Integrated diagnostic and treatment approach for the medical patient who has had psychologic trauma.


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.


South Med J


Southern medical journal


Brende JO,Dill JE,Dill B,Sibcy GA


Has Abstract


1998-04-01 00:00:00












  • Carbenicillin nephrotoxicity.

    abstract::A patient with biopsy-proven interstitial nephritis associated with nafcillin and dicloxacillin therapy developed fever, hematuria, pyuria, and renal insufficiency after the administration of carbenicilin five months later. Cephalosporin therapy was given to this patient without signs of renal toxicity. This is the fi...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Roselle GA,Clyne DH,Kauffman CA

    更新日期:1978-01-01 00:00:00

  • Economic impact of quality control in diagnostic radiology.

    abstract::With ever-increasing costs confronting health care facilities, much attention is being focused on various cost-containment projects. Although it is generally assumed that a radiology department quality control program will increase costs, institutional savings may also result. A comprehensive quality control program i...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Carlton WH,Avecilla LS,Pool WH,Wise CH Jr,Young RG

    更新日期:1980-02-01 00:00:00

  • Retrocardiac densities due to paraesophageal varices: roentgenographic detection.

    abstract::We have described a patient with portal hypertension and retrocardiac paramediastinal density on upright PA chest x-ray film. Splenoportograms showed this density to be paraesophageal collateral veins. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Frederick HM,Clements JL Jr,Colvin RS

    更新日期:1985-11-01 00:00:00

  • Persistent adenopathy in coccidioidomycosis: an indication for therapy.

    abstract::Three patients seen recently at Wilford Hall USAF Medical Center emphasize the point that coccidioidomycosis may resemble lymphoma because of persistence of adenopathy on the chest roentgenogram after the initial infiltrate has resolved. Such a clinical picture strongly indicates dissemination and is probably sufficie...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Jenkins DW Jr

    更新日期:1977-05-01 00:00:00

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    abstract::The accuracy of the noninvasive carotid system studies done in our laboratory during an 18-month period were reviewed. The usefulness of these procedures was found to be limited when used as a "blind" screen for extracranial vascular disease. The overall correlation with angiography was good, with few false-negatives ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Prendes JL

    更新日期:1982-05-01 00:00:00

  • A dynamic transpatellar approach to the knee.

    abstract::This paper describes a transverse approach to the knee which gives unequalled access to the joint for extensive synovectomies, extensive surgical debridement, installation of total knee prostheses, or reduction of supracondylar fracture of the femur involving the articular surfaces. The temporary patellar tendon subst...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: McConnell BE

    更新日期:1976-05-01 00:00:00

  • Impact of Holidays on Pediatric Trauma Admissions to a Community Hospital in South Florida.

    abstract:OBJECTIVES:The data from temperate regions indicate increases in pediatric traumatic injuries during the spring and summer months with anticipated admission spikes on warm weather holidays; hospitals in southern subtropical regions should not anticipate the same trends. The objectives of this study were to identify hol...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Eyerly-Webb S,Solomon R,Young L,Bard K,Laituri C,Rosenthal A,Long J

    更新日期:2019-03-01 00:00:00

  • Sporadic military meningococcal disease: a diversity of presentations.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Haburchak DR

    更新日期:1981-02-01 00:00:00

  • Lesions at the foramen of Monro: evaluation by computed tomography, angiography, and pneumoencephalography.

    abstract::The majority of abnormalities at the foramen of Monro identified by computed tomography (CT) are colloid cysts, but a number of other diseases in this location may produce a similar CT appearance. In a series of 21 patients the radiologic findings included six colloid cysts, two neoplasms, five vascular lesions, three...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Brooks BS,El Gammal T

    更新日期:1983-12-01 00:00:00

  • Surgical treatment of mitral valve disease: pathologic findings and atrial dysrhythmia.

    abstract::One hundred fifty patients underwent surgery for mitral valve disease between January 1974 and May 1981. There were 98 female and 52 male patients with a mean age of 57 years (+/- 18.6). One hundred forty-six patients were in New York Heart Association functional class III or IV. Pathologic diagnoses included 67% rheu...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Vijayanagar R,Bognolo D,Eckstein P,Jeffery D,Toole J,Natarajan P,Willard E

    更新日期:1983-06-01 00:00:00

  • Colorectal cancer in patients 20 years old or less in Taiwan.

    abstract:BACKGROUND:Colorectal cancer (CRC) is predominantly a disease of the elderly population, but it sometimes occurs in young patients. The diagnosis of CRC in youngsters is often overlooked by physicians or presentation may be delayed. METHODS:With assistance from the cancer registry center of Taipei Veterans General Hos...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Chen LK,Hwang SJ,Li AF,Lin JK,Wu TC

