Issue - Southern Medical Association

Editorial

GOOD COMPANY

Editorial

AUTHORS TAKE NOTE

Acknowledgement

ACKNOWLEDGMENT

Primary Article

Vascular Reconstruction in the Octogenarian

The octogenarian has usually been considered too old to have resection of a 6 cm abdominal aortic aneurysm, which is as life-threatening as a carcinoma of the colon. Other vascular lesions can also be a threat to the mobility of the elderly person. Our approach to debilitating lesions such as…

Primary Article

Thoracic Aortic Rupture in Patients With Multisystem Injuries

This report attempts to delineate management priorities in patients with thoracic aortic tears and severe multisystem trauma. Nineteen patients with a mean age of 40 years were treated after motor vehicle accidents. An average of five major systems were injured and the majority of patients sustained head injury, severe intra-abdominal…

Primary Article

Natural History of the Retained Surgical Sponge

Retained surgical sponge is an infrequently reported condition that may be recognized incidentally during the early postoperative period, produce serious complications, or remain dormant for years. Clinical manifestations of the retained surgical sponge are a function of bacterial contamination and of the location of the sponge within the body cavity….

Primary Article

Hormonal Status of Patients With Primary Malignant Melanoma A Review of 313 Cases

We studied 313 patients with a confirmed diagnosis of primary malignant melanoma who presented to The University of Texas System Cancer Center between 1976 and 1980, to determine the relationship of endocrine status to the presentation of this tumor. There were 171 women and 142 men, a ratio of 1.20:1….

Primary Article

Pulmonary Sclerosing Hemangioma Sometimes a Form of Pulmonary Hamartoma

Previous light and electron microscopic examinations of sclerosing hemangiomas of the lung have raised questions regarding their varying microscopic patterns and cells of origin. We describe two additional cases: one studied by light microscopy revealed the classic pattern of a sclerosing hemangioma of endothelial origin, and a second, studied by…

Primary Article

Results of Radiotherapy for Stage I and II Hodgkins Disease

Fifty-six patients with pathologically staged I and II (A and B) Hodgkins disease were treated with radiation therapy. Three-year relapse-free survival, total survival, and complications were analyzed. Chemotherapy was valuable as rescue treatment and as part of the initial treatment in patients with stage IIB disease. Complications were minimal.

Primary Article

Antrochoanal Polyps

Inflammatory polyps that arise in the maxillary antra may extend into the nasal cavity and result in nasal obstruction. In some instances a combination of roentgenographic findings is helpful in diagnosis. This combination includes diminished aeration of the involved maxillary antrum, expansion of the antrum, and a soft tissue mass…

Primary Article

Multiple Cholesterol Emboli Syndrome

Of four patients with the syndrome of multiple cholesterol emboli (MCES), three had acute renal failure. One patient recovered stable renal function. A radiocontrast study preceded three of the cases. All four patients exhibited the “purple toe” livido reticularis syndrome. Three had a previously unreported finding—necrosis of the scrotum and…

Primary Article

Mechanical Bull Syndrome

Although the mechanical bull was originally designed to train cowboys for the rodeo, nearly 1,000 of these machines are in use in night clubs and amusement parks throughout the United States. We have treated 84 mechanical-bull-related injuries in our institution, the most common to the groin and the lower extremity…

Primary Article

Incentive Spirometer for Bedside Studies

We evaluated an incentive spirometer (IS) for monitoring changes in lung function in hospitalized patients. Accuracy and reproducibility of IS measurements of known volumes were adequate (r = 0.87). Flow dependency was demonstrated but was not significant in the clinically useful range. Reproducibility of IS measurements in five normal subjects…

Primary Article

Systemic Vasopressin Therapy for Mallory-Weiss Bleeding

Over a period of one year, five of 101 patients admitted to our center because of upper gastrointestinal bleeding were found to have a Mallory-Weiss tear. This condition usually responds to conservative management. Torrential bleeding necessitating surgery is uncommon. Three of the patients, reported here, bled torrentially and were considered…

Primary Article

New Perspectives on Coronary Artery Disease in Hemodialysis Patients

Between July 1, 1979, and July 1, 1980, we treated 64 patients with long-term maintenance hemodialysis. Of these, 11 (17%) had angina pectoris, four of them (6%) chronic stable angina and seven (11%) new onset of crescendo angina. The most common risk factors in the group with unstable angina were…

