Issue - Southern Medical Association

Article

Pediatricians' and Social Workers' Knowledge and Opinions of Florida's Religious Immunity Laws

Abstract Background.Florida laws grant exemption from prosecution to parents who choose spiritual healing rather than conventional medical therapy for their children. Despite the American Academy of Pediatrics' policy statement supporting repeal of such laws, we believe pediatricians are not aware of existing statutes. Methods.A survey to assess understanding of Florida's…

Primary Article

Teaching Telephone Management Skills to Pediatric Residents in a Pilot Program Using a Standardized Patient

Abstract Background.Pediatricians spend a significant amount of time on the telephone but receive little formal training in telephone management skills. We found only two previous reports in the literature using a randomized controlled trial (RCT) that documented the effectiveness of a telephone management program for residents. Methods.The goals of this…

Primary Article

Squamous Cell Carcinoma of the Glottic Larynx : A Review Emphasizing the University of Florida Philosophy

Abstract Background.Squamous cell carcinoma of the glottic larynx is strongly related to cigarette smoking and excessive ethanol intake. It is the most common head and neck cancer other than skin cancer. Methods.We reviewed pertinent literature relative to etiology, epidemiology, and treatment results, with emphasis on the treatment philosophy at the…

Primary Article

Tuberculosis Management Practices in Kentucky: Comparison With National Guidelines

Abstract Background.We assessed the quality of tuberculosis management practices in a predominantly rural state. Methods.Medical records of persons reported to the Centers for Disease Control and Prevention (CDC) with the diagnosis of tuberculosis were audited; management practices were compared with guidelines from the American Thoracic Society (ATS) and CDC. Results.We…

Primary Article

CO2 Laser Sterilization in the Surgical Treatment of Infected Median Sternotomy Wounds

Abstract Background.We examined the use of CO2 laser sterilization in the surgical treatment of infected median sternotomy wounds. Deep wound infection after median sternotomy is infrequent (1% to 5% of all cases) but is associated with significant morbidity, mortality, and cost. Method.Twenty-four consecutive patients with median sternotomy wound infection were…

Primary Article

Pleural Fluid Findings in Patients With the Acquired Immunodeficiency Syndrome Correlation With Concomitant Pulmonary Disease

Abstract Background.We sought to define the spectrum of conditions associated with pleural effusion (PE) in patients with the acquired immunodeficiency syndrome (AIDS) who submitted to diagnostic thoracentesis. Methods.The medical records of patients with human immunodeficiency virus (HIV) infection and PE studied by thoracentesis over a 5-year period, were reviewed for…

Case Report

Zidovudine-Associated Type B Lactic Acidosis and Hepatic Steatosis in an HIV-Infected Patient

ABSTRACT: A 34-year-old obese woman with human immunodeficiency virus (HIV) infection diagnosed a year earlier was seen because of nausea, vomiting, and intermittent diarrhea for 3 weeks. Her current medications included zidovudine. Physical examination revealed tachypnea and tender hepatomegaly. Computed tomography of the abdomen showed hepatomegaly with fatty infiltration. Liver…

Case Report

Marked Improvement of Churg-Strauss Vasculitis With Intravenous Gammaglobulins

ABSTRACT: Churg-Strauss vasculitis (CSV) is a systemic vasculitis usually treated with steroids and cytotoxic drugs. Herein, we describe the beneficial effect of intravenous immune globulin (IVIG) in a 50-year-old man with CSV. The IVIG therapy brought a marked clinical improvement, with impressive decline in the titers of antineutrophil cytoplasmic autoantibody.

Controversies in Medicine

Euthanasia and Physician-Assisted Suicide

ABSTRACT: Euthanasia and physician-assisted suicide (PAS) are much publicized topics these days. Because physicians are increasingly likely to be confronted with clinical situations involving euthanasia and PAS, they need to be aware of the history, public opinion, medical opinion and practice, and ethical and legal issues involved with euthanasia and…

Case Report

Toxic Ingestion of Gamma-Hydroxybutyric Acid

ABSTRACT: Gamma-hydroxybutyric acid (GHB) has become a popular new drug of abuse. Its effects include euphoria and disinhibition. Recently, several cases have been reported in the literature of life-threatening or lethal ingestions. We report the case of a 17-year-old male who became unresponsive after taking GHB. Gamma-hydroxybutyric acid is used…

Case Report

Giant Fibrovascular Polyp of the Esophagus

ABSTRACT: Giant fibrovascular polyps (FVP) are the most common intraluminal tumors of the esophagus. The case of a second, nonrecurrent FVP is presented. A thorough review of the literature was conducted to provide an informative discussion on this benign but potentially life-threatening neoplasm.

