Impact of early recognition on outcome in nonpenetrating wounds of the small bowel.

Abstract:

:During a recent ten-year period, 20 patients were treated for nonpenetrating, small-bowel trauma requiring resection. Despite the relative infrequency of this injury, jejunoileal trauma must be suspected in all patients sustaining blunt force to the abdomen. Physical signs suggesting major intra-abdominal wounds usually occur at admission or immediately thereafter, provided the patient is alert. Patients with altered sensorium or equivocal findings should undergo diagnostic peritoneal lavage. Laboratory investigation is not helpful in detecting small-bowel wounds. Plain roentgenography is indicated, but was diagnostic in only 20% of patients in this series. The high incidence of associated injuries accounts for the substantial morbidity (70%) in this series. Early operation improves survival.

journal_name

South Med J

journal_title

Southern medical journal

authors

Maull KI,Reath DB

doi

10.1097/00007611-198409000-00004

subject

Has Abstract

pub_date

1984-09-01 00:00:00

pages

1075-7

issue

9

eissn

0038-4348

issn

1541-8243

journal_volume

77

pub_type

杂志文章
  • Complicated persistent patent ductus arteriosus with acute pneumonia in an adult.

    abstract::Patent ductus arteriosus (PDA) is a malady usually identified during childhood. Prompt surgical correction provides definitive therapy with long-term survival. When not corrected, PDA leads to significant morbidity and mortality, making it a rare condition in the adult population. We report the case of a 44-year-old m...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Chang EE,Diethelm L,Lasky JA,Rubio ER

    更新日期:2001-03-01 00:00:00

  • Naloxone and mortality in the gerbil stroke model.

    abstract::Endorphins and narcotics have been implicated in the exacerbation of neurologic deficits after stroke. To test the theory that narcotic antagonists might offer an improvement in neurologic sequelae following stroke, we administered various doses of naloxone intraperitoneally to 50 adult gerbils 45 minutes after caroti...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198905000-00005

    authors: Benzel EC,Musgrove CC 2nd,Kesterson L

    更新日期:1989-05-01 00:00:00

  • Orbital hydatid cyst in childhood: a report of two cases.

    abstract::Intraorbital hydatid disease (IHD) is quite rare and represents < 1% of the Echinococcus cases. In our current communication, we report two children with solitary, primary intraorbital hydatid cysts. Both children presented with nontender, nonpulsatile proptosis. Imaging workup, including CT and MRI scans of the head ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000217492.03019.16

    authors: Ciurea AV,Giuseppe G,Machinis TG,Coman TC,Fountas KN

    更新日期:2006-06-01 00:00:00

  • Atypical chest pain: a computer-assisted study.

    abstract::We have recently developed a Data Bank for Digestive Disorders, with primary data derived from the performance of upper gastrointestinal endoscopy. By using this system to analyze the clinical characteristics of patients with atypical chest pain, we found information from the patient's history (reflux, dysphagia, abdo...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198301000-00007

    authors: Pancotto FS,Garbutt JT Jr

    更新日期:1983-01-01 00:00:00

  • Cantharidin: a valuable office treatment of molluscum contagiosum.

    abstract::Cantharidin in either a 0.9% or 0.7% solution is a safe and effective office treatment for molluscum contagiosum. It simplifies the treatment, especially of children, by being a quick, simple, and painless procedure, but it should be applied only by the physician. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Funt TR,Mehr KA

    更新日期:1979-08-01 00:00:00

  • Chronic calcific pancreatitis with pancreatic duct lithiasis due to stenosing papillitis.

    abstract::We have described a case of chronic pancreatitis due to stenosing papillitis relieved by sphincteroplasty and removal of pancreatic duct stones, as opposed to a major pancreatic resection. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198310000-00033

    authors: Sutherland CM,Muchmore JH,Browder IW,Vega PJ

    更新日期:1983-10-01 00:00:00

  • Epithelial tumors of the ovary in women less than 40 years old.

    abstract::From Jan 1, 1978 through Dec 31, 1983, 64 patients with epithelial ovarian tumors, frankly malignant or borderline, were managed at one institution. Nineteen patients (29.7%) were under age 40. The youngest patient was 19 years old. Nulliparity was present in 32% of this group of patients. Of these young patients, 58%...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198801000-00003

    authors: Gallup DG,Cody WM,Metheny WP,Talledo OE

    更新日期:1988-01-01 00:00:00

  • Extra-adrenal myelolipoma: report of two cases.

    abstract::Myelolipomas are benign tumors composed of an admixture of mature adipose tissue and normal hematopoietic cells. The vast majority occur within the adrenal glands, but several extra-adrenal myelolipomas (EAMLs) have been reported. The typical EAML is a solitary, well-defined mass within the abdomen, most commonly in t...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199506000-00008

    authors: Prahlow JA,Loggie BW,Cappellari JO,Scharling ES,Teot LA,Iskandar SS

    更新日期:1995-06-01 00:00:00

  • A National Evaluation of Scholarly Activity Requirement in Osteopathic EM Residency Programs: Survey of EM Program Directors.

    abstract:OBJECTIVES:The objectives of the study were to determine the percentage of osteopathic emergency medicine (EM) residencies that require an original research project to meet the American Osteopathic Association requirement, describe the resources available to the residents and faculty members to complete their projects,...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000967

    authors: Kirkpatrick A,Doran T,Mullins D,Gnugnoli D,Ashurst J

    更新日期:2019-05-01 00:00:00

  • Use of cetirizine in a 23-month-old male causes insomnia.

