Telltale mouth flora: a clue to the diagnosis of factitious recurrent thigh abscesses.

abstract：:Diaphragmatic flutter is a rare phenomenon characterized by high-frequency, pulsatile contractions of the thorax and abdominal wall associated with breathlessness. We describe the case of a patient previously treated for status asthmaticus who had physical signs of diaphragmatic flutter. Respiratory inductive plethysm...

journal_title：Southern medical journal

authors： Harrison P,Onorato DJ

更新日期：1997-02-01 00:00:00

abstract：:Payment systems in the US healthcare system have rewarded physicians for services and attempted to control healthcare spending, with rewards and penalties based upon projected goals for future spending. The incorporation of quality goals and alternatives to fee-for-service was introduced to replace the previous system...

journal_title：Southern medical journal

authors： Hauswald E,Sklar D

更新日期：2017-04-01 00:00:00

abstract：:Preventive screening measures for low back pain are limited. Despite considerable evidence that anatomic narrowing of the lumbar spinal canal is a risk factor for specific back problems, difficulty in measuring the canal without unacceptable radiation exposure, cost, or discomfort has limited the assessment of its cli...

journal_title：Southern medical journal

authors： Chovil AC,Anderson DJ,Adcock DF

更新日期：1989-08-01 00:00:00

abstract：:This is a case which highlights unique diagnostic challenges in the evaluation of a previously healthy patient presenting with a myelopathy initially most concerning for malignancy. However, timely recognition and nonoperative therapy of unexpected spinal sarcoidosis with corticosteroidal therapy was crucial in averti...

journal_title：Southern medical journal

authors： Nguyen H,Le C,Nguyen H

更新日期：2010-09-01 00:00:00

abstract：:Bile drainage through normal lymphatic pathways has been described, but bile drainage from the liver to the duodenum via lymphatic collaterals has not. We have described a patient with a common bile duct stricture and lymphatic drainage of bile into the duodenum. ...

journal_title：Southern medical journal

authors： Stair JM,Buckner CB,Westbrook KC

更新日期：1984-01-01 00:00:00

abstract：:Women discharged from a municipal emergency department with the diagnosis of pelvic inflammatory disease were surveyed by telephone about their compliance with a standard 10-day regimen of doxycycline. Of the 386 women who completed the survey, 31% reported complete compliance; 28% reported that they did not fill thei...

journal_title：Southern medical journal

authors： Brookoff D

更新日期：1994-11-01 00:00:00

abstract：:Although recent increases in the incidence of syphilis are well known to public health officials, the general medical community is less well informed regarding the dramatic rise in cases. We present trend data from Nashville and Tennessee over the past decade. These statistics emphasize specific factors, such as drug ...

journal_title：Southern medical journal

authors： Quinn RW,Federspiel CF,Lefkowitz LB Jr,Keller R

更新日期：1992-08-01 00:00:00

abstract：:Heavy metal poisoning can cause a variety of hematologic disorders. Exposure to heavy metals is ubiquitous in the industrial environment and must be considered in the differential diagnosis of many types of anemia. The heavy metals most commonly associated with hematologic toxicity are arsenic and its derivative arsin...

journal_title：Southern medical journal

authors： Ringenberg QS,Doll DC,Patterson WP,Perry MC,Yarbro JW

更新日期：1988-09-01 00:00:00

abstract：OBJECTIVE:To determine the efficacy of an educational curriculum designed for orthopedic surgery postgraduate year 1 (PGY-1) interns to improve initial Orthopedic In-Training Examination (OITE) performance. METHODS:A retrospective cohort study was performed that evaluated the PGY-1 intern OITE performance of one resid...

journal_title：Southern medical journal

authors： Roberts CS,Nyland J,Broome B

更新日期：2012-04-01 00:00:00

abstract：OBJECTIVES:Cystic fibrosis (CF) is associated with vitamin D deficiency, which can lead to adverse effects including recurrent pulmonary infections and osteoporosis. We longitudinally investigated calcifediol or 25-hydroxyvitamin D (25(OH)D) levels for our pediatric patients with CF based on the time of year as well as...

