Issue - Southern Medical Association

Primary Article

Physicians’ Psychologic Reactions to Malpractice Litigation

ABSTRACT: A questionnaire investigating the psychologic sequelae of malpractice litigation was administered to sued and nonsued physicians through a major malpractice insurer in a rural southern state. Factor analysis showed clusters of symptoms, including psychologic trauma, job strain, shame/doubt, and active coping. Psychologic stress decreased with time (but did not…

Primary Article

Comparison of Adolescent Health Care Provided at a School-Based Clinic and at a Hospital-Based Pediatric Clinic

ABSTRACT: Adolescents are an underserved population lacking adequate access to health care. School-based clinics have been promoted as one strategy to improve both access and care. We studied the degree to which such clinics provide services that either differ from or complement conventional health care service. Six categories of primary…

Primary Article

Soft Tissue Infections in the Emergency Department: The Case for the Use of ‘Simple’ Antibiotics

ABSTRACT: Cellulitis, infected wounds, abscesses, and other bacterial infections of skin and soft tissue are commonly seen in the practice of emergency medicine. Informal observations in a teaching hospital suggest that newer agents having a broader antibiotic spectrum are frequently used for empiric outpatient treatment of mild to moderate soft…

Primary Article

Advance Directives: Implementation into Clinical Practice

ABSTRACT: Legislation recently passed by Congress will require health care organizations to maintain specific procedures regarding the right of patients to prepare advance directives. Previous studies have shown that patients may wish to discuss issues regarding future terminal care, but few patients complete living wills or durable powers of attorney….

Primary Article

Postoperative Intussuception: Increasing Frequency or Increasing Awareness?

ABSTRACT: Postoperative intussusception in children is a rare but well recognized phenomenon. The diagnosis is often delayed due to the protean manifestations of the disorder (ileus, distention, and nausea and vomiting) which, when encountered shortly after an abdominal operation, usually result in a low index of suspicion because they are…

Primary Article

Intraoperative Ultrasonography and Cortical Mapping for Removal of Deep Cerebral Tumors

ABSTRACT: Stereotactic biopsies of brain tumors have recently become frequent, but prognosis may be improved by more aggressive surgery for primary and metastatic tumors. This report describes techniques for debulking and removal of deep cerebral tumors that are commonly subjected only to biopsy. With the use of intraoperative ultrasonography and…

Primary Article

Cardiovascular Intervention for High-Risk Families: The Heart Smart Program

ABSTRACT: The Heart Smart Family Health Promotion Program is a multidisciplinary, school-based program for cardiovascular risk reduction among high-risk children and their families. As a program that includes young adults at high risk, it is adaptable to a clinical practice. Nineteen fourth and fifth graders were selected as probands for…

Primary Article

Burns in Octogenarians

ABSTRACT: Trauma is the fifth leading cause of death for the elderly. Approximately 7.4 million (3% of the population) are more than 80 years old (the so-called “old” old). More than 40% of Americans will reach the age of 80 years, and those who do can expect to live an…

Primary Article

Dynamic Stereotactic Radiosurgery Using a Linear Accelerator

ABSTRACT&colon; We describe a system for stereotactic radiosurgery with a linear accelerator. This technique allows treatment of small (<40 mm diameter) intracranial lesions, including vascular malformations, and primary and metastatic tumors that are deep within the brain or in areas not amenable to open surgery. A beam of ionizing radiation…

Case Report

Alcohol Withdrawal With an Unusual Presentation

Case Report

Benign Fibrovascular Polyp of the Esophagus

Case Report

Cephalic Replacement in Severe Shoulder Dystocia

Case Report

Echocardiographic Diagnosis of Effusive-Constrictive Pericarditis Due Staphylococcal Pericarditis After Cardiac Surgery

Letter to the Editor

Environmental Allergies?

Letter to the Editor

Erythropoietin Therapy for Sickle Cell Anemia in Jehovah’s Witnesses

Evagations

EVAGATIONS

Case Report

Hypovitaminosis in a Control Subject

Case Report

Intravenous Immunoglobulin Therapy for Chronic Inflammatory Demyelinating Polyneuropathy Recalcitrant to Conventional Therapy

Letter to the Editor

Irritation by Cromolyn Sodium

Letter to the Editor

Leptospirosis as a Result of Elk Exposure

Current Concepts

Medical Therapy Versus Early Surgical Intervention in Patients With Endocarditis and Vegetations Seen on Echocardiography

Article

Minamata Disease: A Story of Mercury’s Malevolence

Case Report

Mycobacterium fortuitum Pulmonary Infection Complicating Achalasia

Case Report

Neuroleptic Malignant Syndrome Associated With Carbamazepine

Clinical Brief

Neuroleptics in Painful Thiamine Deficiency Neuropathy

Case Report

Non-T-Cell Lymphoblastic Lymphoma With Extensive Osteolytic Lesions and Hypercalcemia

Case Report

Octreotide-Induced Acute Pancreatitis in a Patient With Acquired Immunodeficiency Syndrome

Case Report

Paraspinous Abscess With Mycobacterium avium-intracellulare in a Patient Without AIDS

Letter to the Editor

Practice-Based Research

Clinical Brief

Prevalence of Histoplasmosis in a Midsouthern Population

Letter to the Editor

Reflections From the Storming Desert Storm

Case Report

Resolution of Pancreatic Ascites After Low-Dose Radiation

Review Article

Respiratory Tract Side Effects of Angiotensin Converting Enzyme Inhibitors: Current Knowledge

Case Report

Right Atrial and Pulmonary Thromboembolism Mimicking Unstable Angina

Case Report

Signal-Averaged Electrocardiographic Detection of Terminal QRS Deflection Suggesting Late Potentials

Case Report

Significance of Cryptococcal Antigen Titers in Patients With AIDS

Editorial

SOME MUSINGS ON THE DYING OF PROFESSIONAL COURTESY

Case Report

Spontaneous Bacterial Peritonitis During Bowel Preparation: An Example of Clinical Translocation

Case Report

Suppurative Pylephlebitis

Case Report

Systemic Vasculitis in Goodpasture’s Syndrome

Editorial

THANKSGIVING FOR 1991: WINDS OF CHANGE

Letter to the Editor

The Black Aorta: Alkaptonuria Diagnosed During Coronary Artery Bypass

Case Report

Thyrotoxic Hypokalemic Periodic Paralysis in a White Man