Diaphragmatic flutter emulating recalcitrant asthma.

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

authors： Murray JJ,Houston MC

更新日期：1986-02-01 00:00:00

abstract：:Brown recluse spider bites are usually self-limited skin lesions that infrequently progress to bullae, ulceration, and scarring. We treated a patient with a documented brown recluse bite who had recurring lesions resembling pyoderma gangrenosum (PG) that persisted for months. Three other patients referred to Vanderbil...

journal_title：Southern medical journal

authors： Rees RS,Fields JP,King LE Jr

更新日期：1985-03-01 00:00:00

abstract：:A septic course suggestive of intra-abdominal abscess followed surgery in a small child with a perforated appendix. Usual diagnostic studies, fluoroscopy, and rectal and wound exploration failed to localized an abscess. The use of gallium 67 scanning accurately localized multiple abscesses which were successfully drai...

journal_title：Southern medical journal

authors： Aycock TM,Graivier L,Lugo C,McConnell RW

更新日期：1976-10-01 00:00:00

abstract：:Cladophialophora bantiana, a dematiaceous fungus, is an uncommon pathogenic organism originally thought to more commonly affect immunocompetent patients. Increasing numbers of reports, however, describe the organism affecting immunocompromised patients. Like all dematiaceous fungi, Cladophialophora can be recognized i...

journal_title：Southern medical journal

authors： Harrison DK,Moser S,Palmer CA

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND:Echocardiographic demonstration of valvular infection now ranks with positive blood cultures as one of the two major clinical criteria for diagnosis of infective endocarditis (IE), according to new, more accurate guidelines for diagnosis. Because early detection of IE and its complications is essential for d...

journal_title：Southern medical journal

authors： Kemp WE Jr,Citrin B,Byrd BF 3rd

更新日期：1999-08-01 00:00:00

abstract：:Most of the surgical procedures proposed for the treatment of fecal incontinence associated with prolapse are associated with considerable morbidity and mortality. We used a modified Thiersch procedure with a Silastic mesh implant (Dow-Corning 501-3) on a series of 12 patients over a period of 2 1/2 years. Nine patien...

journal_title：Southern medical journal

authors： Larach SW,Vazquez B

更新日期：1986-03-01 00:00:00

abstract：:A 42-year-old man had nausea, vomiting, periumbilical pain, tenesmus, and diarrhea shortly after eating seafood. Stool microscopy showed "beaver bodies," or Psorospermium haeckelii, a nonpathogenic algal organism often confused with enteric pathogens and commonly found in the excrement of persons consuming crayfish. ...

journal_title：Southern medical journal

authors： Bouckenooghe AR,Marino BJ

更新日期：2001-02-01 00:00:00

abstract：:In this series, thorough evaluation of 250 mediastinal lesions by various diagnostic methods showed that contrast enhanced CT scans of the mediastinum were superior to other modalities in differentiation and precise localization of the various types of lesions. Such superior evaluation may have a profound effect on th...

journal_title：Southern medical journal

authors： Devkota J

更新日期：1985-04-01 00:00:00

abstract：:The correct diagnosis of benign hyperthyroxinemia in this patient and his family members will spare them the unnecessary testing and treatment for thyrotoxicosis that has befallen some such patients. Results of the usual blood tests for assessment of thyroid function, such as T4, T3, and thyrotropin determinations, we...

journal_title：Southern medical journal

authors： Tucker WS Jr

更新日期：1989-03-01 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

authors： Gurbuz AK,Ozel AM,Ozturk R,Yildirim S,Yazgan Y,Demirturk L

更新日期：2005-11-01 00:00:00

abstract：:In 32 patients with the onset of myasthenia gravis after age 50, myasthenic crisis occurred in 53% and persisted for a mean of 33 days (range six to 84 days). Three of the patients had a second crisis. Precipitating factors were found in 60% of the episodes. Treatment of 20 episodes of crisis resulted in excellent rec...

journal_title：Southern medical journal

authors： Sellman MS,Mayer RF

更新日期：1985-10-01 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

authors： Ottelin MC,Bueschen AJ,Lloyd LK,Joseph DB,Diethelm AG,Burns JR

更新日期：1994-01-01 00:00:00

abstract：:Pregnancy is a state of many hormonal changes that can make interpretation of thyroid function tests difficult. Measuring trimester-specific reference values of thyrotropin and free thyroxine is recommended. Because overt maternal hypothyroidism negatively affects the fetus, timely recognition and treatment are import...

journal_title：Southern medical journal

authors： Ahmad S,Geraci SA,Koch CA

更新日期：2013-09-01 00:00:00

abstract：:A clinical diagnosis of meningitis in neonates is difficult because of paucity of physical findings. In older infants and children, nuchal rigidity, Kernig's or Brudzinski's sign, or bulging fontanelles are sought. A review of 1,064 cases of bacterial meningitis beyond the neonatal period revealed that 16 (1.5%) patie...

journal_title：Southern medical journal

authors： Geiseler PJ,Nelson KE

更新日期：1982-04-01 00:00:00

abstract：:Our seven clinical vignettes illustrate different mechanisms of inappropriate admissions to psychiatric wards and the circumstances and outcome of such admissions, with emphasis on the shared responsibility of psychiatric and nonpsychiatric physicians, the financial consequences, and the implications of such admission...

