Issue - Southern Medical Association

Primary Article

Analysis of the Two–Team Approach to Anterior Spinal Fusion

ABSTRACT: An anterior approach to the spine via a thoracoabdominal incision offers the surgeon many advantages. The major vascular structures are visualized, stabilization of a long segment of the spine is strong, and recovery is speedy. Nevertheless, this is a major operation and one with potential morbidity and mortality. At…

Primary Article

Relationship Between Body Weight and Mortality in Men Aged 75 Years and Older

ABSTRACT: As our population ages, recommendations about weight control in the elderly will assume increasing importance. But such recommendations are not supported by the literature, in that there is little information about the independent effect of obesity on survival in subjects who are more than 70 years old. We studied…

Primary Article

Collodion as a Safe, Cost-Effective Dressing for Central Venous Catheters

ABSTRACT: Catheter-related sepsis continues to be a major problem with the use of central venous catheters. Controversy exists with respect to dressing material and frequency of dressing changes. Collodion is a solution of pyroxylin in a solution of 75% ether and 25% alcohol. Camphor and castor oil are added to…

Primary Article

Prevalence of Previously Undiagnosed Hypothyroidism in Residents of a Midwestern Nursing Home

ABSTRACT: Hypothyroidism in the elderly may be associated with nonspecific symptoms. To determine the prevalence of undiagnosed hypothyroidism in residents of a skilled nursing facility, we screened 434 male and 137 female residents, aged 60 years or older, for thyroid dysfunction. Overt hypothyroidism was found in three men and two…

Primary Article

Complications of Extracorporeal Membrane Oxygenation in Neonates

ABSTRACT: In cases of severe respiratory failure, cardiopulmonary bypass has been used as support until cardiac and pulmonary recovery occurs. We report the Wilford Hall USAF Medical Center experience with extracorporeal membrane oxygenation (ECMO) and its associated complications. From July 1985 to March 1989, 57 neonates were placed on membrane…

Primary Article

Survey of Alabama Physicians’ Use of Mammography, 1989

ABSTRACT: In early 1989 we surveyed by questionnaire Alabama primary care physicians (N = 1800) concerning their attitudes toward and use of mammography. There were 681 respondents (37.8%). The majority (83%) recommend mammograms for their patients according to the American Cancer Society guidelines and obtain baseline studies in asymptomatic women…

Review Article

Preventing Colorectal Cancer

ABSTRACT: Knowledgeable patients should not die of colorectal cancer. Increasing the intake of dietary fiber, decreasing fat consumption, and increasing the use of modern technology to detect adenomatous polyps and early cancer can greatly decrease the mortality associated with colorectal cancer

Primary Article

Primary Prevention of Coronary Artery Disease Through a Family–Oriented Cardiac Risk Factor Clinic

ABSTRACT: Primary prevention of coronary artery disease in children and young adults is important and can be instituted through a family-oriented cardiac risk factor clinic. Such a clinic was initiated at the Medical College of Georgia in March 1988. Children whose total cholesterol level (TC) exceeded 200 mg/dL when screened…

Primary Article

Mitral Valve Prolapse: Comparison of Diagnosis by Physical Examination and Echocardiography

ABSTRACT: To determine how well physical examination findings suggestive of mitral valve prolapse (MVP) correlate with echocardiographic evidence of MVP, we retrospectively reviewed the charts of 104 patients referred to an Air Force Cardiology Clinic for echocardiography to rule out MVP. In each case, the referring physician's specialty and his…

Primary Article

Pursuing Mild Elevations of Liver Enzyme Values to Exclude Hemochromatosis

ABSTRACT: To determine whether physicians in an academic medical center excluded hemochromatosis as a diagnosis in a population of patients with mildly elevated liver enzyme values, we reviewed 100 charts of patients with both aspartate aminotransferase and alkaline phosphatase levels that were less than twice the upper limit of normal….

