Issue - Southern Medical Association

Primary Article

Listerial Infections in Patients With Systemic Lupus Erythematosus

ABSTRACT: Infection with Listeria monocytogenes is known to occur more frequently in immunosuppressed patients, including those receiving high-dose prednisone or cytotoxic therapy for collagen vascular disease. We reviewed three cases of listeriosis and systemic lupus erythematosus (SLE) seen at our institution, in addition to five cases reported in the English…

Primary Article

Changes in Residents’ Attitudes in Response to Residency Program Modifications: A Prospective Study

ABSTRACT: Interventions to modify stress during residency training have rarely been formally analyzed for effectiveness. Using a 33-item, closed-ended questionnaire based on factors previously reported to cause residency stress, we studied how program modifications affected the attitudes of residents in a university-affiliated community internal medicine residency training program. Training program…

Primary Article

Laparoscopic Cholecystectomy: A Community Experience

ABSTRACT: Minimally invasive surgery appears to be gaining popularity, and removal of the gallbladder by laparoscopic methods is one such procedure for which there is recent enthusiasm. The concerns about safety, morbidity, and mortality in contrast to standard cholecystectomy are being evaluated. To address these concerns we reviewed the first…

Primary Article

Esophagogastric Ring: Why and When We See It, and What It Implies: A Radiologic-Pathologic Correlation

ABSTRACT: Schatzki first reported a ring-like structure at the esophagogastric mucosal junction in 1953. There is still no uniform agreement as to its exact location, etiology, or clinical importance. We found an esophagogastric ring in 15% to 18% of 22 368 patients having routine upper gastrointestinal examinations. It was present…

Primary Article

Race-Related Differences in Metabolic Control Among Adults With Diabetes

ABSTRACT: The effect of race on differences in metabolic control was examined in patients with non-insulin-dependent (NIDDM) and insulin-dependent (IDDM) diabetes mellitus. Data were collected on HbA1c, age, duration of diabetes, age at onset, family function, stress, body mass index, waist/hip ratio, total cholesterol, insulin dose, diet, and physical activity….

Primary Article

Archery-Related Injuries of the Hand, Forearm, and Elbow

ABSTRACT: The five patients reported herein, had various archery-related injuries of the upper extremities. Acute injuries included arrow laceration of a digital nerve and artery, contusion of forearm skin and subcutaneous tissue, and compression neuropathy of digital nerves from the bowstring. Chronic injuries included bilateral medial epicondylitis and median nerve…

Current Concepts

Methylphenidate Hydrochloride as an Antidepressant: Controversy, Case Studies, and Review

ABSTRACT: The use of psychostimulants as antidepressants remains controversial in the field of psychiatry. While methylphenidate hydrochloride (MPH) and dextroamphetamine (DA) are often considered to be equivalent drugs, differences in their neurobiologic mechanism of action may account for different clinical response patterns. Hence, clinical trials and literature reviews that examine…

Primary Article

Victims of Crime: The Internist’s Role in Treatment

ABSTRACT: This article reports a case study on a crime victim identified and treated in an internal medicine residency program. Recent findings on crime and violence in the United States are reviewed with a particular focus on the psychologic and medical aftermath faced by victims. A unique role for the…

Primary Article

HIV Seroprevalence in Hospital Patients in Rural Georgia

ABSTRACT: To determine human immunodeficiency virus (HIV) seroprevalence among hospital patients in three rural community-based hospitals in southern Georgia, we anonymously tested patients 15 to 54 years old for antibodies to HIV-1 from residual blood specimens collected for routine diagnostic purposes. Data collected included age, sex, race, hospital service, presenting…

Review Article

Wandering Spleen: Anatomic and Radiologic Considerations

ABSTRACT: Wandering spleen is a rare clinical entity and remains an elusive clinical diagnosis, particularly in the pediatric patient. Among the imaging modalities (computerized tomography, magnetic resonance imaging, nuclear medicine, ultrasonography, plain films) used in the diagnosis of wandering spleen, ultrasonography is the least invasive and most effective. Elective splenopexy…

Case Report

Acute Pancreatitis Due to Sulfamethoxazole-Trimethoprim

Case Report

Complications of Trichobezoars: A 30-Year Experience

Case Report

Delayed CSF Seeding of Benign Oligodendroglioma

Case Report

Diffuse Pulmonary Tumor Microemboli From Adenocarcinoma of the Colon

Case Report

Disseminated Strongyloidiasis in a World War II Veteran With Metastatic Undifferentiated Carcinoma of Neuroendocrine Type

Letter to the Editor

Editor’s Note

Case Report

Elective Transtracheal Jet Ventilation for Bronchoscopic Removal of Tracheal Foreign Body

Letter to the Editor

Endocarditis in Drug Abusers

Medical Education

Grand Rounds Revisited: Some Comments on Current Practices

Letter to the Editor

How Many Authors…?

Letter to the Editor

How Many Authors…? Reply

Case Report

Hyperprolactinemia in a Patient With Sheehan’s Syndrome

Case Report

Isolated Splenic Metastasis From Rectal Carcinoma

Editorial

MISTER CHRISTOPHER COLUMBUS

Case Report

Paraneoplastic Limbic Encephalopathy as a Nonmetastatic Complication of Small Cell Lung Cancer

Case Report

Recurrence of Neisserial Meningococcemia Due to Deficiency of Terminal Complement Component

Case Report

Recurrent Pneumococcal Pneumonia in an HIV-Positive Patient With Lymphoid Interstitial Pneumonitis

Case Report

Solitary Rectal Ulcer Syndrome: Not Always Ulcerated

Article

The Not-So-Immovable Object Meets the Irresistible Force

Evagations

THE ULTIMATE WARRIOR

Editorial

THERE IS NO CURRENT INDICATION FOR LAPAROSCOPIC ADHESIOLYSIS TO TREAT ABDOMINAL PAIN

Article

To Preach or Teach: Empowering Patients and the Health Care Crisis

Letter to the Editor

Transmission of AIDS

Letter to the Editor

Vocal Cord Dysfunction