Case Report

Progressive Prostate Cancer Associated With Use of Megestrol Acetate Administered for Control of Hot Flashes

ABSTRACT: Low doses of megestrol acetate are frequently used for treatment of hot flashes in men having androgen ablation for prostate cancer. We report a case in which megestrol acetate (20 mg bid) was administered for symptomatic control of hot flashes in a medically castrated patient with prostate cancer. The…

Case Report

Diaphragmatic Hernia of Morgagni

ABSTRACT: Most cases of Morgagni hernia are asymptomatic and diagnosed incidentally on routine chest x-ray film, but they may occasionally become symptomatic. Symptomatic Morgagni hernias may present in many different ways, making the diagnosis challenging. We describe a patient with a Morgagni hernia, resulting in intractable nausea and vomiting, give…

Case Report

Retrorectal Carcinoid Tumor

ABSTRACT: Retrorectal masses comprise a varied group of rarely encountered tumors. We present the case of a 42-year-old white woman with a retrorectal carcinoid tumor treated by abdominosacral resection. Diagnostic and therapeutic strategies are discussed.

Current Concepts

Viral Hepatitis as a Cause of Renal Disease

ABSTRACT: Viral hepatitis has become a recognized cause of both acute and chronic renal disease. Acute and chronic viral infections may result in formation of immune complexes that can become deposited in the glomerular capillary basement membrane, stimulating both cytokine production and complement activation and producing a variety of glomerular…

Case Report

Tuberculous Peritonitis: Fatality Associated With Delayed Diagnosis

ABSTRACT: We describe a fatal case of tuberculous peritonitis and review the literature on the diagnostic modalities available to diagnose this entity. We suspect a delayed diagnosis resulted in the death of our patient. Today, the prompt diagnosis of an unknown ascitic process involves laparoscopy. A patient with unknown large…

Case Report

Bilateral Cystic Lymphangioma of the Adrenal Gland

ABSTRACT: We report the case of a 22-year-old woman with a large, bilateral lymphangiomatous cyst originating from the adrenal glands. Since she was having persistent pain and the diagnosis was uncertain, we did surgery.

Acknowledgment

ACKNOWLEDGMENT

Abstract

BENZODIAZEPINES INCREASE RISK OF TRAFFIC ACCIDENTS

Abstract

CAROTID ENDARTERECTOMY IN SYMPTOMATIC STENOSIS

Abstract

CHRONIC CONSTIPATION MAY BE DUE TO INTOLERANCE TO COW'S MILK IN CHILDREN

Abstract

EXCESSIVE DIETARY VITAMIN A INCREASES THE RISK OF OSTEOPOROSIS AND FRACTURES

Correspondence

Free Research-Based Reference Guide to Drug Abuse Terms: Two Recent Trends in Texas

Abstract

INTERFERON B-1a IN RELAPSING/REMITTING MULTIPLE SCLEROSIS

Abstract

INTERFERON B-1b AND SECONDARY PROGRESSIVE MULTIPLE SCLEROSIS

Correspondence

Medical Patients With Psychologic Trauma

Correspondence

Medical Patients with Psycologic Trauma Reply

News Potpourri

News Potpourri

Abstract

NUT CONSUMPTION PROTECTS AGAINST CORONARY ARTERY DISEASE IN WOMEN

Abstract

PRAVASTATIN REDUCES CARDIOVASCULAR EVENTS IN OLDER PATIENTS AFTER A MYOCARDIAL INFARCTION

Correspondence

Preventive Health Care in an Internal Medicine Residency Clinic

Correspondence

Preventive Health Care in an Internal Medicine Residency Clinic Reply

Abstract

SAW PALMETTO EXTRACTS FOR BENIGN PROSTATIC HYPERPLASIA

Abstract

TREATING ISOLATED SYSTOLIC HYPERTENSION IN OLDER PEOPLE REDUCES THE RISK OF DEMENTIA

Editorial

TUBERCULOSIS CHEMOTHERAPY: DO IT RIGHT THE FIRST TIME

Correspondence

Use of Carisoprodol by Substance Abusers to Modify the Effects of Illicit Drugs