Training and evaluating teams of simulated patients.

abstract：:A patient with pancytopenia, severe sensory neuropathy, and a six-year history of excessive vitamin intake showed portal hypertension on evaluation. A liver biopsy revealed hypervitaminosis A. His sensory findings were characteristic of a recently described syndrome of sensory neuropathy secondary to megadoses of vita...

journal_title：Southern medical journal

authors： Davidson RA

更新日期：1984-02-01 00:00:00

abstract：:Family physicians and other medical care providers are beginning to realize the importance of a comprehensive assessment examination for elderly patients. The components of such an examination are well documented, and include not only the standard history and physical examination, but also evaluation of mental health,...

journal_title：Southern medical journal

authors： DeVore PA

更新日期：1991-08-01 00:00:00

abstract：:We reviewed the charts of 106 patients treated with carbamazepine. Age, sex, race, seizure type, seizure focus, age at onset, duration of epileptic illness, reasons for discontinuing treatment, other medications, and response to treatment of seizures, psychiatric symptoms, and behavioral symptoms were recorded. Statis...

journal_title：Southern medical journal

authors： Burns RL,Jenkins PL,Vallini AD

更新日期：1993-01-01 00:00:00

abstract：BACKGROUND:The blood gas analyzer (BGA) has been considered the "gold standard" for pleural fluid pH determination. METHODS:We report the various methods used to measure pleural fluid pH by 277 acute care institutions who responded to a mailed questionnaire. The techniques used included the BGA (32%), dip stick or pH ...

journal_title：Southern medical journal

authors： Chandler TM,McCoskey EH,Byrd RP Jr,Roy TM

更新日期：1999-02-01 00:00:00

abstract：:Perioperative consultations may play a major role in the care of surgical patients in an era of prospective payments. Since insurance reimbursement policy favors limitations in the number of consultants on a case, general medicine ("holistic") consultation services may become preferred perioperative consultants in the...

journal_title：Southern medical journal

authors： Golden WE,Lavender RC

更新日期：1989-03-01 00:00:00

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：:HBsAg and anti-HBs positivity was determined in hospital laboratory workers and nonlaboratory hospital workers (controls) matched for race and sex and adjusted for age. The combined prevalence of antigen-antibody positivity among white female technicians was 12% versus 0 of controls (P less than 0.005). The highest pr...

journal_title：Southern medical journal

authors： Wruble LD,Masi AT,Levinson MJ,Rightsell WA,Bale GF,Bertram P,Blackwell CF

更新日期：1977-09-01 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：:A combined patient flow and work sampling study was done at the Ambulatory Pediatric Service of the Medical University of South Carolina. The biggest problem was that almost two thirds of the patient's time was spent waiting to see the doctor. Reasons for delay included too few examining rooms, the single block appoin...

journal_title：Southern medical journal

authors： Schuh SE,Tolins I,Westphal MC,Miller MC

更新日期：1977-06-01 00:00:00

abstract：:Experience with the posterolateral approach to total hip replacement arthroplasty in 229 patients is reported. The technic has the advantages of providing excellent exposure and decreased operative time, minimal blood loss, and absence of the complications associated with removal and replacement of the greater trochan...

journal_title：Southern medical journal

authors： Gristina AG,Rovere GD,Nicastro JF,Burke JG

更新日期：1980-01-01 00:00:00

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

authors： Daly JM,Bowen JC

更新日期：1978-05-01 00:00:00

abstract：:Vesicoureteral reflux occurs in approximately 50% of duplex systems that undergo evaluation and most commonly involves the lower renal segment ureter. The therapeutic approach can be tailored for each case after careful evaluation of the anatomic and functional status of each renal unit. If reparative srugery is indic...

journal_title：Southern medical journal

authors： Currie DP

更新日期：1976-11-01 00:00:00

abstract：:We reviewed the results of lymphocyte karyotypes from 232 couples who had had two or more pregnancy losses (spontaneous abortions or stillbirths). Despite the use of strict criteria to correct for possible bias of ascertainment, 8% of these couples (19 of 232) had a chromosome abnormality. Six of these abnormalities w...

journal_title：Southern medical journal

authors： Sider D,Wilson WG,Sudduth K,Atkin JF,Kelly TE

更新日期：1988-12-01 00:00:00

abstract：:Infection with Mycobacterium kansasii in patients with acquired immunodeficiency syndrome usually involves the lung or disseminated infection. We report a case of infection with M kansasii confined to the adrenal gland and possibly to an adjacent vertebral body that presented as a fever of undetermined origin. ...

journal_title：Southern medical journal

authors： Cook PP,Christie J

更新日期：1998-10-01 00:00:00

abstract：:This paper reports the case of a young woman with SLE whose paraspinous abscess due to Mycobacterium avium-intracellulare was metastatic to the breast. Surgical drainage and 18 months of treatment with rifampin, cycloserine, ethambutol, and streptomycin failed to eradicate the infection. This case illustrates that MAI...

journal_title：Southern medical journal

authors： Brodkin H

更新日期：1991-11-01 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：:We report the case of a 55-year-old woman who was thought to have systemic lupus erythematosus (SLE) for more than 13 years before Crohn's colitis was correctly diagnosed. The differentiation of Crohn's disease from SLE may be difficult, as illustrated by our case. Gastrointestinal symptoms, laboratory studies, and ra...

