Gallbladder surgery in patients over 60: is there an increased risk?

abstract：:Coronary artery spasm can occur in the presence of excessive alpha-adrenergic tone. A decrease in protective coronary vasodilator substance and enhanced alpha-adrenergic responsiveness, which occurs in the setting of hypothroidism and beta blockade, predisposes to coronary artery spasm. The case presented supports the...

journal_title：Southern medical journal

authors： Schoolmeester WL,Jackman WM

更新日期：1979-07-01 00:00:00

abstract：:There is controversy in the medical literature regarding the significance of "sickle cell cardiomyopathy." In an attempt to clarify this, we studied 14 patients with sickle cell anemia (age range 16 to 36 years) using simultaneous echocardiography and phonocardiography. The values of systolic time intervals and echoca...

journal_title：Southern medical journal

authors： Covarrubias EA,Sheikh MU,Solanki DL,Morjaria M,Fox LM

更新日期：1980-03-01 00:00:00

abstract：:Preeclampsia has been frequently misdiagnosed as an entity unrelated to pregnancy, with resultant delay in appropriate management. In the case presented here, severe preeclampsia complicated by hemolysis, elevated liver enzymes, and low platelet count ("HELLP syndrome") in a 32-week twin gestation was misdiagnosed as ...

journal_title：Southern medical journal

authors： Taslimi MM

更新日期：1994-11-01 00:00:00

abstract：:The pronounced predilection of bronchogenic carcinoma for tuberculous lobes of the lungs is not generally recognized. In this plus 11 other series of patients with coexisting disease, an average of 52% had the neoplasm in a tuberculous lobe. In the present study, tuberculosis was confined to one or two lobes in 24 of ...

journal_title：Southern medical journal

authors： Farwell DJ,Rutledge LJ,Bryant LR,Schechter FG

更新日期：1978-04-01 00:00:00

abstract：:Parkinsonism associated with boxing has attracted recent media attention, yet little has been written about it in the medical literature. This report presents a typical case with a review of the literature. ...

journal_title：Southern medical journal

authors： Friedman JH

更新日期：1989-05-01 00:00:00

abstract：:Autoimmune neutropenia (AIN) is defined as a neutrophil count <1.5 × 109/L caused by increased peripheral destruction of neutrophils from an underlying autoimmune mechanism in which autoantibodies are directed against a patient's own neutrophils. AIN has a multifactorial etiology ranging from an idiopathic primary phe...

journal_title：Southern medical journal

authors： Afzal W,Owlia MB,Hasni S,Newman KA

更新日期：2017-04-01 00:00:00

abstract：:Rebound nasal mucosal edema may follow the use of topical nasal vasoconstrictors for even a short time. The physician seeing a patient with nasal stuffiness should always ask about the usage of these substances. Management of patients with rhinitis medicamentosa includes making the diagnosis, reversing the mucosal cha...

journal_title：Southern medical journal

authors： Mabry RL

更新日期：1982-07-01 00:00:00

abstract：OBJECTIVES:Carbapenem-resistant Klebsiella pneumoniae (CRKP) has been increasingly reported all over the world. In this study, we aimed to investigate the risk factors for the acquisition of nosocomial CRKP infections. METHODS:We conducted a case-control study with data collected from thirty-nine patients with nosocom...

journal_title：Southern medical journal

authors： Wu D,Cai J,Liu J

更新日期：2011-02-01 00:00:00

abstract：:An instance of thyroglossal duct cyst in a 68-year-old man was reported. The clinical diagnosis of a thyroglossal duct cyst is suggested by the presence of a cystic mass situated anteriorly in the midline of the neck regardless of the patient's age. A review of the literature revealed that the incidence markedly decre...

journal_title：Southern medical journal

authors： Murphy JP,Budd DC

更新日期：1977-10-01 00:00:00

abstract：OBJECTIVES:To explore breast cancer beliefs among a cohort of low-income, urban, English-speaking women in Miami, Florida, who had undergone screening mammography. METHODS:Four focus groups of 34 women were conducted. Discussions were transcribed verbatim and transcripts were analyzed separately by two investigators u...

