Issue - Southern Medical Association

Current Concepts

Diagnosis and Treatment of Common Metabolic Spinal Disorders in the Geriatric Population

Abstract Background. Bone is constantly resorbed and remodeled throughout life. After approximately age 30, there is a net loss of bone mass. This places the geriatric population at an increased risk of pathologic bone disorders that can lead to fractures and deformity Methods. In this paper, we review bone metabolism…

Primary Article

Predictive Value of Fetal Ultrasonography in the Diagnosis of a Lethal Skeletal Dysplasia

Abstract Background. Certain ultrasonographic findings identified in a fetus suspected of having a skeletal dysplasia may be predictive of a lethal outcome Methods. We evaluated 27 fetuses suspected of having a skeletal dysplasia using targeted ultrasonography between 16 and 31 weeks' gestation. Clinical examination and skeletal radiography were done after…

Primary Article

Lifetime Use of Alternative Therapy: A Study of Florida Residents

Abstract Background. Clinically relevant questions remain about who uses alternative medicine, which treatments they use and why Methods. The random digit dialing survey method was used to ask Florida residents about their lifetime use of 11 different alternative therapies. The response rate was 54% (n = 1,012) Results. Sixty-two percent…

Primary Article

Pulmonary Embolism and Malpractice Claims

Abstract Background. Deep venous thrombosis (DVT) with pulmonary embolization (PE) often occurs as an unexpected event with fatal consequences. This provides a setting for malpractice claims Methods. We reviewed 160 consecutive malpractice claims submitted by attorneys for medical expert review during the 11-year period ending in 1997. Seven cases involved…

Current Concepts

Hidradenitis Suppurativa

Abstract Background. Hidradenitis suppurativa (HS) is a recurrent, suppurative disease manifested by abscesses, fistulas, and scarring Methods. We reviewed the literature to identify reliable information regarding epidemiology, pathogenesis, clinical manifestations, evaluation and differential diagnosis, treatment, complications, and prognosis Results. Hidradenitis suppurativa usually affects young women, with a prevalence of 0.3%…

Current Concepts

Traditional and Evidence-Based Acupuncture: History, Mechanisms, and Present Status

Abstract Background. In 1983, the Southern Medical Journal advised its readers that a scientific basis might underlie the popular practice of ancient Chinese acupuncture. Recent studies have proven this to be correct, and a 1997 National Institutes of Health consensus panel recommended acupuncture as a useful clinical procedure Methods. Pertinent…

Current Concepts

Pulmonary Contusion in Children: Diagnosis and Management

Abstract Background. Pulmonary contusion (PC) is the most common injury identified in pediatric blunt chest trauma. The disagreement over management principles of children with PC may complicate care of these patients Methods. We reviewed the literature and our institutional experience Results. Pulmonary contusion is most often diagnosed by chest roentgenogram,…

Primary Article

Low Postoperative Infection Rates With Instrumented Lumbar Fusion

Abstract Background. Studies have shown postoperative infection rates increase with the use of internal instrumentation. It is believed that longer operative times, prolonged retraction, instrumentation, and bone grafting lead to a higher risk of infection Methods. We retrospectively reviewed 126 consecutive instrumented lumbar fusions. All had bone graft. The infection…

Primary Article

Disorders Associated With Clinically Severe Obesity: Significant Improvement After Surgical Weight Reduction

Abstract Background. Surgical treatment for patients with clinically severe obesity mainly aims to reduce morbidity Methods. Sixty-two patients were examined for disorders associated with morbid obesity before and after surgical weight reduction by vertical banded gastroplasty. All patients were followed-up for 12 to 48 months Results. At the end of…

Current Concepts

Acupuncture: A Review of Its History, Theories, and Indications

Abstract Background. The National Institutes of Health recently recommended acupuncture as an effective tool for the treatment of various health problems. Acupuncture is an old technique but has been popular in the United States only since 1972. Its history, theories, and indications are not well known to the medical community…

Case Report

Primary Colon Cancer Without Gross Mucosal Tumor: Unusual Presentation of a Common Malignancy

ABSTRACT: Colon cancer typically arises in the colonic lumen, allowing for endoscopic detection of cancerous and premalignant lesions. In the case presented, a 73-year-old man with iron deficiency anemia had two colonoscopies showing only diverticula and internal hemorrhoids. Three years later, when the patient complained of dull, intermittent lower abdominal…

Case Report

Disseminated Histoplasmosis and Wegener's Granulomatosis

ABSTRACT: Disseminated histoplasmosis is an unusual complication in endemic areas and has been reported in patients with an immunodeficient state, either from human immunodeficiency virus (HIV) infection or transplantation. In the non-HIV population, rare cases of disseminated histoplasmosis have been reported in patients with leukemia and Hodgkin's disease and patients…

