Issue - Southern Medical Association

Editorial

THE CONSTANT STAR

Editorial

ACCOUNTABILITY OF PAIN CONTROL PROGRAMS IN THE UNITED STATES

Editorial

SISYPHUS TANTALIZED A CORRIGENDUM

Primary Article

Ingestion of Prescription Drugs by Children An Epidemiologic Study

ABSTRACTAlthough the Poison Prevention Packaging Act of 1970 has resulted in a 65% decline in ingestion of products packaged in child-resistant containers, ingestion of prescription drugs by children has declined by only 36%. Since ingestion of solid prescription drugs remains an important cause of ingestion-related morbidity in children, this descriptive…

Primary Article

Thyroid Nodules in Children Current Profile of a Changing Disease

ABSTRACTPediatric thyroid disease has changed since the decline of widespread cervical irradiation. Our analysis of 32 recently resected childhood thyroid nodules showed that the incidence of malignancy (22%) is decreasing, though the incidence of nodules is stable. Risk factors for development of thyroid disease include female sex, age around puberty,…

Primary Article

Aerobic and Anaerobic Microbiology of Intra-abdominal Abscesses in Children

ABSTRACTIn this study of the aerobic and anaerobic microbiology of 23 intra-abdominal abscesses, aerobic bacteria alone were present in one specimen, anaerobic bacteria only in four, and mixed aerobic and anaerobic flora in 18. Ninety bacterial isolates (3.9 isolates per specimen), 63 anaerobic (2.7 per specimen), and 27 aerobic and…

Primary Article

Downs Syndrome Current Screening Techniques

ABSTRACTAntenatal screening for Downs syndrome traditionally relied upon performing amniocentesis for karyotype on pregnant women aged 35 years and older. This method detects approximately 20% of all Downs syndrome pregnancies, with a false-positive rate of 4.3%. By incorporating maternal serum alpha-fetoprotein values as an additional screening parameter to maternal age,…

Primary Article

Pleural Effusion Comparison of Clinical Judgment and Lights Criteria in Determining the Cause

ABSTRACTPleural fluid analysis is often the initial diagnostic test used to determine the cause of a pleural effusion. We prospectively studied 33 consecutive patients with pleural effusions to determine whether the fluid arose from a transudative or an exudative process. Clinical judgment by an internist before thoracentesis and both serum…

Primary Article

Abdominoperineal Resection for Rectal Carcinoma Perioperative Risk Factors

ABSTRACTThis retrospective review of 37 cases of abdominoperineal resection for adenocarcinoma sought to correlate preoperative clinical characteristics and intraoperative events with the likelihood of subsequent development of specific complications in the postoperative period. Mortality was 3% (1/37), and the complication rate was 76% (28/37), with urologic (49% [18/37]) and pulmonary…

Primary Article

Nosocomial Diarrhea Beware the Medicinal Elixir

ABSTRACTAn unusual case of osmotic diarrhea that persisted despite fasting led to the discovery of an unexpected source of hospital-acquired diarrhea. Numerous patients were subsequently found to have onset of diarrhea shortly after the initiation of treatment with theophylline elixir. Although theophylline can promote gastrointestinal secretion and motility, this effect…

Primary Article

Carcinoid Tumors of the Gastrointestinal Tract A 44-Year Experience

ABSTRACTWe retrospectively studied 112 patients treated for gastrointestinal carcinoid tumors between 1942 and 1986. The three most common sites were jejunum-ileum (27%), rectum (27%), and appendix (21%), followed by colon (12%), duodenum (9%), and stomach (4%). Seventy-five percent of patients had localized disease, primarily in the rectum and appendix. Colon…

Primary Article

Relationship Between Mammographic Features and Hormone Receptor Content in Patients With Breast Cancer

ABSTRACTRecurrences of breast cancer are more responsive to hormone therapy if the tumors are positive for estrogen receptors or progesterone receptors. To assess the relationship between hormone receptor content, mammographic tumor morphology, and breast parenchymal patterns, we reviewed charts and mammograms of 210 patients with primary unilateral breast cancer. Mammograms…