journal_title：Southern medical journal

authors： Marcus EN,Drummond DK,Dietz N,Kenya S

更新日期：2013-12-01 00:00:00

abstract：:The renin-angiotensin-aldosterone system (RAAS) plays a major role in blood pressure regulation and is thus an important therapeutic target in the management of hypertension. Angiotensin receptor blockers (ARBs), which interrupt RAAS overactivity by blocking a specific receptor that mediates the pathogenic activity of...

journal_title：Southern medical journal

authors： Catanzaro DF,Frishman WH

更新日期：2010-07-01 00:00:00

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

authors： Hudson WR,Hughes LA

更新日期：1975-12-01 00:00:00

abstract：BACKGROUND:Insulin resistance is characterized by impaired responsiveness to endogenous or exogenous insulin. Loss of responsiveness is associated with a "clustering" of cardiovascular risk factors that includes abdominal obesity, hypertension, dyslipidemia, glucose intolerance, and hyperinsulinemia; this association i...

journal_title：Southern medical journal

authors： Granberry MC,Fonseca VA

更新日期：1999-01-01 00:00:00

abstract：:It has been claimed that sonographic techniques offer no advantages over palpation of the maternal abdomen for detection of macrosomatia. We studied a group of 498 pregnant patients, 36 (7.2%) of whom gave birth to infants having macrosomatia. A sensitivity of 67%, specificity of 97%, and positive predictive value of ...

journal_title：Southern medical journal

authors： Rossavik IK,Joslin GL

更新日期：1993-10-01 00:00:00

abstract：:The clinical entity of progressive systemic sclerosis (PSS, or scleroderma) has remained unchanged since Osler's first description in 1892. Several related or overlap syndromes have now been recognized, which may afford some insight into etiologic events in the development of PSS. As yet, the cause of PSS remains elus...

journal_title：Southern medical journal

authors： Cunningham PH,Andrews BS,Davis JS 4th

更新日期：1980-06-01 00:00:00

abstract：:We reviewed our experience with thyroid sonography of 60 patients with nonfunctioning (cold) solitary thyroid nodules proven by iodine 123 scan. Twenty-two patients had surgery; the remaining 38 had thyroid scan and ultrasound only. In the first group, the echograms did not demonstrate the surgically proven nodules in...

journal_title：Southern medical journal

authors： Abdel-Nabi H,Falko JM,Olsen JO,Freimanis AK

更新日期：1984-09-01 00:00:00

abstract：:We retrospectively studied 125 patients treated for carcinoma in situ of the vulva from 1961 through 1984, with follow-up ranging from one to 24 years. Patients' ages ranged from 24 to 90 years, with a mean age of 53 years. Multifocal disease was more common in women under age 40. Pruritus was the most common complain...

journal_title：Southern medical journal

authors： Fiorica JV,Cavanagh D,Marsden DE,Shepherd JH,Ruffolo EH,Songster CL

更新日期：1988-05-01 00:00:00

abstract：:Carcinoma of the fallopian tube is the least common of the gynecologic malignancies. Because of its rarity and the absence of typical symptoms, preoperative diagnosis is seldom made. Patient as well as physician delay in diagnosis is often considerable. There are no reliable laboratory aids available to enhance the di...

journal_title：Southern medical journal

authors： Ingram FH,Hisley JC

更新日期：1975-09-01 00:00:00

abstract：:Primary malignant melanoma of the oral cavity is uncommon. Four cases are presented. The average age is in the sixth decade. Early diagnosis is difficult and prognosis is generally poor. Efforts toward earlier detection and treatment are recommended. ...

journal_title：Southern medical journal

authors： Stromberg BV

更新日期：1980-02-01 00:00:00

abstract：:We have presented the case of a 32-year-old man who sustained blunt trauma to the chest in a motor vehicle accident. Plain roentgenograms showed a widened mediastinum and pneumomediastinum, and an esophagogram with water-soluble contrast material showed an esophageal laceration at the T-4 level. ...

