Planning for ambulatory care: simple methods for improving patient flow.

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

authors： Frederick HM,Clements JL Jr,Colvin RS

更新日期：1985-11-01 00:00:00

abstract：:Thirty-two cases of gonococcal arthritis in pregnant women admitted to Jackson Memorial Hospital between 1962 and 1971 are reviewed. Our specific aim is to reinforce awareness of this serious complication in pregnancy. The incidence of gonococcal arthritis is higher in women, but more significantly, it appears that th...

journal_title：Southern medical journal

authors： Chapman DR,Fernandez-Rocha L

更新日期：1975-11-01 00:00:00

abstract：:Vesicoureteral reflux occurs in approximately 50% of duplex systems that undergo evaluation and most commonly involves the lower renal segment ureter. The therapeutic approach can be tailored for each case after careful evaluation of the anatomic and functional status of each renal unit. If reparative srugery is indic...

journal_title：Southern medical journal

authors： Currie DP

更新日期：1976-11-01 00:00:00

abstract：:Conventional rate limits for sinus rhythm--100/min as the tachycardia threshold and 60/min as the bradycardia threshold--were established by consensus and never formally examined. Because clinical experience indicated that both figures were too high, we investigated this formally in 500 normal individuals. Results wer...

journal_title：Southern medical journal

authors： Spodick DH

更新日期：1996-07-01 00:00:00

abstract：:This paper reports results of a project designed to examine factors related to compliance with referral for follow-up and treatment of cervical dysplasia. Women studied had cervical dysplasia diagnosed by Pap smear between May 1989 and April 1990. These women had regular follow-up at the gynecology clinic of the Reyno...

journal_title：Southern medical journal

authors： Laedtke TW,Dignan M

更新日期：1992-01-01 00:00:00

abstract：OBJECTIVES:To explore factors that might contribute to misattribution of mental status changes to psychiatric illness when an elderly patient actually has a delirium (mental status changes due to a medical condition). METHODS:Records of 900 elderly patients referred to a Veterans Affairs psychiatric inpatient unit and...

journal_title：Southern medical journal

authors： Reeves RR,Parker JD,Burke RS,Hart RH

更新日期：2010-02-01 00:00:00

abstract：:Between 1972 and 1985, 39 patients with superior vena cava syndrome were admitted to the Medical College of Georgia Hospitals. I have reviewed the hospital courses of these patients and compared clinical and laboratory findings with those reported in previous series. The syndrome was malignant in 34 patients (mean age...

journal_title：Southern medical journal

authors： Fincher RM

更新日期：1987-10-01 00:00:00

abstract：BACKGROUND:Lichen simplex chronicus (LSC) is a common pruritic disorder resulting from repeated rubbing and scratching. Nighttime pruritus is a common feature in LSC and may disrupt the sleep pattern. The aim of this study is to determine whether there are sleep abnormalities in patients with LSC. PATIENTS AND METHODS...

journal_title：Southern medical journal

authors： Koca R,Altin R,Konuk N,Altinyazar HC,Kart L

更新日期：2006-05-01 00:00:00

abstract：:The development of hyperthyroidism after primary hypothyroidism is unusual. We report such a case in a 37-year old man and review the clinical and immunologic aspects of the previously published cases of 50 female and 19 male patients with a similar condition. ...

journal_title：Southern medical journal

authors： Al-Sharafi BA,Khardori R

更新日期：2000-07-01 00:00:00

abstract：:We have reported a case of horseshoe kidney, a common renal fusion anomaly. Because of the 25% incidence of associated genitourinary anomalies, we believe that the diagnosis of horseshoe kidney in pediatric patients should initiate a thorough urologic evaluation, including intravenous urography and real-time sonograph...

journal_title：Southern medical journal

authors： Sumner TE,Volberg FM,Munitz A,Harrison LH,Mashburn AM

更新日期：1985-02-01 00:00:00

abstract：:I report my experience during one 6-month period as the sole rheumatologist running a weekly clinic at a small community hospital. The report illustrates the impact of rheumatologic expertise in an environment well-served by generalists and other medical subspecialists. This experience identifies important gaps in the...

