Case Histories

Transient Hypothalamic Hypothyroidism and Diabetes Insipidus After Electrical Injury

&NA; Transient or permanent diabetes insipidus (DI) due to damage in vasopressinergic neurons—which may be hereditary or caused by head injury, brain surgery, tumors, granulomatous disorders, infections, vascular disorders, autoimmunity, and idiopathic causes—is not rare. Hypothalamic hypothyroidism is due to decreased thyrotropin‐releasing hormone secretion and is seen rarely. We report…

Case Histories

Metaplastic Carcinoma in an Ectopic Breast

&NA; We describe the case of an 81‐year‐old woman in whom a mass developed in the chest wall over 3 weeks. No previous mass in that area was reported. Physical examination was remarkable only for a 13 cm painless, purplish mass in the anterior chest wall. No masses were palpable…

Editorial

SMOKING—THE CHARADE IS OVER!

Expired CME Topic

Featured CME Topic Smoking Cessation

Expired CME Topic

Medicare Coverage of Smoking Cessation

Expired CME Topic

Selected Ongoing Clinical Trials*

Expired CME Topic

Medication Update

Expired CME Topic

Selected Community Resources*

Expired CME Topic

Selected Books*

Original Article

Invasive Aspergillosis Treated With Adjunctive Hyperbaric Oxygenation A Retrospective Clinical Series at a Single Institution

Background. Invasive aspergillosis is the leading cause of early death in many transplant centers and has a major impact on the management of hematologic malignancies. The mortality rate with current therapy (amphotericin B and surgery) has remained unacceptably high. In vitro data along with a few case reports have suggested…

Original Article

Effect of Parental Education on Decision‐Making About Neonatal Circumcision

Background. We investigated the impact of unbiased, published, easily accessible brochures on the parental decision about circumcision.

Original Article

Uterine Rupture and Dehiscence Ten‐Year Review and Case‐Control Study

Background. Previous cesarean section, oxytocin administration, and fetal macrosomia increase the risk of uterine rupture or dehiscence (URD).

Original Article

Injury During Contact With Horses Recent Experience With 75 Patients at a Level I Trauma Center

Background. The objective of this study was to examine equine‐related trauma at a trauma center servicing a region in which there is significant contact between horses and humans.

Original Article

Protease Inhibitor Combination Therapy and Decreased Condom Use Among Gay Men

Background. The objective of the study was to determine whether treatment with protease inhibitors is associated with unprotected sexual behavior.

Original Article

Effects of Changing Health Care Financial Policy on Very Low Birthweight Neonatal Outcomes

Background. Our objective was to determine whether perinatal referral patterns and clinical outcomes for very low birthweight infants changed in relation to changing Medicaid financial policies in coastal South Carolina.

Original Article

Residents With Disabilities A National Survey of Directors of Emergency Medicine Residency Programs

Background. The Americans With Disabilities Act (ADA) has been in effect since 1990. The present study shows response to this act for emergency medicine (EM) residents nationwide.

Original Article

Treatment of Latent Tuberculosis Infection in Contacts of New Tuberculosis Cases in the United States

Background. Few data are available describing treatment completion rates among recently infected contacts of tuberculosis (TB) cases, a group at high risk for development of active TB.

Original Article

Psychiatric Consultations in a Southern University Hospital

Background. Differences in psychiatric referral rates among demographic groups of general hospital patients between 1995 and 1998 in a southern university setting were studied. The contribution of suicide attempts to referral rates was assessed.

Case Histories

Metaplastic Carcinoma in an Ectopic Breast

We describe the case of an 81-year-old woman in whom a mass developed in the chest wall over 3 weeks. No previous mass in that area was reported. Physical examination was remarkable only for a 13 cm painless, purplish mass in the anterior chest wall. No masses were palpable in…

Case Histories

Transient Hypothalamic Hypothyroidism and Diabetes Insipidus After Electrical Injury

Transient or permanent diabetes insipidus (DI) due to damage in vasopressinergic neurons'which may be hereditary or caused by head injury, brain surgery, tumors, granulomatous disorders, infections, vascular disorders, autoimmunity, and idiopathic causes'is not rare. Hypothalamic hypothyroidism is due to decreased thyrotropin-releasing hormone secretion and is seen rarely. We report a…

Correspondence

Pituitary Apoplexy After Administration of Heparin and Isosorbide Dinitrate

Correspondence

The H-index: A Measure of Ideal Weight From Height Alone

Editorial

SMOKING—;THE CHARADE IS OVER!

Expired CME Topic

Selected Annotated Bibliography

Expired CME Topic

Medication Update

Expired CME Topic

Medicare Coverage of Smoking Cessation

Expired CME Topic

Selected Books*

Expired CME Topic

Selected Community Resources*

Expired CME Topic

Selected Ongoing Clinical Trials*

Original Article

Treatment of Latent Tuberculosis Infection in Contacts of New Tuberculosis Cases in the United States

Background.Few data are available describing treatment completion rates among recently infected contacts of tuberculosis (TB) cases, a group at high risk for development of active TB.

Original Article

Effect of Parental Education on Decision-Making About Neonatal Circumcision

Background.We investigated the impact of unbiased, published, easily accessible brochures on the parental decision about circumcision.

Original Article

Injury During Contact With Horses Recent Experience With 75 Patients at a Level I Trauma Center

Background.The objective of this study was to examine equine-related trauma at a trauma center servicing a region in which there is significant contact between horses and humans.

Original Article

Invasive Aspergillosis Treated With Adjunctive Hyperbaric Oxygenation A Retrospective Clinical Series at a Single Institution

Background.Invasive aspergillosis is the leading cause of early death in many transplant centers and has a major impact on the management of hematologic malignancies. The mortality rate with current therapy (amphotericin B and surgery) has remained unacceptably high. In vitro data along with a few case reports have suggested a…

Original Article

Protease Inhibitor Combination Therapy and Decreased Condom Use Among Gay Men

Background.The objective of the study was to determine whether treatment with protease inhibitors is associated with unprotected sexual behavior.

Original Article

Psychiatric Consultations in a Southern University Hospital

Background.Differences in psychiatric referral rates among demographic groups of general hospital patients between 1995 and 1998 in a southern university setting were studied. The contribution of suicide attempts to referral rates was assessed.

Original Article

Effects of Changing Health Care Financial Policy on Very Low Birthweight Neonatal Outcomes

Background.Our objective was to determine whether perinatal referral patterns and clinical outcomes for very low birthweight infants changed in relation to changing Medicaid financial policies in coastal South Carolina.

Original Article

Residents With Disabilities: A National Survey of Directors of Emergency Medicine Residency Programs

Background.The Americans With Disabilities Act (ADA) has been in effect since 1990. The present study shows response to this act for emergency medicine (EM) residents nationwide.

Original Article

Uterine Rupture and Dehiscence: Ten-Year Review and Case-Control Study

Background.Previous cesarean section, oxytocin administration, and fetal macrosomia increase the risk of uterine rupture or dehiscence (URD).