Primary Article

Critical Care Medicine in a Private Hospital

Technologic advances in the past ten years, coupled with the advent of a new specialty of critical care medicine, have made it possible for patients to survive major surgical procedures and critical illnesses which, ten years ago, would have resulted in certain death. In 1979, a group of emergency physicians,…

Errata

Correction

Primary Article

Automated Neonatal Hearing Test in a Community Hospital

A program to screen the hearing of newborn infants in a community hospital was instituted over a two-year period to determine if an automated program could function compatibly with a normal newborn nursery routine and still yield data as accurate as those reported in large-scale investigations done in academic medical…

Primary Article

Posttraumatic Stress Disorder in Vietnam Veterans A Review

Primary care physicians may encounter patients having posttraumatic stress disorder (PTSD) related to combat experience before they come to the attention of the mental health system. Specific criteria for making the diagnosis of PTSD are now available. Effective psychiatric treatment, particularly group therapy and pharmacotherapy, is now available. Posttraumatic stress…

Primary Article

Dementia The Search for Treatable Causes

Of 100 consecutive cases of dementia, 23 were found to be of treatable or reversible causes. Many of these patients had been labeled as having “senile dementia” and some were en route to chronic care facilities. The implications of overlooking a treatable cause of dementia are obvious but cannot be…

Primary Article

Elevation of Serum Amylase Levels After Narcotic Administration

Hyperamylasemia after narcotic administration is found in some patients. To determine the source of the amylase, serum isoamylases were separated by column chromatography in a group of patients with response to a Prostigmin-morphine challenge. The increment of amylase activity was pancreatic amylase.

Review Article

Clonidine Hydrochloride

Clonidine hydrochloride (Catapres), a potent antihypertensive agent, has been in clinical use since 1974 in the United States. Clonidine, an α-adrenergic receptor agonist, stimulates central alpha receptors in the depressor site of the vasomotor center of the medulla oblongata and hypothalamus, which diminishes efferent sympathetic tone to the heart, kidneys,…

Current Concepts

Pediatric Transfusion Considerations by Age and Blood Component

Transfusion in the pediatric age group requires careful consideration of the patients weight and age because of potential problems with intravascular volume and difficulty with administration of the blood product. Different age groups have varied disease processes that require specific blood components. A correct diagnosis is essential for their proper…

Grand Rounds

Saturday Conference Steroid withdrawal Syndromes

Case Report

Haemophilus influenzae Implicated in Puerperal Infection

Case Report

Haemophilus influenzae Infection of an Existing Lung Cyst

Case Report

Lithium Intoxication and Its Clinical Management

Case Report

Hyperthyroid-induced Urticaria

Case Report

Eosinophilic Gastroenteritis

Case Report

Multiple Arterial and Venous Thromboemboli in a Man With Chronic Myelogenous Leukemia and Occult Metastatic Breast Carcinoma The Significance of Thrombocythemia

Case Report

Sudden Death in a Young Adult With Anomalous Origin of the Posterior Circumflex Artery

Case Report

Neonatal Coronary Thrombosis

Case Report

Gastrobronchial Fistula 36 Years After Thoracic Trauma

Case Report

Invasive Disease Due to Nontypable Haemophilus influenzae in Children

Its virulence factors, immune responses, and sites of isolation characterize nontypable Haemophilus influenzae as a pathogen of mucosal surfaces which rarely causes invasive disease. We isolated nontypable H influenzae in pure culture from thoracentesis fluid in a child with pneumonia. An extensive review of the literature in which serotyping of…

Case Report

Miliary Tuberculosis Concurrent With Busulfan Lung

Case Report

Ovarian Remnant Syndrome

Case Report

Pyarthrosis Simulating Ruptured Rotator Cuff Syndrome

Case Report

Fungus Ball of the Sphenoidal Sinus in an Immunocompetent Host

Case Report

Secretory Diarrhea in Ulcerative Colitis

Case Report

Treatment of Refractory Hypophosphatemia

Breif Report

Clindamycin-induced Cardiac Arrest

Breif Report

Meningitis Caused by Streptococcus equisimilis (Group C)

Breif Report

Aortoesophageal Fistula

Breif Report

Cure of Anaerobic Brain Abscess With Minimal Surgical Intervention

Breif Report

Acute Leukemia as a Transformation After Polycythemia Vera

Breif Report

Gouty Mammary Tophus

Letter to the Editor

Postsplenectomy Sepsis From an Unperforated Appendix

Letter to the Editor

Fecal Impaction Due to Bubble Gum Bezoar