Steven O. Schwartz

Diaphragmatic hiatus hernia: With severe iron-deficient anemia

Abstract Twenty patients with diaphragmatic hiatus hernia were studied. Bleeding from the stomach in these patients resulted in severe iron-deficient anemias. There was a paucity of symptoms directing attention to the gastrointestinal tract but cardiovascular symptoms were quite prominent. Physical findings were negligible. In a patient, especially a female past middle age, who presents an iron-deficient type of anemia without a history of bleeding, localizing symptoms and physical findings of significance, a diaphragmatic hiatus hernia should be suspected and ruled out.

Panel Discussion On The Clinical Management Of Blood Dyscrasias In The Older Age Group

Moderator: WILLIAM DAMESHEK, M.D., Professor of Medicine, Tufts University School of Medicine; Director, Blood Research Laboratory, New England Center Hospital, Boston, Massachusetts. Panelists: FRANK H. BETHELL, M.D**., Professor of Internal Medicine, and Director of the Simpson Memorial Institute for Medical Research, University of Michigan, Ann Arbor, Michigan. EDWARD H. REISNER, JR., M.D., St. Lukes Hospital, New York City; formerly Associate Clinical Professor of Medicine, New York University Post-Graduate Medical School, New York, N.Y. STEVEN O. SCHWARTZ, M.D., Director, Hematology Department, The Hektoen Institute for Medical Research of the Cook County Hospital, Chicago, Illinois. LEANDRO M. TOCANTINS, M.D., Professor of Clinical and Experimental Medicine, and Director, The Cardeza Foundation, Jefferson Medical College of Philadelphia, Philadelphia, Pennsylvania.