Issue - Southern Medical Association

Editorial

THE WHORE OF BABYLON

Editorial

SOME JOKE

Primary Article

Epidemiology of Tuberculosis in North Carolina, 1966 to 1986 Analysis of Demographic Features, Geographic Variation, AIDS, Migrant Workers, and Site of Infection

We analyzed all cases of tuberculosis reported in North Carolina between 1966 and 1986, and related the incidence rate of tuberculosis (per 100,000 population) to age (0 to 4 years, 7.59; 5 to 14 years, 3.44; 15 to 24 years, 6.30; 25 to 44 years, 15.92; 45 to 64 years,…

Primary Article

Krukenberg Tumors CT Features and Growth Characteristics

We reviewed the computerized tomographic features of pathologically proven metastases to the ovary in 12 patients. Serial CT scans were available in nine of the 12 patients—before removal of the ovaries in five cases (showing typical growth characteristics of these metastases) and afterward in six (showing common patterns of tumor…

Primary Article

Auditory Perception During General Anesthesia Psychologic Consequences

Since the introduction of general anesthesia in the middle of the 19th century, incidents of auditory perception during general anesthesia have been reported in the medical literature. Most of these reports have dealt with purely medical issues, and surprisingly little has been written on the psychologic sequelae of these instances…

Primary Article

Metoclopramide Versus Droperidol for Prevention of Nausea and Vomiting During Epidural Anesthesia for Cesarean Section

In a randomized, double-blind study, we compared the efficacy of metoclopramide hydrochloride with that of low-dose droperidol for prevention of nausea and vomiting during and after elective cesarean section with epidural anesthesia. Immediately after the umbilical cord was clamped, each patient received fentanyl (50 μg) and the study drug intravenously…

Primary Article

Precordial Catch Syndrome in Children

Precordial catch syndrome was diagnosed in ten children whose primary complaint was chest pain. From published reports, nine characteristics of the pain were derived and their occurrence rate determined retrospectively in the ten patients. A close correspondence in type of pain was found between patients in previous reports and those…

Primary Article

Negative Findings on Laparotomy for Trauma

A retrospective review of 428 exploratory laparotomies for trauma included 199 patients with blunt trauma, 96 with gunshot wounds, and 133 with stab wounds. In the blunt trauma group, 16 laparotomies (8%) showed no injury and 24 (12%) showed that no repair was needed. Physical examination (68 cases) and diagnostic…

Primary Article

Radioimmunoguided Surgery in Recurrent Colorectal Cancer The Role of Carcinoembryonic Antigen, Computerized Tomography, and Physical Examination

From January 1986 to December 1987, 32 patients with recurrent colorectal cancer had second-look radioimmunoguided surgery (RIGS system). All patients had pathologic confirmation of recurrence. The RIGS system identified 81% of recurrences, and in six patients recurrent tumor was identified only by RIGS. All patients had physical examination, Carcinoembryonic antigen…

Primary Article

Repair of Pectus Excavatum Using a Substernal Metal Strut Within a Marlex Envelope*

In a retrospective review, 82 children aged 3 to 16 years who had repair of pectus excavatum from 1963 to 1987 were divided into three groups according to type of repair: those without a metal substernal strut, those with a metal substernal strut, and those with a metal substernal strut…

Primary Article

Cesarean Hysterectomy A Procedure for Modern Obstetrics?

The indications for emergency and elective cesarean hysterectomy have remained controversial throughout modern obstetric history. In an attempt to clarify the role of cesarean hysterectomy in todays practice, we retrospectively studied 216 peripartum hysterectomies done at our institution from 1956 to 1988. We analyzed indications, surgical procedures, and intraoperative and…

Grand Rounds

VANDERBILT UNIVERSITY SCHOOL OF MEDICINE Saturday Conference Atypical Mycobacterial Infections

Our Medical Heritage

Francois Magendie, Claude Bernard, and the Interrelation of Science, History, and Philosophy

Article

Surgical Ethics–1980s and Beyond

Evagations

ON BECOMING A FATHEAD

Case Report

Pulmonary Embolism Improvement in Hemodynamic Function With Amrinone Therapy

Case Report

Percutaneous Retrieval of a Broken Lunderquist Guidewire From the Pelvicalyceal System

Case Report

Spontaneous Clostridial Myonecrosis in a Man With Drug-Induced Agranulocytosis

Case Report

Cocaine and Scleroderma

Case Report

Adenoid Cystic Carcinoma Metastasizing Before Detection of the Primary Lesion

Case Report

Pulmonary Disease Caused by Mycobacterium terrae Complex

Case Report

Trousseaus Syndrome Caused by Malignant Degeneration of a Choledochal Cyst

Case Report

Leptospirosis A Forgotten Cause of Aseptic Meningitis and Multisystem Febrile Illness

Case Report

Eosinophilic Pleural Effusion in Cutaneous Myiasis

Case Report

Thyrocardiotoxic Embolic Syndrome

Case Report

Cerebral Lymphoma in Childhood A Diagnostic Dilemma

Case Report

Delayed Presentation of a Symptomatic Morgagni Hernia

Case Report

Idiopathic Hypereosinophilic Syndrome Progressing to Acute Myelomonocytic Leukemia With Chloromas

Case Report

Aortoesophageal Fistula Unusual Complication

Breif Report

Gastrocolic Fistula Resulting From Chronic Pancreatitis

Breif Report

Pneumococcal Meningitis Due to Psoas Abscess

Breif Report

Ivemarks “Asplenia” Syndrome A Single Gene Disorder

Breif Report

Meningococcal Endocarditis on an Ionescu-Shiley Aortic Valve Prosthesis Successful Treatment With Intravenous Penicillin

Breif Report

Inducing Catatonic Patients to Eat With Daily Administration of Amobarbital Sodium

Breif Report

Branhamella catarrhalis Pneumonia With Bacteremia

Letter to the Editor

Growing Up Together

Letter to the Editor

Reply

Letter to the Editor

Medical Care and Pregnancy Outcome After Gastric Bypass Surgery for Obesity

Letter to the Editor

Diseases That Lower Blood Pressure

Letter to the Editor

Shoulder Pain in a Trial of Labor After Cesarean Delivery

Letter to the Editor

Incoming President of SMA