Interpretive and procedural skills of the internal medicine clerkship: performance and supervision.

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：BACKGROUND:This study was done to determine the accuracy of the 2 x 2 cm pocket identifying low amniotic fluid (AF) volume in singleton and twin pregnancies. METHODS:The AF volume was evaluated by ultrasonography for the presence of a 2 x 2 cm pocket before amniocentesis. The actual AF volume was then determined by a ...

journal_title：Southern medical journal

authors： Magann EF,Nevils BG,Chauhan SP,Whitworth NS,Klausen JH,Morrison JC

更新日期：1999-08-01 00:00:00

abstract：:Two patients in whom the signs and symptoms of intracranial hypertension resolved after surgical correction of hydrocephalus are described. In both instances skull roentgenograms showed an abnormal sella turcica, and an arteriogram and sir study were necessary to prevent misdiagnosis as "pseudotumor cerebri." Evidence...

journal_title：Southern medical journal

authors： Weisberg LA

更新日期：1977-01-01 00:00:00

abstract：:We reviewed the records of 101 patients over the age of 60 who had exploration and cholecystectomy in 1982 at Norfolk General Hospital. There were 52 elective and 49 emergency cases. Women comprised 57.4% of the patients, and almost 50% of the patients were over the age of 70. Forty-nine percent of the cases were emer...

journal_title：Southern medical journal

authors： Smith N,Max MH

更新日期：1987-04-01 00:00:00

abstract：:We describe two patients who had tuberculomas that were initially misdiagnosed as neurosarcoidosis, leading to prolonged steroid therapy before initiation of antituberculous medications. Neither patient was infected with the human immunodeficiency virus, and one of the patients had a negative tuberculosis skin test. ...

journal_title：Southern medical journal

authors： Cortez K,Kottilil S,Mermel LA

更新日期：2003-05-01 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：:Atomoxetine (Strattera®, Eli Lilly and Co.) is the first non-stimulant drug in the United States (US) to be approved for the treatment of attention deficit hyperactivity disorder (ADHD). In the past, physicians have been concerned about the safety of a variety of ADHD medications. As a result, non-stimulant drugs were...

journal_title：Southern medical journal

authors： Seifi A,Griffith H,Avestimehr S,Dib H

更新日期：2011-02-01 00:00:00

abstract：:Mycobacterium fortuitum is a rare, opportunistic pathogen most frequently contracted through contact with a contaminated source. An immunocompetent 26-year-old female patient presented to our institution with an infected lumboperitoneal (LP) shunt presenting as continued nonhealing wounds. After multiple debridements,...

journal_title：Southern medical journal

authors： Zakrzewski J,Hu K,Neisewander BL,Esfahani DR,Bhimani AD,Shah HP,Haddadin DW,Mehta AI

更新日期：2019-04-01 00:00:00

abstract：:Central hypothyroidism is an exceedingly rare form of hypothyroidism that results from a variety of conditions affecting the hypothalamus and the pituitary gland. The classic biochemical abnormality seen in these patients includes a low serum level of circulating thyroxine (T4) concomitant with an inappropriately low ...

journal_title：Southern medical journal

authors： Basaria S,Altman K,Braga-Basaria M

更新日期：2003-02-01 00:00:00

abstract：:A hallmark of the clinical syndrome of thrombotic thrombocytopenic purpura (TTP) is evidence of microangiopathic hemolytic anemia. The presence of schistocytes on the peripheral blood smear, elevated plasma lactic dehydrogenase, and decreased haptoglobin concentration are used as evidence of microangiopathic hemolytic...

journal_title：Southern medical journal

authors： Daram SR,Philipneri M,Puri N,Bastani B

更新日期：2005-03-01 00:00:00

abstract：:Significant increases in prevalence of resistance to antibiotics have been observed in common pathogens of humans in the United States and worldwide. The consequences of the appearance and spread of antibiotic resistance have included increasing morbidity, mortality, and cost of health care. The fundamental cause for ...