    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

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181b9ae49

    authors: Jones MC,Jones CE 2nd

    更新日期:2010-05-01 00:00:00

  • Neurologic abnormalities in a patient with human ehrlichiosis.

    abstract::Human ehrlichiosis is a tick-borne rickettsial disease characterized by fever, headache, myalgias, anorexia, and occasionally rash. In our patient, changes in mental status, upper motor neuron signs, cerebrospinal fluid pleocytosis, and increased serum protein levels were found in association with serologically confir...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199011000-00031

    authors: Harkess JR,Stucky D,Ewing SA

    更新日期:1990-11-01 00:00:00

  • How and when to use barium for diagnosis of small bowel obstruction.

    abstract::The diagnosis of intestinal obstruction is readily made when a patient presents with typical history and signs, and when plain films of the abdomen display characteristic findings. Some patients, however, constitute diagnostic problems because abdominal roentgenograms are still equivocal, even after repetition in four...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197912000-00008

    authors: Han SY,Laws HL,Aldrete JS

    更新日期:1979-12-01 00:00:00

  • Relationship between frequency of sexual intercourse and urinary tract infections in young women.

    abstract::We compared personal and sexual behavior of a group of 32 young adult women who had a culture proven urinary tract infection (UTI) and a group of 28 women who had no urinary symptoms. All women were sexually active, and the two groups were similar for age, race, marital status, history of previous pregnancy, and use o...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198106000-00018

    authors: Elster AB,Lach PA,Roghmann KJ,McAnarney ER

    更新日期:1981-06-01 00:00:00

  • Statewide sentinel surveillance for antibiotic nonsusceptibility among streptococcus pneumoniae isolates in South Carolina, 2003-2004.

    abstract:BACKGROUND:In 2003, the South Carolina Department of Health and Environmental Control established the Carolina Antibiotic Resistance Surveillance System (CARSS), an active sentinel surveillance system for antibiotic-resistant Streptococcus pneumoniae. METHODS:CARSS includes twelve hospitals. Each hospital was assigned...

    journal_title:Southern medical journal

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.smj.0000232968.56740.e1

    authors: Dauner DG,Roberts DF,Kotchmar GS

    更新日期:2007-01-01 00:00:00

  • Cardiac rupture due to blunt trauma.

    abstract::Cardiac rupture due to blunt trauma has been recognized with increasing frequency over the past two decades. The mortality rate is high and the majority of patients die before they arrive at the emergency department. A high index of suspicion and prompt surgical intervention are crucial for survival. We report the man...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199707000-00019

    authors: Tassiopoulos AK,Carlin RE,Dibos L,McGraw DJ

    更新日期:1997-07-01 00:00:00

  • Sickle Cell Disease in Pregnancy.

    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

    pub_type: 杂志文章,评审

    doi:10.14423/SMJ.0000000000000514

    authors: Hathaway AR

    更新日期:2016-09-01 00:00:00

  • Infrainguinal revascularization for limb salvage in patients with end-stage renal disease.

    abstract::We studied the efficacy of infrainguinal bypass for limb salvage in patients with end-stage renal disease. The patency of 42 femoropopliteal and femorodistal bypasses, performed for limb salvage in 37 patients with end-stage renal disease, was assessed with Doppler ultrasonography and dye tests. Patency rates and limb...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199102000-00009

    authors: Wassermann RJ,Saroyan RM,Rice JC,Kerstein MD

    更新日期:1991-02-01 00:00:00

  • Rubella: pattern of outbreak in a university.

    abstract::During the spring term of 1975, rubella was diagnosed in 23 students at Georgetown University in Washington, DC. The cases were concentrated among students from the School of Foreign Service and their close contacts; outbreaks did not appear in other divisions of the university. Rubella immunization of susceptible fem...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Chretien JH,Esswein JG,McGarvey MA,deStwolinski A

    更新日期:1976-08-01 00:00:00

  • Does melatonin have therapeutic use in tinnitus?

