The double contrast barium enema: why bother?

abstract：BACKGROUND:Patient comfort is an important part of laceration repair. METHODS:The study was a randomized single-blind cross-over trial in which each participant received 250 ml warmed and 250 ml room temperature saline irrigation in simple linear wounds after a local anesthetic was instilled. The solutions and the ord...

journal_title：Southern medical journal

authors： Ernst AA,Gershoff L,Miller P,Tilden E,Weiss SJ

更新日期：2003-05-01 00:00:00

abstract：BACKGROUND:A significant percentage of high school students participate in athletics, and of those participating, at least one third will experience a sport-related injury. Despite the high risk of injury, there are few guidelines on what type of medical coverage should be provided for high school athletics. Although v...

journal_title：Southern medical journal

authors： Aukerman DF,Aukerman MM,Browning D

更新日期：2006-02-01 00:00:00

abstract：OBJECTIVES:Adhesive capsulitis is characterized by a progressive and painful loss of shoulder motion of unknown etiology. Previous studies have found the prevalence of adhesive capsulitis to be slightly greater than 2% in the general population. However, the relationship between adhesive capsulitis and diabetes mellitu...

journal_title：Southern medical journal

authors： Tighe CB,Oakley WS Jr

更新日期：2008-06-01 00:00:00

abstract：:We describe a case of an adrenal incidentalomas in the setting of congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. The adrenal mass was shown to be a cavernous hemangioma. Such neoplasms are rare but have the risk of retroperitoneal hemorrhage and may be difficult to differentiate from malignant ...

journal_title：Southern medical journal

authors： Pignatelli D,Vendeira P,Cabral AC

更新日期：1998-08-01 00:00:00

abstract：:A 3-year-old white boy had symptomatic thrombocytopenia after receiving trimethoprim-sulfamethoxazole in recommended doses for one week. The platelet count returned to normal soon after the medication was discontinued. In vitro admixing of donor platelets with a sample of the patient's serum demonstrated antiplatelet ...

journal_title：Southern medical journal

authors： Schwartz RH,Rodriguez WJ,Luban NL

更新日期：1981-05-01 00:00:00

abstract：:We report a case of perforated solitary jejunal diverticulum in an 80-year-old woman. Jejunal diverticulosis occurs in 0.07% to 2.0% of the population. Jejunal diverticulitis with perforation is rare and is associated with high mortality. Treatment is surgical resection of the involved segment. Several theories to exp...

journal_title：Southern medical journal

authors： Albu E,Parikh V,Alankar S,Gerst PH

更新日期：1995-05-01 00:00:00

abstract：:Ten bites by Loxosceles reclusa, the North American brown recluse spider, are reported from South Carolina. Envenomation by the brown recluse spider is becoming a public health problem in the United States. The spider reportedly now is found from coast to coast in the southern half of the country and its range is prob...

journal_title：Southern medical journal

authors： Majeski JA,Durst GG Sr

更新日期：1976-07-01 00:00:00

abstract：:A case of ruptured interstitial pregnancy is reported, along with review of the literature. Although sonography did not differentiate between interstitial and intrauterine pregnancy, I believe it will prove to be one of the most accurate diagnostic aids in detecting this condition. ...

journal_title：Southern medical journal

authors： Gray CL

更新日期：1980-09-01 00:00:00

abstract：:We reviewed 91 cases of neonatal necrotizing enterocolitis (NNEC), which continues to be a devastating disease occurring in 2% to 4% of all newborn intensive care unit admissions. Onset now occurs in older infants (11.9 days). The morbidity is significant (22%), with strictures (8%) and recurrences (8%) the primary pr...

journal_title：Southern medical journal

authors： Dudgeon DL,Schneider PA,Colombani P,Ghory MJ,Buck JR,Haller JA Jr

更新日期：1984-11-01 00:00:00

abstract：:Of five patients with hypernephroma who were maintained on hemodialysis after nephrectomy, four died with metastic disease after having been on hemodialysis for an average of 13.7 months (range 8 to 19). The fifth patient had no evidence of malignancy after 21 months of dialysis; he then received a renal allograft fro...

