Issue - Southern Medical Association

Editorial

THE BOTTOM LINE: WHERE THE BLACK INK MEETS THE RED

Editorial

THE UNDERTAKERS FAN, THE BANKERS CALENDAR

Primary Article

Marijuana Use Among Middle-Class Adolescents

ABSTRACT: One hundred sixty-two adolescents being seen for sick or well visits at two suburban private pediatric practices completed an anonymous, written questionnaire about drug habits. The respondents ages ranged from 14 to 17 years; all were white and from middle-class or upper-middle-class families. The adolescents reported high self-esteem, good…

Primary Article

Cancer of the Large Bowel in Children

ABSTRACT: We present the morphologic and clinical features of large bowel carcinoma in 22 patients seen over 18 years at St. Jude Childrens Research Hospital. We saw 18 cases of mucinous adenocarcinoma, three of well differentiated adenocarcinoma, and one case of poorly differentiated adenocarcinoma. The patients ranged in age from…

Primary Article

Lateral Pancreaticojejunostomy for Pain Relief in Chronic Pancreatitis: Analysis of Effectiveness in 19 Patients

ABSTRACT: To assess the relief of pain provided by a side-to-side lateral pancreaticojejunostomy (LPJ), we analyzed 19 patients with chronic pancreatitis operated on from 1973 to 1983. Fourteen patients were chronic alcoholics; abdominal pain was the indication for the operation in most patients; one patient died postoperatively. The pain was…

Primary Article

High-Frequency Jet Ventilation: Applications for Endoscopy and Surgery of the Airway

ABSTRACT: Twenty-four patients underwent endoscopic procedures under general anesthesia and mechanical ventilation by high-frequency jet ventilation, provided by a catheter inserted through the cricothyroid membrane and connected to an IDC-VS600 ventilator. The arterial blood gas values, arterial blood pressures, and heart rates observed were within acceptable clinical levels. In some…

Primary Article

Diffuse Interstitial Lung Disease in Neurofibromatosis

ABSTRACT: An association of neurofibromatosis with diffuse interstitial lung disease is thought to exist, though there have been relatively few large studies of it. The pulmonary manifestations consist of diffuse interstitial fibrosis or formation of bullae, or a combination of both. Our experience with this disease process during a ten-year…

Primary Article

Chronic Osteomyelitis Caused by Staphylococcus aureus: Controlled Clinical Trial of Nafcillin Therapy and Nafcillin-Rifampin Therapy

ABSTRACT A controlled trial of treatment of chronic osteomyelitis caused by Staphylococcus aureus compared nafcillin alone with nafcillin plus rifampin for a six-week period. Treatment was well tolerated, the only adverse effect being mild neutropenia in four of 18 patients; no toxicity was observed from rifampin. Eight of ten patients…

Primary Article

Group F Streptococci in the Pharynx: Pathogens or Innocent Bystanders?

ABSTRACT: β-Hemolytic streptococci (BHS) of Lancefield group F were isolated in moderate to heavy growth from throat cultures taken from 46 children and adolescents with symptomatic pharyngitis. In most instances, oxygen deprivation by means of an anaerobe jar was required for these β-hemolytic organisms to grow. In relation to a…

Primary Article

Expectant Management of Rupture of Membranes at Term

ABSTRACT: We conducted a prospective randomized study involving 317 patients with term gestations (>36 weeks) and premature rupture of membranes (PROM). Eighty-five percent of the 167 patients managed conservatively began labor within 48 hours. The cesarean section rate in this group was 7% as opposed to 21% in the group…

Primary Article

Pregnancy Outcome in Renal Transplant Recipients: Experience at the Medical College of Georgia and Review of the Literature

ABSTRACT: Between 1970 and 1982, 13 renal transplant recipients had 17 pregnancies with follow-up at the Medical College of Georgia (MCG). Nine patients received related donor grafts and four received cadaver kidneys; 11 mothers survived their pregnancies. Preeclampsia, urinary tract infections, and preterm labor were frequent complications. Perinatal complications were…

Primary Article

Rhinitis of Pregnancy

ABSTRACT: Nasal stuffiness as a consequence of pregnancy has been accepted as a distinct pathologic entity for years. Although estrogen can produce nasal mucosal edema through a cholinergic action, other factors may also cause or influence nasal congestion associated with pregnancy. These include allergy, infection, stress, and rebound rhinitis. A…

Primary Article

Prevention of Acute Tubular Necrosis After Transplantation: Effect of Pretransplantation Volume Expansion

