Issue - Southern Medical Association

Editorial

R.I.P

Editorial

REALISTIC EXPECTATIONS OF A PATIENT PHYSICIAN ENCOUNTER

Primary Article

Troublesome Aspects of the Patient-Physician Relationship A Study of Human Factors

ABSTRACT: We investigated three onerous aspects of the patient-physician relationship using contemporary psychosocial research methods. A “hassle index” identified three dimensions of vexation in practice: problems with running a practice, medical conditions of patients, and social characteristics of patients. In general, hassle was found to be dependent on the type…

Primary Article

Comparison of Dietary Intake of Urban and Rural Elderly Patients in Family Practice Centers

ABSTRACT: To compare dietary intake of urban and rural patients, we interviewed 50 patients over age 64 at each of two family practice centers, one urban and one rural, using the 24-hour dietary recall method for nutrient comparison. A deficiency of calcium was evident in the intake of both elderly…

Primary Article

Comparison of Hypertension Prevalence and Control in 5,237 Rural and Urban Alabama Residents

ABSTRACT: Selected urban and rural Alabama populations were compared by age, sex, and race on the prevalence of hypertension and uncontrolled hypertension and the percentage of treated hypertensives with controlled blood pressure. We found the following results: (1) Rural women had a significantly higher prevalence of hypertension than urban women….

Primary Article

Essential Arterial Hypertension Plasma and Urinary Aldosterone Alterations

ABSTRACT: We studied 52 patients with mild to severe essential arterial hypertension and ranging in age from 30 to 60 years (average, 44). Various biochemical and endocrinologic parameters were studied, with special emphasis on plasma aldosterone and urinary aldosterone. At the same time, a control group of 30 normal subjects…

Primary Article

Old Age A Sign of Poor Prognosis in Patients With Chronic Myelogenous Leukemia

ABSTRACT: Fifty-four patients aged 60 years or older with a diagnosis of chronic myelogenous leukemia were referred to University of Texas M. D. Anderson Hospital between 1965 and 1982. Patients in this age group had a significantly shorter median survival than that of the 249 patients younger than 60 seen…

Primary Article

Successful Medical Management of Neutropenic Enterocolitis in Adults With Acute Leukemia

ABSTRACT: Seven adults with acute leukemia had a clinical and radiologic diagnosis of neutropenic enterocolitis. Six of the seven patients had granulocyte counts less than 500/µl. All seven patients responded to intensive medical therapy, including bowel rest, broad spectrum antibiotics, and white blood cell transfusions, and recovered from the neutropenic…

Primary Article

Obesity Is It Really a Risk Factor in Thrombophlebitis?

ABSTRACT: Obesity is assumed to be a risk factor in the occurrence of thrombophlebitis. We studied 168 consecutive patients retrospectively; 33 were men and 135 women, with an average age of 34 (range 27 to 41) years. All patients had a gastric bypass because of obesity, with a minimum of…

Primary Article

Central Venous Cannulation Done by House Officers in the Intensive Care Unit A Prospective Study

ABSTRACT: Central venous cannulation (CVC) is a procedure frequently performed by house staff in the intensive care units of teaching hospitals. In the medical ICUs of our two hospitals, CVC was successfully done by house officers in 172 cases requiring 231 attempts (one operator at one insertion site), for a…

Primary Article

Superior Vena Cava Syndrome Experience in a Teaching Hospital

ABSTRACT: Between 1972 and 1985, 39 patients with superior vena cava syndrome were admitted to the Medical College of Georgia Hospitals. I have reviewed the hospital courses of these patients and compared clinical and laboratory findings with those reported in previous series. The syndrome was malignant in 34 patients (mean…

Primary Article

Thrombocytopenia and Cancer Use of the Kim-Ray Greenfield Filter to Prevent Thromboembolism

ABSTRACT: The association of hypercoagulation and cancer, a well established pattern of disease, often leads to pulmonary emboli in an already compromised patient. Anticoagulation therapy in these patients is occasionally complicated by several factors including thrombocytopenia, which may result in a life-threatening situation of hemorrhage versus pulmonary emboli. Mechanical intervention…