journal_title：Southern medical journal

authors： Mirahmadi MK,Vaziri ND,Winer RL,Giberson A,Gentile DE,Miller RB,Gorman JT

更新日期：1979-08-01 00:00:00

abstract：:Eighty-five overriding tibial shaft fractures (46 open, 39 closed) were treated at Ochsner Foundation Hospital between 1960 and 1972. Nine different treatment methods were employed by seven orthopedic surgeons. The best results were obtained in the nine patients treated by open reduction and either compression plating...

journal_title：Southern medical journal

authors： Dunn AW

更新日期：1976-01-01 00:00:00

abstract：:Penile cancer is very rare in North America and Europe, as compared with the rest of the world. Squamous cell carcinoma (SCC) accounts for more than 95% of the cancer type. Paraneoplastic syndrome (PNS), a clinical syndrome of nonmetastatic systemic effects that occurs in patients with malignant disease, is often asso...

journal_title：Southern medical journal

authors： Doraiswamy VA,Biboa J,Obafemi A,Goldschmid M

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:Our objective was to assess the educational benefits of a formal pathology rotation during an obstetrics and gynecology residency program and to determine the utility of this information in clinical practice. METHODS:In this descriptive study, the benefits of a 2-month rotation in pathology for obstetrics a...

journal_title：Southern medical journal

authors： McGehee RP,Meeks GR,Davey-Sullivan BJ,Cowan BD,Morrison JC

更新日期：1998-03-01 00:00:00

abstract：:The topical anesthetic solution TAC (tetracaine, adrenaline, cocaine) has gained widespread acceptance as the preferred local anesthetic for repairing skin lacerations in children. Despite this popularity, there are no universally accepted guidelines for its application. We report the case of a 6-month-old infant who ...

journal_title：Southern medical journal

authors： Tipton GA,DeWitt GW,Eisenstein SJ

更新日期：1989-11-01 00:00:00

abstract：:We have described a case in which the diagnosis of multiple sclerosis with findings of progressive paraplegia and a neurogenic bladder led to supravesical urinary diversion. Pyocystis led to creation of a urethrovesicovaginal fistula. Psychotherapy later uncovered hysterical conversion reaction. Which was cured with h...

journal_title：Southern medical journal

authors： Frentz GD,Wilcox ME,Epstein AW

更新日期：1981-09-01 00:00:00

abstract：:Reported is the fifth known case of Addison's disease due to adrenal involvement by North American blastomycosis (Blastomyces dermatitidis infection). The fact that amphotericin B therapy precipitated an addisonian crisis suggests that patients with disseminated blastomycosis should have their adrenal function and res...

journal_title：Southern medical journal

authors： Chandler PT

更新日期：1977-07-01 00:00:00

abstract：:To assess the reliability and accuracy of the Papanicolaou smear for the detection of cervical Chlamydia trachomatis infections, we obtained chlamydial cultures and cervical smears from 252 patients attending a gynecologic service during an eight-month time period. In 12 of these patients (4.8%), the cervical culture ...

journal_title：Southern medical journal

authors： Clark RB,Schneider V,Gentile FG,Pechan B,Dalton HP

更新日期：1985-11-01 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：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

authors： Reichle JL

更新日期：1998-06-01 00:00:00

abstract：:We describe a 47-year-old man with shoulder pain, multiple bony lesions, and a 1-cm lesion in the spleen. T-1 facetectomy revealed a poorly differentiated malignant neoplasm. Several months after chemotherapy, multiple splenic lesions were found by computed tomography and liver-spleen scan. A splenectomy showed a mali...

