Issue - Southern Medical Association

Editorial

STATISTICS MAY BE HAZARDOUS TO YOUR HEALTH

Editorial

WHO IS QUALIFIED TO INTERPRET ELECTROCARDIOGRAMS?

Article

Role of Perinatal Associations in the 1980s: Competitive or Cooperative?

Article

Improved Perinatal Knowledge in Community Hospitals Through a Self-Instructional Program

ABSTRACT: The Perinatal Continuing Education Program (PCEP) was conducted throughout South Carolina. The program was well received and greatly valued; however, participants requested more information covering obstetrics. To meet this need, we developed the Perinatal Education Program for Community Hospitals (PEPCH), patterned after and similar to PCEP, and tested it…

Article

Amniotic Fluid Embolism: Prophylaxis With Heparin and Aspirin

ABSTRACT: The thromboplastic activity of amniotic fluid (AF) from women in labor may be a significant factor in amniotic fluid embolism (AFE) and obstetric disseminated intravascular coagulation (DIC). Infusion of AF from women in labor into laboratory animals was found to depress the platelet count, as seen in DIC. In…

Article

Simultaneous Antepartum Testing of Twin Fetal Heart Rates

ABSTRACT: Assessment of twin gestation in the antepartum period has been a problem because most methods either fail to distinguish twins individually or require serial study over several weeks before reaching diagnostic end points. Electronic monitoring of the fetal heart rate (FHR) allows individual focus on each twin with a…

Primary Article

Painful Crises and Menstruation in Sickle Cell Disease

ABSTRACT: Fifty-two women with sickle cell disease, having genotypes of hemoglobin SS, SC, and S-thalassemia, participated in a questionnaire study pertaining to the relationship of their menses and the occurrence of painful crises. The data indicated that those patients who had sickle cell crises were significantly older and had been…

Primary Article

Intracranial Tuberculosis: Manifestations on Computerized Tomography

ABSTRACT: Intracranial tuberculosis is often insidious, may be difficult to diagnose clinically, and is neurologically devastating if untreated. The advent of computerized tomography has permitted earlier detection of the structural abnormalities associated with intracranial tuberculosis than was possible with older techniques. Correct radiologic interpretation can heighten the index of suspicion…

Primary Article

Mediastinal Tumors and Pseudotumors: Evaluation by Computerized Tomography

ABSTRACT: In this series, thorough evaluation of 250 mediastinal lesions by various diagnostic methods showed that contrast enhanced CT scans of the mediastinum were superior to other modalities in differentiation and precise localization of the various types of lesions. Such superior evaluation may have a profound effect on the management…

Errata

Correction

Primary Article

Psychiatric Disorders in Geriatric Medical/Surgical Patients Part II: Review of Clinical Experience in Consultation

ABSTRACT: Of a consecutive series of 1,000 psychiatric consultation requests, 195 were for patients 60 years of age or older. The most frequent psychiatric diagnoses assigned by the consultant were organic psychiatric and depressive spectrum disorders. This communication reviews frequently encountered syndromes and the other major clinical issues relevant to…

Primary Article

Medical Consequences of Eating Disorders

ABSTRACT: While much has appeared in the recent literature about various psychotherapeutic techniques used to treat eating disorders, little attention has been paid to the medical complications. Prominent among these are heart damage, failure of the endocrine system, infarction and perforation of the stomach after acute dilatation, multiple suicide attempts,…

Primary Article

Proper Management of Renal Artery Injury From Blunt Trauma

ABSTRACT: Blunt trauma to renal arteries often receives suboptimal management because of delayed diagnosis, incomplete preoperative evaluation, associated injuries, or unknown functional capacity of the contralateral kidney. We propose a rational treatment plan from an analysis of our three cases and a review of 118 cases. Two thirds of the…

Primary Article

Spigelian Hernia: Uncommon or Unrecognized?

