Issue - Southern Medical Association

Original Article

Evaluation of Acute Traumatic Hemarthrosis of the Knee Joint

ABSTRACT: Acute hemarthrosis of the knee usually results from a significant injury. Preoperative assessment, examination under anesthesia, and arthroscopic examination were conducted on patients with a total of 132 acutely injured knees associated with hemarthrosis and minimal clinical laxity to determine the presence and extent of injury to ligamentous and/or…

Primary Article

Bronchogenic Carcinoma Treated by Concomitant Resection of Lung and Chest Wall

ABSTRACT: Chest wall invasion by bronchogenic carcinoma is found in 5% of all cases of pulmonary carcinoma. During the last 3 years, 11 cases of lung cancer with chest wall involvement have been encountered at the Jackson Veterans Administration Medical Center. We reviewed these cases to reassess the role of…

Primary Article

Disseminated Histoplasmosis in Patients With AIDS

ABSTRACT: Disseminated histoplasmosis was diagnosed in 36 (4%) of 980 patients with AIDS seen at Parkland Memorial Hospital in Dallas, Texas before September 30, 1989. Diagnostic sensitivity of blood culture plus examination of peripheral smear was 88%; sensitivity of bone marrow aspiration and blood culture was 80%. Median CD4 lymphocyte…

Primary Article

American Cancer Society’s Breast Cancer Detection Awareness Program: The 1988 Middle Tennessee Experience

ABSTRACT: In an effort to augment public awareness of the benefits of screening mammography and to encourage the use of screening mammograms, the Tennessee Division of the American Cancer Society initiated the Breast Cancer Detection Awareness Program in March 1988. As a result of the initiative, 3,473 women telephoned for…

Primary Article

Why Doctors Have Difficulty With Sex Histories

ABSTRACT: Studies have shown that physicians' performance has not been as good as it should be in detecting sexually transmitted diseases (STDs) and in counseling patients about their transmission. The AIDS pandemic has underscored the need to find out why this is true. In our study, we identified the major…

Review Article

The Three Phases of Blood Pressure in Stroke

ABSTRACT: Studies of three large series of hypertensive patients having strokes have shown that systemic blood pressure responds to stroke during the acute phase. The blood pressure is elevated on the day of admission to the hospital in 82% of patients and then decreases to normotensive levels during the subacute…

Primary Article

Complications of Otitis Media in Children

ABSTRACT: The complications of otitis media are frequently not considered in discussions of the medical or surgical management of this disease. Retrospective review of 135 cases in children treated surgically in an otologic referral practice between 1981 and 1989 revealed that perforation of the eardrum (57 cases) was the most…

Primary Article

Prognostic Value of DNA Flow Cytometry in Thymomas and Thymic Carcinomas

ABSTRACT: Thymomas are the most common anterior mediastinal masses. Malignant potential and prognosis are unrelated to histologic appearance. Deoxyribonucleic acid (DNA) flow cytometry is of prognostic significance in a variety of tumors. We reviewed the records of 35 patients who on pathologic examination had a thymoma or thymic carcinoma. Flow…

Primary Article

Human Immunodeficiency Virus: Seroprevalence in Parturients in Rural South Carolina

ABSTRACT: To establish the prevalence of human immunodeficiency virus (HIV) in the population of childbearing women in a rural South Carolina community, a blinded seroprevalence survey was conducted using all cord blood samples collected during a one-year period at a single hospital. There were 1,811 live births (57% white, 43%…

Editorial

Treatment Decisions in “White Coat” Hypertension: Do We Need the Whole 24 Hours?

