Acute upper gastrointestinal bleeding in patients with portal hypertension: a correlation of endoscopic findings with etiology.


:Esophagogastric variceal hemorrhage is a common cause of upper gastrointestinal bleeding in patients with portal hypertension. In addition, it is now recognized that patients with alcohol-induced chronic liver disease and portal hypertension frequently bleed from acute mucosal lesions. Since alcohol can cause these lesions in the absence of portal hypertension, we evaluated 28 episodes of upper gastrointestinal hemorrhage in patients with portal hypertension who did not consume alcohol. Varices were the source of blood loss in 86% of our cases, and no bleeding episodes were attributable to acute mucosal lesions. Acute mucosal lesions, therefore, appear to be uncommon causes of bleeding in nonalcoholic patients with portal hypertension.


South Med J


Southern medical journal


Schoppe LE,Roark GD,Patterson M




Has Abstract


1983-04-01 00:00:00












  • Unsuspected subdural hematoma as a differential diagnosis in elderly patients.

    abstract::Subdural hematomas are among the most common forms of intracranial hemorrhage encountered in clinical practice and are a surgically remediable cause of dementia. When the symptom presentation is subtle or diffuse, a subdural hematoma can be overlooked. This is especially true among elderly people who may exhibit unrel...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Velasco J,Head M,Farlin E,Lippmann S

    更新日期:1995-09-01 00:00:00

  • Resolution of secondary amyloidosis 14 years after adequate chemotherapy for skeletal tuberculosis.

    abstract::Despite available chemotherapy, survival of patients with skeletal tuberculosis and secondary amyloidosis for more than five years is extremely unusual. We have described a patient with inadequately treated tuberculous osteomyelitis and later concomitant pulmonary tuberculosis and secondary amyloidosis. After a prolon...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Sunga MN Jr,Reyes CV,Zvetina J,Kim TW

    更新日期:1989-01-01 00:00:00

  • Condyloma acuminatum and squamous carcinoma of the vulva.

    abstract::Reported is the association of condyloma acuminatum and squamous carcinoma of the vulva in three cases and condyloma followed by squamous dysplasia in a fourth case. This association has previously been reported in both male and female genitalia and in the perianal area. In our four cases, cancer or squamous dysplasia...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Rhatigan RM,Saffos RO

    更新日期:1977-05-01 00:00:00

  • Hyponatremia in the syndrome of inappropriate secretion of antidiuretic hormone: rapid correction with osmotic agents.

    abstract::In three patients with SIADH, mannitol or glycerol promoted a rapid free water diuresis. Use of osmotic agents requires less laboratory and clinical monitoring than use of furosemide, is appropriate treatment, and in fact may be the treatment of choice in some patients with symptomatic hyponatremia from SIADH. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Weinberg MS,Donohoe JF

    更新日期:1985-03-01 00:00:00

  • Thalamotomy for psychopathic behavior.

    abstract::Six patients characterized by psychopathic behavior were treated with lesions placed in the center median nucleus of the thalamus. There was marked improvement of the psychopathic behavior in five patients. One patient with unilateral thalamotomy was parqially improved. Four of the six patients have been productive an...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Andy OJ

    更新日期:1975-04-01 00:00:00

  • Hyperammonemia: the silent killer.

    abstract::Nitrogen, derived from breakdown of dietary amino acids as ammonia, is normally converted to urea and excreted. Impairment in the conversion process (called the urea cycle) can occur, either as a consequence of primary genetic defects or through secondary suppression of enzyme activity. Either process results in hyper...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Miga DE,Roth KS

    更新日期:1993-07-01 00:00:00

  • Cerebrospinal rhinorrhea: diagnosis and management.

    abstract::The role of the otolaryngologist in the diagnosis and management of cerebrospinal fluid rhinorrhea is discussed. One hundred eight cases of cerebrospinal rhinorrhea were studied with emphasis on cause, localization, and treatment. Extracranial approaches produce minimal morbidity and should be considered as possible t...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Hudson WR,Hughes LA

    更新日期:1975-12-01 00:00:00

  • Health and nutritional status of Vietnamese refugees.

    abstract::There are presently more than 7,000 Vietnamese refugees living in the greater New Orleans area. This paper summarizes the health and information on nutrition now available regarding Vietnamese refugees living in the United States. It is hoped that this effort will add to the documentation of the health changes occurri...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Waldman EB,Lege SB,Oseid B,Carter JP

    更新日期:1979-10-01 00:00:00

  • Tuberculous peritonitis: fatality associated with delayed diagnosis.

