Issue - Southern Medical Association

Primary Article

Unrecognized Association of Sleep Disorders and Depression With Chronic Pelvic Pain

ABSTRACT: Assessment of cases of chronic pelvic pain presents a challenging problem, and many physicians overlook the association of sleep disorders and depression with such pain. We examined these linkages in our chronic pelvic pain clinic, using a questionnaire that assists in diagnosis and management of these cases. To date,…

Primary Article

Disseminated Histoplasmosis in Patients With AIDS

ABSTRACT: Disseminated histoplasmosis (DH) is recognized as an opportunistic infection in patients with the human immunodeficiency virus (HIV), especially in regions where histoplasmosis is endemic. At the Kansas University Medical Center 148 patients were hospitalized with the diagnosis of AIDS from December 1983 to March 1991; 23 of these patients…

Review Article

Pharmacologic Considerations in the Treatment of Substance Abuse

ABSTRACT: Drug and alcohol abuse continue to be commonly encountered problems in most patient populations. To deal effectively with these problems, the primary care physician must have a thorough knowledge of the pharmacology of commonly abused drugs and the adjunctive agents used in treatment. Management of alcoholism may involve a…

Primary Article

Thallium Poisoning: An Outbreak in Florida, 1988

ABSTRACT: In October 1988, five of seven members of a Florida family were poisoned with thallium, constituting the largest outbreak of acute thallium poisoning in the United States since thallium was banned as a rodenticide in 1972. Three patients had an acute severe neuropathy with respiratory depression; one died. The…

Current Concepts

Postsplenectomy Infections

ABSTRACT: Serious postsplenectomy infection is a significant threat to patients. Although the incidence of such infection is low, the resultant mortality is extremely high. This susceptibility to infection and ensuing mortality results from multiple immunologic changes that occur after splenectomy. These changes include alteration in immunoglobulin levels, loss of serum…

Primary Article

Swing Bed Program in a Small Rural Hospital: Discharge Outcome

ABSTRACT: Swing beds contribute significantly to inpatient rehabilitation and skilled nursing care of the rural elderly, but little information is available in the general clinical literature regarding the types and outcomes of patients admitted to these programs. All swing bed admissions to a small rural hospital for the 1989 fiscal…

Primary Article

Pleural Effusions in Right-Sided Endocarditis: Characteristics and Pathophysiology

ABSTRACT: The incidence, characteristics, and pathogenesis of pleural effusions in patients with right-sided endocarditis (RSE) are poorly defined. We have recently observed four patients with a history of intravenous drug abuse and bacteremia due to Staphylococcus aureus who had pleural effusions during an episode of RSE. We report the pleural…

Primary Article

Vascular Surgery: Possible Adverse Effect on Extent of Subsequent Lower Limb Amputation

ABSTRACT: The influence of previous vascular surgery on the level of amputation was examined retrospectively in 345 amputations (66 bilateral) in 279 patients with peripheral vascular disease. Seventy-two patients (38% diabetic) had previous vascular surgery on 74 limbs and 207 (65% diabetic) had no history of vascular surgery on 271…

Article

Charles Drew: Dispelling the Myth

ABSTRACT: The name Charles Drew is synonymous with blood transfusions, but his life encompassed many other areas of work. A native of Washington, DC, Drew attended Dunbar High School and Amherst College, and went to medical school at McGill University in Montreal. All during his schooling he was a highly…

Primary Article

Zygomatic Fractures: Reduction With the T-Bar Screw

ABSTRACT: The prominent zygomatic bone is one of the most commonly fractured. Fracture with displacement of the bone results in a cosmetic and functional deformity. The fractured zygomatic bone is usually dislocated in an inferomedial and posterior direction, which results in a cosmetic deformity with loss of ipsilateral malar prominence,…

Primary Article

Is the Pediatric Preoperative Hematocrit Determination Necessary?

ABSTRACT: The usefulness of the preoperative hematocrit determination as a screening test before outpatient pediatric surgical procedures has been questioned. It has been suggested that a careful history and physical examination are of greater importance than routine laboratory tests in determining a child's fitness for surgery. We evaluated the utility…

Primary Article

Diagnosis of Systemic Histoplasmosis in Patients With AIDS

ABSTRACT: To compare various laboratory methods for diagnosis of systemic histoplasmosis, we retrospectively reviewed the charts of 165 patients with AIDS (acquired immunodeficiency syndrome). In eight of those patients, systemic histoplasmosis was confirmed by laboratory techniques. The laboratory methods used were histomorphology and microbiology. Tissues and fluids used for fungal…

Editorial

A THING OF BEAUTY

Letter to the Editor

Actinomycosis of the Tongue

Editorial

Bei mir bist Du schön

Letter to the Editor

Cyclosporine Toxicity Associated With Allopurinol

Case Report

Disappearing Breast Calcifications: Mammographic-Pathologic Discrepancy Due to Calcium Oxalate

Article

Discarded Notions About Disease: A Partial List

Letter to the Editor

Friendship Bridge

Evagations

FROM THE BACK ROW

Case Report

Gastrografin-Induced Aspiration Pneumonia: A Lethal Complication of Computed Tomography

Case Report

Heterotopic Ossification and Deep Venous Thrombosis: Concurrence (?), Bleeding Complications, and Caval Interruption

Our Medical Heritage

History of Pediatrics: Part I

Evagations

I REMEMBER WHEN

Evagations

I’D LIKE TO THANK EVERYONE WHO MADE THIS POSSIBLE

Letter to the Editor

Jones Fracture

Letter to the Editor

Laparoscopic Cholecystectomy-Hysterectomy-Salpingo-oophorectomy: A Combined Application of Laparoscopic Surgery

Case Report

Pancoast Tumor: Use of MRI for Tumor Staging

Letter to the Editor

Penile ‘Joint’

Case Report

Postoperative Pulmonary Toxicity Associated With Mitomycin-C Therapy

Case Report

Primary Cerebral Lymphoma Manifested by Dementia

Letter to the Editor

Quackery

Editorial

SAY GOODNIGHT, JOHN

Case Report

Trichosporon beigelii: A Potential Cause of Sepsis in Premature Infants

Letter to the Editor

Unto the Least of These…