Issue - Southern Medical Association

Editorial

MD, MBA

Acknowledgement

ACKNOWLEDGMENT

Primary Article

Life-Style Factors Among Patients With Melanoma

ABSTRACT: For the period 1975 to 1980, melanoma incidence in persons 10 through 49 years of age in a southwest Georgia town was significantly increased compared with US rates (expected = 9; observed = 41) and Atlanta rates (expected = 13; observed = 41), We surveyed 36 white patients with…

Primary Article

Primary Gastrointestinal Lymphoma

ABSTRACT: We studied 56 patients with primary gastrointestinal lymphoma to determine the manifestations, diagnostic and treatment methods, and patient outcomes. We identified 27 cases of primary gastric lymphoma and 29 cases of lymphoma involving the remainder of the gastrointestinal tract. Initial symptoms were nonspecific and included abdominal pain, weight loss,…

Primary Article

Delusions of Parasitosis: Differential Diagnosis and Treatment

ABSTRACT: Delusions of parasitosis, or a patients persistent belief that he has cutaneous invasion by parasites despite medical evidence to the contrary, is an uncommon syndrome associated with a wide variety of medical and psychiatric disorders. Its prognosis has been improved considerably by the introduction of pimozide, a potent neuroleptic…

Primary Article

Briquets Syndrome in Adolescence

ABSTRACT: Briquets syndrome, originally described more than 100 years ago, has recently become a subject of concern for physicians who work with adolescents. It is a chronic disorder that primarily affects women, is characterized by many symptoms involving a number of organ systems, and usually has a frustrating clinical course….

Primary Article

Angina After Aortocoronary Bypass Grafting Combined Medical Therapy Including Nifedipine

ABSTRACT: A second coronary artery revascularization procedure often yields poor results. Nifedipine, a calcium antagonist, was added to the current medical therapy consisting of maximal doses of beta blockers and nitrates in a group of 18 patients who had had one revascularization procedure and subsequently had class 3 and 4…

Primary Article

Preoperative Skeletal Traction in Legg-Perthes Disease

ABSTRACT: In four of 11 patients with Legg-Perthes disease for which a varus femoral osteotomy was planned, routine split Russell traction failed to produce complete preoperative containment. Preoperative skeletal traction was used to distract the joint, displace the extruded lateral physis below the acetabular margin, and then reintroduce the femoral…

Primary Article

Long Bone Defects Treated With Demineralized Bone

ABSTRACT: This study was undertaken to determine the potential of demineralized bone alloimplant (DBA) for healing long bone defects. We removed 25 mm of bone from the junction of the proximal and middle thirds of both ulnas in seven adult male mongrel dogs. On one side of each animal the…

Primary Article

Learning Arthroscopy

ABSTRACT: Problems have been uncovered in learning arthroscopy at the resident level or for the beginner at any level of orthopedic practice. The problems are varied, and are not all present in the same individual. This study delineates problems involving vision impairments, depth perception, spatial recognition, speed of accommodation, and…

Primary Article

Sucralfate in the Relief of Gastrointestinal Symptoms Associated With Nonsteroidal Anti-inflammatory Drugs

ABSTRACT: Sucralfate is an unabsorbed antiulcer drug that binds to gastrointestinal tissue and protects it from acid and pepsin. Twenty-two arthritic patients taking nonsteroidal anti-inflammatory drugs (NSAIDs) were given sucralfate concomitantly for two weeks in an attempt to lessen gastrointestinal side effects. Changes from baseline in abdominal discomfort were assessed…

Primary Article

Diabetic Ketoacidosis: Outcome in a Community Hospital

ABSTRACT: The mortality among patients with diabetic ketoacidosis (DKA) has been reported to be as high as 5 % to 15 %.1 To determine the outcome of DKA, we reviewed the charts of all patients admitted to one of our community affiliated hospitals for the period of January 1979 to…

Primary Article

Fetal Chromosome Analysis in Virginia: Results and Complications of 2,288 Cases

ABSTRACT: In reviewing the results and complications of 2,288 consecutive fetal chromosome analyses at the Medical College of Virginia, we found that 48 abnormal fetuses (2.1%) were detected, with age-specific and indication-specific incidences of particular abnormalities (such as Downs syndrome and structural rearrangement) similar to those found in other large…

Primary Article

Educational and Exercise Programs for Asthmatic Children

ABSTRACT: We designed programs to teach appropriate exercises to asthmatic children and to educate their parents about their special needs. Each of 11 programs over a sixyear period included a weekly two-hour session for four weeks. Lectures for parents dealt with the etiology and precipitating events of asthma, environmental control…

Primary Article

Hepatic Resection in Cirrhotic Patients

ABSTRACT: Cirrhotic patients are at increased risk for the development of hepatocellular carcinoma, and surgical resection of the involved liver represents the only effective mode of therapy. The presence of cirrhosis significantly complicates hepatic resection. We describe the clinical course of a patient with ruptured hepatoma localized to the lateral…