    abstract::We describe a fatal case of tuberculous peritonitis and review the literature on the diagnostic modalities available to diagnose this entity. We suspect a delayed diagnosis resulted in the death of our patient. Today, the prompt diagnosis of an unknown ascitic process involves laparoscopy. A patient with unknown large...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Ahmad M,Ahmed A

    更新日期:1999-04-01 00:00:00

  • Marked deterioration in glycemic control with change in brand of lactulose syrup.

    abstract::Lactulose is a poorly absorbed synthetic disaccharide frequently used in the treatment of portasystemic encephalopathy. Because lactulose syrup contains small amounts of absorbable sugars, it may cause hyperglycemia in diabetic individuals, but is usually well tolerated. We report the case of a patient with diet-contr...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Kirkman MS,Zimmerman DR,Filippini SA

    更新日期:1995-04-01 00:00:00

  • Diagnosis of group A beta-hemolytic Streptococcus using the Breese clinical scoring system.

    abstract::This study was planned to determine the effectiveness of the Breese scoring system for the diagnosis of streptococcal pharyngitis and to evaluate its significance in different age groups. The research population was divided into two age groups. Group 1 consisted of children aged three and below and group 2 comprised c...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Karacan M,Karakelleoğlu C,Orbak Z

    更新日期:2007-12-01 00:00:00

  • Report of the International Society for Clinical Densitometry 2007 Adult Position Development Conference and Official Positions.

    abstract::The International Society for Clinical Densitometry (ISCD) periodically holds Position Development Conferences (PDCs) for the purpose of establishing standards and guidelines for the assessment of skeletal health -- the nomenclature, indications, acquisition, analysis, quality control, interpretation, and reporting of...

    journal_title:Southern medical journal

    pub_type: 杂志文章,实务指引


    authors: Lewiecki EM,Baim S,Binkley N,Bilezikian JP,Kendler DL,Hans DB,Silverman S,International Society for Clinical Densitometry.

    更新日期:2008-07-01 00:00:00

  • Hand infections in the elderly.

    abstract::Diagnosis and management of hand infections in the elderly can be challenging. The general principles of rest, elevation, compresses, and drainage when appropriate apply. Antibiotics are important to therapy. Review of data from elderly patients and comparison with a younger population having identical infections show...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Stromberg BV

    更新日期:1985-02-01 00:00:00

  • Point-of-Care Ultrasound in Established Settings.

    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

    pub_type: 杂志文章


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

    更新日期:2018-07-01 00:00:00

  • Attempted self-administration of electroconvulsive therapy.

    abstract::Rarely, a misguided or delusional patient will attempt to self-administer a relatively more invasive form of medical or surgical treatment. I believe this report to be the first described case of an attempt to self-administer ECT. A patient with schizoaffective disorder reported benefits from regularly applied electri...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Bishop LC

    更新日期:1989-08-01 00:00:00

  • Abdominal pain resulting from cerebrospinal fluid pseudocyst and cholelithiasis.

    abstract::Patients treated with ventriculoperitoneal (VP) shunt procedures for hydrocephalus may have abdominal pain related to complications stemming from the shunt tubing itself or to other intra-abdominal disease. In patients with VP shunts, usually children, lack of absorption of cerebrospinal fluid (CSF) may produce a pain...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Engelhard HH,Miller FB

    更新日期:1992-08-01 00:00:00

  • Value of ultrasonography, fine needle aspiration, and percutaneous drainage of perinephric abscesses.

    abstract::With the advent of ultrasonography, perinephric fluid collection can be easily diagnosed and confirmed by fine needle aspiration. In the past these cases sometimes went undiagnosed for several months. We did fine needle aspiration under the guidance of ultrasonography in 16 patients without complications. The aspirant...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Elyaderani MK,Moncman J

    更新日期:1985-06-01 00:00:00

  • Unilateral duplex horseshoe kidney with ectopic ureterocele.

    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

    pub_type: 杂志文章


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

    更新日期:1985-02-01 00:00:00

  • Calcified uterine leiomyoma simulating metastatic disease on bone scan.

    abstract::We have reported a case in which focal uptake in a uterine fibroid simulated a sacral metastasis on bone scanning. CT suggested the correct diagnosis. However, a repeat bone scan using single photon emission computerized tomography (SPECT) was definitive in correctly localizing the abnormality. This method should be u...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Rohrer DG,Williamson BR,Teates CD

    更新日期:1988-05-01 00:00:00

  • Comorbidity Is a Competing Factor for Disease Recurrence Postnephrectomy.

