Issue - Southern Medical Association

Editorial

MINOR SYNDROMES, MAJOR NUISANCES

Editorial

HEROES BESIEGED

Primary Article

Educating Medical Academicians: A Follow-up of the Vanderbilt Orthopaedic Training Grant

ABSTRACT: This study is the retrospective review of an orthopedic surgery training grant (USPHS Training Grant No. AM 05494) at Vanderbilt University that was funded from 1965 through 1969. This training grant was directed toward the production of academic orthopedic surgeons. The director of the training grant, J. William Hillman,…

Primary Article

Medical Care Costs Attributable to Cigarette Smoking in Kentucky

ABSTRACT: Cigarette smoking is well documented as a major cause of morbidity and mortality. Using recently available estimates of the prevalence of cigarette smoking among adult Kentuckians, I found that approximately 4,390 men and 1,615 women died in Kentucky in 1983 of causes attributable to cigarette smoking. Furthermore, the direct…

Primary Article

Stimulation of Hematopoiesis as an Alternative to Transfusion

ABSTRACT: Optimal parenteral nutritional support, provided concomitantly with extraordinarily large replacement doses of intravenous iron dextran can be safe, effective, and life-saving for severely anemic patients who cannot or will not accept erythrocyte transfusion. Five patients who had sustained massive acute blood loss and two who had severe chronic anemia…

Primary Article

Prescribing Postpartum Iron Supplementation A Survey of Practicing Obstetricians

ABSTRACT: Supplemental iron (excluding the amount in prenatal vitamins) is routinely recommended post par turn by standard obstetric textbooks. We surveyed practicing obstetricians in Maryland to examine their indications for and prescription of postpartum ironsupplements. The. survey was returned by 201 physicians (33% response rate). Iron was prescribed by 25%…

Primary Article

Cranial Nerve Deficits Due to Amyloidosis Associated With Plasma Cell Dyscrasia

ABSTRACT: Cranial nerve dysfunction is exceedingly rare in amyloidosis. Cranial nerve deficits have been described in the very rare form of familial amyloidosis in which there appears to be an autosomal dominant pattern of inheritance. By contrast, they are virtually unreported in the two common forms of amyloidosis, that is,…

Primary Article

Akinetic Parkinsonism and the Catatonic Syndrome: An Overview

ABSTRACT: The importance of considering organic diseases when evaluating catatonic patients is illustrated by two cases of akinetic parkinsonism in which the patients became catatonic, with waxy flexibility. The catatonic syndrome occurs in association with a variety of lesions that may affect any level of the central nervous system from…

Primary Article

Chronic Eosinophilic Pneumonia: A Cause of Adult Respiratory Distress Syndrome

ABSTRACT: It is important that physicians not overlook the diagnosis of chronic eosinophilic pneumonia (CEP), since this disorder is readily reversible with corticosteroid therapy. Six patients with CEP were seen at our institution between 1979 and 1983. We present their clinical features, chest films, and pathologic findings, and review the…

Primary Article

Fine Needle Aspiration in the Treatment of Ganglion Cysts

ABSTRACT: Twenty-eight ganglion cysts in 21 patients Were diagnosed by fine needle aspiration (FNA) in the Cytopathology Service of The George Washington University Medical Center from January 1979 to December 1984. Twenty-four of these were aspirated by a pathologist. One patient had two ganglions. Seven of the 21 patients had…

Primary Article

Transbronchoscopic Needle Aspiration in the Diagnosis and Staging of Lung Cancer

ABSTRACT: We examined the safety and yield of transbronchial needle aspiration (TBNA) in 28 patients who were subsequently proven to have lung cancer. TBNA in 48 sites produced no complications. TBNA was positive for carcinoma in the two patients whose tracheal carinae appeared abnormal on computerized tomography. When the carinae…

Primary Article

Chronic Mandibular Osteomyelitis

ABSTRACT: Chronic osteomyelitis of the mandible is an infrequently reported condition, but recent experience with six cases over a 14-month period suggests it is more common than appreciated. Chronic mandibular osteomyelitis results from odontogenic infection, postextraction complication, trauma, or irradiation to the mandible. Clinical findings include local pain and swelling…

Primary Article

Müller Curved-Stem Total Hip Arthroplasty Long-Term Follow-up of 185 Consecutive Cases

ABSTRACT: We reviewed 185 consecutive Miiller total hip arthoplasties ten to 14 years after operation. Of the 32 patients with 42 arthroplasties who had died within the ten-year period, three had had revisions and five had died of causes related to the operation, including two late infections; Sixty-five hips in…