journal_title：Southern medical journal

authors： Kerr LD

更新日期：1995-03-01 00:00:00

abstract：:Our purpose was to determine the discovery method and stage of newly discovered breast cancers at two different medical centers. To do this, we conducted a retrospective chart review at our urban and suburban teaching hospitals during 1991 through 1992 and 1992, respectively. Only 29 (26%) of 112 cancers at our urban ...

journal_title：Southern medical journal

authors： Tigges S,Monticciolo DL,Kessler L

更新日期：1995-11-01 00:00:00

abstract：:Cardiac ascites is a rare condition. Diagnosis is aided by liver histology, which characteristically shows diffuse hepatic congestion affecting the centrilobular region. In our case of refractory ascites due to constrictive pericarditis, diagnosis was delayed because centribular hepatic congestion was absent histologi...

journal_title：Southern medical journal

authors： Kirsch M,Fleshler B

更新日期：1992-11-01 00:00:00

abstract：:We have reported a case of aplastic crisis occurring in an 11-year-old black boy with occult hereditary spherocytosis. An etiologic diagnosis of human parvovirus (HPV) B19 infection was confirmed serologically. The Coulter Model S + IV proved useful for both diagnosis and treatment monitoring through serial histograms...

journal_title：Southern medical journal

authors： Rappaport ES,Quick G,Ransom D,Helbert B,Frankel LS

更新日期：1989-02-01 00:00:00

abstract：BACKGROUND:The nursing home clinician may encounter euthyroid residents with low total serum thyroxine (T4) values associated with certain medications or nonthyroidal illness (NTI). Hypothyroidism may be incorrectly diagnosed and thyroid hormone prescribed. METHODS:We reviewed all T4 determinations and individuals wit...

journal_title：Southern medical journal

authors： Amberson J,Drinka PJ

更新日期：1998-05-01 00:00:00

abstract：:A 27-year-old man had recurrent abscesses of the thigh caused by organisms typical of mouth flora. The unusual identity of these organisms from a thigh abscess led to the recognition that the illness was induced by self-injection with saliva, and that the patient had many of the characteristics of Münchausen's syndrom...

journal_title：Southern medical journal

authors： Selinger DS,Chongsiriwatana K,Froelich CJ,Vogel AV,Kisch AL

更新日期：1979-02-01 00:00:00

abstract：:Lyme disease, now the most common tick-borne illness in the United States, has recently received much media attention, due in part to its potentially serious sequelae in untreated patients. Because a rare patient with late illness may lack antibodies to the etiologic agent, Borrelia burgdorferi, physicians may be temp...

journal_title：Southern medical journal

authors： Nadelman RB,Arlin Z,Wormser GP

更新日期：1991-10-01 00:00:00

abstract：OBJECTIVE:No standard therapeutic option exists for men with prostate cancer who have failed local therapy, have no gross metastatic disease, and whose only manifestation of disease is a rising prostate-specific antigen (PSA) level. Soy products are able to affect PSA kinetics in some men with prostate cancer, and this...

journal_title：Southern medical journal

authors： Joshi M,Agostino NM,Gingrich R,Drabick JJ

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND:Pneumonia is a leading infectious cause of morbidity and mortality in the United States. The Infectious Disease Society of America (IDSA) and American Thoracic Society (ATS) have published treatment guidelines for community-acquired pneumonia (CAP) based upon the site of acquisition and specific pathogen ris...

journal_title：Southern medical journal

authors： Fleming V,Buck B,Nix N,Kumar P,Southwood R

更新日期：2013-03-01 00:00:00

abstract：:We studied etiologic factors important in colonization of 179 central venous catheters (CVCs) in patients randomized into group 1 (who received daily topical applications of povidone-iodine) or group 2 (who received only dry dressing changes). Colonization rates of CVC tips were similar between group 1 (18/84 or 21%) ...

journal_title：Southern medical journal

authors： Prager RL,Silva J Jr

更新日期：1984-04-01 00:00:00

abstract：:Anaerobic bacteria outnumber aerobic bacteria in normal flora in the oropharynx and gastrointestinal tract. They are important and frequent causes of infection, although they often go unrecognized except in the classic and very distincitve clostridial infections and intoxications-gas gangrene, botulism, and tetanus. A...