    abstract::Melatonin, a hormone produced by the pineal gland, may be a promising treatment option for tinnitus. The primary functions of this hormone are believed to be the initiation and maintenance of sleep because its secretions coincide with circadian rhythms. Some investigators have noted that melatonin may alleviate subjec...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.14423/01.SMJ.0000450714.38550.d4

    authors: Merrick L,Youssef D,Tanner M,Peiris AN

    更新日期:2014-06-01 00:00:00

  • Central nervous system infections in transplant recipients by Cladophialophora bantiana.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e318164e289

    authors: Harrison DK,Moser S,Palmer CA

    更新日期:2008-03-01 00:00:00

  • Impact of Holidays on Pediatric Trauma Admissions to a Community Hospital in South Florida.

    abstract:OBJECTIVES:The data from temperate regions indicate increases in pediatric traumatic injuries during the spring and summer months with anticipated admission spikes on warm weather holidays; hospitals in southern subtropical regions should not anticipate the same trends. The objectives of this study were to identify hol...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000947

    authors: Eyerly-Webb S,Solomon R,Young L,Bard K,Laituri C,Rosenthal A,Long J

    更新日期:2019-03-01 00:00:00

  • Increased incidence of bacteremia in Haitian children with sickle cell anemia.

    abstract::Children with sickle cell anemia who were less than 5 years old were observed over a three-year period. Those born to recent Haitian immigrants accounted for 108.4 patient-years. They had seven episodes of Streptococcus pneumoniae bacteremia and five due to Haemophilus influenzae for rates of 6.5 and 4.6 episodes per ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198907000-00009

    authors: Pegelow CH

    更新日期:1989-07-01 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

    doi:10.14423/SMJ.0000000000000838

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

    更新日期:2018-07-01 00:00:00

  • Rocky Mountain spotted fever: gastrointestinal and laboratory manifestations.

    abstract::Sixty-six cases of serologically documented Rocky Mountain spotted fever (RMSF) from North Carolina are reviewed. Gastrointestinal manifestations were present in 80% of these patients. Because other common expressions of RMSF occasionally do not accompany severe gastrointestinal dysfunction, improper diagnosis and the...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197806000-00007

    authors: Middleton DB

    更新日期:1978-06-01 00:00:00

  • Tuberculous sacroiliitis.

    abstract::We have described an unusual case of tuberculous sacroiliitis associated with adrenal insufficiency, with details of radiologic studies and review of the literature concerning tuberculous sacroiliitis. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198309000-00032

    authors: Goldberg J,Kovarsky J

    更新日期:1983-09-01 00:00:00

  • Barrett's esophagus and active duodenal ulcer: an important clinical association.

    abstract::A retrospective review of five patients with Barrett's esophagus revealed three with an associated active duodenal ulcer. Two patients also had adrenocarcinoma of the esophagus. Any patient with prolonged gastroesophageal reflux should have careful radiologic and endoscopic evaluation of the entire upper gastrointesti...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198103000-00012

    authors: Gelzayd EA,Maas LC

    更新日期:1981-03-01 00:00:00

  • Vitamin D metabolism and anticonvulsant therapy: effect of sunshine on incidence of osteomalacia.

    abstract::To study the association between anticonvulsant therapy and osteomalacia or rickets, we evaluated 450 epileptic patients receiving anticonvulsants and residing in an institution for the mentally retarded in Florida. Fifty-five of them with increased mean serum alkaline phosphatase and mildly depressed mean serum calci...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198407000-00011

    authors: Williams C,Netzloff M,Folkerts L,Vargas A,Garnica A,Frias J

    更新日期:1984-07-01 00:00:00

  • Marked hypochloremic metabolic alkalosis with severe compensatory hypoventilation.

    abstract::In metabolic alkalosis, a compensatory decrease in alveolar ventilation with hypercapnia has been noted only rarely. We recently managed a patient with gastric outlet obstruction from a duodenal ulcer who survived after arriving in the emergency room comatose with severe hypochloremic metabolic alkalosis, compensatory...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198610000-00025

    authors: Lavie CJ,Crocker EF Jr,Key KJ,Ferguson TG

    更新日期:1986-10-01 00:00:00

  • Massive edema of the ovary associated with androgenic manifestations.

    abstract::Massive ovarian edema is a rare tumor-like condition of the ovary characterized by marked enlargement of one or both ovaries due to marked accumulation of edema fluid in the ovarian stroma. This paper reviews the literature on massive ovarian edema and presents a case associated with androgenic manifestations. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199511000-00015

    authors: Siller BS,Gelder MS,Alvarez RD,Partridge EE

    更新日期:1995-11-01 00:00:00

  • Multiple intrahepatic and extrahepatic biliary cysts.

    abstract::In most cases of congenital cyst of the extrahepatic biliary system, a single choledochal cyst is described. We have reported a patient with multiple intrahepatic and extrahepatic biliary cysts. Intraoperative cholangiograms demonstrated free reflux among the multiple choledochal cysts, with reflux into the intrahepat...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197805000-00036

    authors: Daly JM,Bowen JC

    更新日期:1978-05-01 00:00:00