journal_title：Southern medical journal

authors： Alarcon RD,Walter-Ryan WG,Shaw L

更新日期：1985-07-01 00:00:00

abstract：:All indexed cases of typhoid fever occurring in children over a ten-year period in Jacksonville, Fla, were studied retrospectively. This review revealed that anorexia was the most common gastrointestinal complaint and that neurologic symptoms and signs were nearly as common as gastrointestinal signs. There was a signi...

journal_title：Southern medical journal

authors： Tolaymat A,Fakhreddine F,David CB,Whitworth JM

更新日期：1979-02-01 00:00:00

abstract：:Supplemental digital content is available in the text. ...

journal_title：Southern medical journal

authors： Bob-Manuel T,Askandar S,Khouzam RN

更新日期：2017-11-01 00:00:00

abstract：:Sickle cell disease (SCD) is the most common hereditary disorder and affects 30 million people worldwide. Advances in science have improved overall survival in patients with SCD and as such, more patients are reaching reproductive age and are becoming pregnant. SCD in pregnancy leads to multiple complications that put...

journal_title：Southern medical journal

authors： Hathaway AR

更新日期：2016-09-01 00:00:00

abstract：:Only in relatively recent years has the role of dietary fiber, once thought to be an unnecessary and even undesirable by-product, begun to be appreciated in the maintenance of health. Research now indicates that a deficiency of fiber in the modern western diet may contribute to a host of diseases. Inadequate dietary f...

journal_title：Southern medical journal

authors： Vanderpool DM

更新日期：1986-10-01 00:00:00

abstract：:The original and most widely accepted applications for point-of-care ultrasound (POCUS) are in the settings of trauma, shock, and bedside procedures. Trauma was the original setting for the introduction of POCUS and has been standardized under the four-plus view examination called the Focused Assessment with Sonograph...

journal_title：Southern medical journal

authors： Morrow D,Cupp J,Schrift D,Nathanson R,Soni NJ

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Several previous studies of invasive Group A streptococcal (GAS) disease have been hindered by small sample sizes (< or = 100 patients) and limited generalizability. METHODS:We conducted a population-based study of invasive GAS disease. The objectives of the study were to describe the clinical features of i...

journal_title：Southern medical journal

authors： Mulla ZD,Leaverton PE,Wiersma ST

更新日期：2003-10-01 00:00:00

abstract：OBJECTIVES:Accurate and consistent documentation of pain management, including patient responses regarding improvement in pain scores, is essential for improving patient care. The objective of the project was to evaluate the current prescribing patterns and to review the current documentation for opioid-managed, chroni...

journal_title：Southern medical journal

authors： DeRemer CE,Fleming VH,Brown S,May JR

更新日期：2011-09-01 00:00:00

abstract：:Pectus excavatum is relatively uncommon. Our experience with 177 children during a 15-year period produced changes in our surgical technique, which now includes a small transverse incision, minimal subcutaneous flap elevation, a muscle-relaxing incision over the fifth costal cartilage, complete resection of involved c...

journal_title：Southern medical journal

authors： Golladay ES,Wagner CW

更新日期：1991-09-01 00:00:00

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

authors： Brooks BS,El Gammal T

更新日期：1983-12-01 00:00:00

abstract：:Aminoglycosides have been reported to cause tetany by inducing renal wasting of magnesium and secondary hypocalcemia. A 9-year-old girl with AIDS was brought to the emergency department because of tetany. She had just finished a 3-week course of intravenous tobramycin for bronchiectasis and had an elevated serum tobra...

journal_title：Southern medical journal

authors： Slayton W,Anstine D,Lakhdir F,Sleasman J,Neiberger R

更新日期：1996-11-01 00:00:00

abstract：:This is a case which highlights unique diagnostic challenges in the evaluation of a previously healthy patient presenting with a myelopathy initially most concerning for malignancy. However, timely recognition and nonoperative therapy of unexpected spinal sarcoidosis with corticosteroidal therapy was crucial in averti...

journal_title：Southern medical journal

authors： Nguyen H,Le C,Nguyen H

更新日期：2010-09-01 00:00:00

abstract：:In El Paso County, Texas, 73 domestic wells were sampled using a variety of selective media to determine the extent of bacterial contamination of the groundwater on the US side of the United States-Mexico border. Thirteen wells were contaminated by fecal coliforms, whereas other wells contained a variety of bacterial ...

journal_title：Southern medical journal

authors： Mroz RC Jr,Pillai SD

更新日期：1994-12-01 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

authors： Gilmore RL,Lebow R,Berk SL

更新日期：1983-09-01 00:00:00

abstract：:Citalopram is the newest selective serotonin reuptake inhibitor (SSRI) available in the United States. It is currently approved by the Food and Drug Administration for the treatment of major depression. However, a number of studies have found it to be effective in the treatment of panic disorder as well. While there h...

journal_title：Southern medical journal

authors： Brauer HR,Nowicki PW,Catalano G,Catalano MC

更新日期：2002-09-01 00:00:00

abstract：:The charts of 663 patients who had cholecystectomy were reviewed to determine the usefulness of preoperative radiologic examination of the upper gastrointestinal tract. In 14% of the patients a positive finding was reported. However, slightly less than half of these findings were confirmed at surgery. Only 2.9% of the...

journal_title：Southern medical journal

authors： Mullen JT,Watts MA,Ehrlich FE

更新日期：1977-05-01 00:00:00