Case Histories

Coma and Thyroid Storm in Apathetic Thyrotoxicosis

&NA; We report the case of an 87‐year‐old woman with coma who was found to be in thyrotoxic crisis. The patient had a recent history of decreased mentation and apathy, and laboratory findings were found to be consistent with hyperthyroidism. After a stormy course, the clinical condition recovered to baseline,…

Case Histories

A Rare Form of Hypothyroidism

&NA; Secondary hypothyroidism is extremely rare. In the majority of cases, there is a genetic (gene mutations) or structural (mass effect or infiltration) basis for central hypothyroidism, and there is simultaneous deficiency of other adenohypophysial hormones. Isolated deficiency of thyrotropin is even rarer. This report features the case of a…

Case Histories

Spontaneous Pneumothorax During Pregnancy

&NA; Spontaneous pneumothorax complicating pregnancy is rare. Only 41 cases have been previously published. We describe a case of spontaneous pneumothorax successfully treated with tube thoracostomy during the 38th week of pregnancy. Under epidural anesthesia, the patient had vaginal delivery of a healthy male infant 36 hours after tube thoracostomy.

Editorial

THE THYROID GLAND A BRIEF HISTORICAL PERSPECTIVE

Expired CME Topic

Management of Thyrotoxicosis

Expired CME Topic

Selected Books*

Expired CME Topic

Interpretation of Laboratory Thyroid Function Tests for the Primary Care Physician

Expired CME Topic

Selected Community Resources*

Expired CME Topic

Pitfalls to Avoid While Interpreting Thyroid Function Tests Five Illustrative Cases

Expired CME Topic

Euthyroid Sick Syndrome

Expired CME Topic

The Diagnosis and Management of Hypothyroidism

Expired CME Topic

Selected Ongoing Clinical Trials*

Expired CME Topic

Cost‐Effective Management of Thyroid Nodules and Nodular Thyroid Goiters

Expired CME Topic

Medication Update

Expired CME Topic

Coverage of Thyroid Function Studies

Expired CME Topic

Southern Medical Journal Featured CME Topic: Thyroid Dysfunction/Disease

Original Article

Awareness and Use of Over‐the‐Counter Pain Medications A Survey of Emergency Department Patients

Background. A survey study was done to determine basic knowledge about and use of over‐the‐counter (OTC) pain medications among patients seen in our emergency department (ED). The hypothesis was that knowledge about OTC pain medications would be correlated with demographic characteristics.

Original Article

Heterotaxy Syndrome With Severe Pulmonary Hypertension in an Adult

&NA; Heterotaxy syndrome is a rare clinical entity in adults, characterized by situs ambiguus, congenital heart defects, and splenic malformations. We report the case of an adult with heterotaxy syndrome (including situs ambiguus, bilateral superior vena cava, hypoplastic right‐sided spleen and portosystemic shunts) presenting with dyspnea due to severe pulmonary…

Original Article

Can Elbow Extension be Used as a Test of Clinically Significant Injury?

Background. The objective of this study was to evaluate whether a simple test of full elbow extension was a reliable indicator of bone/joint injury at the elbow joint.

Review Article

Rhabdomyolysis of Infectious and Noninfectious Causes

Background. This study was done to determine variables associated with infectious rhabdomyolysis (IRM).

Review Article

Medical Malpractice and Respondeat Superior

&NA; The legal concept of vicarious liability and the Doctrine of Respondeat Superior occurs when the servant (employee) commits a tort or civil wrong within the scope of employment and the master (employer) is held liable although the master may have done nothing wrong. In this article, legal cases are…

Book Review

Clinician’s Handbook of Prescription Drugs

Book Review

Osler’s A Way of Life & Other Addresses With Commentary and Annotations

Book Review

Obesity (Key Disease series)

Book Review

Telephone Medicine: A Guide for the Practicing Physician

Book Review

Decision Making in Health and Medicine

Book Review

Malaria – Poverty, Race and Public Health in the United States

Book Review

Civil War Medicine: Challenges and Triumphs

Case Histories

A Rare Form of Hypothyroidism

Secondary hypothyroidism is extremely rare. In the majority of cases, there is a genetic (gene mutations) or structural (mass effect or infiltration) basis for central hypothyroidism, and there is simultaneous deficiency of other adenohypophysial hormones. Isolated deficiency of thyrotropin is even rarer. This report features the case of a woman…

Case Histories

Coma and Thyroid Storm in Apathetic Thyrotoxicosis

We report the case of an 87-year-old woman with coma who was found to be in thyrotoxic crisis. The patient had a recent history of decreased mentation and apathy, and laboratory findings were found to be consistent with hyperthyroidism. After a stormy course, the clinical condition recovered to baseline, with…

Case Histories

Spontaneous Pneumothorax During Pregnancy

Spontaneous pneumothorax complicating pregnancy is rare. Only 4l cases have been previously published. We describe a case of spontaneous pneumothorax successfully treated with tube thoracostomy during the 38th week of pregnancy. Under epidural anesthesia, the patient had vaginal delivery of a healthy male infant 36 hours after tube thoracostomy.

Correspondence

Diabetic Foot: Evaluation and Management

Correspondence

Proinflammatory and Hematopoietic Cytokines in Reactive and Clonal Thrombycytosis

Editorial

THE THYROID GLAND: A BRIEF HISTORICAL PERSPECTIVE

Acknowledgment

Selected Books

Acknowledgment

Coverage of Thyroid Function Studies

Acknowledgment

Medication Update

Acknowledgment

Interpretation of Laboratory Thyroid Function Tests for the Primary Care Physician

Acknowledgment

Euthyroid Sick Syndrome

Acknowledgment

The Diagnosis and Management of Hypothyroidism

Acknowledgment

Management of Thyrotoxicosis

Acknowledgment

Selected Community Resources

Acknowledgment

Cost-Effective Management of Thyroid Nodules and Nodular Thyroid Goiters

Acknowledgment

Pitfalls to Avoid While Interpreting Thyroid Function Tests: Five Illustrative Cases

Original Article

Medical Malpractice and Respondeat Superior

The legal concept of vicarious liability and the Doctrine of Respondeat Superior occurs when the servant (employee) commits a tort or civil wrong within the scope of employment and the master (employer) is held liable although the master may have done nothing wrong. In this article, legal cases are presented…

Original Article

Awareness and Use of Over-the-Counter Pain Medications: A Survey of Emergency Department Patients

Background.A survey study was done to determine basic knowledge about and use of over-the-counter (OTC) pain medications among patients seen in our emergency department (ED). The hypothesis was that knowledge about OTC pain medications would be correlated with demographic characteristics.

Original Article

Heterotaxy Syndrome With Severe Pulmonary Hypertension in an Adult

Heterotaxy syndrome is a rare clinical entity in adults, characterized by situs ambiguus, congenital heart defects, and splenic malformations. We report the case of an adult with heterotaxy syndrome (including situs ambiguus, bilateral superior vena cava, hypoplastic right-sided spleen and portosystemic shunts) presenting with dyspnea due to severe pulmonary hypertension….

Original Article

Can Elbow Extension be Used as a Test of Clinically Significant Injury?

Background.The objective of this study was to evaluate whether a simple test of full elbow extension was a reliable indicator of bone/joint injury at the elbow joint.

Review Article

Rhabdomyolysis of Infectious and Noninfectious Causes

Background.This study was done to determine variables associated with infectious rhabdomyolysis (IRM).

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