SMJ // September 2001, Volume 94 - Issue 9
Expired CME Article
Anal Melanoma An Aggressive Malignancy Masquerading as Hemorrhoids
ABSTRACT:Anal melanoma is a devastating malignancy easily confused with benign hemorrhoids. Physician unfamiliarity with this bleeding rectal lesion can lead to delays in diagnosis and therapy. Four cases of anal melanoma, all initially mistaken for hemorrhoids, have been documented in the past 4 years at our institution. Despite surgical intervention…
Original Article
Comorbid Illness and the Early Detection of Cancer
AbstractBackground.Comorbidity may be associated with later detection of cancer. Methods.Incident cases of colorectal, breast, and prostate cancer and melanoma were determined from the 1994 Florida state tumor registry (N = 32,074). The relationship between comorbidity and late stage at diagnosis was examined using multiple logistic regression. Results.Patients with comorbid conditions…
Original Article
Does a Lipid Clinic Increase Compliance With National Cholesterol Education Program Treatment Guidelines? Report of a Case-Matched Controlled Study
ABSTRACT:Despite a national effort to promote measurement of cholesterol levels in adults, previous studies have shown that poor control is the norm. We sought to determine the effects of implementation of a structured lipid treatment program. Forty-one clinic-managed patients were matched with similar control patients. Clinic patients had more risk…
Expired CME Article
Erectile Dysfunction Update and Options in Primary Care
Original Article
Follow-up Survey of Children and Adolescents With Chest Pain
AbstractBackground.The purposes of this study were to identify the outcome of chest pain in children and to identify the incidence of recurrent chest pain and the need for further medical services. Methods.A telephone survey was conducted of pediatric patients evaluated in the cardiology clinic for chest pain. Results.In the majority…
Expired CME Article
Hypertension 2001 How Will JNC VII be Different From JNC VI?
Expired CME Article
Insomnia Therapeutic Approach
ABSTRACT:Insomnia is a common complaint. Transient and short-term insomnias usually result from stress or the use of certain pharmaceuticals or drugs and may be managed by reduced caffeine use, behavioral means, and/or pharmacologic treatment. Long-term insomnia is often a symptom of a medical or psychiatric condition or a primary sleep…
Expired CME Article
Lemierre's Syndrome
ABSTRACT:We describe a 32-year-old woman who had temperatures increasing over 7 days from 100.7°F to 104.0°F. She had an upper respiratory infection and swelling of the left side of the neck. She was diagnosed with Lemierre's syndrome.
Editorial
MELANOMA 2001
News Potpourri
News Potpourri
Original Article
Prenatal Screening for Tay-Sachs Disease by Louisiana Obstetricians A Survey Study
AbstractBackground.Tay-Sachs disease has been reported to be more prevalent in the Cajun population of Louisiana. Methods.Questionnaires were mailed to 744 obstetricians; 151 responded. Results.Of the 151 responding physicians, 95 (63%) reported that they do not routinely screen their prenatal patients for Tay-Sachs disease. Of the 52 responding obstetricians in New…
Editorial
PREVENTION: WHO SHOULD PAY FOR IT?
Editorial
PREVENTION: WHOSE RESPONSIBILITY IS IT?
Correspondence
Reply
Expired CME Article
Rheumatoid Arthritis—Update on New Therapies
Trauma Rounds
Salvage Surgery
ABSTRACT:Salvage surgery is an essential method in the armamentarium of the surgeon caring for the severely injured patient. The patient in unstable condition with multiple abdominal injuries is a challenge, even to the most experienced trauma surgeon. The first priority should be to control major vascular injuries and other sources…
Case Histories
Sarcoidosis Manifested as Hypercalcemic Pancreatitis
ABSTRACT:Sarcoidosis is a multisystem disease of unknown etiology and with protean manifestations. Pancreatic involvement is unusual, with only a few case reports in the literature. Granulomatous infiltration is the usual cause. This case report describes an unusual presentation of sarcoidosis as hypercalcemic pancreatitis.
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Selected Abstracts
Article
Selected Books
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Selected Community Resources
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Selected Guidelines
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Selected Ongoing Clinical Trials
Expired CME Article
Sleep Histories Are Seldom Documented on a General Medical Service
AbstractBackground.Sleep disorders are common, but the frequency of sleep history documentation in hospitalized patients is unknown. Methods.We reviewed 442 initial histories and physical examinations recorded by 122 house officers and 47 medical students in 208 consecutive general medicine ward patients. Results.Any reference to sleep was recorded in only 18 patients…
Case Histories
Successful Treatment of Cryptococcal Osteomyelitis and Paraspinous Abscess With Fluconazole and Flucytosine
ABSTRACT:A patient with thoracic cryptococcal osteomyelitis was treated successfully with the combination of fluconazole and flucytosine. This is the first reported case of cryptococcal osteomyelitis successfully treated with fluconazole and flucytosine.
Review Article
Tooth and Periodontal Disease A Review for the Primary-Care Physician
ABSTRACT:Dental diseases are widespread and are often underrecognized and treated. Caries and periodontal disease are common dental conditions that cause the majority of tooth loss. Although these conditions are preventable, many persons do not receive regular dental care and have acute problems when seen by their physician. Dental diseases frequently…
Expired CME Article
What's in a Name Change?
Correspondence
CORRESPONDENCE
Original Article
Does a Lipid Clinic Increase Compliance With National Cholesterol Education Program Treatment Guidelines? Report of a Case‐Matched Controlled Study
ABSTRACT: &NA; Despite a national effort to promote measurement of cholesterol levels in adults, previous studies have shown that poor control is the norm. We sought to determine the effects of implementation of a structured lipid treatment program. Forty‐one clinic‐managed patients were matched with similar control patients. Clinic patients had…
Expired CME Article
Featured CME Topic Primary Care Issues
Original Article
Follow‐up Survey of Children and Adolescents With Chest Pain
Abstract Background. The purposes of this study were to identify the outcome of chest pain in children and to identify the incidence of recurrent chest pain and the need for further medical services. Methods. A telephone survey was conducted of pediatric patients evaluated in the cardiology clinic for chest pain….
Expired CME Article
Hypertension 2001 How Will JNC VII be Different From JNC VI?
Original Article
Prenatal Screening for Tay‐Sachs Disease by Louisiana Obstetricians A Survey Study
Abstract Background. Tay‐Sachs disease has been reported to be more prevalent in the Cajun population of Louisiana. Methods. Questionnaires were mailed to 744 obstetricians; 151 responded. Results. Of the 151 responding physicians, 95 (63%) reported that they do not routinely screen their prenatal patients for Tay‐Sachs disease. Of the 52…
Editorial
PREVENTION WHO SHOULD PAY FOR IT?
Review Article
Tooth and Periodontal Disease A Review for the Primary‐Care Physician
ABSTRACT: &NA; Dental diseases are widespread and are often underrecognized and treated. Caries and periodontal disease are common dental conditions that cause the majority of tooth loss. Although these conditions are preventable, many persons do not receive regular dental care and have acute problems when seen by their physician. Dental…
