Issue - Southern Medical Association

Editorial

POPULAR BARBARISMS I

Editorial

ON MANDATORY CME

Primary Article

Perspectives on Mandatory Continuing Medical Education

Primary Article

Patient Education The New Dimension

Primary Article

Clinical Study of 81 Gastrointestinal Carcinoid Tumors

The behavior and treatment of gastrointestinal carcinoid tumors have been the subject of much discussion. Size, location, and histologic invasiveness have been shown to correlate with regional and remote metastasis in previous series. We reviewed 81 patients with gastrointestinal carcinoids seen at the Medical University of South Carolina Teaching Hospitals…

Primary Article

Treatment of Cholelithiasis in Patients With Sickle Cell Anemia

The incidence of cholelithiasis and surgical risk of cholecystectomy in patients with sickle cell anemia is reviewed. Records of all patients with sickle cell disease currently attending the Medical University of South Carolina Hematology Clinic were reviewed. An oral cholecystogram has been part of the initial evaluation for the past…

Primary Article

Late Results of Myocardial Revascularization

Data are presented on 1,400 consecutive patients who had myocardial revascularization at our institution. The patients ranged in age from 33 to 80 years. Coronary bypass was done with an associated noncardiac procedure in 70 patients and with an associated cardiac procedure in 73 patients. The hospital mortality was 2.0%….

Primary Article

Surgical Treatment of Hyperparathyroidism*

Hyperparathyroidism, as seen by a single group of surgeons in a community of 320,000, is reviewed in a retrospective fashion. It was shown that symptomatic hypocalcemia could occur up to 110 hours postoperatively and was most likely to occur in individuals showing skeletal demineralization preoperatively. Though large doses of calcium…

Primary Article

Serum Concentrations of 25‐Hydroxyvitamin D in Florida Children Effect of Anticonvulsant Drugs

The mean serum concentration of 25-hydroxyvitamin D (25OHD), determined by nonchromatographic radioassay, was significantly lower (P < .02) in Florida children with epilepsy treated with anticonvulsant drugs (34.4 ± 11.3 [SD] ng/ml) than in normal subjects (40.9 ± 14.3), despite exposure of both groups to sunlight throughout the year. In…

Primary Article

Gastric&comma; Intestinal&comma; and Gallbladder Varices Hemodynamic and Therapeutic Considerations

Atypically located varices are frequently overlooked in the differential diagnosis of gastrointestinal bleeding in patients with portal hypertension. The circulatory changes associated with these lesions are described and their relation to diagnosis and treatment emphasized.

Primary Article

Medical Education and the Dying Patient

Several recent cases illustrate the medical-ethical-legal consequences associated with lack of awareness in caring for and treating the dying patient. We question whether solutions advanced by others are feasible or desirable for use in medical education, and suggest looking to the familiar principles of clinical medicine. These principles can be…

Primary Article

Cushing's Disease Megadose Dexamethasone Suppression in a Case Refractory to Medical Therapy

A patient with Cushing's disease failed to show complete suppressibility of adrenal function with conventional “high” doses of dexamethasone (8 mg per day). Higher doses were required to achieve suppression. Pituitary irradiation and medical therapy (cyproheptadine, metyrapone, and aminoglutethimide) failed to control the disease, necessitating bilateral adrenalectomy. The diagnostic and…

Primary Article

Simple Screening Technic to Estimate Postoperative Narcotic Use

The General Health Questionnaire, a 30-item, self-response inventory, identified individuals who required significantly more pain medication after elective cholecystectomy. The questionnaire is well tolerated by surgical patients and is easy to score. It can identify those individuals prone to request excessive narcotic medication postoperatively.

Primary Article

Death Caused by Brain Herniation During Hemodialysis

Brain edema with brain herniation during or after dialysis has been reported previously. However, coexisting lesions of the central nervous system (CNS) which might play a facilitating role were present in these case reports. Described here is an 18-year-old white man with renal failure who developed clinical signs consistent with…

Primary Article

Traumatic Hemobilia Coordination of Roentgenographic&comma; Scintigraphic&comma; and Angiographic Findings

This report proffers a diagram of radiologic procedures to aid in the diagnosis of traumatic hemobilia and updates the most important radiologic findings of hemobilia to demonstrate the value of the coordinated use of liver scintigraphy and angiography. According to the diagnostic schema, evaluation of biliary tract hemorrhage progresses from…

Primary Article

Primary Dysmenorrhea Treated With Indomethacin

Primary dysmenorrhea is a difficult entity to treat, and therapy is usually directed at relieving symptoms. There is some indication that this disorder is caused by an increase in prostaglandin F2α Therefore, logically the treatment may include antiprostaglandin agents. We have studied 32 women with the diagnosis of primary dysmenorrhea…