journal_title：Southern medical journal

authors： Carter MP,Long RF,Pellegrini RA,Wynn RA

更新日期：1991-06-01 00:00:00

abstract：:Two cases of postoperative death due to unsuspected pheochromocytoma are presented. Both patients exhibited signs and symptoms preoperatively which might have been attributable to a pheochromocytoma. These reports serve as a reminder of the potentially fatal consequences of inadequate evaluation of hypertensive patien...

journal_title：Southern medical journal

authors： Cross DA,Meyer JS

更新日期：1977-11-01 00:00:00

abstract：:We have described a patient with a biopsy-proven mucoepidermoid carcinoma of the orbit. Although it may have represented a metastasis from a malignancy of the upper respiratory tract, clinically it appeared to be a primary neoplasm of the lacrimal gland. This case emphasizes the value of transmission electron microsco...

journal_title：Southern medical journal

authors： Lawton AW,Karesh JW

更新日期：1989-05-01 00:00:00

abstract：:The management of inflammatory carcinoma of the breast remains a therapeutic dilemma because of two basic conceptual problems: local control and systemic micrometastatic disease. Appropriate management requires a multidisciplinary approach involving radiation therapy, surgery, and medical oncology. ...

journal_title：Southern medical journal

authors： Doss LL,Kardinal CG,Memula N

更新日期：1981-02-01 00:00:00

abstract：:Systemic lupus erythematosus presents various clinical manifestations. The coexistence of systemic lupus erythematosus and celiac sprue has been rarely reported. We present a patient who had systemic lupus erythematosus with malabsorption demonstrating characteristic clinical and pathologic findings of celiac sprue (g...

journal_title：Southern medical journal

authors： Komatireddy GR,Marshall JB,Aqel R,Spollen LE,Sharp GC

更新日期：1995-06-01 00:00:00

abstract：:Patients with recurrent thrombosis may have one of the thrombophilias described in recent literature. These clotting disorders may involve abnormalities in platelets, fibrinogen, plasminogen, protein C, protein S, or antithrombin III. There is usually a family history of clotting disorders, since most of these are inh...

journal_title：Southern medical journal

authors： Patton D

更新日期：1988-10-01 00:00:00

abstract：OBJECTIVES:Errors in drug dosing lead to poor patient outcomes and are common in patients with chronic kidney disease (CKD). Because the majority of patients with CKD are being treated by physicians specializing in internal medicine, we studied the awareness and knowledge that internal medicine resident trainees (IMRTs...

journal_title：Southern medical journal

authors： Saad CY,Fogel J,Rubinstein S

更新日期：2018-03-01 00:00:00

abstract：:I report my experience during one 6-month period as the sole rheumatologist running a weekly clinic at a small community hospital. The report illustrates the impact of rheumatologic expertise in an environment well-served by generalists and other medical subspecialists. This experience identifies important gaps in the...

journal_title：Southern medical journal

authors： Kerr LD

更新日期：1995-03-01 00:00:00

abstract：:We report on two healthy white men who sustained high-voltage electrical burns and were transferred to our regional burn center for specialized care. Within 24 hours of admission, both patients developed clinical signs and laboratory evidence of diabetes insipidus. With appropriate treatment, no sequelae occurred and ...

journal_title：Southern medical journal

authors： Urquhart CK,Craft PD,Nehlawi MM

更新日期：1994-03-01 00:00:00

abstract：:This paper reports results of a project designed to examine factors related to compliance with referral for follow-up and treatment of cervical dysplasia. Women studied had cervical dysplasia diagnosed by Pap smear between May 1989 and April 1990. These women had regular follow-up at the gynecology clinic of the Reyno...

journal_title：Southern medical journal

authors： Laedtke TW,Dignan M

更新日期：1992-01-01 00:00:00

abstract：:We prospectively studied preoperative and postoperative grip and pinch strength in 21 patients having 30 consecutive median nerve decompressions for carpal tunnel syndrome. All procedures were done by one surgeon. Each hand operated on served as its own control and was studied by the same therapist preoperatively and ...

journal_title：Southern medical journal

authors： Young VL,Logan SE,Fernando B,Grasse P,Seaton M,Young AE

更新日期：1992-09-01 00:00:00