Abstract:
BACKGROUND:Physicians often treat patients with physical illnesses that have a functional component. Investigators have discovered that many of these patients have unresolved emotional problems associated with histories of trauma and abuse. METHODS:Abused and traumatized patients with medical complaints often seek medical help. Empathic nonpsychiatrist physicians play an important role in the care of these patients. The physician's efforts can be augmented by a trained RN to provide supportive stress training and nutrition education and by a mental health professional to provide psychotherapy when needed. RESULTS:In the case presented, the patient had symptomatic improvement when her physician empathically provided medical treatment, involved the staff and a trained RN in the healing effort, and made an appropriate referral to a mental health professional. CONCLUSION:This unified diagnostic and treatment approach for traumatized patients with medical problems can be rewarding, efficacious, and cost effective.
journal_name
South Med Jjournal_title
Southern medical journalauthors
Brende JO,Dill JE,Dill B,Sibcy GAsubject
Has Abstractpub_date
1998-04-01 00:00:00pages
318-24issue
4eissn
0038-4348issn
1541-8243journal_volume
91pub_type
杂志文章,评审abstract::Eikenella corrodens was isolated from an orally contaminated hand wound which resulted in cellulitis, osteomyelitis, and arthritis. E corrodens is a gram-negative, microaerophilic bacillus which only lately has received attention as a possible pathogen. The organism grows characteristically as small, corroding, or pit...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-197605000-00018
更新日期:1976-05-01 00:00:00
abstract::Experience with the posterolateral approach to total hip replacement arthroplasty in 229 patients is reported. The technic has the advantages of providing excellent exposure and decreased operative time, minimal blood loss, and absence of the complications associated with removal and replacement of the greater trochan...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198001000-00019
更新日期:1980-01-01 00:00:00
abstract::Transient synovitis of the hip is an acute and self-limited disease commonly seen in children. It is the most common cause of acute hip pain in children ages 3 to 10. It is not considered a disease of adults. It usually only affects one hip. The child may complain of pain that is much worse with walking and may actual...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/01.smj.0000199746.29009.4c
更新日期:2006-02-01 00:00:00
abstract::We examined present and anticipated future levels of career satisfaction among psychiatrists in the greater Houston area. We gathered data by means of an anonymous questionnaire. The strongest univariate correlations between background variables and current and anticipated future levels of career satisfaction were fou...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199505000-00003
更新日期:1995-05-01 00:00:00
abstract::The diagnoses of complete obstruction in a duplicated renal collecting system and ureterocele can be made with a high degree of confidence by ultrasound. Two children presenting with abdominal masses were examined by gray scale ultrasonography which demonstrated large cystic masses dorsal to and displacing the lower p...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198008000-00018
更新日期:1980-08-01 00:00:00
abstract::All cases of surgically proven and cured primary hyperparathyroidism, over a five-year period, were reviewed for the presence of hypertension, renal and/or prerenal azotemia, nephrolithiasis, nephrocalcinosis, and patient symptom status. In this group of 23 patients, the prevalence of hypertension was greater than 78%...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198211000-00018
更新日期:1982-11-01 00:00:00
abstract:BACKGROUND:Use of mucolytic agents that result in reduced mucous viscosity of the gastric mucous has been suggested to have an additive effect in curing Helicobacter pylori infection. METHODS:Seventy Hpylori-positive patients were given either eradication treatment consisting of 500 mg clarithromycin bid and 30 mg lan...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/01.smj.0000182486.39913.da
更新日期:2005-11-01 00:00:00
abstract::Hyponatremia has been recognized as a complication in adults with acquired immunodeficiency syndrome (AIDS). We did a retrospective study evaluating the medical records of 86 children (age 4 months to 21 years) with human immunodeficiency virus (HIV-1) infection to determine the frequency and clinical associations of ...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199510000-00008
更新日期:1995-10-01 00:00:00
abstract::As this case illustrates, lung cancer should be included in the differential diagnosis in a young person with fever, purulent sputum, and a large cystic mass on chest roentgenogram. An aggressive diagnostic approach including biopsy is recommended if symptoms do not respond to early treatment. ...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198810000-00031
更新日期:1988-10-01 00:00:00
abstract:BACKGROUND:Screening mammography, particularly for women in their 40s, has become a confusing issue for many physicians. Recent scientific and political controversies regarding screening guidelines have added to this confusion. METHODS:Many randomized clinical trials have shown the benefits of mammographic screening f...