Primary Article

Cause of Death in Systemic Lupus Erythematosus A Pattern Based on Age at Onset

ABSTRACT: We reviewed the causes of death in 50 patients treated for systemic lupus erythematosus at the University of Mississippi Medical Center between 1973 and 1985. Two groups of patients could be distinguished based on the age at onset but not on the duration of disease. Younger patients more often…

Primary Article

Subdural Empyema and Epidural Abscess Recent Experience in a Community Hospital

ABSTRACT: We treated 31 cases of localized central nervous system infection over a seven-year period in our community hospital. The causes included brain abscess in 18 cases (58%); cranial subdural empyema (CSE) in six cases (20%); spinal epidural abscess (SEA) in four cases (13%); cranial epidural abscess (CEA) in two…

Primary Article

Bile Acids in Radiation-Induced Diarrhea

ABSTRACT: Radiation-induced bowel disease manifested by debilitating diarrhea is an unfortunate consequence of therapeutic irradiation for pelvic malignancies. Although the mechanism for this diarrhea is not well understood, many believe it is the result of damage to small bowel mucosa and subsequent bile acid malabsorption. Excess amounts of bile acids,…

Primary Article

Continent Intestinal Reservoir

ABSTRACT: In this series, 170 patients have received a continent intestinal reservoir, with follow-up of one to eight years. In 126 a conventional ileostomy was converted to a continent intestinal reservoir, 38 at the time of coloproctectomy. Six had an unsatisfactory ileoanal or ileorectal anastomosis initially, and 26 (15%) required…

Review Article

Pulmonary Embolism Complications of Therapy

Abstract

Encephalopathy in a 68-Year-Old Man

Current Concepts

Combination Insulin-Sulfonylurea Therapy in Type II Diabetes Mellitus

Current Concepts

Medium-Chain Triglycerides and Total Parenteral Nutrition in the Management of Infants With Congenital Chylothorax

ABSTRACT: Enriched MCT (medium-chain triglycerides) formula has been used in the management of infants with congenital chylothorax (CC). Administration of total parenteral nutrition (TPN) has also been suggested. I evaluated the effect of these two regimens on the course of infants with CC described in the literature, in addition to…

Clinical Brief

Bishop Score and Labor Duration A New Look

Case Report

Chronic Granulomatous Disease in an Adult

Case Report

Selective Hepatic Arterial Embolization as an Adjunct to Hepatic Resection

Case Report

Renal Injury Associated With Laxative Abuse

Case Report

Acute Fracture of the Proximal Humerus Superimposed on a Chronic Posterior Dislocation of the Humeral Head

Case Report

Subcapsular Hepatic Abscess A Rare Complication of Ventriculoperitoneal Shunt

Case Report

Familial Fibromuscular Dysplasia of the Mesenteric Arteries

Case Report

Resistance to the Effects of Thyroid Hormone in Children

Case Report

Splenic Abscess Due to Clostridium septicum in a Patient With Multiple Myeloma

Case Report

Uterine Leiomyomas With Retroperitoneal Lymph Node Involvement

Breif Report

Neisseria mucosus Septicemia After Near-Drowning

Breif Report

Adverse Behavioral Effects of Amantadine Therapy in Huntingtons Disease

Breif Report

Bleeding Duodenal Ulcer After Gastric Bypass Procedure for Obesity

Breif Report

Acute Myocardial Infarction Associated With Cocaine Abuse

Breif Report

Traumatic Cerebral Edema Relieved by Stellate Ganglion Anesthesia

Breif Report

Recurrent Primary Mesenteric Venous Thrombosis

Letter to the Editor

Osteoporosis Fracture Threshold

Letter to the Editor

Intestinal Bleeding in Hereditary Hemorrhagic Telangiectasia

Letter to the Editor

Visual Side Effects of Isotretinoin Therapy

Letter to the Editor

Cardiac Tamponade

Letter to the Editor

Edenton Tea Party

Letter to the Editor

Surgical Maggots

Letter to the Editor

Letters to the Editor

Announcement

J. Lee Dockery, MD Incoming President of SMA