journal_title：Southern medical journal

authors： Hellinger WC

更新日期：2000-09-01 00:00:00

abstract：:We have described a patient with small cell cancer of the lung manifested as the Eaton-Lambert syndrome. Primary therapy proved effective in reversing the syndrome, whereas anticholinesterase agents did not. This case illustrates the value of primary therapy for the tumor-produced syndrome and the need to avoid losing...

journal_title：Southern medical journal

authors： Kalter S,Dhingra HM,Farha P

更新日期：1985-02-01 00:00:00

abstract：:We retrospectively reviewed the charts of 190 hospitalized patients who had human immunodeficiency virus (HIV) antibody testing at our medical center in 1986 and 1987. From 1986 to 1987, HIV antibody testing increased fourfold based on total hospital discharges. Nine patients (5%) tested positive by enzyme immunoassay...

journal_title：Southern medical journal

authors： Manian FA,Rinke D

更新日期：1990-01-01 00:00:00

abstract：:Thyrotoxicosis is an uncommon cause of low-output congestive heart failure. The case of a 41-year-old male who presented with severe symptomatic congestive heart failure, and was subsequently diagnosed with dilated cardiomyopathy secondary to hyperthyroidism, is presented. The cause of his hyperthyroidism was Graves d...

journal_title：Southern medical journal

authors： Khandwala HM

更新日期：2004-10-01 00:00:00

abstract：:It has been claimed that sonographic techniques offer no advantages over palpation of the maternal abdomen for detection of macrosomatia. We studied a group of 498 pregnant patients, 36 (7.2%) of whom gave birth to infants having macrosomatia. A sensitivity of 67%, specificity of 97%, and positive predictive value of ...

journal_title：Southern medical journal

authors： Rossavik IK,Joslin GL

更新日期：1993-10-01 00:00:00

abstract：BACKGROUND:In this study, the clinical characteristics, survival, and prognostic factors of 200 patients diagnosed as having chronic lymphocytic leukemia (CLL) were analyzed. METHODS:The medical charts of 200 CLL patients registered to our center between 1984 and 2000 were retrospectively evaluated. RESULTS:Of all pa...

journal_title：Southern medical journal

authors： Pamuk ON,Pamuk GE,Soysal T,Ongören S,Başlar Z,Ferhanoğlu B,Aydin Y,Ulkü B,Aktuğlu G,Akman N

更新日期：2004-03-01 00:00:00

abstract：BACKGROUND:This study examined patient perceptions and attitudes toward various aspects of the male and female physician's professional appearance in the family practice setting. METHODS:Four hundred ninety-six patients from two family practice clinics in Knoxville, Tennessee, completed a valid and reliable questionna...

journal_title：Southern medical journal

authors： Keenum AJ,Wallace LS,Stevens AR

更新日期：2003-12-01 00:00:00

abstract：:Noninvasive positive pressure ventilation (NPPV) has been used in treatment of a variety of clinical conditions, including acute respiratory failure (ARF) due to status asthmaticus. We present the case of a patient admitted with acute exacerbation of asthma who had ARF and required mechanical ventilation. After extuba...

journal_title：Southern medical journal

authors： Clark DR,Lahren KM

更新日期：1997-01-01 00:00:00

abstract：:Severe lactic acidosis is often associated with poor prognosis. Recognition and correction of the underlying process is the major step in the treatment of this serious condition. Intravenous administration of sodium bicarbonate has been the mainstay in the treatment of lactic acidosis. Aggressive use of this therapeut...

journal_title：Southern medical journal

authors： Warner A,Vaziri ND

更新日期：1981-07-01 00:00:00

abstract：:We have presented a case of primary testicular carcinoid in an otherwise asymptomatic 50-year-old white man treated by right orchiectomy; a postoperative abdominal CT scan was normal. Histologically and cytologically the tumor resembled carcinoids of midgut origin. Most primary testicular carcinoid tumors are not clin...

journal_title：Southern medical journal

authors： Walker AN,White CR,Erickson DJ,Powell S

更新日期：1988-02-01 00:00:00

abstract：:A case of perforation and bleeding from a diverticulum of the second portion of the duodenum in a patient with recurrent pancreatitis is presented. Upper gastrointestinal roentgenogram revealed an abnormal tract and retroperitoneal air arising from the diverticulum. The fistulous tract communicated with pancreas. Blee...