ABSTRACT: We reviewed our experience with 100 consecutive cadaveric transplants of kidneys from satisfactory donors with respect to immediate function after transplantation. The management was the same in all patients except that 66 of them received 1,000 ml of 0.9 N saline IV preoperatively. The overall incidence of acute tubular…

Primary Article

Percutaneous Nephrolithotomy in 86 Patients: Analysis of Results and Costs

ABSTRACT: We reviewed the hospital records of the first 86 patients having percutaneous nephrolithotomy at University Hospital (Birmingham, Ala) between 1983 and 1985. Variables such as stone location, chemical composition of the stone, history of previous renal surgery, and stone size were examined to determine their effect on complication rate,…

Primary Article

Clinical Evaluation of Patients With Metastatic Squamous Carcinoma of the Neck With Occult Primary Tumor

ABSTRACT: Between 1976 and 1982, we systematically evaluated 33 patients with a diagnosis of metastatic squamous carcinoma of the neck (excluding the supraclavicular fossa) from an occult primary tumor. In 11 patients the primary lesion was identified by physical and indirect mirror examinations, in four by examinations done under anesthesia…

Review Article

Essential Hypertension: New Insights and Controversies in Treatment With Diuretics

Abstract

Annual Scientific Assembly of the Southern Medical Association And the Medical Association of Georgia

Current Concepts

Assessment of Therapeutic Plasmapheresis in Demyelinating Neurologic Disorders

ABSTRACT: Considerable controversy exists with regard to therapeutic efficacy of plasmapheresis in the immune-mediated demyelinating disorders of the peripheral and central nervous system: acute inflammatory polyneuropathy (Guillain-Barré syndrome), chronic inflammatory demyelinating polyneuropathy, and multiple sclerosis. In an effort to establish specific situations where plasmapheresis was of therapeutic value, we reviewed…

Article

Patient Education Before Discharge From the Hospital

ABSTRACT: Hospitalized patients perception of their physicians effectiveness as a patient educator was surveyed, using three basic areas of doctor-patient communication: diagnoses, medications, and follow-up plans. The survey instrument, a questionnaire designed and administered by medical students, was designed to ascertain (1) the patients satisfaction with their hospital stay, (2)…

Article

Making Doctors

Medical Education

Visiting Clinician Program in Primary Care Internal Medicine

ABSTRACT: As part of a primary care internal medicine training program, a visiting clinician program was created to improve house staff education, provide an ongoing critique of the training program, and improve communication between program faculty and other institutions. Thirty-one visitors participated in the program during the two years covered…

Article

The Christmas Tree Approach

Evagations

DEAD ISSUE: An Essay in Aphoristic Form

Case Report

Rifampin-Induced Acute Renal Failure

Case Report

Gastrojejunal Fistula: A Complication of Peptic Ulcer Disease

Case Report

Sphenoid Mucocele Causing Hyperprolactinemia: Radiologic/Pathologic Correlation

Case Report

Benign Symmetric Lipomatosis (Madelungs Disease)

Case Report

Trigeminal Herpes Zoster Causing Mandibular Osteonecrosis and Spontaneous Tooth Exfoliation

Case Report

Varicella Arthritis

Case Report

“Pseudogallbladder” Appearance in Partial Afferent Loop Obstruction in a Patient With Cholecystectomy

Case Report

Haemophilus influenzae Meningitis and Waterhouse-Friderichsen Syndrome in an Adult

Case Report

Adenocarcinoma Arising in Barretts Esophagus With Synchronous Squamous Cell Carcinoma of the Esophagus

Clinical Brief

Caution on Cordless Telephones

Clinical Brief

Trocar Modification for Vertical Banded Gastroplasty

Breif Report

Depression in a Geriatric Patient: Alleviation by Insertion of a Pacemaker

Breif Report

Immune Thrombocytopenia and Ulcerative Colitis

Breif Report

Shigellosis Complicated by Acute Appendicitis

Breif Report

Spontaneous Pyomyositis in a Patient With Feltys Syndrome: Diagnosis Using Computerized Tomography

Letter to the Editor

Bacteremic Death: Sequel of Persistent Rhinitis Precipitated by Intranasal Cocaine Abuse

Letter to the Editor

Use of Serum Drug Concentration Determinations in Therapeutic and Toxic Clinical Situations

Abstract

Use of Serum Drug Concentration Determinations in Therapeutic and Toxic Clinical Situations Reply

Letter to the Editor

Perinatal Regionalization

Abstract

Perinatal Regionalization Reply

Errata

Correction