Primary Article

Syphilis, Human Immunodeficiency Virus Infection, and Targeting Prevention

ABSTRACT: To examine the interaction between syphilis and human immunodeficiency virus–type 1 (HIV-1) infection in Oklahoma, we conducted an unlinked HIV seroprevalence survey using serum specimens submitted to the Oklahoma State Department of Health for serologic test for syphilis. Of specimens with positive results from fluorescent treponemal antibody absorption test…

Primary Article

Tamoxifen Therapy for Painful Idiopathic Gynecomastia

ABSTRACT: We have evaluated the efficacy of the antiestrogen tamoxifen in six men with painful idiopathic gynecomastia. Subjects were given either tamoxifen or placebo for 2 to 4 months and then were given the other agent for an identical period. Breast size was considered to have been reduced only if…

Editorial

A LATE LOOK AT THE FOURTH: FREEDOM BOTCHED AND BLOTCHED

Case Report

Achromobacter Xylosoxidans: A Drug-Resistant Pathogen in Newborns and Immunocompromised Patients

Acknowledgment

ACKNOWLEDGMENT

Case Report

Acute Obstructive Jaundice in the Multiple Trauma Patient

Case Report

Adenocarcinoma of the Appendiceal Stump

Case Report

Adenocarcinoma of the Colon Occurring With Intussusception in an Adolescent

Case Report

Arteriovenous Malformation of the Tongue

Letter to the Editor

Atenolol and Retroperitoneal Fibrosis

Letter to the Editor

Bad X-ray Reports

Case Report

Cytomegalovirus in a Macerated Second Trimester Fetus: Persistent Viral Inclusions on Light and Electron Microscopy

Case Report

Cytophagic Histiocytic Panniculitis Evolving Into Total Lipodystrophy

Letter to the Editor

Fluoroquinolones and Leukopenia: The Mechanism

Case Report

Hypercalcemia as a Clinical Prodrome to Lymphoma

Case Report

Isolated Erythroid Hypoplasia and Renal Insufficiency Induced by Long-term Griseofulvin Therapy

Case Report

Left Ventricular Pseudoaneurysm Complicating Mitral Valve Replacement in a 4-Year-Old Child With Acute Bacterial Endocarditis

Letter to the Editor

Medicare and MAAC

Case Report

Neurologic Abnormalities in a Patient With Human Ehrlichiosis

Primary Article

New Drug and Biologic Product Approvals in 1989

Case Report

Normeperidine-Induced Seizures in Hereditary Coproporphyria

Case Report

Peripartum Myocardial Infarction From Presumed Kawasaki’s Disease

Case Report

Persistent Segmental Cutaneous Anesthesia After a Brown Recluse Spider Bite

Case Report

Pleuropulmonary Tularemia: Successful Treatment With Erythromycin

Case Report

Pneumocystis carinii Pneumonia Manifested as Hilar Mass and Cavitary Lesion: An Atypical Presentation in a Patient Receiving Aerosolized Pentamidine Prophylaxis

Case Report

Postural Hypotension: Pressor Effect of Octreotide Not Mediated by Norepinephrine

Case Report

Pseudohypoglycemia in Adult Victims of Adolescent Incest

Letter to the Editor

RHK (1898-1990)

Article

Surgical Literature and “Surgispeak”: A Critique

Case Report

Synchronous Hodgkin’s Disease and Myelofibrosis Terminating With Granulocytic Sarcoma and Acute Megakaryocytic Leukemia

Editorial

THE EAGLE IS GONE

Evagations

THE WAY WHALES DIE

Case Report

Tissue Plasminogen Activator as an Alternative to Vena Cava Interruption in Recurrent Pulmonary Thromboembolism

Case Report

Trabecular or Merkel’s Cell Carcinoma

Case Report

Traumatic Diaphragmatic Hernia and Intestinal Obstruction Due to Penetrating Trunk Wounds