Issue - Southern Medical Association

Primary Article

Fatal Incidents Involving Pickup Trucks in Alabama

ABSTRACTDeath or injury resulting from crashes involving light trucks (ie, pickup trucks) is a significant problem. Data show that fatal crashes and occupant fatalities involving light trucks have steadily increased since 1983. This project describes vehicle crashes involving passengers riding in the beds of pickup trucks. Actual crashes were identified…

Primary Article

Transdermal Clonidine Versus Chlordiazepoxide in Alcohol Withdrawal: A Randomized, Controlled Clinical Trial

ABSTRACTIn a prospective, double-blind comparison, we assessed the efficacy of transdermal clonidine with that of chlordiazepoxide in the treatment of moderately severe acute alcohol withdrawal syndrome. While having significant withdrawal symptoms, 50 hospitalized men were randomly assigned to receive either transdermal clonidine or chlordiazepoxide over a 4-day study period. Outcome…

Primary Article

Patients With Mental Disorders Who Work

ABSTRACTMental illness can devastate persons intellectually and emotionally; with maintenance therapy, however, certain patients with chronic mental illnesses are capable of holding a variety of jobs. From the total population of psychiatric patients in our VA outpatient clinic, the 87 who were gainfully employed were identified to determine common factors…

Primary Article

Pediatric Injury Surveillance: Use of a Hospital Discharge Data Base

ABSTRACTMortality data traditionally have been used to describe the epidemiology of childhood injury. Fatal outcomes, however, represent less than 1% of injury events and thus provide a limited characterization of the problem. Future epidemiologic study resulting in injury prevention depends upon the development of morbidity-based injury surveillance systems. “E-coded” hospital…

Primary Article

Long-term Medical Consequences of Incest, Rape, and Molestation

ABSTRACTOne hundred thirty-one patients who gave a history of childhood sexual abuse were seen in a general medical practice decades after the event and were compared with a control group. The subject patients were found to be distinct for chronic depression, morbid obesity, marital instability, high utilization of medical care,…

Primary Article

Titrated Intravenous Barbiturates in the Control of Symptoms in Patients With Terminal Cancer

ABSTRACTPatients with terminal cancer may have a series of severe and dehumanizing physical and psychologic symptoms. To improve symptom control in the final days and hours of life, we administer intravenous barbiturates continuously to provide heavy sedation or continuous somnolence. Titrated dosage is then reduced to a minimum, after a…

Primary Article

Screening for Sexually Transmitted Diseases by Primary Care Physicians

ABSTRACTThe acquired immunodeficiency syndrome epidemic has drawn attention to screening for sexually transmitted diseases by primary care physicians. A telephone survey of primary care physicians in an area with a high incidence of STDs (Washington, DC) to ascertain the determinants and the extent of screening and counseling for STDs was…

Primary Article

False-Positive Results in Serologic Tests for Rocky Mountain Spotted Fever During Pregnancy

ABSTRACTThe data from this study demonstrate that false-positive results from tests for Rocky Mountain spotted fever increase with the duration of pregnancy. The sera of 4.0% (2/50) of women in their first trimester of pregnancy, 10.9% (5/46) in their second trimester, and 12.1% (12/99) in their third trimester yielded false-positive…

Primary Article

Community-Acquired Pulmonary Infections in a Public Municipal Hospital in the 1980s

ABSTRACTThe relative and absolute incidences of community-acquired bacterial and tuberculous pulmonary infections, in patients admitted to a public municipal hospital, and the clinical and radiographic characteristics of these infections were retrospectively determined for the first time in 20 years. The data were compared to those previously reported in the literature….

Case Report

Gastric Infarction

SUMMARYWe have described a patient with an acute condition of the abdomen who had infarction of the stomach and the small intestine due to atheromatous thrombus of celiac and superior mesenteric arteries. We believe this unusual simultaneous occurrence of gastric and small intestinal infarction is coincidental. The outcome of gastric…

Case Report

Benign Cystic Teratoma Manifested as an Umbilical Hernia

SUMMARYWe have reported a case of dermoid tumor manifested as an umbilical hernia. Resection led to complete recovery.

Case Report

A Case of Neonatal Tetanus

Case Report

A Complex Ileovaginal Fistula With Associated Obstructive Uropathy in a Patient With Crohn’s Disease: Technical Considerations and Review of the Literature

Case Report

Acute Oculogyric Crisis After Administration of Prochlorperazine

Letter to the Editor

An Educational Experience

Case Report

Cerebellar Degeneration and Meige’s Syndrome

Case Report

Cerebral Falciparum Malaria Mimicking Thrombotic Thrombocytopenic Purpura

Case Report

Complete Atrioventricular Block Due to Sublingual Isosorbide Dinitrate

Letter to the Editor

Cystoscopic Adventures

Case Report

Factitious Cyclic Hypersomnia: A New Variant of Factitious Disorder

Case Report

Focal Hepatic Tuberculosis in a Patient With Acquired Immunodeficiency Syndrome

Review Article

Gastric Mucosal Injury Induced by Nonsteroidal Anti-inflammatory Drugs

Our Medical Heritage

Howard Atwood Kelly (1858–1943): His Life and His Enduring Legacy

Letter to the Editor

Indomethacin-Enalapril Interaction: An Alert

Case Report

Management of Arginine Monohydrochloride Extravasation in the Forearm

Letter to the Editor

Nuclear Preparedness

Case Report

Profound Papilledema Due to Cryptococcal Meningitis in Acquired Immunodeficiency Syndrome: Successful Treatment With Fluconazole

Letter to the Editor

Quality of Life

Case Report

Scalp Pilomatrix Carcinoma as an Extra-axial Mass

Case Report

Spontaneous Rupture of a Normal Bladder

Case Report

Spontaneous Rupture of the Stomach in an Adult

Case Report

Stomatococcus mucilaginosus Catheter-Related Infection in an Adolescent With Osteosarcoma

Editorial

THE FLAMING P POT

Editorial

THE ROAD TO EDUCATION