journal_title：Southern medical journal

authors： Meyer RD,Finegold SM

更新日期：1976-09-01 00:00:00

abstract：OBJECTIVE:We sought to determine predictors of coronary events (cardiac death, acute myocardial infarction, and urgent revascularization) within 30 days after admission. METHODS:We prospectively collected data on 400 patients admitted through our emergency room for unstable angina and acute coronary syndromes. Patient...

journal_title：Southern medical journal

authors： Tadros GM,McConnell TR,Wood GC,Costello JM,Iliadis EA

更新日期：2003-11-01 00:00:00

abstract：OBJECTIVE:The literature shows that food insecurity (FI) can negatively affect the trajectory of many chronic illnesses. FI can be acutely severe for older adults, but screening for FI is not regularly performed in the hospital setting. Our goal was to develop a tool to screen for FI upon hospital discharge to identify...

journal_title：Southern medical journal

authors： King A,Roofeh R,Nouryan C,Zhang M,Carney MT

更新日期：2019-08-01 00:00:00

abstract：:Asthma is a chronic inflammatory disease in which the genetic predisposition to allergic disease is the strongest identifiable predisposing factor. (1) Optimal outpatient treatment of asthma includes identifying and minimizing exposure to asthma triggers, whether they Me allergens or irritants. When these triggers are...

journal_title：Southern medical journal

authors： Peebles RS,Hartert TV

更新日期：2002-07-01 00:00:00

abstract：:The association between acute coronary events and acute allergic reactions has been recognized for several years. The first reported case occurred in 1950, during an allergic reaction to penicillin. In 1991, Kounis and Zavras described the syndrome of allergic angina and allergic myocardial infarction, currently known...

journal_title：Southern medical journal

authors： Lopez PR,Peiris AN

更新日期：2010-11-01 00:00:00

abstract：:Postoperative pain is commonly treated with significant doses of narcotics, occasionally resulting in side effects including nausea, pruritus, and respiratory depression. One potential advantage of regional anesthesia is profound postoperative analgesia that reduces exposure to potent narcotics. To evaluate the effica...

journal_title：Southern medical journal

authors： Dorman BH,Conroy JM,Duc TA Jr,Haynes GR,Friedman RJ

更新日期：1994-04-01 00:00:00

abstract：:Allergic rhinitis affects approximately 40% of children and generally presents in children from 10-19 years of age; however, the condition has been seen in children as young as 6 months. Antihistamines are commonly prescribed in infants and children for the relief of allergic symptoms. A 23-month-old male with a histo...

journal_title：Southern medical journal

authors： Jones MC,Jones CE 2nd

更新日期：2010-05-01 00:00:00

abstract：:Morbid obesity and type II diabetes, common complications of Prader-Willi syndrome (PWS), are difficult to manage in the home setting. We assessed the effect of specialized group home placement on these complications in eight individuals with PWS, all of whom were obese and four of whom had type II diabetes. The group...

journal_title：Southern medical journal

authors： Kaufman H,Overton G,Leggott J,Clericuzio C

更新日期：1995-02-01 00:00:00

abstract：:The term "top of the basilar" has been used in reference to a group of signs and symptoms of midbrain, diencephalic, and posteroinferior hemispheric dysfunction. It has been attributed to ischemia in the territory of second- and third-order vessels that arise from the uppermost portion of the basilar artery. We report...

journal_title：Southern medical journal

authors： Gomez CR,Hogan PA,Cruz-Rodriguez RF,Jumao-As AP

更新日期：1988-07-01 00:00:00

abstract：:Continent reconstruction of the lower urinary tract using the appendicovesicostomy (Mitrofanoff principle) is an excellent means of managing many patients with altered bladder function, especially those with good bladder volume and low pressure. Motivated patients unable to perform urethral catheterization because of ...

journal_title：Southern medical journal

authors： Harmon EP,Hurwitz G

更新日期：1994-10-01 00:00:00