Issue - Southern Medical Association

Primary Article

Epidemiology of Hospitalization for Near-Drowning

ABSTRACT Background.Although drowning is the third leading cause of accidental death among children less than 4 years of age, few studies have described the hospitalization of neardrowning victims. Our study emphasizes the local epidemiology and charges associated with pediatric hospitalization in cases of near-drowning. Methods.Data regarding time, place, injury severity,…

Primary Article

Medical Manners: Medical Students' Perceptions of Their Own

ABSTRACT Background.Because good interpersonal skills are essential for successful careers in primary care, we investigated senior medical students' (SMS) perceptions of the impression they leave with patients. Methods.To assess the key elements that define the impression we make on others, we developed measures for self monitoring/social desirability, sensitivity, and Machiavellianism….

Primary Article

Fire in the Operating Room During Tracheostomy

ABSTRACT Background.Fire in the modern operating room is still a constant danger today despite the usual absence of the historically explosive anesthetic gases, cyclopropane, and ether. During a tracheostomy, three conditions are present that will support an explosive or combustive event: heat, fuel and oxygen. Methods.We report three routine tracheostomy…

Primary Article

Pharmacokinetics of Fentanyl During Hyperthermic, Isolated Lung Perfusion

ABSTRACT Background.Hyperthermic, isolated pulmonary perfusion with tumor necrosis factor is a surgical procedure that isolates the pulmonary vasculature from the systemic circulation in patients with unresectable primary or metastatic disease confined to the chest. High drug levels are delivered to the perfused organ, avoiding systemic toxicity, and preventing loss of…

Medical Education

Formal Pathology Rotation During Obstetrics and Gynecology Residency: Is it Beneficial?

ABSTRACT Background.Our objective was to assess the educational benefits of a formal pathology rotation during an obstetrics and gynecology residency program and to determine the utility of this information in clinical practice. Methods.In this descriptive study, the benefits of a 2-month rotation in pathology for obstetrics and gynecology residents were…

Primary Article

Are Newspapers a Viable Source for Intentional Injury Surveillance Data?

ABSTRACT Background.Previous researchers have reported that newspapers were useful adjuncts to unintentional injury surveillance efforts in a nearby southern state. The current study sought to determine whether newspaper accounts of intentional injuries could provide a reliable source of primary or secondary surveillance data. Methods.Newspaper accounts of assaults, homicides, suicides, and…

Current Concepts

The Erythrocyte Sedimentation Rate: Old and New Clinical Applications

ABSTRACT Background.The erythrocyte sedimentation rate (ESR) is a simple and inexpensive laboratory test. It is commonly used to assess the acute phase response. Methods.A review of the recent literature was done to evaluate the role of the ESR and its importance in different clinical conditions both inflammatory and noninflammatory. Results.Despite…

Primary Article

Utility of Dipstick Urinalysis as a Guide to Management of Adults With Suspected Infection or Hematuria

ABSTRACT Background.This study was done to determine whether emergency department (ED) patient management decisions made on the basis of dipstick urinalysis are altered when results of urine microscopy become available. Methods.The study population was a prospective random sample of adult ED patients who had urinalysis ordered for detection of possible…

Primary Article

Bishop Score: A Poor Diagnostic Test To Predict Failed Induction Versus Vaginal Delivery

ABSTRACT Background.We evaluated the accuracy of the Bishop score in predicting the likelihood of successful labor induction (entry into active phase) in nulliparous and multiparous women. Methods.During an index year, all patients having induction of labor and a preinduction Bishop score were included in a standard protocol for cervical ripening…

Medical Education

Medical Practices of Past Graduates From One Obstetric/Gynecologic Training Program

ABSTRACT Background.We sought to assess the practice patterns of former obstetric-gynecologic residents and to solicit their opinions regarding their educational experience and its clinical relevance to primary care. Method.In response to a Residency Review Committee mandate regarding past residents, a questionnaire was sent to all graduates from our residency program…

Case Report

Diagnostic Problems in Multiple Sclerosis: Overreliance on Neuroimaging

ABSTRACT: Atypical manifestations of multiple sclerosis (MS) can mislead the physician into misdiagnosis. The correct diagnosis of MS depends on a combination of clinical and laboratory evidence. The introduction of newer neuroimaging studies has decreased the proportion of overdiagnoses of MS. Overreliance on either clinical or laboratory (currently neuroimaging) data…

Case Report

Pulmonary Embolus Masquerading as Pneumonia in a Patient With Hodgkin's Disease and Nephrotic Syndrome

ABSTRACT: Fatal pulmonary embolus is an infrequent cause of death in patients with Hodgkin's disease who respond to initial therapy. This patient had associated minimal change disease and nephrotic syndrome that was responding to therapy, but had this complication. The diagnosis was delayed by the presentation that suggested pneumonia. A…