Primary Article

Palatal Insufficiency: A Surgical Technique for Reconstruction

ABSTRACT: Nasal regurgitation and hypernasality are the major complications after extirpation of the soft palate, retromolar trigone, and tonsillar areas. The surgical procedure described herein provides satisfactory correction of the defect. The combined approach of advancement-rotation palatoplasty and an advanced lateral pharyngeal wall flap appears to be an alternative solution…

Primary Article

Empty Right Iliac Fossa

ABSTRACT: In the diagnosis of intra-abdominal disease, absence of gas or fecal shadows from the right iliac fossa is an important but nonspecific finding on plain roentgenograms. We found the empty right iliac fossa most commonly associated with acute appendicitis, Crohns disease, and carcinoma of the cecum. Retrospective analysis of…

Primary Article

Cephalosporins for Surgical Prophylaxis Computer Projections of Intraoperative Availability

ABSTRACT: Cephalosporin antibiotics are the most frequently used agents for surgical prophylaxis. Within this class are considerable pharmacokinetic variations that could have significant implications. We used a computer simulation of cephalosporin serum levels to describe concentrations achieved and maintained intraoperatively when the agents are given intravenously “on call” to the…

Primary Article

Microsurgical Vasovasostomy for Reversal of Elective Bilateral Segmental Vasectomy

ABSTRACT:Microsurgical vasovasostomy for the reversal of elective bilateral segmental vasectomy (vasectomy, vas ligation) was done in 57 patients (61 operations) between May 1977 and March 1984. The length of time between elective segmental vasectomy and subsequent vasovasostomy ranged from 12 to 216 months; the longest period between vasectomy and vasovasostomy…

Book review

Books Reveived

Primary Article

Inability of Awake Patients to Correctly Locate a Cough Stimulus

ABSTRACT: To determine whether patients can accurately identify the lung in which a cough reflex originates, a unilateral cough stimulus was administered to 67 patients during fiberoptic bronchoscopy. Although the stimulus produced a vigorous cough reflex in all subjects, 51 of 67 individuals were unable to identify the side stimulated….

Review Article

Isolated Systolic Hypertension: How Common? How Risky?

Article

Dietary Control of Diabetes: Reality or Myth?

ABSTRACT: Recognition of the condition of diabetes mellitus and speculation as to its dietary treatment spans the period from its earliest mention in the Papyrus Ebers, before Christ, to the most recent publication of the American Diabetes Association. The relationship of carbohydrates to protein, fats, and total calories has consistently…

Case Report

Response to Aminoglutethimide After Failure of Tamoxifen Therapy in Breast Cancer

Case Report

Unilateral Adrenal Hemorrhage: An Unusual Presentation

Case Report

Left Atrial Myxoma and Atrial Septal Defect With Recurrent Pulmonary Emboli

Case Report

Dopamine- and Norepinephrine-Secreting Intrapericardial Pheochromocytoma in a Normotensive Patient

Case Report

Therapeutic Indications in Carbamazepine Overdose

Case Report

Potentially Toxic Theophylline Ingestions: Are Heroic Measures Indicated?

Case Report

False Diagnosis of Persistent Fetal Circulation Caused by Misplacement of Umbilical Artery Catheter

Case Report

Macrocystic Peritoneal Mesothelioma

Case Report

Seeding of Malignant Lymphoma Along the Tract After Bone Marrow Biopsy

Clinical Brief

Home Ventilator Dependence After High Cervical Cord Injury

ABSTRACT: Home ventilator support, though somewhat unorthodox, is economically desirable and is now technically feasible. Close cooperation between public health providers, ventilator suppliers, and the family physician, as well as strong patient and family compliance, is essential for success in maintaining a ventilator-dependent patient at home.

Breif Report

Toxic Eye Injury During Induction of Anesthesia

Breif Report

Child Abuse Manifested as Factitious Apnea

Breif Report

Intrauterine and Ectopic Pregnancies After a Tubal Ligation With Documented Tubal Occlusion

Breif Report

Suspected Interaction: Warfarin and Erythromycin

Breif Report

Soft Tissue Abscess Caused by Torulopsis glabrata and Lactobacillus

Breif Report

Persistent Chest Pain Due to Sternal Wire Sutures: A Complication of Coronary Artery Bypass Surgery

Breif Report

Infectious Endocarditis Caused by Cardiobacterium hominis

Breif Report

Branhamella catarrhalis Endocarditis in a Patient Receiving Hemodialysis

Breif Report

Aortic Valve Endocarditis Due to Salmonella enteritidis

Letter to the Editor

Variceal Hemorrhage

Abstract

Variceal Hemorrhage Reply

Letter to the Editor

Surgical Specialty Training

Abstract

Surgical Specialty Training Reply

Letter to the Editor

The Internship Year

Abstract

The Internship Year Reply