journal_title：Southern medical journal

authors： Buchman AL,Wilcox CM

更新日期：1995-10-01 00:00:00

abstract：:Although it is common in the adult population, sigmoid volvulus is unusual in childhood. We report the cases of four children treated for sigmoid volvulus, and we review an additional 44 cases. The mean age of occurrence was 8 years. Predisposing factors were present in 33%. Abdominal pain (66%), vomiting (31%), and o...

journal_title：Southern medical journal

authors： Smith SD,Golladay ES,Wagner C,Seibert JJ

更新日期：1990-07-01 00:00:00

abstract：:Thirty-two patients with a resectable mass in the head of the pancreas had pancreaticoduodenectomy for suspected or proven cancer. Twenty-eight proved to have cancer (15 periampullary and 13 pancreatic), and four had pancreatitis. The five-year survival for periampullary and pancreatic cancer was 25% and 0%, respectiv...

journal_title：Southern medical journal

authors： Harris PL,Rumley TO,Lineaweaver WC,Copeland EM 3rd

更新日期：1985-09-01 00:00:00

abstract：:The use of tourniquets for upper and lower extremity operative procedures is controversial in patients with sickle cell hemoglobinopathies. The authors used Ovid and MEDLINE®, PubMed, and CINAHL® to detect English-language reports of any surgical procedure where a tourniquet was used on a patient with sickle cell dise...

journal_title：Southern medical journal

authors： Fisher B,Roberts CS

更新日期：2010-11-01 00:00:00

abstract：:Prosthetic joint infection with Mycobacterium tuberculosis usually involves the hips or knees and can result from either local reactivation, or less often from hematogenous spread. Predisposing conditions include rheumatoid arthritis, chronic steroid use and pulmonary diseases. The most common symptom at presentation ...

journal_title：Southern medical journal

authors： Khater FJ,Samnani IQ,Mehta JB,Moorman JP,Myers JW

更新日期：2007-01-01 00:00:00

abstract：:In children, intramural duodenal hematomas resulting from blunt abdominal trauma are generally managed nonoperatively with nasogastric suction and parenteral nutrition. Experience with three cases in which this form of treatment failed caused us to reappraise its benefits and results. Consequently, we now recommend su...

journal_title：Southern medical journal

authors： Thoms CA,Ricketts RR

更新日期：1988-08-01 00:00:00

abstract：:The comparative value of palpation, light percussion, and auscultatory percussion for detecting the liver below costal margin was studied in 45 normal subjects and 20 patients. The presence of the liver 2 cm or more below the costal margin was considered abnormal, since this organ was found no more than 1 cm below in ...

journal_title：Southern medical journal

authors： Gilbert VE

更新日期：1994-02-01 00:00:00

abstract：:Doyle's medical writings represent a valuable contribution to both the scientific and nonscientific aspects of medicine of the late 19th Century. Up to the present, accounts of these writings have been few, and none of them have been evaluative of their scientific merit. Analysis of Doyle's writings on infectious dise...

journal_title：Southern medical journal

authors： Rodin AE,Key JD

更新日期：1982-11-01 00:00:00

abstract：:Prednisone therapy induced prompt clinical remission in a 38-year-old woman with hypereosinophilic vasculitis. Smoldering vasculitis accounts for the 38% fatality rate in treated patients with the Churg-Strauss syndrome. Complete suppression of the peripheral hypereosinophilia will reflect the efficacy of therapy more...

journal_title：Southern medical journal

authors： Gilbert GJ

更新日期：1987-02-01 00:00:00

abstract：:The incidence of fatal and nonfatal pulmonary embolism (PE) was evaluated in a series of 578 patients, to quantify the suspected higher risk in cancer patients of death from massive PE when compared with patients not having cancer. PE occurred in 13% and was fatal in 8% of noncancer patients. It occurred in 17% and wa...

journal_title：Southern medical journal

authors： Shen VS,Pollak EW

更新日期：1980-07-01 00:00:00

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

authors： Elliott H

更新日期：2002-07-01 00:00:00

abstract：:A bulging fissure sign was noticed on chest roentgenogram in a patient with H influenzae pneumonia. This sign is usually associated with Klebsiella pneumonia and has also been seen in pneumococcal and plague pneumonia, tuberculosis, mass lesions of the lung, and large lung abscesses. This is thought to be the first re...

journal_title：Southern medical journal

authors： Francis JB,Francis PB

更新日期：1978-11-01 00:00:00

abstract：:This study was undertaken to determine what factors would be useful in making a decision to do bronchoscopy to look for an obstructing carcinoma in cases of pneumonia. The study showed that in pneumonia limited to one lobe of the lung, which occurs in a heavy smoker over 50 years of age, and which does not have comple...

journal_title：Southern medical journal

authors： McDowell DE

更新日期：1980-06-01 00:00:00

abstract：:To understand fully a physician's role in society, and to deal successfully with the current sense of crisis, the medical profession must evolve a world-view that appropriately relates a physician to the patient, to the practice environment, to the base of knowledge, and to the physician's own sense of self. Such a wo...

journal_title：Southern medical journal

authors： Bessinger CD Jr

更新日期：1988-12-01 00:00:00