Case Report

Successful Treatment of In-transit Metastases From Merkel's Cell Carcinoma With Isolated Hyperthermic Limb Perfusion

ABSTRACT: Merkel's cell carcinoma is an uncommon neuroendocrine cutaneous neoplasm. An unusual mode of dissemination of this tumor is the phenomenon of in-transit metastases. We report complete resolution of in-transit metastases from a Merkel's cell carcinoma in response to treatment with isolated hyperthermic limb perfusion with melphalan. Limb perfusion appears…

Case Report

Meningococcal Cellulitis and Sialadenitis

ABSTRACT: Neisseria meningitidis is a rare cause of cellulitis. No cases of meningococcal sialadenitis have previously been reported. We recently successfully treated a patient who had meningococcal cellulitis and sialadenitis. We review previously reported cases of cellulitis due to N meningitidis and speculate on the role of underlying disease in…

Case Report

Small Cell Cancer of the Cervix Presenting as Compression of the Spinal Cord and Cauda Equina

ABSTRACT: Spinal cord or cauda equina compression by metastatic cancer usually occurs months or even years after the diagnosis of the primary tumor. We describe the unusual simultaneous presentation of small cell cancer of the cervix and metastatic tumor compressing the spinal cord and cauda equina.

Case Report

Coexistence of Primary Antiphospholipid Syndrome and Protein S Deficiency in a Hispanic Man With Ischemic Stroke

ABSTRACT: The primary antiphospholipid syndrome and protein S deficiency are known hypercoagulable states predisposing to ischemic strokes. The pathogenesis of those hypercoagulable states has been independently studied and, recently, interaction between them has been proposed. A 48-year-old Hispanic man had generalized seizures 5 months after the acute onset of a…

Case Report

Comorbidity of Schizophreniform Disorder and Borderline Personality Disorder in an 18-year-old Black Woman

ABSTRACT: We describe a rare occurrence of comorbidity of schizophreniform disorder and borderline personality disorder as an initial patient presentation.

Case Report

Thymoma Associated With Syndrome of Inappropriate Antidiuretic Hormone Secretion and Myasthenia Gravis

ABSTRACT: We describe the association of malignant thymoma with the syndrome of inappropriate antidiuretic hormone secretion and myasthenia gravis. Hyponatremia has not been reported associated with those tumors and our case should alert physicians about the potential for a life-threatening complication.

Case Report

Abdominal Apoplexy

ABSTRACT: We describe the case of a patient with abdominal apoplexy, the spontaneous rupture of a visceral vessel. Laparotomy revealed a hematoma arising from a ruptured gastroepiploic artery. We report the usefulness of preoperative abdominal computed tomography and transgastric ultrasonography and discuss the condition of abdominal apoplexy. An increased awareness…

Case Report

Localized Fibrous Nodular Mesothelioma of the Pelvis

ABSTRACT: We present a case of localized fibrous nodular mesothelioma of the pelvis. There is one previously reported case of this uncommon pelvic tumor. We review and discuss the diagnostic and pathologic findings and relevant literature.

Acknowledgment

ACKNOWLEDGMENT

Abstract

ALCOHOL INTAKE AND MORTALITY

Abstract

ANKLE-ARM INDEX AS A PREDICTOR OF MORTALITY IN OLDER ADULTS WITH SYSTOLIC HYPERTENSION

Abstract

BODY WEIGHT AND RISK OF BREAST CANCER

Abstract

CAN JET-LAG BE PREVENTED, TREATED?

Abstract

HORMONAL REPLACEMENT THERAPY AND RISK OF BREAST CANCER IN PATIENTS WITH A POSITIVE FAMILY HISTORY OF BREAST CANCER

Editorial

IMPACT OF MANAGED CARE ON UNIVERSITY-BASED SURGICAL TRAINING

Abstract

MILK CONSUMPTION ENHANCES BONE MASS IN ADOLESCENT GIRLS

Abstract

NEW AGENT FOR THE PREVENTION OF OSTEOPOROSIS, AND CARDIOVASCULAR DISEASE IN POSTMENOPAUSAL WOMEN

Editorial

NEW FEATURES FOR SMJ

News Potpourri

News Potpourri

Abstract

NONSTEROIDAL ANTI-INFLAMMATORY COMPOUNDS AND Gl ADVERSE EFFECTS

Case Report

Our Medical Heritage

Abstract

PASSENGER AIR BAGS AND FATALITIES IN FRONTAL CRASHES

Abstract

PREDICTORS OF PROLONGED NURSING HOME RESIDENCE AFTER HIP FRACTURE

Editorial

PROSTATE CANCER:TO SCREEN OR NOT TO SCREEN