Issue - Southern Medical Association

Editorial

GROUP B STREPTOCOCCAL INFECTIONS IS PREVENTION POSSIBLE?

Editorial

HEPATITIS B AND POSSIBILITIES FOR CONTROL

Announcement

GENERAL ANNOUNCEMENTS

Primary Article

Adverse Psychologic Reactions to ileal Bypass Surgery

ABSTRACTOf 33 patients who underwent ileal bypass surgery for morbid obesity and were followed up with psychiatric interviews and consultation postsurgery, five appear to have had adverse psychologic sequeiae related to the procedure. The emotional problems of these five patients were in part related to or precipitated by their drastic…

Primary Article

Pneumatosis intestinalis in Association With Connective Tissue Disease

ABSTRACTPneumatosis intestinalis in association with connective tissue diseases is an unusual combination whose pathogenesis is not yet understood. Furthermore, steroid medication, often used to treat these diseases, may itself cause pneumatosis. Three cases of scleroderma, systemic lupus erythematosus, and amyioidosis in association with pneumatosis and without prior steroid therapy are…

Case Report

Exophthalmos and Epidural Hematoma

Case Report

Long‐Term Follow‐Up of Hip Fractures

ABSTRACTHip fractures on 117 patients treated surgically and followed up for an average of 10.2 months are reviewed. Among the parameters analyzed were complications, mortality, clinical follow-up by the operating surgeon, and the ability to ambulate after surgery. Postoperative surgical complications occurred in 36% and medical complications in 18% of…

Case Report

Vaginal Hysterectomy by Anterior Delivery of the Uterine Corpus

ABSTRACTOf 285 vaginal hysterectomies done by a modification of the Doderlein-Kronig technic, almost 70% of patients had an intraoperative blood loss of less than 200 ml. Only four required transfusions. A postoperative pelvic abscess was the only severe infection, and it responded to treatment. One patient had a ruptured ectopic…

Case Report

Induced Hypothermia Electrocardiographic Abnormalities

ABSTRACTHypothermia was induced intermittently in a patient to combat hyperpyrexia. The electrocardiogram taken during the hypothermic phase displayed typical abnormalities and consisted of: pronounced sinus bradycardia, marked prolongation of the Q-T interval, muscle tremor artifact, and the characteristic “Osborn wave.” Spontaneous rewarming resulted in disappearance of the electrocardiographic alterations, underscoring…

Case Report

Autoimmune Atrophic Gastritis With Hypergastrinemia

ABSTRACTElevation in fasting serum gastrin levels was lound in three patients being evaluated for persistent upper abdominal pain without radiographic evidence of peptic ulcer disease. Fiberoptic endoscopy of the upper gastrointestinal tract in each patient revealed characteristic changes of chronic atrophic gastritis. Gastric biopsies showed diffuse chronic inflammation in the…

Case Report

Mediastinal and Subcutaneous Emphysema in Labor

ABSTRACTThe recent world literature on mediastinal emphysema has been reviewed and two cases added. This condition is relatively benign, and the supportive treatment is discussed. Subsequent pregnancies have been uncomplicated.

Case Report

Pelvic Lipomatosis

Case Report

Roentgenographic Recognition of Bronchoceles

ABSTRACTBronchoceles often have characteristic plain film, tomographic, and bronchographic appearances, and they may trap air. Roentgenographic recognition of bronchoceles can allow them to be distinguished from neoplasms and sometimes help avoid unnecessary surgery.

Case Report

Complications of Total Hip Replacement

ABSTRACTThe most common complications of total hip replacement are infection, loosening, dislocation, phlebothrombosis and embolism, neurovascular deficits, periarticular calcification, nonunion of the greater trochanter, malposition of components, fractures, and discrepancy in leg length. The cause, prevention, and treatment of these complications are reviewed.

Case Report

Macrodactylia Fibrolipomatosis

ABSTRACTThe clinical, pathologic, and roentgenographic features of macrodactylia fibrolipomatosis described are based on 40 cases from the literature and five cases seen by the authors. This condition previously has been described as macrodactyly, megalodactyly, macrodystrophia lipomatosa, dactylomegaly, and local gigantism. We believe macrodactylia fibrolipomatosis is the best term because it…

Case Report

Follow‐Up of Rape Victims in a Family Practice Setting

ABSTRACTHealth care for rape victims traditionally has been crisis oriented, focused solely upon the victim, and provided either by a gynecologist or psychiatrist. A family practice health team, working in a county hospital, offered rape victims and their families crisis counseling in the emergency room, and follow-up care in a…

Case Report

Sequestration of the Lung in Children

ABSTRACTThree instances of intralobar pulmonary sequestration are reported to call attention to the occurrence of this lesion in children. In all three patients, the sequestration was diagnosed by arteriography and treated by lobectomy. Extralobar and intralobar sequestrations are described and the differential diagnosis is discussed.

