Preoperative cardiac consultations in a teaching hospital.

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 future. To focus curriculum planning for perioperative consultants, we reviewed the content of 60 consecutive perioperative consultations by noncardiac surgery services to a university cardiology consultation team. Clinical descriptions of the patients' exercise tolerance showed that 95% of the patients belonged in functional classes I and II. One fourth of the requests were for routine preoperative clearance. The most frequent cardiac conditions for evaluation were congestive heart failure, old myocardial infarctions, murmurs, abnormal electrocardiograms, angina, and previous histories of coronary artery bypass surgery. Few patients needed management of arrhythmias. Physicians involved in perioperative care should assess their abilities in managing these cardiac conditions.

journal_name

South Med J

journal_title

Southern medical journal

authors

Golden WE,Lavender RC

doi

10.1097/00007611-198903000-00004

subject

Has Abstract

pub_date

1989-03-01 00:00:00

pages

292-5

issue

3

eissn

0038-4348

issn

1541-8243

journal_volume

82

pub_type

杂志文章
  • Reptile envenomation 20-year mortality as reported by US medical examiners.

    abstract:OBJECTIVES:Accurate reptile envenomation mortality data for the United States is unavailable. Using data from the National Vital Statistics System (NVSS), deaths from 1979 through 1998 were analyzed. METHODS:Records of deaths from reptile envenomation were selected using matches to code E905.0 of the International Cla...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-200407000-00006

    authors: Morgan BW,Lee C,Damiano L,Whitlow K,Geller R

    更新日期:2004-07-01 00:00:00

  • Glycerol: an alternative to dexamethasone for patients receiving brain irradiation for metastatic disease.

    abstract::Forty-four patients with metastatic brain neoplasms received glycerol instead of corticosteroids during periods of brain irradiation. Headache, nausea, and vomiting were controlled in more than 90% of symptomatic patients, while paralysis, confusion, and papilledema improved in 55% to 80%. Patients with minimal or no ...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Bedikian AY,Valdivieso M,Heilbrun LK,Withers RH,Bodey GP,Freireich EJ

    更新日期:1980-09-01 00:00:00

  • Preoperative diagnosis of splenic abscess by ultrasonography and radionuclide scanning.

    abstract::Abscess of the spleen is uncommon and potentially lethal, but until recently it was rarely diagnosed except by exploratory celiotomy or at autopsy. Now, with the advent of radionuclide scanning, ultrasonography, and selective angiography, earlier diagnosis is possible in most cases. We report a case of traumatic absce...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197905000-00019

    authors: Brown JJ,Sumner TE,Crowe JE,Shaffner LD

    更新日期:1979-05-01 00:00:00

  • Body contouring surgery after weight reduction.

    abstract::I reviewed the cases of 50 consecutive patients who had a total of 75 plastic surgery procedures after weight reduction. The average weight loss was 126 lb. There were 28 women and 22 men. The 75 operations were abdominoplasty (24), face-lift (18), reduction mammaplasty (ten), blepharoplasty (eight), mastopexy (eight)...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198711000-00011

    authors: Lanier VC Jr

    更新日期:1987-11-01 00:00:00

  • Accuracy of interpretation of full-length pediatric echocardiograms transmitted over an integrated services digital network telemedicine link.

    abstract:BACKGROUND:Transmission of echocardiograms via telemedicine links has allowed remote hospitals direct access to pediatric cardiology subspecialty care. This study assessed the accuracy of echocardiogram interpretation across an integrated services digital network (ISDN) telemedicine link. METHODS:Telemedicine systems ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Cotton JL,Gallaher KJ,Henry GW

    更新日期:2002-09-01 00:00:00

  • D-penicillamine-induced bronchial spasm.

    abstract::Although d-penicillamine has a wide range of benefits in many clinical conditions, various side effects have also been reported and preclude its further use in certain patients. In this case, d-penicillamine-induced reversible airway obstruction developed, despite the "go slow--go low" regimen as suggested to reduce t...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198006000-00032

    authors: Tanphaichitr K

    更新日期:1980-06-01 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

  • Methemoglobinemia caused by benzocaine topical spray.

    abstract::Acute methemoglobinemia is a medical emergency that can rapidly become fatal. A substantial number of drugs, including topical preparations, can precipitate this condition. I report a rare example of severe, acute methemoglobinemia caused by oropharyngeal anesthesia with topical benzocaine spray for orogastric intubat...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199709000-00018

    authors: Cooper HA

    更新日期:1997-09-01 00:00:00

  • X-linked neonatal myotubular myopathy.

    abstract::We have described a family with X-linked myotubular myopathy that was clinically manifest in the neonatal period and compared it with the clinical picture and course of the disease in similar reported cases. Clinical expression of the disease in the newborn period is not always lethal. Despite a fatal outcome in the f...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198409000-00035

    authors: Giacoia GP,Hale JE

    更新日期:1984-09-01 00:00:00

  • Pulmonary vein obstruction by bronchogenic carcinoma.

    abstract::Two patients with obstruction of the pulmonary veins by bronchogenic carcinoma, an unusual cause, are presented. These and other cases reported have had features suggestive of mitral stenosis. The differential diagnosis is discussed. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197611000-00027

    authors: Stinson JM,Goodwin RA Jr

    更新日期:1976-11-01 00:00:00

  • Pharmacologic management of obsessive-compulsive disorder.

