Issue - Southern Medical Association

Primary Article

Effect of Position on the Spread of Buffered 2% Chloroprocaine Administered Epidurally for the Second Stage of Labor

ABSTRACT: Increasing the pH of epidurally administered local anesthetics hastens their onset of action and improves the quality of neural blockade. The effect of body position on the epidural spread of alkalinized 2% chloroprocaine HCl for the second stage of labor has not been reported. We studied the epidural cephalad…

Primary Article

Medications Obtained in Mexico by Patients in Southern New Mexico

ABSTRACT: Many health care providers practicing near the border between the United States and Mexico have serious concerns about their patients' using medications obtained in Mexico. Despite these concerns, the extent of this problem is not known. A survey administered in a publicly funded rural clinic and an urban private…

Primary Article

Hypoxia and Hypercarbia of Chronic Lung Disease: Minimal Effects on Anterior Pituitary Function

ABSTRACT: Previous studies have suggested that the hypoxia and/or hypercapnia associated with chronic lung diseases may lead to pituitary and gonadal dysfunction, with destruction of the sella turcica. It is unclear, however, whether these abnormalities were due to lung disease or to confounding factors. We studied the relationships between hormonal…

Primary Article

Spontaneous Midbrain Hemorrhage

ABSTRACT: Spontaneous (nontraumatic) midbrain hemorrhage (SMH) is an uncommon condition whose diagnosis is greatly assisted by the use of cranial computerized tomography. Of 18 cases described in the English language literature, only two were diagnosed without the aid of CT. We report five cases of SMH in five normotensive patients….

Article

HIV Testing: The Legal Balance Between Individual and Societal Rights

ABSTRACT: Testing for the presence of human immunodeficiency virus (HIV) antibodies creates a legal conflict between the individual's right to autonomy and privacy versus society's right to control the public health. A body of laws exists to address these conflicting rights. These laws, however, must evolve so as to strike…

Primary Article

Antibiotic Prophylactic Uterine Lavage in Cesarean Section: A Double-Blind Comparison of Saline, Ticarcillin, and Cefoxitin Irrigation in Indigent Patients

ABSTRACT: The purpose of this present study was to determine whether intraoperative antibiotic uterine irrigation was effective in reducing febrile morbidity (Part 1), and to determine whether ticarcillin disodium (Ticar) or cefoxitin sodium (Mefoxin) was the more effective solution (Part 2). The indications for cesarean section had an effect on…

Primary Article

Fine Needle Aspiration and Frozen Section of Salivary Gland Lesions

ABSTRACT: This report examines the role of fine needle aspiration (FNA) and frozen section (FS) examination in the management of salivary gland lesions, and is based on a review of 58 cases. FNA specimens were first classified as nonneoplastic, or as benign or malignant neoplasms. Identification of specific morphologic type…

Primary Article

Computerized Tomographic Appearance of Renal Cysts After Extracorporeal Shock Wave Lithotripsy

ABSTRACT: We identified cysts in five kidneys of four patients who had lithotripsy. Three of these kidneys were evaluated with CT scans the day before and the day after lithotripsy and showed no change. The other two kidneys were studied by CT only after extracorporeal shock wave lithotripsy; hemorrhage was…

Current Concepts

Neonatal Jaundice: Clinical and Ultrasonographic Findings

ABSTRACT: We reviewed the laboratory parameters, clinical information including presence or absence of stool pigmentation, and ultrasonographic findings in 67 patients with neonatal conjugated hyperbilirubinemia and liver biopsies. Hepatobiliary nuclear scintigraphy was done in 14 of the patients. Final diagnoses included extrahepatic biliary atresia, neonatal hepatitis, cystic fibrosis, metabolic liver…

Case Report

Aspergillus Endocarditis: Cure Without Surgical Valve Replacement

Case Report

Bilateral Protrusio Acetabuli in Sickle Cell Anemia

Case Report

Cardiopulmonary Abnormalities After Smoking Cocaine

Case Report

Chylothorax in a Patient With AIDS and Kaposi’s Sarcoma

Case Report

Conn’s Syndrome With Rhabdomyolysis Mimicking Deep Vein Thrombophlebitis

Medical Education

Current Challenges in House Officer Training

Case Report

Delayed Diagnosis of a Foreign Body in the Spinal Canal

Case Report

Dilutional Acidosis

Case Report

Diverticular Disease of the Appendix

Case Report

Endogenous Endophthalmitis Due to Salmonella arizonae and Hafnia alvei

Letter to the Editor

Fatal Lithium Toxicity During a Religious Fast

Case Report

Haemophilus influenzae Meningitis in an Adult With Initially Normal Cerebrospinal Fluid

Letter to the Editor

Hypertrichosis of the Eyelashes Associated With Interferon-a Therapy for Chronic Granulocytic Leukemia

Case Report

Intra-abdominal Mesenteric Desmoid Tumor

Letter to the Editor

Krukenberg Tumors

Case Report

Massive Bleeding in a Zenker’s Diverticulum

Letter to the Editor

Medicare and MAAC

Article

Medicine in Budapest

Editorial

MEDICINE OR MEDISIN?

Case Report

Multiple Endocrine Neoplasia Type IIB Identified by Magnetic Resonance Imaging

Case Report

Palliative Percutaneous Balloon Valvuloplasty in a Cyanotic Child With Tetralogy of Fallot

Case Report

Primary Vibrio vulnificus Sepsis in Kentucky

Clinical Brief

Silent Adrenal Masses: Should We Look for Them on Routine Abdominal Real-Time Ultrasonography?

Case Report

Successful Pregnancy in a Patient With a Double Inlet Left Ventricle Treated With a Septation Procedure

Case Report

Thallium-201 Scintigraphy in the Diagnosis and Management of Myocardial Sarcoidosis

Article

Three Ways of Knowing in Clinical Medicine

Case Report

Torulopsis glabrata Fungemia in a Diabetic Patient

Editorial

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