Issue - Southern Medical Association

Editorial

IN PURSUIT OF THE ART

Editorial

CONSIDERING A MEDICAL CAREER

Primary Article

Exercise, High-Density Lipoprotein-Cholesterol, and Cardiorespiratory Function in Climacteric Women

ABSTRACT: Fifty healthy women between the ages of 40 and 65 participated in a 12-week program of exercise, discussion sessions, or both. Levels of serum cholesterol, triglycerides, total high-density lipoprotein (HDL), HDL-cholesterol, and HDL-2b were monitored at baseline and at six and 12 weeks. Cardiorespiratory function was assessed at baseline…

Primary Article

Thyrotropin-Releasing Hormone Tests in an Outpatient Clinic

ABSTRACT: Measurement of thyroid-stimulating hormone (TSH) levels in various timed blood samples after administration of thyrotropin-releasing hormone (TRH) has become a standard part of the diagnostic armamentarium for suspected thyroid disease. We reviewed the records of 165 patients who received TRH tests in an endocrinology outpatient clinic to assess the…

Primary Article

Penetrating Wounds of the Pelvis

ABSTRACT: While penetrating wounds of the abdomen may selectively be managed conservatively in the absence of clinical signs or symptoms, we believe that in similar injuries of the pelvic area, exploration is mandatory. Regardless of their clinical presentation, 38 consecutive patients with penetrating injury to the pelvis had exploration, which…

Primary Article

Pulmonary Hemodynamics in Systemic Hypertension

ABSTRACT: We reviewed cardiac catheterization data and the medical records of 30 patients with systemic hypertension to establish their pulmonary hemodynamic profiles and the relationship between certain clinical and demographic variables and increased pulmonary vascular resistance. Mean systemic arterial pressure ranged from 110 to 210 mm Hg, and systemic vascular…

Primary Article

Thymic Epithelial Neoplasms

ABSTRACT: We studied 57 tumors of the thymus seen at Vanderbilt University Medical Center between 1957 and 1982. By applying current diagnostic criteria, the classification of 13 tumors was changed. There were 45 epithelial tumors of thymus, including 32 thymomas, two thymic carcinomas, eight carcinoids, and three germinomas. The gross…

Primary Article

Neurofibromas of the Head and Neck

ABSTRACT: Ten patients ranging in age from 7 to 47 years have been treated for neurofibromas of the head and neck at Vanderbilt University Hospital during the last 14 years. Three of them had a positive family history of von Recklinghausens disease; none has developed malignant degeneration. Serial subtotal excisions…

Primary Article

Large Opaque Hemithorax Due to Cardiomegaly and Atelectasis

ABSTRACT: We studied the clinical and radiologic features of five infants with a large opaque left hemithorax due to the combination of cardiomegaly and atelectasis. The causes of cardiomegaly were cardiomyopathy (two patients), congestive heart failure due to fluid overload, congenital mitral insufficiency, and idiopathic hypertrophic subaortic stenosis. In all…

Primary Article

24-Hour Ambulatory Manometry in Diagnosis of Esophageal Motor Disorders Causing Chest Pain

ABSTRACT: The clinical diagnosis of motor disorders of the esophagus leading to chest pain usually lacks documentation by manometry despite the use of sophisticated equipment as well as pharmacologic manipulation. We have developed an ambulatory manometry system that allows us to monitor motility in the esophagus on an outpatient basis…

Primary Article

Maintaining Body Temperature During Anesthesia With a Servo-Controlled Heated Humidifier

ABSTRACT: The Conchatherm III is a servo-controlled, easily assembled heated humidifier. We studied its effectiveness in preventing intraoperative fall in temperature in both pediatric and adult surgical patients. Despite operating room temperatures lower than 69.8 F (21 C), rectal temperature was well maintained at normal in both adults and children….