ABSTRACT: Twenty-four hour ambulatory blood pressure monitoring (24BP) is an emerging technology used to further evaluate elevated blood pressure readings obtained during office visits. We wondered whether a less costly approach than 24BP would lead clinicians to similar treatment decisions. Eleven faculty general internists sequentially evaluated sample patients' office blood…

Primary Article

Surgical Treatment of Epilepsy: Initial Results Based Upon Epidural Electroencephalographic Recordings

ABSTRACT: We describe our initial results in 50 consecutive patients who had investigation for possible surgical treatment of intractable focal epilepsy. Forty-three were investigated using intracranial epidural or foramen ovale electrodes. Forty-five had cortical resection (43 temporal, one frontal, and one parietal). Thirty-two patients who had resection have been followed…

Primary Article

Fascia Lata Graft as a Dural Substitute in Neurosurgery

ABSTRACT: We present 37 cases in which fascia lata was used for dural patching when there was inadequate regional tissue, such as pericranium or temporalis fascia to repair the dural defect. Operative indications included tumor in 17 patients (46%), trauma in nine (25%), cerebrospinal fluid fistula in seven (19%), infection…

Primary Article

Growth Hormone by Daily Injection in Patients Previously Treated for Growth Hormone Deficiency

ABSTRACT: When recombinant-DNA-derived methionyl growth hormone (met-GH) became available for patients resuming treatment, we were able to compare dose intervals in 47 prepubertal children with growth hormone deficiency. Patients were randomly assigned to one or three doses weekly or to daily injections for a total dosage of 0.3 mg/kg weekly….

Primary Article

Intrathecal Morphine as an Adjunct to Anesthesia for Head and Neck Surgery

ABSTRACT: Within the past 15 years, the use of spinal opiates has gained acceptance as a means of achieving postoperative analgesia during various surgical procedures, though little has been reported concerning such use in head and neck surgery. Our experience with intrathecal morphine for eight patients who have had head…

Case Report

Acne Fulminans

Letter to the Editor

Administration of Estrogens to Patients With a Previous Diagnosis of Endometrial Adenocarcinoma

Letter to the Editor

Angiosarcoma

Case Report

Benign Fibrous Pleural Tumor With Elevation of Insulin-like Growth Factor and Hypoglycemia

Case Report

Bilateral Uveal Metastases From Small-Cell Carcinoma of the Lung

Announcement

BOOKS RECEIVED

Case Report

Candida albicans Infected Pseudocyst in a Postpartum Woman

Letter to the Editor

Diving into the C

Letter to the Editor

DMSO

Case Report

Endobronchial Tuberculosis Manifested as Obstructive Airway Disease in a 4-Month-Old Infant

Case Report

Eosinophilia-Myalgia Syndrome Associated With Tryptophan

Editorial

FOOTBALL AS SHE IS SPOKE (WITH APOLOGIES TO ENGLISH)

Letter to the Editor

Hickman Catheter Sepsis Caused by Yersinia enterocolitica

Letter to the Editor

Hydropneumothorax After Retrieval of Oocytes

Case Report

Invasive Pulmonary Penicilliosis: Successful Therapy With Amphotericin B

Letter to the Editor

Kaposi’s Sarcoma as a Cause of Spinal Cord Compression in an Immunocompromised Patient

Case Report

Management of Hepatic Hydrothorax With a Peritoneovenous (Denver) Shunt

Case Report

Maternal Paraparesis After Epidural Anesthesia and Cesarean Section

Case Report

Obturator Hernia: A Difficult Diagnosis

Letter to the Editor

Osier’s Brain

Letter to the Editor

Scaphoid Fractures

Letter to the Editor

Spiders Are Spiders…

Case Report

Stevens-Johnson Syndrome After Radiotherapy

Case Report

Systemic Lupus Erythematosus: Pulmonary Presentation in Childhood

Our Medical Heritage

The Asclepiads of Dublin: A Moment in Ireland’s Medical History

Editorial

THE ENEMY IS US

Article

The First Vision

Article

Thomas Phaer, MD (1510-1560): Father of English Pediatrics

Case Report

Total Body Immersion in Hydrofluoric Acid

Case Report

Vancomycin-Induced Toxic Epidermal Necrolysis

Case Report

Whipple’s Disease With Axial and Peripheral Joint Destruction