Massive gastrointestinal bleeding and perforation of a duodenal diverticulum with coexisting pancreatitis.

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：: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

authors： Middleton DB

更新日期：1978-06-01 00:00:00

abstract：:In two decades there has been a sweeping metamorphosis of the antiquated conception of breast cancer as a solitary mass of questionable operability, accompanied by numerous axillary lymph nodes and probably distant metastasis. An undreamed-of recognizable preclinical stage of breast cancer has drastically changed atti...

journal_title：Southern medical journal

authors： Egan RL

更新日期：1978-11-01 00:00:00

abstract：:Maffucci's syndrome in a 17-year-old girl is reported. Since the entity was first described in 1881 by Maffucci, 105 additional cases have been recorded. Several series have reported a small but significant percentage of cases (up to 18%) with malignant change. Our case, although not particularly unique in comparison ...

journal_title：Southern medical journal

authors： Gutman E,McCutcheon S,Garber P

更新日期：1978-04-01 00:00:00

abstract：OBJECTIVE:The literature shows that food insecurity (FI) can negatively affect the trajectory of many chronic illnesses. FI can be acutely severe for older adults, but screening for FI is not regularly performed in the hospital setting. Our goal was to develop a tool to screen for FI upon hospital discharge to identify...

journal_title：Southern medical journal

authors： King A,Roofeh R,Nouryan C,Zhang M,Carney MT

更新日期：2019-08-01 00:00:00

abstract：:Agenesis of the gallbladder is a rare anomaly believed to be an organogenetic failure. This is the third instance of familial agenesis of the gallbladder reported in the literature. The diagnosis of agenesis of the gallbladder can only be made during exploratory celiotomy and must be confirmed by an intraoperative nee...

journal_title：Southern medical journal

authors： Sterchi JM,Baine RW,Myers RT

更新日期：1977-04-01 00:00:00

abstract：:We have described a case of malignant schwannoma (MS) originating from the posterior mediastinum with subsequent pathologic rupture of the thoracic aorta. The patient presented with acute retrosternal pain radiating to the back, and she died on the day of admission. Necropsy revealed a large hemothorax and a tumor mas...

journal_title：Southern medical journal

authors： Bambirra EA,Miranda D

更新日期：1980-11-01 00:00:00

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

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

更新日期：1995-06-01 00:00:00

abstract：:We retrospectively reviewed medical records and computerized critical care data for 40 consecutive critically ill surgical patients receiving "standard" doses (1.5 to 2.0 mg/kg loading dose and 3 to 5 mg/kg/day) of gentamicin or tobramycin for gram-negative infections. End points measured were serum drug levels and cl...

journal_title：Southern medical journal

authors： Cornwell EE 3rd,Belzberg H,Berne TV,Kern JW,Henriques G,Asensio JA,Demetriades D

更新日期：1997-01-01 00:00:00

abstract：:A case of Rocky Mountain spotted fever in a 10-year-old boy accompanied by an unusually high degree of myalgia and muscle weakness was presented. On admission to the hospital, his creatine phosphokinase, SGOT, SGPT, and aldolase values were all abnormally high. Rash did not appear until the fourth hospital day. On the...

journal_title：Southern medical journal

authors： Krober MS

更新日期：1978-12-01 00:00:00

abstract：:We have described a patient with community-acquired, methicillin-resistant Staphylococcus epidermidis endocarditis that occurred on a prolapsing mitral valve. The patient was successfully treated with vancomycin and rifampin for six weeks and had no signs of relapse four months later. ...

journal_title：Southern medical journal

authors： Lockman DS,Chew WH,Rissing JP

更新日期：1983-09-01 00:00:00

abstract：:Cirrhosis affects millions of people around the world and is associated with increased morbidity and mortality. Spontaneous bacterial peritonitis (SBP) is a common complication of liver disease with cirrhosis and accounts for up to 30% of infections in patients with cirrhosis. Patients with a history of SBP and those ...

