Issue - Southern Medical Association

Expired CME Article

Articular Cartilage Injuries in the Athlete’s Knee: Current Concepts in Diagnosis and Treatment

Expired CME Article – Articular Cartilage Injuries in the Athlete’s Knee: Current Concepts in Diagnosis and Treatment

Expired CME Article

Injuries to The Shoulder in Athletes

Expired CME Article – Injuries to The Shoulder in Athletes

Expired CME Article

Anterior Cruciate Ligament Rupture

Expired CME Article – Anterior Cruciate Ligament Rupture

Expired CME Article

The Patellofemoral Joint

Expired CME Article – The Patellofemoral Joint

Expired CME Article

Fractures of the Hand and Carpal Navicular Bone in Athletes

Expired CME Article – Fractures of the Hand and Carpal Navicular Bone in Athletes

Expired CME Article

Neurapraxia, “Stingers,” and Spinal Stenosis in Athletes

Expired CME Article – Neurapraxia, “Stingers,” and Spinal Stenosis in Athletes

Expired CME Credit Submission and Evaluation Form

CME Credit—August 2004 Featured CME Topic: Sports Medicine

Expired CME Credit Submission and Evaluation Form – Sports Medicine

Case Report

Trichofolliculoma with Incidental Focal Acantholytic Dyskeratosis

Incidental focal acantholytic dyskeratosis has been described in a variety of cutaneous lesions, including benign and malignant epithelial lesions, fibrohistiocytic lesions, inflammatory lesions, and melanocytic lesions. It has also been observed in follicular lesions such as comedones and ruptured follicles. We report the case of a 47-year-old man with a…

Editorial

The Changing Impact of Lifestyle and Health

Our society has evolved in a remarkable way. When humans first appeared, they were essentially hunters. Survival could be assured only by hunting and not being hunted themselves. Although humans were at a physical disadvantage compared to other predators, they were able to mobilize available resources so that they might…

Case Report

The Femoral Gateway

A patient who abused cocaine intravenously had an abscess in the groin, which healed to form a sinus tract leading directly to the wall of the femoral vein. She used this “gateway” as her primary means of venous access for the next 5 years. It was both “painless and brainless”…

Case Report

The Greenfield Filter as a Potential Hazard to the Operating Surgeon

The Greenfield filter and similar devices are placed in the vena cava of patients who have contraindications to anticoagulation, but who would otherwise be at risk of pulmonary embolism without such anticoagulation. Injury to a health care worker from one of these devices has been reported in the case of…

Case Report

Multifocal Skeletal Tuberculosis

Multifocal skeletal tuberculosis is defined as osteoarticular lesions that occur simultaneously at two or more locations. We present radiologic findings in two cases of multifocal osteoarticular tuberculosis. Differential diagnoses of such lesions, based on different radiologic modalities, can include metastatic disease, eosinophilic granuloma, or lymphoma. Since tuberculosis can be present…

Case Report

Disseminated Candida tropicalis in a Patient with Chronic Mucocutaneous Candidiasis

Chronic mucocutaneous candidiasis is a heterogeneous group of immunodeficiencies associated with persistent candidal infections. Patients with chronic mucocutaneous candidiasis are rarely associated with systemic infections caused by other fungi, but almost never by Candida. The authors report a case of a 16-year-old with chronic mucocutaneous candidiasis who developed a fungemia…

Original Article

Tree Stand Falls: A Persistent Cause of Sports Injury

Objective: Tree stand falls are a well-known cause of hunting-related injury. Spine and brain injuries associated with these falls result in a significant incidence of permanent disability. Prior studies indicate that hunting tree stand injuries are largely preventable with the proper use of safety belts; however, compliance with safety belt…

Original Article

Ulnar Nerve Injury Associated with Trampoline Injuries

Objective: This study reports three cases of ulnar neuropathy after trampoline injuries in children. Methods: A chart review was performed on children who sustained an ulnar nerve injury from a trampoline accident. In all cases, surgical intervention was required. Results: Injuries included upper-extremity fractures in two cases and an upper-extremity…

Original Article

Does Intraoperative Electromyographic Monitoring in Lumbar Microdiscectomy Correlate with Postoperative Pain?