    更新日期:2001-12-01 00:00:00

  • Bulging (sagging) fissure sign in Hemophilus influenzae lobar pneumonia.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Francis JB,Francis PB

    更新日期:1978-11-01 00:00:00

  • Arsenic exposures in Mississippi: a review of cases.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Park MJ,Currier M

    更新日期:1991-04-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Halama WH,Mauldin JL

    更新日期:1992-06-01 00:00:00

  • Combination chemotherapy and radiation therapy of undifferentiated small cell bronchogenic carcinoma.

    abstract::We reviewed 76 cases of small cell bronchogenic carcinoma seen at the University of South Florida Medical Center. One third of the 55 patients who have subsequently died did so within one month of diagnosis. Thirty-five patients were treated with cyclophosphamide, adriamycin, vincristine, and radiation therapy includi...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Lyman GH,Hartmann RC,Saba HI,Preston D,Shukovsky L,Jensen R,Knight M

    更新日期:1978-05-01 00:00:00

  • Dinitrophenol poisoning: a diagnosis to consider in undiagnosed fever.

    abstract::A 32-year-old farmer had signs and symptoms of dinitrophenol poisoning after crop spraying with a herbicide containing derivatives of 2,4-dinitrophenol. Dinitrophenol causes toxicity by the uncoupling of oxidative phosphorylation in the mitochondria of cells throughout the body. In man the classic syndrome consists of...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Leftwich RB,Floro JF,Neal RA,Wood AJ

    更新日期:1982-02-01 00:00:00

  • Medial meniscectomy: a prospective clinical study.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Henard DC

    更新日期:1983-09-01 00:00:00

  • Medical education and the dying patient.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Mullaly RW,Osmond H

    更新日期:1979-04-01 00:00:00

  • Duodenal obstruction in thyroid storm.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Cansler CL,Latham JA,Brown PM Jr,Chapman WH,Magner JA

    更新日期:1997-11-01 00:00:00

  • Rickets in premature infants fed different formulas.

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    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章


    authors: Kulkarni PB,Dorand RD,Bridger WM,Payne JH 3rd,Montiel DC,Hill JG

    更新日期:1984-01-01 00:00:00

  • Preoperative cardiac consultations in a teaching hospital.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Golden WE,Lavender RC

    更新日期:1989-03-01 00:00:00

  • Osteoporosis self-management: Choices For Better Bone Health.

    abstract::Despite recent pharmacologic advances in the prevention and treatment of osteoporosis, the disease remains incurable. Effective disease management ultimately lies in the hands of the individual patient, who must take responsibility for key health behaviors related to bone health. One behavior modification strategy tha...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Gold DT,Silverman SL

    更新日期:2004-06-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Futch CB,Jennings ER,Egan RW,Addison BA

    更新日期:1978-02-01 00:00:00

  • Giant avascular hepatocellular carcinoma mimicking metastatic tumor.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Thomas CT,Westerfield LH,Perlman PE,Thomas E

    更新日期:1983-10-01 00:00:00

  • Poison control centers: can their value be measured?

    abstract::Most regions of the United States are served by poison control centers that provide 24-hour toxicologic guidance resulting in the home management of most poison exposures. It has been suggested that without public access to a poison control hotline the majority of poison-exposed patients would seek medical care in eme...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: King WD,Palmisano PA

    更新日期:1991-06-01 00:00:00

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    abstract::Dietary advice based on saturated versus unsaturated fatty acids for the purpose of controlling the plasma cholesterol level has for many years plagued the American public with unpalatable diets that are difficult to adhere to. Stearic acid, an 18-carbon saturated fatty acid, does not share the hypercholesterolemic ef...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Cobb TK

    更新日期:1992-01-01 00:00:00

  • Prolonged intermittent diarrhea after Shiga dysentery: postdysenteric syndrome.

    abstract::A 42-year-old woman had dysentery caused by the Shiga bacillus, Shigella dysenteriae type 1, while taking diphenoxylate with atropine during and after her return from a trip to Mexico. Although she was treated with appropriate antibiotics, she suffered a prolonged and toxic acute course followed by intermittent bouts ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Rice PA,Baine WB

    更新日期:1980-03-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Sellman MS,Mayer RF

    更新日期:1985-10-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 历史文章,杂志文章


    authors: Trupo FJ,Aburahma A

    更新日期:1987-05-01 00:00:00

  • Neonatal sepsis and meningitis due to alpha-hemolytic Streptococcus.

    abstract::We have reported a case of septicemia and meningitis due to alpha-hemolytic Streptococcus in a 5-day-old infant. The microbiologic and clinical characteristics of neonatal infection with this organism lead us to conclude that this bacterium can be pathogenic in the newborn and should not be dismissed as a contaminant....

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Fraser JJ Jr,Marks MI,Welch DF

    更新日期:1983-03-01 00:00:00