journal_title：Southern medical journal

authors： Lansing AH,McDonald C,Patel RA,Meihls S,Crowell K,Chatfield B,Pohl JF

更新日期：2015-03-01 00:00:00

abstract：:In a 61-year-old man with facial diplegia and new onset of congestive heart failure (CHF), electroneuromyography indicated diffuse axonal degeneration, but sural nerve biopsy showed mild changes and no amyloid. Four months later, after the onset of diplopia and increasing CHF, rectal biopsy demonstrated amyloid. ...

journal_title：Southern medical journal

authors： Massey EW,Massey JM

更新日期：1986-11-01 00:00:00

abstract：:A 45-year-old woman with poorly controlled hypertension and diabetes mellitus presented with left iliac fossa pain, constipation alternating with diarrhea, and weight loss. She had been diagnosed with idiopathic cardiomyopathy five years previously. Echocardiogram had shown a left ventricular ejection fraction (LVEF) ...

journal_title：Southern medical journal

authors： Tan F,Thai AC,Cheah WK,Mukherjee JJ

更新日期：2009-10-01 00:00:00

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

authors： Gelzayd EA,Maas LC

更新日期：1981-03-01 00:00:00

abstract：:This report describes the case of a 32-year-old male presenting with acute progressive bilateral carpal tunnel syndrome after a benign upper respiratory tract infection. Serial nerve conduction studies confirmed progressive entrapment of the median nerves in the carpal tunnel to the point of axonal damage. Surgical de...

journal_title：Southern medical journal

authors： El Hajj II,Harb MI,Sawaya RA

更新日期：2005-11-01 00:00:00

abstract：:Six patients with Marfan's syndrome were included in a study to determine the effect of beta-blockers on progressive aortic dilation. Patients' histories and results of physical examination, chest radiogram, electrocardiogram, and echocardiogram are reported. Patients ranged in age from 5 years 8 months to 14 years; o...

journal_title：Southern medical journal

authors： Tahernia AC

更新日期：1993-03-01 00:00:00

abstract：:Range-gated pulsed Doppler echocardiography has been reported to be a useful noninvasive bedside technic for detecting ductal left-to-right shunting in premature infants. We studied 30 premature infants with a birth weight of less than 1,500 gm, using a 5 MHz system developed by Advanced Technology Laboratories. An um...

journal_title：Southern medical journal

authors： Rees A,Elbl F,Solinger R,Gattinella J,Lambert L,Cook L

更新日期：1981-09-01 00:00:00

abstract：:We report a case of recurrent Merkel cell carcinoma (MCC) of the upper extremity, treated aggressively with wide local excision, regional lymphadenectomy, and immediate reconstruction. Five years after surgery, there is no clinical or diagnostic evidence of locoregional recurrence or distant disease. The patient's upp...

journal_title：Southern medical journal

authors： Metzinger SE,Wolfer RS,Disa JJ,Kupersmith JE,Robertson BC

更新日期：2000-03-01 00:00:00

abstract：:All indexed cases of typhoid fever occurring in children over a ten-year period in Jacksonville, Fla, were studied retrospectively. This review revealed that anorexia was the most common gastrointestinal complaint and that neurologic symptoms and signs were nearly as common as gastrointestinal signs. There was a signi...

journal_title：Southern medical journal

authors： Tolaymat A,Fakhreddine F,David CB,Whitworth JM

更新日期：1979-02-01 00:00:00

abstract：:A retrospective study of 45 patients hospitalized with blastomycosis of bones or joints revealed 41 cases of osteomyelitis and 12 cases of septic arthritis. The majority were men (35 [78%] patients) and non-Aboriginal (32 [71%] patients). Median time from the onset of symptoms to hospitalization was shorter in women t...

journal_title：Southern medical journal

authors： Oppenheimer M,Embil JM,Black B,Wiebe L,Limerick B,MacDonald K,Trepman E

更新日期：2007-06-01 00:00:00

abstract：:The right ventricle is not normally displayed by studies with thallium 201 in patients at rest, but it can be shown by thallium 201 myocardial scintigraphy with pressure or volume overload of the right ventricle and with right ventricular hypertrophy. We sought to determine the frequency of right ventricular demonstra...

