ful subjects, before and one hour

1392

is accepted widely

that the physiologic effects of smok-

ing marihuana are not well known,

despite an acknowledged high in-

cidence of usage. Even the

September6, 1971

l

217,

No 10

arge percentage of

within a period of thret

nonths following the administratior

dose of 250 mg four times a day. Ir

in a later publication.

Marihuana and Intraocular Pressure

water pipe.

It is our hope that further

2 9 -22

11 28 14 15 7 9 -45

The purpose of this letter is

intraocular pressure observed in

far, namely, a substantial

the

tetracycline hydrochloride orally


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to be high (0.9%). Two grams

most impressive change

mechanism of action, and

3 28

14 14 -27

4 25 17 17 13 13 -23

5 29

rare entity whose lesions

I

2 23

- 4 2

9 27 15 15

Progressive Telangiectasia:

same experienced examiner

6 26

-30

7 29 15

of observations. Marihuana war

possible implications, including

39-year-old woman,

and details

noncontributory. The eruption

the same tonometer for

case report by Shelley,

on the tops and sides of


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tonometry was performed

Health, and assays proved

Treatment with Tetracycline

by each

25

21 17 15

physical examinations

preliminary data concerning

and dilated capillaries, had

therapeutic action in

a nd

by the National Institute

will be stimulated by

of glaucoma, are obvious.

of confluent areas of

by clinicians and basic

recorded in the Table

of

Treatment of

a patient

the protocol


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13 13

MD

Los Angeles

7

of subjects

11 -32

using an ice

R.

by

%

dial function was recently reviewed

in an editorial

1971). Many

reports of tion this with technique have more verified and elaborate its the good sensitivity

correla-

cardiac

function tests. A potential appli-employment of cation left not ventricular suggested of serial heretofore ejection measurements

is time

the

Letters

indirect measure-

ment of left ventricular ejection time

intervals for assessment of

laritis leading to telangiectasia and

degenerative changes of the smallvessels.

Since both our patient and Shelleys

patient recovered following proce-

dures capable of eliminating under-

lying infections, the therapeutic ac-

tion of tetracycline in Shelleys

patient may have been due, after all,


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to its broad-spectrum antibiotic ef-

fect.

Los Angeles

Assessment of

Cardiac Performance

Syph

Three had evidence of of focal Beckers infection, patients

in-

cluding mastoiditis, tonsillitis, prosta-

titis, and dental infection.

Our patient, a

woman,

had had her eruption for over a year

and a chronic sinus infection for fouror five years, characterized by right

antral pain, postnasal discharge, and

frequent colds. Her eruption was

widely scattered, being most severe

on the upper part of

trunk and

arms, with nondescript or serpiginous

areas of erythema and dilated capil-

laries. The biopsy revealed a

that it might have

of dermatologic

practice, which was apparently due

a chronic sinus infection and which

cleared completely following surgical

eradication of this focus of infection,

accompanied by

cases of generalized telangiectasis

reviewed by Becker, including four of

his

of some little-understood

action rather than the

usual wide-spectrum antibiotic effect,


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although he speculated that a change

be considered

as a therapeutic mechanism.

This report called to mind a similar

case, the onlywhich I have seen

in more than

administration of

an autogenous vaccine (Arch

bowel

the

in

must

1932). This paper cited

condition, feeling:

of action

the

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Hepler & Frank 71 Intraoccular Pressure_ JAMA