Case Report

Mediastinal Lipomatosis

ABSTRACT: Mediastinal lipomatosis is a benign condition characterized by a large amount of mature adipose tissue within the mediastinum. It widens the mediastinum and may simulate mass lesions, thus leading to diagnostic errors. We describe a new case of a huge mediastinal lipomatosis and review 36 cases previously reported in…

Case Report

Solitary Choroid Plexus Metastasis From a Renal Cell Carcinoma

ABSTRACT: Metastatic tumors to the choroid plexus are rare. We report a case of renal cell carcinoma metastasizing to the choroid plexus of the lateral ventricular atrium. This tumor was shown by magnetic resonance imaging, followed by craniotomy and histologic confirmation. Computed tomography of the abdomen showed the primary tumor….

Case Report

Over-the-Counter Sympathomimetics: A Risk Factor for Cardiac Arrhythmias in Pregnancy

ABSTRACT: More than 170 over-the-counter (OTC) preparations contain a sympathomimetic agent as the active ingredient. Nonprescription medicines are consumed commonly in our society. Phenylpropanolamine, an α-adrenergic agonist as well as a popular decongestant, is consumed at a massive volume of 5 billion doses annually. Over-the-counter sympathomimetics have been reported to…

Case Report

Neonatal Pharyngeal Pseudodiverticulum Mimicking Esophageal Atresia

ABSTRACT: Pseudodiverticulum of the hypopharynx is an infrequent but potentially serious complication of orogastric or nasogastric tube insertion and endotracheal intubation. We report two cases of injury to the hypopharynx resulting in a pseudodiverticulum of the hypopharynx that was initially diagnosed as esophageal atresia. Both cases were managed successfully by…

Case Report

Streptococcus bovis Bacteremia: Unusual Complications

ABSTRACT: Streptococcus bovis bacteremia is known to be related to neoplastic lesions of the colon. We describe a patient with several complications of S bovis bacteremia and adenocarcinoma of the colon—endocarditis, spondylodiskitis, and splenic abscess. We believe this is the eighth known case of endocarditis and diskitis caused by S…

Abstract

ADVERSE SOCIOECONOMIC CONDITIONS IN CHILDHOOD AFFECT MORTALITY IN ADULTHOOD

Abstract

AUDIO-VISUAL STIMULATION IMPROVES QUALITY OF LIFE IN NURSING HOME RESIDENTS

News Potpourri

CANCER PAIN POORLY CONTROLLED IN NURSING HOMES

News Potpourri

CLINICAL GUIDELINES ON OBESITY

News Potpourri

DELIBERATE SELF-HARM IN SRI LANKA: AN OVERLOOKED TRAGEDY IN THE DEVELOPING WORLD

Abstract

DIURETICS FOR THE MANAGEMENT OF HYPERTENSION

Abstract

DIURETICS OR ß-BLOCKERS FOR THE MANAGEMENT OF HYPERTENSION IN THE ELDERLY

Abstract

EFFECT OF DIET AND EXERCISE IN HYPERLIPIDEMIAS

News Potpourri

ETHNIC DIFFERENCES IN CARDIOVASCULAR RISK FACTORS

News Potpourri

HIDDEN COSTS OF HOMELESSNESS

News Potpourri

HIV INFECTION RATE: GAP CONTINUES TO WIDEN

Abstract

HORMONAL REPLACEMENT THERAPY AND RISK OF FRACTURES

News Potpourri

INDEPENDENT CME PROGRAM ON HEALTH ISSUES RELATED TO THE GULF WAR

News Potpourri

ITALY LAUNCHES AN AMBITIOUS NATIONAL HEALTH PLAN

Abstract

LONG-TERM PROGNOSIS OF SEIZURES WITH ONSET IN CHILDHOOD

Abstract

LONG-TERM SEQUELAE OF FEBRILE CONVULSIONS

Correspondence

Maternal Mortality Associated With Adult Respiratory Distress Syndrome

Correspondence

Maternal Mortality Associated With Adult Respiratory Distress Syndrome: Reply

Abstract

PHYSICAL ACTIVITY AND OSTEOPOROTIC FRACTURES IN OLDER WOMEN

News Potpourri

SPAIN APPROVES LAW ON VOLUNTARY STERILIZATION OF MENTALLY DISABLED PATIENTS

Abstract

SUNSHINE AND DEATH FROM MYOCARDIAL INFARCTION

Correspondence

Synthetic Braids and Limited Neck Extension

Our Medical Heritage

The Mills House South Carolina State Hospital, Columbia

News Potpourri

USING THE WORLD WIDE WEB TO STUDY PATIENTS WITH RARE DISEASES