Issue - Southern Medical Association

Editorial

STULTIFICATION THROUGH GADGETRY

Editorial

INSTITUTIONAL COMMITMENT TO DIABETES CARE

Editorial

GENERAL ANNOUNCEMENT

Primary Article

Bromptons Mixture in Alleviating Pain of Terminal Neoplastic Disease Preliminary Result

We conducted a one-year preliminary study on 107 patients in a hospice for incurable cancer to assess the efficacy of a modified Bromptons Mixture (an oral analgesic solution) in alleviating intractable pain. The results presented indicate that in patients who can tolerate oral medication, the present formulation can be used…

Primary Article

Thalamic Stimulation in the Control of Pain

Primary Article

Caudal Block Cost Effective Primary Treatment for Back Pain

Therapeutic caudal block was applied as primary treatment to 81 consecutive patients. The 26 who were completely relieved of symptoms were older, were predominantly women, and usually had had no previous surgery. Multiple blocks were required in some, but there were no complications. Because considerable financial benefit accrued to the…

Primary Article

Hemolytic Streptococci in Nashville School Children

Incidence and prevalence of hemolytic and group A streptococci were determined for 3,479 school children in Nashville, Tennessee from 1953–1954 through 1973–1974 inclusive. Of 53,827 throat cultures, 17.98% were positive for hemolytic streptococci and 12.87% for group A; 26.19% of group A strains were typable. Types 6, 1, 12, 4,…

Primary Article

Sparganosis Clinical and Pathologic Observations in Ten Cases

Sparganosis is an infection, usually of subcutaneous tissues, caused by the larva of a tapeworm of the genus Spirometra. Approximately 55 cases have been reported in this country, almost exclusively from the Southeastern states. We report an additional ten cases, all of which presented as a single subcutaneous mass. Questionnaires…

Primary Article

Fluoridation A Clinicians Experience

In 1954 I described a case of chronic fluoride poisoning from artificially fluoridated water, in which the patient exhibited a multisymptomatic clinical picture without noticeable skeletal changes. Subsequently, others and I have confirmed this “nonskeletal phase” of the disease from fluoride in water and in air (in workers in fluoride-emitting…

Primary Article

Effect of Diabetes Upon Penile Sympathetic Nerves in Impotent Patients

Samples of erectile tissue taken from the corpora cavernosa of 16 male diabetic patients suffering from impotence were studied. The content of norepinephrine, which reflects sympathetic nerve activity of that tissue, was significantly lower in insulin-dependent patients 104.2 ± 24.8 (SE) pg/mg wet weight (P < .001) and diet-controlled patients…

Primary Article

Small-Carrion Penile Prosthesis for the Management of Diabetic Impotence

Of 128 patients who had insertion of a Small-Carrion prosthesis, 36 were diabetic. The insertion of a penile prosthesis in diabetic patients proved to be safe, without increased incidence of infection or rejection of the prosthesis, provided diabetes is under good control before operation. Cystoscopy’ and cystometrogram are necessary to…

Primary Article

Roentgenographic Changes During Long-term Diphenylhydantoin Therapy

Diphenylhydantoin (Dilantin) is a well known anticonvulsant with well documented effectiveness. The complications, unfortunately, are multiple and well recognized clinically. This paper deals with the roentgenographic changes encountered in long-term diphenylhydantoin use. Some of these changes, which are not clinically readily apparent, may alert unwary physicians in the recognition of…

Primary Article

Falciform Ligament Varieties of Imaging Experience

The falciform ligament is commonly imaged by various modalities available to most radiologists. When displayed, its diagnostic value is limited, but knowledge of its appearance as encountered on different examinations is useful, lest pathologic significance be applied to its appearance.

Primary Article

Acute Calcific Quadriceps Tendinitis

Acute calcific quadriceps tendinitis can be the cause of acute periarthritis of the knee. Physical examination can detect cellulitis and a tender tendon sheath. Lateral roentgenograms of soft tissues show thickening of the tendon and sometimes small flecks of amorphous calcification within the body of the tendon near the attachment….

Primary Article

Spontaneous Perforation of the Colon

We describe the clinical presentation and surgical and pathologic findings in seven cases of spontaneous perforation of the colon. The dominant categories found were (1) rupture, usually at the cecum, associated with paralytic ileus, and (2) an idiopathic variety, invariably at the sigmoid. Though the onset of cecal rupture in…

Primary Article

Technical Complications of Ileostomy

A review of 45 patients with ileostomy revealed a complication rate of 24%. A higher incidence of complications was seen in those patients who were obese (80%), who had chronic ulcerative colitis (45%), or who had an emergency ileostomy because of a surgical complication (50%). Strict attention to technic should…

Primary Article

Hemodynamics During Diazepam Induction of Anesthesia for Coronary Artery Bypass Grafting

The hemodynamics during induction of anesthesia were studied in ten patients with ischemic heart disease about to have coronary artery bypass grafting. Intravenous diazepam, 0.5 mg/kg (with 50% N2O in oxygen inspired and pancuronium IV), was used to induce anesthesia. Compared to awake baseline, induction caused statistically significant decreases in…

Primary Article

Unexplained Conductive Hearing Loss

We report a series of unusual clinical cases which exhibit what we have referred to as unexplained conductive hearing loss. Audiometrically, these cases typically display mild to moderate conductive or mixed-type hearing loss and good word discrimination (80% to 100%). The otologic evaluations also lend support to the audiometric findings….

