Issue - Southern Medical Association

Case Report

Delusions About the Internet

ABSTRACTAs computer use increases throughout the world, more people are becoming familiar with computers, the Internet, and the roles that both play in their daily lives. There have already been reports of people becoming addicted to the Internet, and we now report on two cases of men who had delusions…

Case Report

Renal Cell Carcinoma in an Intrathoracic Kidney Radiographic Findings and Surgical Considerations

ABSTRACTEctopic intrathoracic kidney is a rare phenomenon and is usually an incidental finding on a chest radiograph. Of all intrathoracic kidneys, congenital ectopia is most often shown, with a traumatic etiology occurring much less frequently. We report a case of an ectopic intrathoracic kidney with associated renal cell carcinoma. Management,…

Case Report

Fluoroquinolone‐Induced Tendinopathy What Do We Know?

ABSTRACTFluoroquinolones are relatively safe, effective antibiotics. As their use becomes more frequent, so will the adverse side effects. I highlight a rare but debilitating adverse reaction—fluoroquinolone-induced tendinopathy. Case reports and letters from 1987 to 1998 were identified by using Grateful Med and PubMed Internet accesses to the National Library of…

Case Report

Portal Hypertension Due to Extensive Hepatic Cysts in Autosomal Dominant Polycystic Kidney Disease

ABSTRACTLiver cysts are a well-recognized feature of autosomal dominant polycystic kidney disease (ADPKD) and occur in 77% of patients more than 60 years old. Serious sequelae, however, are rare, the two most common complications being pain and cyst infections. Portal hypertension has been reported in ADPKD due to the rare…

Article

Centennial Year of Ronald Ross' Epic Discovery of Malaria Transmission An Essay and Tribute

ABSTRACTMalaria has been in existence since ancient times and for millennia thought to be carried by vapors. Alphonse Laveran made the discovery of the malarial parasite in 1880. The next most important milestone in the history of malaria was the unraveling of the mystery of malaria transmission. Ronald Ross, born…

Case Report

Squamous Cell Carcinoma Arising in the Epithelial Lining of a Dentigerous Cyst

ABSTRACTThe dentigerous cyst is a common oral lesion arising as a developmental anomaly during amelogenesis. In rare instances, the epithelial lining of these cysts may give rise to squamous cell carcinoma (SCC). Fewer than 50 cases of this rare entity have been reported in the world literature to date. We…

Case Report

Abuse History Is It Really Important in the Medical Encounter?

ABSTRACTThe negative effects of a history of severe abuse as a child are becoming increasingly well known to the physician and, in the adult survivor, include both mental health and physical sequelae. Intervention for emotional and psychologic consequences can include a mental health referral. Awareness of physical sequelae can aid…

Case Report

Waxing and Waning Gynecomastia An indication of Noncompliant Use of Prescribed Medication

ABSTRACTWe present two cases of recurrent gynecomastia in men enrolled in a placebo-controlled trial evaluating the efficacy of finasteride in treating benign prostatic hyperplasia. When the pharmacologic records were examined, it was apparent that the breast tissue hyperplasia diminished when the patients become noncompliant with their study medication and then…

Article

Potential Association Between Calcified Thoracic Lymphadenopathy Due to Previous Histoplasma capsulatum Infection and Pulmonary Mycobacterium avium Complex Disease

BackgroundAmong patients with pulmonary disease due to Mycobacterium avium complex (MAC) seen recently at our center, a substantial number have had extensive calcified mediastinal, hilar, and peribronchial lymphadenopathy, a finding historically inconsistent with pulmonary MAC disease.MethodWe retrospectively studied the frequency of calcified lymphadenopathy in the chest and prevalence of known…

Current Concepts

Patellar Tendon Ruptures

BackgroundIsolated rupture of the patellar tendon is a rare injury. Often occurring during a fall in 20− and 30-year olds, patients may have a preexisting medical condition (eg, history of steroid use) or a history of repetitive microtrauma to the knee. A high-riding patella on physical examination and radiographs is…