Primary Article

Myopathy Limited to the Quadriceps and Gastrocnemius Muscles Occurring in Three Brothers

This is a report of three cases of myopathy limited to the quadriceps and gastrocnemius muscles, occurring in the male offspring of the same mother but two different fathers. They have many similarities to a previously described clinical syndrome called quadriceps-confined myopathy. The pedigree demonstrates an apparent sex-linked recessive condition…

Primary Article

Renin Aldosterone System and Potassium Levels in Chronic Lead Intoxication

Renin activity and aldosterone were evaluated relative to potassium levels and lead intoxication in 33 patients with a history of “moonshine” ingestion. Patients were divided into three groups: I, lead intoxicated with hyperkalemia; II, lead intoxicated without hyperkalemia; and III, not lead intoxicated without hyperkalemia. Those in group I demonstrated…

Primary Article

Respiratory Failure Secondary to Mycoplasma pneumoniae Infection

Three previously healthy patients presented with bilateral pulmonary infiltrates, hypoxemia, and respiratory failure associated with Mycoplasma pneumoniae infection. None had underlying pulmonary or immune deficiency diseases. One died with dense fibrotic reorganization of the lungs, and another survived after prolonged mechanical ventilatory assistance. Two developed pulmonary superinfections with Pseudomonas aeruginosa….

Primary Article

Surgical Management of Nasal Valvular Obstruction of Dorsal Origin

Nasal obstruction from valvular dysfunction may take many forms besides alar collapse. Some valvular stenoses result from scarring and tissue loss from the dorsum of the nose. Any surgical correction should take into consideration replacement of lost tissue. Several surgical means of handling this type of obstruction are described.

Primary Article

Pneumococcal Endocarditis in Infants

A case of pneumococcal endocarditis in an infant is reported together with a review of seven cases previously described in the literature. The prominent presenting symptoms of this usually fatal disease consisted of tachycardia, tachypnea, and cardiomegaly. A new murmur was heard in six of the eight patients. Fever was…

Primary Article

Simplified Endometrial Testing by the Milan&hyphen;Markley Technic

Recent articles have urged physicians to give increased attention to the use of cytologic and histopathologic technics in the detection of precancerous and cancerous endometrial lesions, since there is an increasing incidence of malignant disease at that site. A routine cervicovaginal smear is inadequate to diagnose cancer of the endometrium….

Review Article

Coal Workers' Pneumoconiosis and Medical Aspects of Coal Mining

Article

Cost Containment Medical System Rehabilitation or Reform&ast;

Cost containment is considered the premier goal for improvement of the medical care system. Before any other steps can be taken to improve availability, accessibility, or quality, or before introduction of any governmental programs for the removal of economic obstacles to obtaining medical care,—in other words, before any effort to…

Article

Medicine and de Soto

Case Report

“Diphtheroid” Pneumonia

Case Report

Azulfidine Therapy for Ulcerative Colitis in Infancy

Case Report

Pulmonary Infection With Petriellidium boydii

Case Report

Colonic Fistula Secondary to Pancreatitis

Case Report

Electrocardiographic Changes Associated With Multiple Yellow Jacket Stings

Case Report

Myospherulosis

Case Report

Persistent Tracheal Dilatation Onset After Brief Mechanical Ventilation With a “Soft&hyphen;Cuff Endotracheal Tube

Case Report

Ureteral Obstruction Caused by Malacoplakia of the Bladder Over the Ureteral Orifice

Case Report

Sickle Cell Anemia in the Neonatal Period

Case Report

Intravenous Metronidazole Therapy for Bacteroides fragilis Meningitis

Article

Hemorrhage as a Complication of Dipyridamole Therapy

Article

Chest Wall Mass Mimicking Pulmonary Tumor

Article

Identification of Cytomegalovirus in Bone Marrow Biopsy

Article

Primary Anorexia Nervosa in an Adolescent Male

Article

Four Primary&comma; Malignant&comma; Random Neoplasms in One Patient

Article

Hemangioma of the Ovary in an 81&hyphen;Year-Old Woman

Article

Septic Arthritis After Ureteroneocystostomy

Article

Disseminated Intravascular Coagulation in Sickle Cell Crisis

Letter to the Editor

Closing the Lid on Crapper

Letter to the Editor

To the Editor

Letter to the Editor

Treatment of Short Bowel Syndrome

Letter to the Editor

Surgery for Morbid Obesity

Letter to the Editor

GENERAL ANOUNCEMENTS

Article

Sense From Thought Divided