Primary Article

Life Events, Psychiatric Screening, and Psychosomatic Illness

The General Health Questionnaire (GHQ) and the Schedule of Recent Events (SRE) were administered to a consecutive series of referrals to a general hospital psychiatric consultation service. Control groups of psychiatric and medical inpatients matched for age and sex were also evaluated. Significantly greater life change was found in the…

Primary Article

Left Ventricular Function in Sickle Cell Anemia A Noninvasive Evaluation

There is controversy in the medical literature regarding the significance of “sickle cell cardiomyopathy.” In an attempt to clarify this, we studied 14 patients with sickle cell anemia (age range 16 to 36 years) using simultaneous echocardiography and phonocardiography. The values of systolic time intervals and echocardiographic indices of left…

Primary Article

Free Plasma DNA in Patients With Pulmonary Embolism

Plasma samples from 46 patients with suspected pulmonary embolism and 25 patients with suspected acute myocardial infarction were analyzed for DNA by counterimmunoelectrophoresis (CIE). Anti-DNA serum was obtained from a patient with systemic lupus erythematosus who had a high titer of anti-DNA antibodies. Seven of eight patients (88%) with high…

Primary Article

Conservation Surgery of the Larynx

The goal of conservation surgery of the larynx is to maintain the protective, respiratory, and phonatory function of that organ while completely removing the malignant disease. Thirty-two patients with endolaryngeal invasive squamous cell carcinoma treated by this method between 1958 and 1967 are evaluated. Our cure rate of 91% by…

Primary Article

Overnight Refrigeration of Urine Specimens for Culture

Some authorities state that urine may be refrigerated overnight and still be satisfactory for quantitative bacteriologic evaluation. The papers cited appear to us to be inadequate. Four hundred and fourteen urine cultures were evaluated comparing colony count before and after overnight refrigeration. Overnight refrigeration appears to be a satisfactory means…

Review Article

Farmers Lung Industrial Hazard for Rural Inhabitants

Current Concepts

Hypnosis as an Adjunct in Management of Pain

Hypnosis in the management of intractable pain is a valuable but frequently overlooked tool for the practicing physician. Two cases are presented which illustrate some of the benefits and limitations of hypnosis in pain management. Hypnosis is most effective when the patient is motivated, and pain is a strong motivating…

Article

Writing and Technology

Our Medical Heritage

Waring Historical Library

Case Report

Digitalis Delirium A Reminder

Case Report

Jejunogastric Intussusception

Case Report

Reversible Acute Renal Failure Secondary to Acute Pyelonephritis

Case Report

Hemodialysis-Related Osteomyelitis

Case Report

Hypertensive Encephalopathy A Diagnosis of Exclusion

Case Report

Lymphocele An Unusual Mass in the Right Upper Quadrant

Case Report

Prolonged Intermittent Diarrhea After Shiga Dysentery Postdysenteric Syndrome

Case Report

Successful Medical Management of Pulmonary Phycomycosis

Case Report

Management of Two Giant Neurilemomas of the Cauda Equina

Case Report

Left Adrenal Neuroblastoma With Normal Conventional Radiologic Studies Value of Gray Scale Ultrasonography

Clinical Brief

Lack of Antiplatelet Effect of Cimetidine in Hemophiliacs

Brief Review

Plesiomonas (Aeromonas) shigelloides Septicemia and Meningitis in a Neonate

Brief Review

Recurrent Thyrotoxicosis With Painless Thyroiditis

Brief Review

Acute Septic Arthritis Caused by Neisseria meningitidis Serogroup W-135

Brief Review

Gonococcal Scalp Abscess in a Newborn

Brief Review

Gastrocolic Fistula Complicating Granulomatous Enteritis

Brief Review

Serum Transaminase Depression in a Uremic Patient With Hepatitis Caused by Mycobacterium tuberculosis

Brief Review

Chronic Myelogenous Leukemia A 22-Year Survival

Letter to the Editor

Vascular Access for Cancer Chemotherapy

Letter to the Editor

Failure of Prophylaxis for Bacterial Endocarditis American Heart Association Registry