Issue - Southern Medical Association

Review Article

Sick Building Syndrome

ABSTRACT“Sick building syndrome” (SBS) is one of the more colorful terms describing an increasingly common pattern of symptoms found among workers in modern office buildings. Core symptoms include lethargy, mucous membrane irritation, headache, eye irritation, and dry skin. To prompt a diagnosis of SBS, these otherwise common symptoms must be…

Primary Article

Indigenous Cases of Lyme Disease Diagnosed in North Carolina

ABSTRACTBetween January 1984 and December 1989, 102 indigenous cases of Lyme disease were reported in North Carolina. Lyme disease was reported in each of the three major geographic regions of the state: mountain, piedmont, and coastal plain. One or more diagnoses were made in 42 of 100 counties. Patients ranged…

Primary Article

Collagenous Colitis: Report of Nine Cases and Review of the Literature

ABSTRACTCollagenous colitis is characterized clinically by chronic watery diarrhea and pathologically by a distinctive band of collagen deposited below the colonic epithelium and an inflammatory cell infiltrate of the lamina propria. Since 1976, more than 100 cases have been described. We report an additional nine cases occurring in five women…

Primary Article

Intraoperative Colonic Lavage: Failure to Decrease Mucosal Microflora

ABSTRACTFew data exist concerning the ability of intraoperative colonic lavage to decrease colonic bacterial counts, and nothing is known about its effect on the recently described mucosa-associated bacteria. The goal of our study was to determine the impact of intraoperative colonic lavage on both the intraluminal and mucosal microflora. After…

Current Concepts

Flexible Sigmoidoscopy as a Screening Procedure in Rural Patients

ABSTRACTIn this study of flexible sigmoidoscopy as a screening procedure for rural, impoverished patients, 16% of asymptomatic patients who were screened by sigmoidoscopy and 23% of patients with a positive test for fecal occult blood were found to have a polyp or carcinoma. Flexible sigmoidoscopy appears to be an important…

Primary Article

Williams’ Vulvovaginoplasty After Supralevator Total Pelvic Exenteration

ABSTRACTSeven patients had delayed Williams' vulvovaginoplasty after supralevator total pelvic exenteration. Of the three patients who died of carcinoma of the cervix (at 2, 5, and 15 months after vulvovaginoplasty), the first died before having a chance to attempt intercourse, but the other two had reported intercourse on at least…

Primary Article

A Survey of Drinking Patterns During Medical School

ABSTRACTSeveral studies have documented the common use of alcohol among medical students and the significant fraction of students (7% to 17%) who show a pattern of alcohol abuse. Many authors have pointed out the implications of physician impairment due to alcoholism, presently estimated at about 10%. We surveyed 263 junior…

Primary Article

Inpatients With AIDS and AIDS-Related Complex: Economic Impact on Hospitals in North Carolina

ABSTRACTTo determine the economic impact of acquired immunodeficiency syndrome (AIDS) or AIDS-related complex (ARC) cases on North Carolina hospitals, we collected inpatient data from all North Carolina hospitals on charges and number of patients discharged with these diagnoses. More than 97% of the state's hospitals responded to the survey for…

Primary Article

Obstetric Complications in Young Teenagers

ABSTRACTWe compared pregnancy outcome in 286 teenaged primigravidas (516 years old) and 267 adult primigravidas (21 to 25 years old) who had similar prenatal care, socioeconomic status, and racial balance. The incidence of preterm labor and delivery of a low birthweight infant was significantly higher in the teenagers. The incidence…

Primary Article

The Efficacy of Palliative and Definitive Percutaneous Versus Surgical Drainage of Pancreatic Abscesses and Pseudocysts: A Prospective Study of 85 Patients

ABSTRACTWe compared the efficacy of percutaneous to surgical drainage in a prospective study in 85 patients with pancreatic abscesses and pseudocysts. Percutaneous drainage of pancreatic abscesses in 18 patients cured three and palliated 12 who were eventually cured by elective surgical ablation; three patients died. This compares well to our…

Primary Article

Roentgenographic Evaluation of the Augmented Breast

ABSTRACTWe performed a retrospective study to determine the sensitivity of mammography in detecting breast cancer arising in women with augmented breasts. Of eight women with breast implants in whom breast cancer developed, six had mammograms before biopsy. Only two of the six cancers were identified mammographically (sensitivity = 33%), and…

Primary Article

Alcohol and Cocaine Use Among First-Year College Students

ABSTRACTWe surveyed 1528 first-year students at the University of Virginia, 1 month after their arrival on campus, who had used alcohol at some time in their lives. Our survey was designed to identify alcohol and cocaine use, and related psychosocial patterns. Men drank more and more often than women. Our…

Primary Article

Pharmacokinetic Dosing of Phenobarbital in the Treatment of Alcohol Withdrawal Syndrome

ABSTRACTWe used a pharmacokinetically derived phenobarbital dosing protocol to treat alcohol withdrawal syndrome in patients admitted to a family medicine inpatient service. We describe the protocol and include two case reports documenting its efficacy. Although benzodiazepine agents are considered by many to be the primary agents of choice, based upon…

Case Report

Pancreatic Carcinoma in an Elderly Woman With an Organic Affective Disorder and AIDS Delusion

SUMMARYAn elderly woman with symptoms of depression and an AIDS delusion was found also to have pancreatic carcinoma. I have discussed her case in conjunction with organic affective disorder, the evaluation of depression in the elderly, and suicide in the elderly.

Case Report

Captopril-Induced Cholestatic Jaundice

SUMMARYI have reported a case of captopril-induced cholestatic jaundice. This drug is being used with increasing frequency, so it is important that physicians recognize this adverse effect. Captopril-induced jaundice resolves after cessation of captopril therapy.

Letter to the Editor

A Measure of Excessive “Reliance on High Technology” (RHT) in Medicine and What It Means

Author Index

AUTHOR INDEX

Letter to the Editor

Breast Cancer Detection

Letter to the Editor

Cardiopulmonary Resuscitation

Article

Cobb Pilcher,MD: A Remarkable Neurologic Surgeon

Case Report

Eosinophilic Pneumonia Associated With Reaction to Radiographic Contrast Medium

Our Medical Heritage

Ernest Caulfield, MD, FAAP: The Philosophic Outlook and Method of a Pediatric Historian

Letter to the Editor

Gemfibrozil Interaction With Glyburide

Evagations

IT’S OK

Letter to the Editor

Mammograms and ER in Patients With Breast Cancer

Case Report

Orbital Inflammatory Disease Associated With Systemic Lupus Erythematosus

Case Report

Rheumatoid Arthritis of the Larynx: The Importance of Early Diagnosis and Corticosteroid Therapy

Editorial

SKY DREAMS HIGH ABOVE THE CLOUDS

Announcement

STATE MEDICAL ASSOCIATIONS IN THE SOUTHERN REGION ANNUAL MEETINGS

Editorial

SUBSUBSPECIALIZATION

Editorial

THERE OUGHTA BE A LAW