This study assessed agreement between self- and medical record report of medical conditions in an elderly population. Medical charts of 120 participants in a screening program were abstracted, and the questionnaire report of eight major conditions was compared with the medical record. There was substantial or moderate agreement between self-report and medical record report for each condition, although strength of agreement varied by condition. Self-report by elderly individuals compares favorably with medical record report of medical conditions.
This summarized the reports of the relatively small number of cases that have appeared in the medical literature since attention was called to this entity by Hamman and Rich.2 It is the purpose of this presentation to summarize the salient clinical features from the published reports and from our current experience with three cases and to present the pathological findings in our cases. We found the phase microscope 3 and the McManus-Schiff reaction particularly useful in combination with observations made by means of the Masson trichrome stain, the Wilder reticulum method, and the Weigert elastic tissue stain as well as hematoxylin and eosin stained sections.Pulmonary lesions in these cases were compared with those seen in acute interstitial pneumonia or primary atypical pneumonia ; in pulmonary fibroses, other than the diffuse interstitial type; in chronic passive congestion of the lungs secondary to mitral valvular disease, and in diffuse pulmonary fibrosis after x-ray exposure.
REPORT OF CASESCase 1.-Clinical Abstract.-A 50-year-old white man was admitted to this hospital in extremis and lived for only one and one-half days. The family stated that the patient had been dyspneic on exertion for "a long time" but had remained fairly comfortable until one week prior to his hospital admission, when he caught a cold. Dyspnea promptly increased to orthopnea, and the cough became productive of large amounts of dark fluid but no frank blood. The temperature at the time of admission, was 100 F., the pulse rate was 120 per minute, and the respiratory rate was 34 per minute. Physical examination revealed numerous coarse bubbling rhonchi and rales throughout both lung fields. The red blood cell count was 5,800,000 per cubic millimeter, and there were 15.4 gm. of hemoglobin per 100 cc. The patient was placed in an oxygen tent and was given meperidine (Demerol), aminophylline, and mersalyl (Salyrgan) intravenously. The patient's cyanosis remained, and dyspnea was unrelieved. His pulse became irregular ; he lapsed into coma and died.
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