journal_title：Southern medical journal

authors： Ettman IK,Kongtawng T

更新日期：1977-06-01 00:00:00

abstract：:With the advent and increased use of chemotherapeutic agents and radiation therapy, cancer survival rates have increased. With increased survival, both acute and chronic cardiotoxic adverse effects have emerged. The growing need for managing the treatment of individuals with chemotherapy-induced cardiotoxicity has led...

journal_title：Southern medical journal

authors： Jahangir E,Shah S,Shum K,Baxter C,Fitzpatrick JD,Cole J,Gilliland Y,Polin NM

更新日期：2015-02-01 00:00:00

abstract：:Blastomyces dermatitidis, a dimorphic broad-based budding yeast endemic to the Mississippi River Valley region, is responsible for morbidity in humans via inhalation and dissemination. The response of acute lung injury, which produces an illness with serious morbidity and an approximately 50% mortality, uncommonly occ...

journal_title：Southern medical journal

authors： Thompson CA,McEachern R,Norman JR

更新日期：1998-09-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to determine the relation among multiple morbidities and the prevalence of colorectal cancer (CRC) screening among older adult Appalachian residents of Kentucky. This is the first known study to address multiple morbidities exclusively with a health-disparities population. METH...

journal_title：Southern medical journal

authors： Fleming ST,Schoenberg NE,Tarasenko YN,Pearce KA

更新日期：2011-12-01 00:00:00

abstract：:Endobronchial tuberculosis (EBTB) is an infection of the tracheobronchial tree. A 17-year-old male patient with tuberculosis who developed middle lobe syndrome on antituberculous treatment is presented. The patient was admitted with complaints of fever, cough and weight loss. Right paracardiac and perihilar heterogene...

journal_title：Southern medical journal

authors： Erelel M,Yakar F,Yakar A

更新日期：2009-10-01 00:00:00

abstract：:Results in three series of spinal fusions with Harrington instrumentation for scoliosis were compared. Patient ages ranged from 9 to 22 years, and follow-up from 12 to 105 months. Cylindrical inlay facet grafting was done in all cases. Supplemental heterologous bone was used in the first series of 51 cases, autologous...

journal_title：Southern medical journal

authors： Nelson PW

更新日期：1977-02-01 00:00:00

abstract：:HBsAg and anti-HBs positivity was determined in hospital laboratory workers and nonlaboratory hospital workers (controls) matched for race and sex and adjusted for age. The combined prevalence of antigen-antibody positivity among white female technicians was 12% versus 0 of controls (P less than 0.005). The highest pr...

journal_title：Southern medical journal

authors： Wruble LD,Masi AT,Levinson MJ,Rightsell WA,Bale GF,Bertram P,Blackwell CF

更新日期：1977-09-01 00:00:00

abstract：OBJECTIVES:To explore breast cancer beliefs among a cohort of low-income, urban, English-speaking women in Miami, Florida, who had undergone screening mammography. METHODS:Four focus groups of 34 women were conducted. Discussions were transcribed verbatim and transcripts were analyzed separately by two investigators u...

journal_title：Southern medical journal

authors： Marcus EN,Drummond DK,Dietz N,Kenya S

更新日期：2013-12-01 00:00:00

abstract：:The experience of the Southern Regional Trophoblastic Disease Center includes 222 patients who were referred from January 1972 to October 1977. The initial tissue diagnosis was hydatidiform mole in 212 patients and choriocarcinoma in ten. There was spontaneous remission of 142 (69%) of the moles and one of the chorioc...

journal_title：Southern medical journal

authors： Hatch KD,Shingleton HM,Austin JM Jr,Boots LR,Younger JB,Soong SJ

更新日期：1978-11-01 00:00:00

abstract：:Hypokalemic periodic paralysis is an unusual disease that may begin dramatically. Although terrifying to the patient, the attacks can usually be controlled if the proper diagnosis is made. Although much has been done to determine the pathogenesis, many questions remain unanswered. ...

journal_title：Southern medical journal

authors： Johnson V,Winternitz WW

更新日期：1984-09-01 00:00:00