journal_title：Southern medical journal

authors： Oliver A,Wong M,Sanchez C

更新日期：2018-11-01 00:00:00

abstract：OBJECTIVES:Total annual costs for syncope-related hospitalizations were $2.4 billion in 2000. The aim of this study was to examine the type and number of tests ordered for patients admitted with syncope and whether these tests helped establish the cause. METHODS:We studied the records of 1038 patients coded as "syncop...

journal_title：Southern medical journal

authors： Johnson PC,Ammar H,Zohdy W,Fouda R,Govindu R

更新日期：2014-11-01 00:00:00

abstract：OBJECTIVES:To assess the relation between renal function and delirium and to assess and compare the relation between cerebral white matter lesion (WML) and renal function as estimated by three formulas for the estimated glomerular filtration rate (eGFR) in older adult hospitalized veterans with and without delirium. M...

journal_title：Southern medical journal

authors： Detweiler MB,Lutgens BW,Choudhury D,Kenneth A,Kalafat N,Sherigar RM,Bader G

更新日期：2020-08-01 00:00:00

abstract：:The hypothenar hammer syndrome is a distinct entity of digital ischemia caused by the repetitive compression of the distal ulnar artery against the hook of the hamate. Definite diagnosis should most likely rely on selective arteriography. Primary resection with anastomosis and cervicodorsal sympathectomy have both bee...

journal_title：Southern medical journal

authors： Ettien JT,Allen JT,Vargas C

更新日期：1981-04-01 00:00:00

abstract：:When involuntary psychiatric patients are treated on unlocked units, problems may arise as to resource expenditure and the ability to provide optimal psychiatric care. This study investigates the problem and possible solutions. ...

journal_title：Southern medical journal

authors： el-Mallakh RS,Liebowitz NR,Patel K,Patel H,Peszke MA

更新日期：1993-06-01 00:00:00

abstract：OBJECTIVE:No standard therapeutic option exists for men with prostate cancer who have failed local therapy, have no gross metastatic disease, and whose only manifestation of disease is a rising prostate-specific antigen (PSA) level. Soy products are able to affect PSA kinetics in some men with prostate cancer, and this...

journal_title：Southern medical journal

authors： Joshi M,Agostino NM,Gingrich R,Drabick JJ

更新日期：2011-11-01 00:00:00

abstract：OBJECTIVES:Alloantibody formation secondary to transfusion in patients with sickle cell disease (SCD) is a well-known phenomenon. Pretransfusion testing (eg, "antibody screening") protects patients from receiving incompatible red blood cell transfusions. Because alloantibodies have a tendency to evanesce (ie, become un...

journal_title：Southern medical journal

authors： Williams LA 3rd,Lorenz RG,Tahir A,Pham HP,Marques MB

更新日期：2016-09-01 00:00:00

abstract：OBJECTIVES:To explore factors that might contribute to misattribution of mental status changes to psychiatric illness when an elderly patient actually has a delirium (mental status changes due to a medical condition). METHODS:Records of 900 elderly patients referred to a Veterans Affairs psychiatric inpatient unit and...

journal_title：Southern medical journal

authors： Reeves RR,Parker JD,Burke RS,Hart RH

更新日期：2010-02-01 00:00:00

abstract：:In a retrospective study of all patients who had pulmonary embolism during a 37-year span at M. D. Anderson Hospital, we identified 502 patients, 30 of whom had a primary malignancy in the head and neck region. Only five of these patients had a clinically significant pulmonary embolus during the immediate postoperativ...

journal_title：Southern medical journal

authors： Spires JR,Byers RM,Sanchez ED

更新日期：1989-09-01 00:00:00

abstract：:One hundred fifty patients underwent surgery for mitral valve disease between January 1974 and May 1981. There were 98 female and 52 male patients with a mean age of 57 years (+/- 18.6). One hundred forty-six patients were in New York Heart Association functional class III or IV. Pathologic diagnoses included 67% rheu...

journal_title：Southern medical journal

authors： Vijayanagar R,Bognolo D,Eckstein P,Jeffery D,Toole J,Natarajan P,Willard E

