Issue - Southern Medical Association

Editorial

PATIENCE

Editorial

DIAGNOSTIC DERAILMENT

Primary Article

Renal Transplantation: A 20-Year Experience at the University of Florida

ABSTRACT: Substantial gains have been made in both patient and graft survival during 20 years of transplanting kidneys at the University of Florida. The number of transplant recipients yearly has increased from six in 1966 to more than 100 in 1986. The use of immunosuppression reflects our evolving understanding of…

Primary Article

Topical TAC (Tetracaine, Adrenaline, Cocaine) Solution for Local Anesthesia in Children Prescribing Inconsistency and Acute Toxicity

ABSTRACT: The topical anesthetic solution TAC (tetracaine, adrenaline, cocaine) has gained widespread acceptance as the preferred local anesthetic for repairing skin lacerations in children. Despite this popularity, there are no universally accepted guidelines for its application. We report the case of a 6-month-old infant who had respiratory distress and seizures…

Primary Article

Neurologic Manifestations of Child Abuse

ABSTRACT: During a four-year period, we saw 23 cases of child abuse with central nervous system involvement. Of these, five died and four were left with a substantial neurologic deficit as a result of injury. Of the 18 survivors, eight (44%) were removed from their home along with their siblings,…

Primary Article

Deep Vein Thrombophlebitis and Pulmonary Embolism in Patients With Malignant Gliomas

ABSTRACT: Patients with malignant gliomas are at increased risk for deep vein thrombophlebitis (DVT) and pulmonary embolism (PE). Difficult anticoagulation in cancer patients undergoing surgery, chemotherapy, or radiotherapy limit the choices of therapy for DVT. Interruption of the inferior vena cava with a Greenfield filter is a safe method of…

Primary Article

Transfusion-Acquired Hepatitis A

ABSTRACT: An outbreak of hepatitis A in a neonatal intensive care unit was apparently attributable to blood transfusion. Several infants received aliquots from a single unit of packed red blood cells donated by an individual who subsequently became ill with hepatitis A. Although none of the infants became symptomatic, there…

Primary Article

Risk Factors for Median Sternotomy Dehiscence in Cardiac Surgery

ABSTRACT: We retrospectively reviewed several risk factors for median sternotomy dehiscence in our cardiac surgery patients for a recent 18-month period. We studied these factors by univariate and multivariate analysis with respect to sternal dehiscence. Univariate analysis showed several factors to be significant: female sex (P = .03), obesity (P…

Primary Article

Complications of Esophageal Prostheses Roentgenologic Manifestations

ABSTRACT: We reviewed the roentgenographic findings in 15 patients who had endoscopic placement of a new type of esophageal prosthesis for obstruction caused by a malignant neoplasm. Each patient was evaluated with an esophagogram. Chest roentgenography and computerized tomography were used to confirm abnormalities seen on esophagography. The complication rate…

Primary Article

Population Screening for Plasma Cholesterol: Community-Based Results From Atlanta

ABSTRACT: Plasma cholesterol was measured in 10,672 participants of a cholesterol screening program in Atlanta, Georgia. The participants were typically health conscious, as evidenced by the low prevalence of current cigarette smoking (13%), but more than 21% of the men and 33% of the women over age 50 had cholesterol…

Current Concepts

Management of Scaphoid Fractures: A Review and Update

ABSTRACT: The scaphoid is the most commonly injured carpal bone. Almost half of all bony wrist injuries involve the scaphoid. Treatment is controversial and, when inadequate, can result in a painful nonunion or degenerative radiocarpal arthritis. Fracture of the scaphoid occurs most often in young adult men, with a peak…

Article

Toward a National Health Care Policy in the United States

Article

Prudent Checks: Physicians and Family Planning in Late 19th Century England and America

Our Medical Heritage

Aequanimitas Centennial

Article

Vulgar Errors

Case Report

Organophosphate Intoxication: Hidden Hazards

Case Report

Localization of Adrenal and Extra-adrenal Pheochromocytomas by Magnetic Resonance Imaging

Case Report

Suboptimal Effect of Daptomycin in the Treatment of Bacteremias

Case Report

Modulation of Mild Bleeding Disorder During Remissions and Exacerbations of Graves Disease

Case Report

Scar-Associated Malignant Melanoma and Squamous Carcinoma In Situ

Case Report

Cyclophosphamide Use in a Young Woman With Antiphospholipid Antibodies and Recurrent Cerebrovascular Accident

Case Report

Ovarian Vein Thrombophlebitis Diagnosed by Computerized Tomography

Case Report

Tularemic Pneumonia Mimicking Legionnaires Disease With False-Positive Direct Fluorescent Antibody Stains for Legionella

Case Report

Cellulitis Caused by Rhizomucor pusillus in a Diabetic Patient Receiving Continuous Insulin Infusion Pump Therapy

Case Report

Vaginal and Bladder Angiosarcoma After Therapeutic Irradiation

Case Report

Small Cell Carcinoma of the Pleura

Case Report

Granulocytic Sarcoma Manifested as Ascites

Case Report

Pregnancy and Mesenteric Venous Thrombosis

Breif Report

Severe Pancreatitis in an AIDS Patient in Association With Cytomegalovirus Infection

Breif Report

Shoulder Pain: An Unusual Presentation of Gastric Ulcer

Breif Report

Colonic Filiform Polyposis and a Malignant Adenomatous Polyp

Breif Report

Perdiem Causes Esophageal Impaction and Bezoars

Breif Report

Malignant Hyperthermia in Infancy

Breif Report

Small Cell Lung Cancer in a Patient With Neutropenia Due to Feltys Syndrome

Letter to the Editor

The Caduceus

Letter to the Editor

Sickle Cell Disease and Cocaine Abuse— A Deadly Mixture?

Letter to the Editor

Thrombocytosis With Iron Deficiency

Abstract

Thrombocytosis With Iron Deficiency Reply