    abstract:OBJECTIVE:There is a relation between tumor stage and grade with the risk of cancer recurrence in patients undergoing surgical treatment for kidney cancer. The association of patient comorbidity with disease recurrence is less well characterized. The objective of this study was to explore the association between comorb...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Reinstatler L,Klaassen Z,Madi R,Terris MK,Moses KA

    更新日期:2017-05-01 00:00:00

  • Increased Anesthesia Usage in a Large-Volume Endoscopy Unit: Patient Acuity Is Not the Main Predictor.

    abstract:OBJECTIVES:The use of monitored anesthesia care (MAC) for colonoscopy sedation continues to increase. This study examined trends during a 9-year period in the use of MAC and explored which patient variables may have influenced these trends. METHODS:This was a retrospective review of all colonoscopies performed in our ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Aravapalli A,Norton HJ,Rozario N,Simpson J,DelGrosso B,Scobey MW

    更新日期:2015-09-01 00:00:00

  • Carboxyhemoglobin formation secondary to nitric oxide therapy in the setting of interstitial lung disease and pulmonary hypertension.

    abstract::Carbon monoxide (CO) has been widely recognized as an exogenous poison, although endogenous mechanisms for its formation involve heme-oxygenase (HO) isoforms, more specifically HO-1, in the setting of oxidative stress such as acute respiratory distress syndrome, sepsis, trauma, and nitric oxide use have been studied. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Ruisi P,Ruisi M

    更新日期:2011-01-01 00:00:00

  • Prevalence and self-reported medical history of overweight in a cardiac stress testing population.

    abstract:OBJECTIVES:To determine the prevalence of overweight in a cardiac stress testing population, and the percentage of subjects who indicate a history of overweight. METHODS:A total of 251 consecutive subjects presenting for cardiac stress testing in a 450-bed community hospital from June to September 2010 were asked to c...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Dittoe NJ,Hahn HS,Sansone RA,Wiederman MW

    更新日期:2011-07-01 00:00:00

  • Stroke awareness among Georgia adults: epidemiology and considerations regarding measurement.

    abstract:BACKGROUND:To design and evaluate interventions for reducing the impact of stroke in Georgia, we assessed knowledge of signs, risk factors, and burden of stroke. METHODS:Adults in Georgia were studied with a random digit dial telephone survey. RESULTS:Answering an unaided question, 39% of 602 respondents named > or =...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Rowe AK,Frankel MR,Sanders KA

    更新日期:2001-06-01 00:00:00

  • Pectus excavatum: a 15-year perspective.

    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

    pub_type: 杂志文章


    authors: Golladay ES,Wagner CW

    更新日期:1991-09-01 00:00:00

  • Massive hemorrhage in an ileal duplication cyst.

    abstract::We have described massive intermittent intestinal hemorrhage due to a vascular anomaly in an ileal duplication cyst in a 30-year-old man. This unusual case illustrates that these lesions disguise themselves symptomatically and must be considered in the differential diagnosis of gastrointestinal bleeding. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Salameh RN,Hausner RJ,Thomas SJ,Johnson CD

    更新日期:1984-12-01 00:00:00

  • Renocolic fistula.

    abstract::A case of left renocolic fistula secondary to chronic pyonephrosis has been reported. Neprectomy, excision of the fistulous tract, and closure of the colon is the treatment of choice. This was accomplished in this case with excellent results. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Vargas AD,Victor I

    更新日期:1975-05-01 00:00:00

  • Orbital cellulitis due to occult orbital lymphangioma.

    abstract::A 12-year-old female patient with atypical orbital and periorbital cellulitis was found to have an occult lymphangioma of the orbit. Recognition of this entity provided an explanation for the atypical features of the case and guided appropriate medical management. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Brooks SE,Pillai JJ,Bains H

    更新日期:2001-05-01 00:00:00

  • Positive findings on bone scan in multiple myeloma.

    abstract::We report a case of multiple myeloma in which the bone lesions showed high uptake of technetium Tc 99m methylene diphosphonate on a bone scan. A review of the literature comparing the usefulness of conventional skeletal radiography and bone scans in diagnosing the osteolytic lesions of myeloma shows that bone scintigr...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Murthy NJ,Rao H,Friedman AS

    更新日期:2000-10-01 00:00:00

  • Attention deficit hyperactivity disorder in adults: a guide for the primary care physician.

    abstract::Attention deficit hyperactivity disorder (ADHD) persists into adulthood in up to 60% of cases with childhood onset. A childhood history of ADHD is a prerequisite for making the ADHD diagnosis in an adult. The Utah, Copeland, and Brown self-rating scales are useful in helping the primary care physician confirm the diag...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Elliott H

    更新日期:2002-07-01 00:00:00