Issue - Southern Medical Association

Primary Article

Pancreaticoduodenal Artery Aneurysms: Changing Patterns

ABSTRACT: A true pancreaticoduodenal artery (PDA) aneurysm (ie, one not associated with pancreatitis) is the second least common splanchnic artery aneurysm; it is usually situated in or near an area that is hard to dissect, and it has a distinct propensity to rupture. We reviewed a total of 36 cases…

Article

Cocaine in the Cradle: A Hidden Epidemic

ABSTRACT: Intrauterine exposure to cocaine is reaching epidemic proportions and is affecting the lives of an increasing number of infants and children. The toxic effects are manifested as microcephaly, growth retardation, brain infarcts, congenital malformations, and withdrawal symptoms lasting for several weeks. Preliminary long-term follow-up studies reveal worrisome psychologic alterations…

Primary Article

Organs for Transplantation: Analysis of 27000 Cadaveric Donor Organs

ABSTRACT: Organs from brain-dead cadaveric donors have been increasingly used for saving lives and preserving health. During the 5 calendar years 1984 through 1988, specific organ recovery patterns were reported for 10 488 donors of 27 833 vascular organs. Transplantation of 18277 kidneys, 3425 hearts, 2957 livers, and 411 pancreatic…

Primary Article

Pediatric Pilonidal Disease: A Method of Management

ABSTRACT: Pilonidal disease is a common problem; its many management options are testimony to the difficulty in its eradication. Its etiology is distention of midline skin orifices with ingestion of hair shafts from hirsute buttocks. Thus, the disease does not usually appear until after puberty. Nine children were treated by…

Primary Article

Temporary Gastrostomy Tubes in Major Gynecologic Surgery

ABSTRACT: Prophylactic, temporary tube gastrostomy was done in 39 patients having major gynecologic surgery. Patients who were thought to be at high risk for postoperative ileus had a Foley catheter inserted intraoperatively through the greater curvature of the stomach. The procedure was found to be technically easy, well tolerated by…

Article

Developing a Model for the Study of Quality of Life in Elderly Patients With Chronic Disease: Use of Hypertension as an Example

ABSTRACT: The concept of quality of life (QOL) is multidimensional and complex, especially in regard to chronic disease and old age. The purpose of this study was to explore QOL in a population of elderly patients with hypertension and to suggest a technique for model building. The specific purpose of…

Current Concepts

Acute Nonlymphocytic Leukemia: The First 48 Hours

ABSTRACT: The initial care of patients with acute nonlymphocytic leukemia can be lifesaving. Such patients are most often treated at tertiary care centers where resident physicians, working under the supervision of a subspecialist, are responsible for the diagnosis and initial treatment. During the first 48 hours, the house officer must…

Primary Article

Organ Donation: A University Hospital Experience

ABSTRACT: To define the size of the donor pool among nontrauma patients and the role of physicians in the limited supply of organs available for transplantation, we reviewed the 1293 nontrauma deaths that occurred in Vanderbilt University Medical Center during a 31-month period. Computerized discharge abstracts showed that 111 adults…

Primary Article

Diabetes Mellitus as a Risk Factor for Stroke

ABSTRACT: To evaluate the relative potency of diabetes mellitus as a risk factor for stroke, the relative frequency of stroke symptoms was compared among cohorts with and without diabetes. Stroke symptoms were classified as atherothrombotic cerebral infarctions, transient ischemic attacks, reversible ischemic neurologic deficits, and multi-infarct dementia. The groups were…

Review Article

Tracheal Agenesis

ABSTRACT: Tracheal agenesis is a rare congenital anomaly. We report a case and review the cases previously reported. Clinical features that might indicate tracheal agenesis include antenatal polyhydramnios, severe respiratory distress, absence of an audible cry, failure to advance an endotracheal tube beyond the larynx, a palpable distal trachea, clinical…

Primary Article

Microangiopathic Hemolytic Anemia as the Initial Manifestation of Porcine Valve Failure

ABSTRACT: We compare the findings in a patient whose microangiopathic hemolytic anemia was the initial sign of porcine valvular dysfunction, with those of six other patients with porcine valve failure seen at Tripler Army Medical Center and with those of 12 patients with hemolytic anemia and procine valve failure whose…

Primary Article

Pneumococcal Bacteremia as a Marker for Human Immunodeficiency Virus Infection in Patients Without AIDS

ABSTRACT: We retrospectively reviewed medical records of all adult patients with blood cultures positive for Streptococcus pneumoniae to determine the number of HIV seropositive patients in whom S pneumoniae bacteremia was the presenting manifestation. We also compared the clinical presentation, laboratory data, and outcome of pneumococcal bacteremia in patients who…

Primary Article

Proctologic Management of the HIV-Positive Patient

ABSTRACT: With the adoption of mandatory testing for human immunodeficiency virus (HIV) in military personnel, a large number of HIV-positive individuals have been identified. From January 1986 to February 1988, 677 HIV-positive patients were evaluated at Wilford Hall USAF Medical Center. Most of these patients had disease in the Armed…

Article

Diagnosis at the Bedside by Gene Analysis

Symposium: The Impact of Genetics and Biotechnology on Medicine

Article

Social and Ethical Implications of Advances in Human Genetics

Symposium: The Impact of Genetics and Biotechnology on Medicine

Article

Symposium:The Impact of Genetics and Biotechnology on Medicine Introduction

Symposium: The Impact of Genetics and Biotechnology on Medicine

Article

The Mapping and Sequencing of the Human Genome

Symposium: The Impact of Genetics and Biotechnology on Medicine

Letter to the Editor

Abortion in Patients With a Liver Mass

Letter to the Editor

Abortion in Patients With a Liver Mass Reply

Case Report

Bronchoscopy-Induced Fatal Asystole in Tetanus: The Result of Combined Carotid-Body Chemoreceptor and Vasovagal Reflexes

Case Report

Can Acetaminophen Excess Result in Maternal and Fetal Toxicity?

Evagations

CEMETERY

Case Report

Clinically Significant Hemorrhage Due to Warfarin-Carbamazepine Interaction

Case Report

Complementary Use of Doppler Sonography and Delayed Right Lateral Scintigraphy for the Diagnosis of Choledochal Cysts

Errata

Correction

Case Report

Current Trends in the Diagnosis and Treatment of Hepatic Artery Aneurysms

Announcement

Educational Opportunities

Case Report

Endocarditis and Hip Arthritis Associated With Scedosporium inflatum

Case Report

Fatal Pulmonary Thromboembolism After Successful Transsphenoidal Hypophysectomy for Cushing’s Disease

Case Report

Imipenem Resistance in a Case of AIDS With Relapsing Pseudomonas Meningitis

Letter to the Editor

Lone Eagle

Case Report

Ophthalmomyiasis Interna Lentis

Case Report

Oxyphilic (Hürthle Cell) Adenoma Arising in a Black Thyroid Gland

Letter to the Editor

Priapism Associated with Buspar

Case Report

Rheumatoid Pleuritis

Editorial

RHK, 1898-1990, R.I.P.

Editorial

ROMANCING THE GENE

Announcement

Scientific Program Preview

Announcement

STATE MEDICAL ASSOCIATIONS IN THE SOUTHERN REGION ANNUAL MEETINGS

Editorial

THE SCIENCE OF MEDICINE

Letter to the Editor

Thyroglossal Duct Cyst

Letter to the Editor

What’s in a Name?