Primary Article

Comparison of the Need for Bypass Shunt After Stroke or Transient Ischemic Attack in 97 Patients

ABSTRACTUsing local anesthesia, we did 97 carotid endarterectomies—48 of them for acute completed stroke, stroke in evolution, or stroke associated with unstable neurologic status, and 49 for transient cerebral ischemic attack. The neurologic status of the awake patients was monitored continuously. Neurologic deterioration resulting from clamping of carotid circulation, and…

Primary Article

Imported Fire Ant as a Health Hazard

ABSTRACTMembers of the American Medical Association in 13 southern states were surveyed to assess the magnitude of medical problems caused by stings of the imported fire ant (IFA). Of the 29,205 physicians surveyed, 2,022 (7%) reported treating approximately 20,755 patients annually for reactions to IFA stings. Most patients were treated…

Review Article

Allergy to Imported Fire Ants

Current Concepts

HIV-1 Serology and AIDS Testing A Practical Approach to Understanding

Article

Preservation Surgery for Malignant Disease Why It Works

ABSTRACTLocal recurrence has been considered a grave prognostic sign after radical surgery for breast cancer. Controlled trials have recently discovered local recurrence to be an innocent event after limited surgery. Nine years ago I proposed a hypothesis to resolve this dilemma. The discovery of natural killer (NK) cells has added…

Article

Physician Advertising Some Reasons for Caution

ABSTRACTPhysician advertising is a growing trend which, proponents contend, will bring needed reforms to health care. Among these reforms are better informed patients, reduction in the price of health care, improvement in the quality of care, and reduction in the incidence of malpractice litigation and the cost of malpractice insurance….

Medical Education

Context of Social Awareness Prelude to Social Service

ABSTRACTA required period of social service has recently been suggested as an addition to the medical school curriculum. The intent of this action is to improve the social sensitivity of physicians. If such a requirement is not placed within the appropriate context it may fail to achieve its objectives. Attention…

Clinical Brief

Drugs With Anticholinergic Side Effects

Acknowledgement

BOOKS RECEIVED

Case Report

Gastrointestinal Carcinoid Tumor Metastatic to the Orbit

Case Report

Hairy Cell Leukemia With an Autoimmune Syndrome, Paraproteinemia, and Cryoglobulinemia

Case Report

Cryptococcal Pyarthrosis Complicating Gouty Arthritis

Case Report

Fatal Cardiac Arrhythmia in a Patient With Interstitial Myocarditis Related to Chronic Arsenic Poisoning

Case Report

Acute Radiodermatitis From Occupational Exposure to Iridium 192

Case Report

Intracranial Granulocytic Sarcoma in Postpolycythemia Myeloid Metaplasia

Case Report

Subcapsular Hematoma of the Liver During Pregnancy

Case Report

Waterhouse-Friderichsen Syndrome Caused by Haemophilus influenzae Type b in an Immunocompetent Young Adult

Case Report

Hypocalcemia and an Inappropriate Endocrine Response in Osteoblastic Metastatic Breast Cancer

Breif Report

Neurogenic Hyperthermia in Subarachnoid Hemorrhage

Breif Report

Benign Papillary Mesothelioma of the Peritoneum A Consideration in the Differential Diagnosis of Peritoneal Implants

Breif Report

Metoclopramide-Induced Parkinsonism

Breif Report

Lemierres Postanginal Septicemia Internal Jugular Vein Thrombosis Related to Pharyngeal Infection

Breif Report

Hypothyroidism Effect on Warfarin Anticoagulation

Letter to the Editor

Sisyphus Versus Tantalus, or Tantalus Revisited

Letter to the Editor

“Pseudolupus”

Letter to the Editor

Research in Cost-Effectiveness

Letter to the Editor

Mnemonic for Treatment of Anaphylaxis

Letter to the Editor

Accidental Amitriptyline Poisoning in a Toddler

Letter to the Editor

Tinnitus

Letter to the Editor

Caution in Upper Gastrointestinal X-Ray Study in Constipated Parkinsonian Patients

Letter to the Editor

The Cs of Medicine

Letter to the Editor

The Whirling Blade Dry Versus Wet Shaving

Letter to the Editor

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