Case Report

Hair Transplant Surgery Planning the Procedure

ABSTRACTFactors important in planning hair transplant surgery are presented. The procedure must be designed for each patient individually. Success with hair transplantation depends upon developing surgical skill and having an appreciation of esthetically pleasing designs.

Case Report

The Diagnosis of Subcapsular Hematoma of the Liver by Scintigraphy

ABSTRACTThe diagnosis of subcapsular hematoma of the liver following blunt abdominal trauma has assumed clinical importance with recent reports of improved mortality with conservative management. There is increasing use of hepatic scintigraphy in evaluation of upper abdominal trauma. Two recently observed cases are used to illustrate the typical findings in…

Case Report

Massive Skeletal Trauma in Renal Transplant Patients

ABSTRACTA review of 251 renal transplants done at the Vanderbilt University Medical Center since October 1962 revealed three patients who had suffered subsequent skeletal injuries sufficient to cause hospitalization. In a 37-year-old woman, a closed fracture of the pelvis healed satisfactorily in the usual period of time. In a 30-year-old…

Book Review

Leukemia in Childhood

Book Review

Obsessive Children

Book Review

Clinical Applications of Zinc Metabolism

Book Review

The Splinting of Burn Patients

Book Review

Differential Diagnosis and Treatment of Hoarseness

Book Review

Epidemiology for the Health Sciences

Book Review

Health Care in the People's Republic of China

Primary Article

Psychotherapy as Adjunct in Treatment of Vomiting During Pregnancy

ABSTRACTAdjunctive psychotherapeutic measures were used to treat ten consecutive pregnant women referred to a psychiatric consultation service because of severe intractable vomiting. In addition to customary medical measures, they received three types of psychotherapy: (1) supportive psychotherapy (establishment of positive relationship, frequent reassuring conversations, and encouragement of expression of thoughts…

Primary Article

Management of Intermittent Esotropia

ABSTRACTManagement of patients with intermittent esotropia having either normal or high accommodative convergence to accomodation (AC:A) ratios is discussed. Treatment should be based on liberal use of miotics to build up fusional reserves and use of hyperopic corrections or bifocals or both whenever specifically indicated. Divergent fusional reserve training is…

Primary Article

Teaching Sex Education and Counseling for the Primary Physician

ABSTRACTToday's family physicians are being confronted by increasing numbers of patients who desire and need sex education and counseling. It is suggested that the family and primary physician can approach the multiple sex-related needs of the family by understanding the family life cycle and by using permission-giving, limited information, and…

Primary Article

Microvascular Procedures in Reconstructive Surgery

ABSTRACTThe application of microvascular technics to problems in reconstructive surgery has enabled the surgeon to revascularize ischemic digits, replant amputated digits, and to transfer directly composite tissue from one area of the body to another for reconstructive purposes. The success of these procedures is directly dependent upon the ability to…

Review Article

Case Clustering in Cancer

Current Concepts

Infectious Diseases Complicating Renal Transplantation A Survey and Recommendations for Prevention, Recognition, and Management

Announcement

CALL FOR ABSTRACTS

Article

Preparation of Tables for Medical Articles Guidelines for Physician‐Authors

Book Review

Treatment of Inborn Errors of Metabolism. Current Treatment and Future Prospects

Case Report

Occult Sclerosing Carcinoma of the Thyroid

Case Report

Granular Cell Myoblastoma (Schwannoma) of the Carina in a Patient With Sarcoidosis

Case Report

Thrombophlebitis and Pulmonary Embolism With Surgical Intervention in the Third Trimester

Case Report

Acute Pancreatitis, Pancreatic Pseudocyst, and Candida Peritonitis in Recipient of a Kidney Transplant

Case Report

Transient Electrocardiographic Changes in Anaphylaxis

Case Report

Wilms' Tumor in a Multilocular Cyst of the Kidney (Cystic Wilms' Tumor)

Letter to the Editor

Brain Death

Article

Laparoscopic Sterilization

Article

Münchausen's Syndrome

Subject Index

SUBJECT INDEX

Author Index

AUTHOR INDEX