更新日期：1983-06-01 00:00:00

abstract：:High fever occurred in a 30-year-old woman five weeks after transsphenoidal hypophysectomy for a pituitary adenoma. Extensive investigation failed to reveal any evidence of infection, and the clinical findings suggested the fever to be a manifestation of steroid withdrawal. Either suboptimal dosage of corticosteroid r...

journal_title：Southern medical journal

authors： Soto-Hernandez JL,Verghese A,Hall BD,Cole CP,Cupp HB Jr

更新日期：1989-03-01 00:00:00

abstract：:We studied the effects of intraosseous (IO) infusion of a standard fluid bolus and resuscitative drugs on long-term bone growth and epiphyseal closure in the "pediatric" swine model. Eighteen weanling pigs were randomly assigned to six groups as follows: three animals received two normal saline boluses, 20 mL/kg IO ov...

journal_title：Southern medical journal

authors： Woodall BN,Pender ES,Pollack CV Jr,Miller H,Tubbs RC,Andrew ME

更新日期：1992-08-01 00:00:00

abstract：:We have described a patient who died of disseminated strongyloidiasis as a result of steroid therapy, despite an extensive diagnostic evaluation in the face of eosinophilia, but before any immunosuppressive therapy. This death might have been prevented by presumptive treatment after work-up but before immunosuppressiv...

journal_title：Southern medical journal

authors： Klein RA,Cleri DJ,Doshi V,Brasitus TA

更新日期：1983-11-01 00:00:00

abstract：:Like the introduction of bare metal stents (BMS), that of drug-eluting stents (DES) represented a quantum leap in the interventional cardiology community's ongoing efforts to conquer restenosis. However, recent concerns over late thrombosis (LT) have tempered the initial enthusiasm. Nonetheless, when compared with BMS...

journal_title：Southern medical journal

authors： Chen JP

更新日期：2008-02-01 00:00:00

abstract：:We present a case of renal cell carcinoma extending into the inferior vena cava and resulting in total occlusion. Perioperative transesophageal echocardiography allowed us to assess cardiac function, follow the extent of vascular involvement, and prevent embolization of tumor and air. ...

journal_title：Southern medical journal

authors： Hasnain JU,Watson RJ

更新日期：1994-02-01 00:00:00

abstract：:We evaluated the medical history, physical examination, and laboratory tests done on 245 patients with laparoscopically proven ectopic pregnancies. The absence of abdominal pain was the only clinically useful negative predictive value (91%) regarding tubal rupture. Although mean levels of serum human chorionic gonadot...

journal_title：Southern medical journal

authors： Hirata AJ,Soper DE,Bump RC,Hurt WG

更新日期：1991-12-01 00:00:00

abstract：BACKGROUND:In patients with FIGO (International Federation of Gynecology and Obstetrics) stage I ovarian carcinoma given care with or without subspecialists, we compared completeness of initial staging and disease-free survival. METHODS:Two groups of patients with stage I ovarian carcinoma were compared. Patients were...

journal_title：Southern medical journal

authors： Puls LE,Carrasco R,Morrow MS,Blackhurst D

更新日期：1997-11-01 00:00:00

abstract：:Herpes zoster and disseminated herpes zoster, or varicella (V-Z), continue to be dreaded complications of patients with immunosuppression. Currently, there is no available therapy for V-Z, except for general supportive measures. Seven cases of V-Z are presented, showing the results of cytosine arabinoside administrati...

journal_title：Southern medical journal

authors： DuBois RE

更新日期：1978-08-01 00:00:00

abstract：:The frequency of gastritis in relation to its various predisposing conditions is unclear, as is the respective distribution of damage caused by its predisposing conditions. We studied 100 patients with the endoscopic diagnosis of gastritis. The incidence of gastritis in our university gastroenterology endoscopy servic...

journal_title：Southern medical journal

authors： Elta G,Behler E,Nostrant T,Wilson J

更新日期：1987-09-01 00:00:00