journal_title：Southern medical journal

authors： Shuck JW,Walder J,Oetgen WJ,Thomas HM

更新日期：1985-12-01 00:00:00

abstract：:Blastomycosis in children is relatively infrequent. Further, osteomyelitis of the frontal bone, which prior to the antibiotic era occurred more frequently and was mostly due to pyogenic cocci, is rare today. We described a case of frontal osteomyelitis in a child due to blastomycosis which occurred in the absence of f...

journal_title：Southern medical journal

authors： Devgan BK,Devgan M,Gross CW

更新日期：1978-02-01 00:00:00

abstract：:Medical inpatients in inner-city hospitals have both potentially lead-related disorders and potential lead exposure. To see whether there is substantial unexpected lead intoxication in this population, we did a cross-sectional study of 117 consecutively admitted patients to a general medical ward of an inner-city univ...

journal_title：Southern medical journal

authors： Kilmarx PH,Allen DW,Brancati FL

更新日期：1996-05-01 00:00:00

abstract：:Using continuous wave Doppler ultrasound, we studied the umbilical and uterine flow velocity waveforms in 68 pregnant women who had chronic hypertension and/or preeclampsia. The systolic-diastolic (S/D) ratio was considered an expression of vascular resistance peripheral to the point of insonation. Abnormal umbilical ...

journal_title：Southern medical journal

authors： Kofinas AD,Penry M,Nelson LH,Meis PJ,Swain M

更新日期：1990-02-01 00:00:00

abstract：:One goal of primary care training programs is to provide "continuity experiences" for residents. Although programs funded by the Health Resources Administration are mandated to provide and evaluate such experiences, a wide variety may exist in both the concept and the evaluation of continuity in these training program...

journal_title：Southern medical journal

authors： Petrusa ER,Yunker R,Brink S

更新日期：1983-06-01 00:00:00

abstract：OBJECTIVES:Pulmonary arterial hypertension (PAH) is a progressive disease that can be treated with several medications. Macitentan, an endothelin receptor antagonist (ERA), has received approval as a PAH therapy. We report our data regarding the tolerability in patients with PAH who were switched from bosentan to macit...

journal_title：Southern medical journal

authors： Safdar Z,Thakur A,Frost A

更新日期：2017-03-01 00:00:00

abstract：:In a community hospital, we correlated results of thallium 201 myocardial scintigraphy with coronary arteriographic data in 79 patients. Scintigraphy was 92% sensitive and 85% specific in detecting coronary artery disease. There were no false-negative scintigrams in patients with double or triple vessel disease. The m...

journal_title：Southern medical journal

authors： Tendera M,Campbell WB,Moyers JR

更新日期：1984-08-01 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：:The use of psychostimulants as antidepressants remains controversial in the field of psychiatry. While methylphenidate hydrochloride (MPH) and dextroamphetamine (DA) are often considered to be equivalent drugs, differences in their neurobiologic mechanism of action may account for different clinical response patterns....

journal_title：Southern medical journal

authors： Kraus MF,Burch EA Jr

更新日期：1992-10-01 00:00:00

abstract：BACKGROUND:The management of acute pain is an aspect of hospital-based practice that has been neglected. Control of pain is important for ethical reasons, for compliance with new guidelines and standards, and for optimizing patient satisfaction and outcomes. METHODS:Be review the rationale for establishing priority to...

journal_title：Southern medical journal

authors： Blau WS,Dalton JA,Lindley C

更新日期：1999-05-01 00:00:00

abstract：:The range of procedures now routinely done through the laparoscope has continued to expand due to improved equipment for insufflation, hemostasis, and tissue manipulation, and to imaginative approaches to otherwise "routine" gynecologic problems traditionally treated by laparotomy. As with all new technologies, advoca...

journal_title：Southern medical journal

authors： Wagner J,Droesch J,Mann WJ

更新日期：1993-06-01 00:00:00