Current Concepts

Mesenteric Venous Thrombosis

BackgroundMesenteric venous thrombosis is an uncommon but often lethal form of intestinal ischemia.MethodsWe reviewed pertinent literature on mesenteric venous thrombosis using MEDLINE search.ResultsWe found that previous abdominal surgery and hypercoagulable states are the most common conditions associated with mesenteric venous thrombosis. The symptoms and signs related to mesenteric venous thrombosis…

Article

Inclusion of Resistance Exercise in a Multidisciplinary Outpatient Treatment Program for Preadolescent Obese Children

BackgroundSafe and effective exercise programs are needed to prevent and treat chronic diseases in childhood. In particular, preadolescent obese children should participate in activities that are specific to their special needs.MethodsWe included a moderate intensity, progressive resistance training program in a multidisciplinary weight management program for obese preadolescent children. The…

Article

Effect of Injected Versus Iontophoretic Corticosteroid on the Rabbit Tendon

BackgroundThe etiologic role of corticosteroid therapy in tendon rupture is controversial. This study compared the effects of injected versus iontophoretically delivered corticosteroid on the normal rabbit Achilles tendon.MethodsRabbits were divided into three treatment groups: (1) corticosteroid injections, (2) iontophoretically delivered corticosteroid, and (3) no treatment. One tendon of each rabbit…

Article

Motivating the Obese Child to Move The Role of Structured Exercise in Pediatric Weight Management

BackgroundThe prevalence of childhood obesity is rapidly increasing. Successful prevention and treatment of childhood obesity depends on increasing the physical activity patterns of obese youth. However, motivating the obese child to participate in physical activity is difficult.MethodsWe designed a four-phase physical activity intervention, consisting of a structured progressive exercise program…

Article

Diabetes‐Related Lower‐Extremity Amputations Disproportionately Affect Blacks and Mexican Americans

BackgroundWe sought to identify the age-adjusted incidence of lower-extremity amputation (LEA) in Mexican Americans, blacks, and non-Hispanic whites with diabetes in south Texas.MethodsWe summarized medical records for hospitalizations for LEAs for 1993 in six metropolitan statistical areas in south Texas.ResultsAge-adjusted incidence per 10,000 patients with diabetes was 146.59 in blacks,…

Expired CME Article

Assessment and Important of Personality Disorders in Medical Patients An Update

Abstract

BLOOD PRESSURE CIRCADIAN RHYTHMS AND PREVALENCE OF VASCULAR EVENTS IN HYPERTENSIVE PATIENTS

Abstract

DI BELLA MULTITHERAPY FOR CANCER NOT EFFECTIVE

Editorial

GRADUATE MEDICAL EDUCATION A “HANDFUL” OF TASKS

Abstract

HORMONAL REPLACEMENT THERAPY AND MAMMOGRAPHIC DENSITIES

Abstract

INFLUENZA VACCINATION AND MORBIDITY AND MORTALITY IN OLDER PEOPLE WITH CHRONIC LUNG DISEASES

Abstract

MIGRAINE AND RISK OF STROKE IN YOUNG WOMEN

Article

News Potpourri

Abstract

NONSPECIFIC MINOR ST‐T ABNORMALITIES AND CARDIOVASCULAR MORTALITY

Abstract

PULSE PRESSURE PREDICTS HEART FAILURE IN OLDER PEOPLE

Correspondence

Review of the Update of Personality Disorders

Abstract

RISK OF SCHIZOPHRENIA AFFECTED BY PLACE AND SEASON OF BIRTH

Article

Selected Abstracts THICKNESS OF THE INTIMA AND MEDIA OF THE CAROTID ARTERY

Abstract

SMOKING AND OSTEOPOROSIS

Commentary

SPIRITUAL RESONANCE PURSUIT IN THE BLUEGRASS STATE

Abstract

STRESS OF CARING FOR RELATIVES WITH DEMENTIA REDUCES RESPONSE TO INFLUENZA VACCINATION

Abstract

WHICH DRUG FOR HYPERTENSION?