Primary Article

Surgical Reconstruction of the Proximal Subclavian and Vertebral Arteries

ABSTRACT: The diagnosis and management of atherosclerotic lesions of the extracranial internal carotid artery has become fairly well established. Symptoms of basilar artery hypoperfusion may be due to stenotic lesions at the origin of either or both vertebral arteries or the proximal subclavian artery. Surgical correction can offer relief of…

Primary Article

Splenic Salvage Techniques in the Management of Pseudocysts of the Spleen

ABSTRACT: Nonparasitic splenic pseudocysts are an uncommon late sequela of splenic trauma. These cysts presumably develop from previously unrecognized subcapsular splenic hematomas. Classical therapy for splenic pseudocysts has been splenectomy. However, the recent recognition of the postsplenectomy sepsis syndrome has led to methods of surgical management that salvage the remainder…

Primary Article

Comparison of Automatic Staplers in Small Bowel Anastomoses

ABSTRACT: Automatic stapling instruments have been used in gastrointestinal operations with increasing frequency. As a result, newer staplers have been developed which use more staples and compress the tissue to a greater degree. Our study was designed to compare one of the newer devices (GIA Premium) with a conventional device…

Primary Article

Decreased Circumcision Rate With Videotaped Counseling

ABSTRACT: Despite the lack of medical indication for routine circumcision in the newborn, neonatal circumcision continues to be done on the vast majority of male infants in the United States. A trial of videotaped “informed consent” counseling was undertaken to determine whether such counseling could affect the parental choice about…

Primary Article

Brief Office Counseling and the Primary Care Physician

ABSTRACT: Primary care physicians may often see patients with transient emotional or behavioral problems. Brief office counseling is an action-oriented treatment method that requires the physician to develop both a therapeutic relationship and behavioral contract with the patient. The physician needs to create a secure, permissive, and confidential atmosphere in…

Review Article

Delayed Chest Wall Complications of Median Sternotomy

ABSTRACT: Chest wall pain after coronary artery bypass surgery is often attributed to incisional pain or anxiety. Although this assumption is often correct, a small number of patients have an unrecognized chest wall complication of the median sternotomy. In this paper we identify these delayed postoperative midsternotomy complications and discuss…

Current Concepts

Postconcussion Symptoms After Head Trauma Interpretation and Treatment

ABSTRACT: Postconcussion symptoms frequently present significant barriers to recovery after head injury. For most patients, emphasis on either organic or functional factors as the sole basis for such symptoms is unwarranted. In addition to the psychologic and behavioral impact of such deficits, recognition of cognitive deficits arising from head injury…

Article

Can Prayer Facilitate Healing and Growth?

Article

Spirituality, Medicine, and Healing

ABSTRACT: Contemporary medicine has given little attention to the spiritual dimension of human experience despite its relevance to our fundamental goal of healing. This exploratory work takes the position that this dimension can and should be reintegrated into health care models and practice. After delineating the scope of inquiry and…

Medical Education

Sociopolitical Influence Upon Medical Education: The Medical College of Alabama (1859 to 1861) as a Model

Abstract

Acid-Base Disorders Part I, Hyperchloremic Metabolic Acidosis: A Patient Management Problem

Our Medical Heritage

Confederates, Chloroform, and Cataracts: Julian John Chisolm (1830-1903)

Case Report

Gastric Ulceration as a Complication of Hepatic Artery Infusion Chemotherapy

Case Report

Erythema Multiforme Due to Herpes Simplex Treatment With Oral Acyclovir

Case Report

Amitriptyline in the Treatment of Thalamic Pain

Case Report

Rapidly Advancing Pseudotumor Cerebri Associated With Morbid Obesity: An Indication for Gastric Exclusion

Case Report

Rounded Atelectasis Shown by Computerized Tomography

Case Report

Rounded Atelectasis: A New Criterion for Benignancy

Case Report

Intrauterine Fetal Demise Associated With Enterovirus Infection

Case Report

Splenic Abscess Caused by Blastomyces dermatitidis

Breif Report

Undigested Corn Kernels Simulating Colonic Polyposis

Breif Report

Penicillamine-Induced Exacerbation of Rheumatoid Arthritis

Breif Report

Extramammary Pagets Disease of the Scrotum: Need for Early Biopsy

Letter to the Editor

Hypertension Therapy

Letter to the Editor

Unilocular Hydatid Disease in Arkansas

Letter to the Editor

Management of Pterygium Along the Mexican Border

Letter to the Editor

Discovery of the Sulfa Drugs