Primary Article

Evaluation of Ranitidine as an Oral Antacid in Outpatient Anesthesia

ABSTRACT: We studied the effects of preanesthetic ranitidine on gastric contents in 60 outpatients scheduled for elective surgery, with random allocation into three groups of 20 patients each. Patients in group 1 did not receive ranitidine and served as controls. Patients in groups 2 and 3 received ranitidine orally, 150…

Primary Article

Myotonic Dystrophy: Obstetric and Neonatal Complications

ABSTRACT: Myotonic dystrophy is a relatively common disorder. Since the clinical expression is highly variable, diagnosis is often made only after the birth of an infant with severe congenital myotonic dystrophy. Seven such cases are described. A history of obstetric complications was present in the six multiparous mothers. Neither the…

Primary Article

Inappropriate Admissions to Psychiatric Wards

ABSTRACT: Our seven clinical vignettes illustrate different mechanisms of inappropriate admissions to psychiatric wards and the circumstances and outcome of such admissions, with emphasis on the shared responsibility of psychiatric and nonpsychiatric physicians, the financial consequences, and the implications of such admissions on the professions public image. Inappropriate admissions create…

Primary Article

Acutely Psychotic Patients: A Treatment Approach

ABSTRACT: Treating acute psychosis by rapidly producing a neuroleptic state is safe and effective. Getting psychotic patients quickly out of the hospital, keeping them out, and enabling them to function maximally are the treatment goals. Many such patients respond to a trial of lithium therapy; responders are usually better able…

Primary Article

Preparation for Barium Enema: Comparison of a Commercial Formula Diet and Low-Residue, Clear-Liquid Diets in Inpatients

ABSTRACT: The barium enema examination is the most frequently done initial diagnostic evaluation for disease of the lower gastrointestinal tract. Adequate preparation of the colon is essential because inadequate preparation necessitates repetition, with patient discomfort, decreased caloric intake, and increased cost. A formula diet (Ensure) has been reported as superior…

Primary Article

Effects of a Raw Food Diet on Hypertension and Obesity

ABSTRACT: We examined responses to cooked and uncooked food in 32 outpatients with essential hypertension; 28 were also overweight. By varying cooked and uncooked food percentages and salt intake, patients acted as their own control subjects in this unblinded study. After a mean duration of 6.7 months, average intake of…

Current Concepts

Advances in Treatment of Acute Upper Gastrointestinal Hemorrhage

Article

Probable Death: Perspective of the Elderly

Article

Dr. Trevelyan and Mr. Treves: Sherlock Holmes and the Elephant Man

Case Report

Adult Respiratory Distress Syndrome Due to Malignant Histiocytosis

Case Report

Leiomyoma of the Placenta

Case Report

Mycobacterium fortuitum Endocarditis After Mitral Valve Replacement With a Bovine Prosthesis

Case Report

Management of Severe Distress in a Potentially Anomalous Preterm Fetus

Case Report

Failure of Chloramphenicol and Cefotaxime Therapy in Klebsiella Meningitis: Possible Role of Antibiotic Antagonism

Case Report

Mucocutaneous Lymph Node Syndrome in an Adult, With Lymph Node Biopsy Correlation

Case Report

Renal Failure and Other Serious Sequelae of Epinephrine Toxicity in Neonates

Case Report

Colonic Lipomas: Clinical Significance and Management

Case Report

Hypercortisolism, Diarrhea With Steatorrhea, and Massive Proteinuria Due to Pheochromocytoma

Case Report

Metastatic Squamous Cell Carcinoma From the Esophagus Occurring as Small Bowel Obstruction

Clinical Brief

Visual Difficulties From Video Display Terminals

Breif Report

Acute Renal Failure and Jaundice Associated With Epstein-Barr Virus Infection

Breif Report

Rhabdomyolysis, Acute Renal Failure, and Disseminated Intravascular Coagulation in a Man With Sickle Cell Trait

Breif Report

Streptococcus milleri Endocarditis Complicated by Myocardial Abscess

Letter to the Editor

In Defense of Thyroid Ultrasonography

Letter to the Editor

Diving Accident Network (DAN)

Letter to the Editor

Significance of Polymorphonuclear Leukocytes in Traumatic Lumbar Punctures

Letter to the Editor

…And [Not] Also a Physician

Letter to the Editor

Intussusception and Glucagon

Letter to the Editor

Correction

Letter to the Editor

Tourista Rx