SMJ // July 2001, Volume 94 - Issue 7
Expired CME Article
Coding and Reimbursement for Dementia
Expired CME Article
Dementia and Driving: An Annotated Bibliography
Editorial
DEMENTIA: THE “MIND-SNATCHER”
Expired CME Article
Depression or Dementia?
Case Histories
Gout, Bradycardia, and Hypercholesterolemia After Renal Transplantation
ABSTRACT:Approximately 17,000 solid organ transplantations are done annually in the United States. Increasingly, care of these patients will be provided by primary care physicians. In this report, we illustrate the complexity of common medical problems in a patient who had cellulitis and who had had a cadaveric renal transplantation 10…
News Potpourri
News Potpourri
Original Article
Nontubercular Mycobacterial Pulmonary Infection in Immunocompetent Men
AbstractBackground.Nontubercular mycobacteria (NTM) are increasingly recognized to cause lung disease in immunocompetent patients. We studied the occurrence of pulmonary infection due to NTM in immunocompetent men. Methods.We retrospectively analyzed all sputum mycobacterial cultures at our institution over a 5-year period. Charts were reviewed to identify patients who met the American…
Case Histories
Pancreatic Trauma: An Unusual Soccer Injury
AbstractWe report a case of pancreatic duct laceration and acute pancreatitis resulting from blunt abdominal trauma sustained in a youth soccer match. Since this sports injury is unusual, a brief discussion of soccer injuries and of the management of pancreatic trauma in childhood is provided.
Editorial
PEMPHIGUS
Original Article
Pemphigus in the Southeastern United States
AbstractBackground.Our purpose was to review the course and management of pemphigus treated at a tertiary care center in the southeastern United States. Methods.We describe 30 patients seen at the Emory Clinic from January 1992 to July 1999. Results.Equal numbers of men and women from different ethnic backgrounds were affected. Pemphigus…
Case Histories
Primary Vulvar Adenocarcinoma of Cloacogenic Origin
ABSTRACT:A 43-year-old woman who had a vulvar mass associated with mild discomfort was found to have a rare primary vulvar adenocarcinoma of probable cloacal origin. The tumor was contiguous with the surface epithelium of the vulva and was a well to moderately differentiated adenocarcinoma of colonic type. Stains of the…
Original Article
Racial/Ethnic Health Disparities in South Carolina and the Role of Rural Locality and Educational Attainment
AbstractBackground.The prevalence of selected health indicators were compared among the Catawba Indians, African Americans, and whites in South Carolina, considering the possible role of rural locality and education. Methods.Catawba members were respondents of a 1998 survey (N = 808). Other South Carolina residents were respondents of the 1995-1997 Behavioral Risk…
Case Histories
Recurrent Ascites and Pleural Effusions After Surgery for Early-Stage Endometrial Adenocarcinoma
Abstract:A case of massive postoperative ascites in a woman treated for endometrial cancer is reported. A workup for typical causes of ascites yielded negative results, prompting a more detailed analysis of the patient's condition. Hypothyroidism was discovered. After correction of the hypothyroidism, the ascites slowly resolved. Since myxedema is an…
Original Article
Reducing the Incidence of Sudden Infant Death Syndrome in the Delta Region of Mississippi A Three-Pronged Approach
ABSTRACT:Since the “Back to Sleep” campaign in 1994, which encouraged positioning infants on their backs for sleeping, the incidence of sudden infant death syndrome (SIDS) has decreased dramatically in the United states but remains high in some rural Mississippi communities. We discuss some of the hypotheses and etiologic factors of…
Trauma Rounds
Retrohepatic Vena Cava and Juxtahepatic Venous Injuries
AbstractThe daunting mortality encountered with retrohepatic vena cava and juxtahepatic venous trauma is testimony to the difficulties inherent in their management. For a successful outcome, the operating surgeon must be able to rapidly identify the nature of the injury and tailor the choice of procedure accordingly. Atriocaval shunting, balloon shunting,…
Case Histories
Retroperitoneal Fibrosis: Unusual Cause of Low Back Pain
ABSTRACT:Retroperitoneal fibrosis (RPF) is an uncommon collagen vascular disease with a male predominance. Back pain with no specific radiation pattern is common, and bilateral obstructive uropathy, potentially reversible, is frequently associated with RPF. We report a case of RPF and review its diagnosis and management.
Original Article
Secondary Prevention of Cerebral Ischemia in Patent Foramen Ovale: Systematic Review and Meta-analysis
AbstractBackground.Therapy for patent foramen ovale (PFO), found with increased frequency in the setting of stroke in the young, is controversial. We compiled a synthesis of the literature on therapeutic options for PFO and stroke. Methods.Searching MEDLINE (1966 to 1999), published abstracts, and bibliographies of primary and review articles, we identified…
Abstract
Selected Abstracts
Article
William Osler’s Influence on the Career of Tinsley Randolph Harrison
ABSTRACT:In 1957, I was graduated from what was then the Medical College of Alabama, a division of the University of Alabama. It was a privilege and honor to be on Dr. Harrison's service on two occasions during my last 2 years of medical school. He was the most influential role…
