Issue - Southern Medical Association

Article

STATE MEDICAL ASSOCIATIONS IN THE SOUTHERN REGION ANNUAL MEETINGS

Editorial

GERIATRICS AND THE SENIOR CITIZENRY

Primary Article

Burnout and Other Stress Syndromes

ABSTRACT: Psychiatry has long recognized stress syndromes. The acute posttraumatic stress syndrome occurring in war is well known. Those occurring as a result of accidents in civilian life are less well known. Burnout is a recently described addition to this group of illnesses. The stress that is etiologic differs in…

Primary Article

Pocket Computer For Real-Time Ultrasound

ABSTRACT: Real-time ultrasound has proved to be of value in fetal age determination, but calculation and interpretation of multiple parameters is time consuming and tedious. We present a program for use with the TRS 80 PC-2 or Sharp 1500 pocket computer and printer to provide rapid results of obstetric ultrasound…

Primary Article

Preoperative Localization of Parathyroid Adenomas Using Thallium-Technetium Subtraction Scintigraphy

ABSTRACT: Primary hyperparathyroidism can be diagnosed by laboratory values, yet localization of the adenomas preoperatively has always presented difficulties. Dual isotope scintigraphy with technetium Tc 99m sodium pertechnetate and thallium Tl-201 chloride has recently been used for the localization of parathyroid adenomas. In this paper, we review our experience with…

Primary Article

Preoperative Barium Contrast Enema in Patients With Inguinal Hernia

ABSTRACT: Whether patients over age 40 should have a barium contrast enema (BCE) examination for possible identification of an unsuspected colon carcinoma before elective inguinal herniorrhaphy remains an unanswered question. We reviewed the medical records of all patients over age 40 who had inguinal herniorrhaphy at our institution between January…

Primary Article

Spectrum of Biliary Disease in Childhood

ABSTRACT: Obstructive biliary disease in childhood is not common, but should be considered in the differential diagnosis of a child with jaundice, abdominal pain, or an abdominal mass. We have reviewed the experience at Vanderbilt Childrens Hospital from 1970 to 1985, during which 87 children 18 years of age or…

Primary Article

Paraplegia Associated With Epidural Anesthesia

Primary Article

Pharmacologic Reduction of the Risk of Aspiration

ABSTRACT: Parameters for significant risk of aspiration have been defined as a gastric pH less than 2.5 and/or a volume greater than 25 ml. We investigated the effects of metoclopramide and cimetidine, alone and in combination, on the pH and volume of gastric contents of patients taking nothing by mouth…

Primary Article

Branhamella catarrhalis Pneumonia in Patients With Immunoglobulin Abnormalities

ABSTRACT: The importance of Branhamella catarrhalis pneumonia has only recently been appreciated. Predisposing underlying illnesses associated with this organism have not yet been clarified. We report five cases of Branhamella catarrhalis pneumonia occurring in patients with diseases associated with documented quantitative immunoglobulin deficiencies. Normal immunoglobulins appear to be important host…

Primary Article

Flexible Bronchoscopy in the Diagnosis of Pneumocystis carinii Pneumonia in Patients With Acquired Immune Deficiency Syndrome

ABSTRACT: Seventy-seven patients with acquired immune deficiency syndrome (AIDS) and suspected of having Pneumocystis carinii pneumonia (PCP) had flexible bronchoscopy. The diagnosis was established in 52 of the 54 patients (96%) who proved to have PCP. There was one false-positive result. The remaining 22 patients and the patient with the…

Primary Article

Recurrent Pulmonary Infections in Patients With Chronic Lymphocytic Leukemia and Hypogammaglobulinemia

ABSTRACT: We describe two patients with concomitant recurrent pulmonary infections due to encapsulated organisms and chronic lymphocytic leukemia and hypogammaglobulinemia. We discuss the cases as a subset of acquired hypogammaglobulinemia in adults, focusing on the possible role of impaired defense mechanisms and emphasizing the importance of aggressive therapy with gamma…

Primary Article

Serotyping of 1,458 Pneumococcal Isolates With Analysis of Bacteremia in 84 Patients

ABSTRACT: During a 61-month period, 1,458 pneumococcal isolates (including 87 bacteremia strains) were collected at the Albany Veterans Administration Medical Center and serotyped with the use of the typing system of the New York Department of Health Laboratories. Fifty percent of all isolates were of types in the 14-valent vaccine,…

Primary Article

Natural History of Klüver-Bucy Syndrome After Treated Herpes Encephalitis

ABSTRACT: We present the natural history of three patients with features of Klüver-Bucy syndrome after treated herpes encephalitis. Although cognitive and behavioral disturbances following herpes encephalitis are often severe, improvement can occur over an extended period, and chronic residual sequelae may be relatively mild. The pattern of memory impairment is…