Objectives: Our objective was to correlate the findings of intraoperative electromyographic (EMG) monitoring with immediate postoperative pain in patients undergoing lumbar microdiscectomy. Methods: A total of 112 patients undergoing de novo lumbar microdiscectomy were prospectively randomized into a control group (n = 45) and a study group (n = 67)…

Original Article

Emergency Department Volume and Acuity as Factors in Patients Leaving Without Treatment

Objectives: Patients who leave emergency departments (EDs) without treatment represent potential personal and hospital liability. Many department-dependent factors have been linked to patients who leave without treatment (LWT) in high-volume EDs. The authors studied how department volume and acuity influence LWTs in a small, low-volume, university-affiliated ED. Methods: Through retrospective…

Expired CME Article

Introduction

Introduction to Expired CME Article – Sports Medicine

Expired CME Article

Injuries to the Foot and Ankle in Athletes

Expired CME Article – Injuries to the Foot and Ankle in Athletes

Case Report

Marijuana-induced Transient Global Amnesia

A 6-year-old boy accidentally became intoxicated with marijuana secondary to ingesting cookies laced with marijuana. He presented with retentive memory deficit of sudden onset that was later diagnosed as transient global amnesia. Transient global amnesia as a result of marijuana intoxication is an extremely rare event.

Case Report

Zolpidem for Postanoxic Spasticity

A 28-year-old male sustained anoxic brain damage following aborted cardiac arrest, and subsequently developed severe muscular rigidity and spasticity involving all extremities. The spasticity was refractory to the standard regimens used for spastic hypertonia. Zolpidem dramatically inhibited muscular rigidity, spasticity, and dystonic posturing in a dose-dependent manner, resulting in a…

Case Report

Biceps Pain as the Presenting Symptom of Parkinson Disease: Effective Treatment with L-dopa

Parkinson disease can present remarkably as shoulder pains that may long precede the clinical diagnosis. A case is presented in which, during a 2-year period, both lower biceps brachii became exquisitely painful, with both the pain and the “frozen shoulders” responding promptly to the initiation of L-dopa therapy.

Editorial

Trichofolliculoma with Incidental Acantholytic Dyskeratosis

Bogle, Cohen, and Tschen have presented a new clinical association for the dermatopathologic changes of acantholytic dyskeratosis. This uncommon histologic marker is characteristic of Darier disease, but can also be seen in a number of other entities. 1 Trichofolliculomas are small, solitary tumors usually occurring on the face, but occasionally…

Expired CME Article

Featured CME Topic: Sports Medicine

CME Expired Article – Sports Medicine

Expired CME Article

Selected Books

Selected books are appropriate and available for further reading and as in-depth references for the sports medicine issues discussed in this CME symposium. We have attempted to cover the main issues involving the musculoskeletal, the non musculoskeletal, and those that are administrative or societal related. The authors are leaders in…

Letter to the Editor

Physician Values and Medical Decisions

To the Editor: Neumann and Olive 1 surveyed a national sample of family practitioners and psychiatrists. Family practitioners were generally more supportive of religious activities than psychiatrists. This letter reports further analyses of this survey data set, in order to assess the extent to which specific self-identified religious values affected…

Letter to the Editor

Use of Cryotherapy to Isolate Infected Extremities During Amputation

To the Editor: Patients with gangrenous or necrotizing infections of the extremities causing hemodynamic instability can often be resuscitated before amputation by using cryotherapy to isolate the infection from the circulation. 1 The extremity is packed in dry ice (frozen carbon dioxide), the patient is adequately resuscitated, and amputation can…

Letter to the Editor

Black Strap Molasses for the Treatment of Inflammatory Bowel Disease-associated Anemia

To the Editor: Molasses is the final effluent obtained in the preparation of sucrose by repeated evaporation, crystallization, and centrifugation of juices from sugar cane and sugar beets. Black strap molasses is essentially the residue remaining after the final extraction of sucrose in the processing of sugar cane. It is…

Patient's Page

The Patient’s Page

We are excited to introduce a new component to the Southern Medical Journal—The Patient’s Page. In an effort to provide continuing education to our patient population, each issue will contain a condensed version of various Journal articles which we feel are most likely to be of interest to your patients….