ABSTRACT: Spigelian hernia may be a more common clinical entity than previously recognized or reported. We report seven cases, four diagnosed and treated in the past 12 months at a large military hospital. Diagnosis can be difficult because of failure to consider it, incomplete understanding of the anatomy, and the…

Primary Article

Syndactyly Reconstruction by a Modified Cronin Method

ABSTRACT: In 11 patients (1 to 28 years of age) having elective surgical release of congenital or burn syndactyly in 1982-1983, we used the modified Cronin method of web reconstruction with double opposing, inverted V-shaped flaps and full-thickness skin grafts. Postoperatively, the hands were splinted for three weeks, at which…

Primary Article

Infected Abdominal Aortic Aneurysm

ABSTRACT: In the surgical literature, 37 survivors of infected abdominal aortic aneurysmorrhaphy have been reported. The diagnosis is suspected if a patient with fever, leukocytosis, and abdominal pain is noted on physical examination to have a pulsatile abdominal mass. Confirmation is best obtained with computerized tomography and angiography. We used…

Primary Article

Effect of Alterations of Pleural Pressure on Cardiac Output

ABSTRACT: Cardiac output is determined by the interaction of cardiac pump function and the mechanical properties of the peripheral circulation that govern venous return. Increasing pleural pressure impedes peripheral venous return but aids cardiac ejection; on the other hand, decreasing pleural pressure can augment venous return but impedes the emptying…

Primary Article

Intracranial Complications of Ear Disease in a Pediatric Population With Special Emphasis on Subdural Effusion and Empyema

ABSTRACT: Between the years 1963 to 1982, 84 consecutive cases of intracranial complications of ear disease in pediatric patients were diagnosed and treated at the North Carolina Baptist Hospital. This group consisted of 65 patients with otitic meningitis, four with otitic brain abscess, four with otitic hydrocephalus, three with lateral…

Primary Article

Childhood Sarcoidosis in Arkansas

ABSTRACT: Sarcoidosis, a granulomatous disease of unknown etiology, is most often seen in young adults. Childhood cases have been reported primarily from Virginia, North Carolina, and South Carolina. Thirty children have been seen in Arkansas between 1957 and 1982, which suggests that the endemic area for childhood sarcoidosis should include…

Primary Article

Clostridial Sepsis: Unusual Clinical Presentations

ABSTRACT: We present four cases exhibiting the widely diverse nature of clinical infections due to anaerobic Clostridium perfringens. These cases exemplify the need for a thorough initial physical examination, immediate Gram staining of fluid from involved tissue, and recognition of the severity of the disease in any patient who has…

Primary Article

Patient-Physician Communication and Interaction: A Unifying Approach to the Difficult Patient

ABSTRACT: Many difficult patients encountered by the primary care physician may be understood in terms of severe unmet dependency needs. These patients often evoke negative feelings on the part of physicians. A mutual participation approach to the patient-physician relationship is a means of providing effective care for these patients, at…

Review Article

Relapsing Polychondritis

ABSTRACT: Relapsing polychondritis is an uncommon disease consisting of inflammation of the eyes, inner ears, cardiovascular system, and cartilaginous portions of the joints, respiratory tract, and external ear. Cutaneous manifestations are the presenting feature in more than 50% of patients. These usually consist of erythema, swelling, and pain, reflecting involvement…

Current Concepts

Reflux Esophagitis: An Update

ABSTRACT: In recent years, much has been learned about the pathogenesis, diagnosis, and treatment of gastroesophageal (GE) reflux disease. Mucosal resistance, gastric contents, esophageal acid clearance, gastric emptying, and incompetency of the lower esophageal sphincter are contributing factors to GE reflux. Use of the various diagnostic tests and an overview…

Our Medical Heritage

Medical Consequences of the Earthquake of 1886 in Charleston, South Carolina

Case Report

Choledochal Cyst Complicating a Twin Gestation

Case Report

Isolated Nodular Pulmonary Amyloidosis: Diagnosis by Percutaneous Needle Aspiration Biopsy

Case Report

Congenital Complete Heart Block With Maternal Primary Sjögrens Syndrome

Case Report

Successful Medical Treatment of Pulmonary Petriellidiosis

Case Report

Dissecting Retropharyngeal Abscess Due to Fusobacterium necrophorum in an Adult

Case Report

Coexisting Adenocarcinoma and Cystadenofibroma (Malignant Cystadenofibroma) of the Ovary

Case Report

Mexiletine Therapy for Ventricular Tachycardia

Case Report

Wuchereria bancrofti in a Haitian Immigrant

Breif Report

Bilateral Simultaneous Spontaneous Rupture of Quadriceps Tendons in a Diabetic Patient

Breif Report

Angiokeratoma: A Cause of Scrotal Bleeding

Breif Report

Coagulopathy and Hemorrhage Associated With Cefoperazone Therapy in a Patient With Renal Failure

Breif Report

Acute Oliguric Renal Failure Due to Ibuprofen Overdose

Letter to the Editor

Drinking in America

Abstract

Drinking in America Reply

Letter to the Editor

EDITORS NOTE

Letter to the Editor

Cefoxitin: Another Porter-Silber Chromogen