Primary Article

Coagulase-Negative Staphylococcal Endocarditis A View From the Community Hospital

ABSTRACT: Review of our experience with infectious endocarditis at a single community hospital showed coagulase-negative staphylococci to be our leading cause of endocarditis. The pathogenesis of coagulase-negative staphylococcal endocarditis (CNSE) involved either hematogenous seeding of native or prosthetic valves, or direct implantation at surgery. Cases involving native valves demonstrated an…

Primary Article

Management of Pterygia 20 Years Later

ABSTRACT: Over a 20-year period, I excised 205 pterygia. A single, low dose of beta irradiation applied to the site of excision before surgical closure of the conjunctiva significantly reduced the rate of recurrence. Follow-up for as long as 20 years in this series revealed no complications. I discuss possible…

Primary Article

Reacting Appropriately to Thrombocytopenia in Pregnancy

ABSTRACT: The lower limit of normal for the platelet count is considered to be 150,000/cu mm in both pregnant and nonpregnant normal adults. In the absence of preeclampsia, sepsis, drugs, or other apparent causes, the finding of asymptomatic mild thrombocytopenia in pregnant women is compatible with previously unrecognized immune thrombocytopehic…

Primary Article

Needle-Catheter Jejunostomy for Postoperative Nutritional Support

ABSTRACT: Use of the needle-catheter feeding jejunostomy at Richland Memorial Hospital and the Dorn Veterans Administration Hospital, both clinical teaching institutions of the University of South Carolina School of Medicine, has been evaluated in 114 patients ranging from 20 to 90 years old. The results of this survey span a…

Review Article

Clostridial Infections of the Lungs and Pleura

Current Concepts

Recent Advances in Moist Wound Healing

Current Concepts

Metastatic Disease of the Spine: Diagnosis and Management

ABSTRACT: This paper reviews the pathophysiology, clinical presentation, work-up, and management of epidural spinal cord compression by metastatic tumor. Included are descriptions detailing clinical syndromes of cervical, thoracic, cauda equina, and conus medullaris compressions. Indications for plain x-ray films, myelography, and CT scanning as well as a discussion of radiation,…

Article

Medical Facilities and Needs Aboard a Cruise Ship: Points to Ponder Before an Ocean Cruise

Our Medical Heritage

Pulmonary Tuberculosis: Contributions of Radiology in Diagnosis and Treatment

ABSTRACT: This review records the important place that radiologic examinations have had in the diagnosis and treatment of pulmonary tuberculosis in the past nine decades. Very soon after the discovery of x-rays it became apparent that chest roentgenograms would be a help in identifying pulmonary lesions. As the quality of…

Case Report

Cyclophosphamide Therapy for Weber-Christian Disease Associated With α1-Antitrypsin Deficiency

Case Report

Benign Symmetrical Lipomatosis

From the Departments of Surgery and Pathology, Mount Sinai Services and City Hospital Center at Elmhurst, Mount Sinai School or Medicine, New York, NY.

Case Report

Variant Cystic Fibrosis in an Elderly Man

Case Report

Octopus Bite Resulting in Granuloma Annulare

Case Report

Retrorectal Tumor: Is Biopsy Risky?

Case Report

Orbital Metastasis From Cutaneous Melanoma

Case Report

Asymptomatic Neurofibroma of the Brachial Plexus: Unusual Intrathoracic Presentation

Case Report

Mandibular Ameloblastoma

Case Report

Gastric Epithelioid Leiomyoma Causing Intraperitoneal Hemorrhage

Case Report

Unilateral Breast Enlargement Due to Localized Fibrosis

Case Report

Osteogenic Sarcoma of the Mandible and Maxilla

Breif Report

Thiazide-Induced Hyponatremia

Breif Report

Squamous Cell Carcinoma of the Tongue Masked by Oral Trauma

Breif Report

Facial Diplegia Due to Amyloidosis

Breif Report

Severe Colitis Induced by Soap Enemas

Breif Report

Cardiobacterium hominis Causing Late Prosthetic Valve Endocarditis

Letter to the Editor

Humanism in Medical Residents

Letter to the Editor

Limiting Medical Care

Letter to the Editor

Circumcision—Not Prophylaxis

Letter to the Editor

Choreiform Movement Associated With Metoclopramide

Letter to the Editor

Autoimmune Hemolysis and Nonovarian Carcinomas

Letter to the Editor

Tooth Extraction as a Form of Self-Mutilation in Tourettes Disorder

Letter to the Editor

Oral Antibiotics and the Renal Carbuncle