journal_title:Southern medical journal
pub_type: 杂志文章,评审
doi:
更新日期:1998-06-01 00:00:00
abstract::We reviewed the operative complications in 333 living related donor nephrectomies done at our institution over the past 12 years. The overall complication rate was 17.1%; only three patients (0.9%) had major complications, and none died. The major complications were a delayed splenectomy because of bleeding, an adrena...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199401000-00013
更新日期:1994-01-01 00:00:00
abstract::We report the case of an 18-year old man with hemolytic-uremic syndrome (HUS) having a classic clinical presentation and diagnostic renal pathology without evidence of microangiopathic hemolytic anemia (MAHA) by peripheral blood smear. Indirect evidence of hemolysis was suggested by mild anemia, elevation of serum lac...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199603000-00018
更新日期:1996-03-01 00:00:00
abstract::We have described a 47-year-old white woman who had spontaneous E coli K1 meningitis after acquiring an E coli K1 urinary tract infection with associated sepsis. The patient's symptoms consisted only of severe headache, fever, and malaise. She had no meningeal or focal neurologic signs, and the CSF did not contain whi...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198309000-00044
更新日期:1983-09-01 00:00:00
abstract:OBJECTIVES:Lung cancer and pancreatic cancer are the most lethal tobacco-associated malignancies. To elucidate possible clinical interrelationships, the authors reviewed the clinicopathologic characteristics of patients treated for both pulmonary and pancreatic neoplasms. METHODS:Patients presenting with a potentially...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/01.SMJ.0000118129.88401.DB
更新日期:2004-09-01 00:00:00
abstract::A review of the available clinical and pathologic information suggests that the biologic behavior of prostatic carcinoma can be characterized by one of three different tumor-growth kinetic curves. Failure to identify the biologic potential of the tumor, as indicated by the pattern of its growth curve, can result in in...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:
更新日期:1980-10-01 00:00:00
abstract::Chronic metformin use results in vitamin B12 deficiency in 30% of patients. Exhaustion of vitamin B12 stores usually occurs after twelve to fifteen years of absolute vitamin B12 deficiency. Metformin has been available in the United States for approximately fifteen years. Vitamin B12 deficiency, which may present with...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/SMJ.0b013e3181ce0e4d
更新日期:2010-03-01 00:00:00
abstract::A 35-year-old, previously healthy woman, known to be thyrotoxic, was transferred from a community hospital for "acute abdomen." Abdominal pain, distention, and hyperemesis resolved with placement of nasogastric tube (NGT) and return of 2,600 mL of bilious fluid. Continued high NGT output made oral or NGT administratio...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199711000-00018
更新日期:1997-11-01 00:00:00
abstract::Patients with blunt hepatic injury can safely be managed nonoperatively if they show hemodynamic stability. Transcatheter arterial embolization (TAE) is a useful adjunct in the treatment of patients who show evidence of continued hemorrhage or who have pooling of contrast material on computed tomography (CT). In these...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::The advantages of topical (as opposed to systemic) therapy for allergic rhinitis include the avoidance of undesirable systemic effects and the concentration of therapeutic effect on the target organ. Successful topical therapy requires establishment of a proper diagnosis, followed by effective delivery of the medicati...
journal_title:Southern medical journal
pub_type: 杂志文章,评审
doi:10.1097/00007611-199202000-00008
更新日期:1992-02-01 00:00:00
abstract::To study the association between anticonvulsant therapy and osteomalacia or rickets, we evaluated 450 epileptic patients receiving anticonvulsants and residing in an institution for the mentally retarded in Florida. Fifty-five of them with increased mean serum alkaline phosphatase and mildly depressed mean serum calci...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198407000-00011
更新日期:1984-07-01 00:00:00
abstract::We have described a 38-year-old white American woman who had a 7-year history of pain in the left anterior chest, neck, right wrist, and buttocks. The pain fluctuated in severity and appeared to coincide with worsening of her skin condition, palmoplantar pustulosis (PPP). She manifested the typical skeletal features o...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199304000-00021
更新日期:1993-04-01 00:00:00
abstract::Between the years 1963 to 1982, 84 consecutive cases of intracranial complications of ear disease in pediatric patients were diagnosed and treated at the North Carolina Baptist Hospital. This group consisted of 65 patients with otitic meningitis, four with otitic brain abscess, four with otitic hydrocephalus, three wi...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198504000-00018
更新日期:1985-04-01 00:00:00
abstract:OBJECTIVES:Accurate reptile envenomation mortality data for the United States is unavailable. Using data from the National Vital Statistics System (NVSS), deaths from 1979 through 1998 were analyzed. METHODS:Records of deaths from reptile envenomation were selected using matches to code E905.0 of the International Cla...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-200407000-00006
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVES:Cystic fibrosis (CF) is associated with vitamin D deficiency, which can lead to adverse effects including recurrent pulmonary infections and osteoporosis. We longitudinally investigated calcifediol or 25-hydroxyvitamin D (25(OH)D) levels for our pediatric patients with CF based on the time of year as well as...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.14423/SMJ.0000000000000254
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:To design and evaluate interventions for reducing the impact of stroke in Georgia, we assessed knowledge of signs, risk factors, and burden of stroke. METHODS:Adults in Georgia were studied with a random digit dial telephone survey. RESULTS:Answering an unaided question, 39% of 602 respondents named > or =...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract::Thirteen male patients consecutively admitted to an inpatient drug and alcohol rehabilitation hospital with the primary diagnosis of crack cocaine dependence were shown a 30-minute videotape that included salient environmental cues intended to elicit cocaine craving. The subjects were tested before and after the video...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199411000-00016
更新日期:1994-11-01 00:00:00
abstract::Food safety is an increasing concern to Americans. Recent recalls of peanuts and pistachios, and Food and Drug Administration (FDA) warnings to pregnant women to avoid eating fish have increased government oversight of food processing and handling. Consumers can play an important role in alerting their healthcare prov...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/SMJ.0b013e3181be29af
更新日期:2010-04-01 00:00:00
abstract::We have reported a case of small-bowel volvulus in which complete jejunoileal necrosis resulted from torsion of the superior mesenteric artery. This case was unusual not only because of the extent of necrosis but also because primary small-bowel volvulus is rare in adults. Despite nearly total small-bowel resection, t...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199012000-00029
更新日期:1990-12-01 00:00:00
abstract::A 66-year-old woman with a subacute onset of mild dementia and headaches was discovered to have multiple large, hyperdense lesions on cranial CT scan. Biopsy showed poorly differentiated adenocarcinoma with necrosis and dystrophic calcification, which represented an unusual initial manifestation of metastatic breast c...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198602000-00030
更新日期:1986-02-01 00:00:00
abstract::A case of Wuchereria bancrofti filariasis was recently seen in a Haitian immigrant in Charleston, SC. The Caribbean area is a known endemic focus for this organism. With the increased numbers of immigrants from that area, it is likely that other such cases will be seen in the US. ...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198504000-00032
更新日期:1985-04-01 00:00:00