journal_title：Southern medical journal

authors： McGinley K,Googe P,Hanna W,Bell J

更新日期：1995-08-01 00:00:00

abstract：:Electrical injuries may occur from high or low voltage contact. Low voltage injuries usually occur in the home, tetany may lead to sustained contact, and dangerous cardiac disturbances often result. High voltage injuries are usually work related and result from brief contact but may cause serious tissue destruction an...

journal_title：Southern medical journal

authors： Martinez JA,Nguyen T

更新日期：2000-12-01 00:00:00

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

authors： Fraser JJ Jr,Marks MI,Welch DF

更新日期：1983-03-01 00:00:00

abstract：:We have described a patient with unilateral adrenal hyperplasia, a rare cause of primary aldosteronism, and reviewed the literature on this subject. The treatment of this disorder appears to be surgical. Whether its pathogenesis is related to the more common varieties of primary aldosteronism is open to speculation. ...

journal_title：Southern medical journal

authors： Dye NV,Litton NJ,Varma M,Isley WL

更新日期：1989-01-01 00:00:00

abstract：:Anticonvulsant hypersensitivity syndrome (AHS) is a potentially life-threatening adverse drug reaction presenting with fever, skin eruptions, and internal organ involvement. We describe a case of AHS with fulminant hepatitis that occurred two weeks after introduction of lamotrigine in a 40-year-old female patient with...

journal_title：Southern medical journal

authors： Ouellet G,Tremblay L,Marleau D

更新日期：2009-01-01 00:00:00

abstract：:We have described a case of peripelvic extravasation of urine caused by lower ureteral obstruction from a breech presentation in a 20-year-old primigravida. The patient was successfully treated with cesarean section to relieve the obstruction, and systemic antibiotics. ...

journal_title：Southern medical journal

authors： Noe HN,Raghavaiah NV

更新日期：1980-06-01 00:00:00

abstract：:A woman developed anterior uveitis at age 24, inflammatory bowel disease at age 29, and ankylosing spondylitis at age 45 by history. There were frequent recurrences. An HLA-B27 test was positive at age 53. The literature indicates that all of these conditions together in a HLA-B27-positive woman are uncommon. Physicia...

journal_title：Southern medical journal

authors： Singleton EM,Hutson SE

更新日期：2006-05-01 00:00:00

abstract：:Cronkhite-Canada syndrome is a rare, noninherited gastrointestinal polyposis syndrome associated with characteristic ectodermal abnormalities. This report describes a 60-year-old female who was diagnosed with Cronkhite-Canada syndrome with hypothyroidism after presenting with chronic diarrhea, alopecia, intermittent a...

journal_title：Southern medical journal

authors： Qiao M,Lei Z,Nai-Zhong H,Jian-Ming X

更新日期：2005-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Use of health services in rural communities has not been well studied. We explored how black and white children used health services in a rural Mississippi community. METHODS:Data were prospectively collected for 396 children attending a private practice to determine if race was associated wi...

journal_title：Southern medical journal

authors： Kum-Nji P,Mangrem CL,Wells PJ,Klesges LM,Herrod HG

更新日期：2006-09-01 00:00:00

abstract：:An 86-year-old man presented with sudden onset of dyspnea during hospitalization. Initial electrocardiography (ECG) showed poor R-wave progression of precordial leads with elevation of troponin I. Tension pneumothorax was subsequently diagnosed and the ECG returned to normal after resolution of clinical compromise. ...

journal_title：Southern medical journal

authors： Chan WH,Lin CS,Yang SP,Cheng SM

更新日期：2009-09-01 00:00:00

abstract：:We have presented a case of tracheobronchitis due to C pseudodiphtheriticum in a patient with COPD who was treated with prednisone and apparently was not otherwise immunocompromised. Chronic lung disease seems to predispose to infection with C pseudodiphtheriticum; it can also occur in the immunocompetent host. This o...

journal_title：Southern medical journal

authors： Craig TJ,Maguire FE,Wallace MR

更新日期：1991-04-01 00:00:00