    abstract::Obsessive-compulsive disorder (OCD) is an intriguing, difficult problem characterized by anxiety-producing intrusive thoughts and performance of anxiety-reducing rituals. Current evidence suggests that OCD may be associated with dysregulation of serotonin and dopamine neurotransmission. Numerous early studies involvin...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199403000-00003

    authors: Jackson CW,Morton WA,Lydiard RB

    更新日期:1994-03-01 00:00:00

  • Anterior staple capsulorrhaphy for recurrent dislocation of the shoulder: a clinical and biomechanical study.

    abstract::Thirty-three anterior staple capsulorrhaphies of the shoulder were reviewed at an average 49.7 months postoperatively (range 12 to 127 months); one postoperative dislocation occurred. The patients' quality of athletic participation improved with surgical therapy in 50%, remained the same in 38%, and was lowered in 12%...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199005000-00009

    authors: Ward WG,Bassett FH 3rd,Garrett WE Jr

    更新日期:1990-05-01 00:00:00

  • Epidemiology of nontyphoidal salmonellae at a tertiary care center in northeast Florida.

    abstract::Nontyphoidal salmonellae (NTS) are often isolated from stool specimens of individuals having evaluation of gastroenteritis. The significance of isolation of NTS in a stool specimen from previously healthy individuals with gastroenteritis is not clear. The purpose of this study was to determine which serotypes were bei...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199508000-00009

    authors: Rathore MH,Jenkins SG,Williams E

    更新日期:1995-08-01 00:00:00

  • Unilateral renal agenesis associated with multiple skeletal abnormalities.

    abstract::Two cases are presented in which an association between unilateral renal agenesis and multiple skeletal abnormalities is found. The pathologic agents responsible for the URA act similarily on other organ systems, including the skeleton. The skeletal abnormality can be diagnosed easily and promptly and may be an indica...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197601000-00029

    authors: Jancu J,Zuckerman H,Sudarsky M

    更新日期:1976-01-01 00:00:00

  • Concomitant intracranial aneurysm and carotid artery stenosis: A therapeutic dilemma.

    abstract::Concurrent occurrence of carotid artery stenosis and intracerebral aneurysm is uncommon and poses a therapeutic dilemma. We report a patient with bilateral carotid artery stenosis and a 2.5 cm left middle cerebral artery aneurysm who simultaneously underwent a successful stent-assisted coiling for his intracerebral an...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000217190.93989.c9

    authors: Navaneethan SD,Kannan VS,Osowo A,Shrivastava R,Singh S

    更新日期:2006-07-01 00:00:00

  • Homozygous beta thalassemia in a black adult: follow-up after two decases.

    abstract::A 54-year-old woman, perhaps the oldest living American black with homozygous beta thalassemia, has had a relatively benign clinical course since her case was first reported two decades ago. Despite progressive splenomegaly, she has remained active without blood transfusions. This case emphasizes the mildness of homoz...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197609000-00041

    authors: Eichner ER

    更新日期:1976-09-01 00:00:00

  • Pasteurella multocida pneumonia and bacteremia.

    abstract::A 76-year-old man with chronic obstructive pulmonary disease who developed P multocida pneumonia and bacteremia has been described. The infection was treated with antibiotics, and the patient recovered. Pasteurella multocida is known to infect many species of animals. The instances of human infection due to this organ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197709000-00035

    authors: Milder JE,Hall NK,Finley RA

    更新日期:1977-09-01 00:00:00

  • Injuries to tobacco farmers in Kentucky.

    abstract::Like all types of farming, raising tobacco has many hazards that may lead to injury, disability, or death. Burley tobacco farming is a multistep process that is not highly mechanized. An 8-year emergency department surveillance system in Kentucky identified 674 injury cases related to the production of burley tobacco....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Struttmann TW,Reed DK

    更新日期:2002-08-01 00:00:00

  • Laparoscopic management of ectopic pregnancy in a resident training program.

    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

    pub_type: 杂志文章

    doi:10.1097/00007611-199306000-00005

    authors: Wagner J,Droesch J,Mann WJ

    更新日期:1993-06-01 00:00:00

  • Risk assessment and management of anthracycline and HER2 receptor inhibitor-induced cardiomyopathy.

    abstract::With the advent and increased use of chemotherapeutic agents and radiation therapy, cancer survival rates have increased. With increased survival, both acute and chronic cardiotoxic adverse effects have emerged. The growing need for managing the treatment of individuals with chemotherapy-induced cardiotoxicity has led...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.14423/SMJ.0000000000000232

    authors: Jahangir E,Shah S,Shum K,Baxter C,Fitzpatrick JD,Cole J,Gilliland Y,Polin NM

    更新日期:2015-02-01 00:00:00

  • Metastatic prostatic carcinoma presenting as fulminant hepatic failure.

    abstract::A 68-year-old male presented with progressive abdominal pain, dyspnea, weight loss, and dysuria. Lab work revealed elevated creatine phosphokinase levels, prostate-specific antigen level (approximately 60 ng/mL), and elevated liver enzymes. He was admitted to the intensive care unit for worsening respiratory distress ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31817c74c3

    authors: Shakir FA,Madhoun M,Whorton J,Harty R

    更新日期:2008-10-01 00:00:00

  • Effect of sleep loss on beta-endorphin activity, epinephrine levels, and ventilatory responsiveness.

    abstract::Sleep loss impairs ventilatory responsiveness to hypercapnia and hypoxia, and also interferes with performance on spirometry. To test the hypothesis that the decline in hypercapnic drive due to sleep loss is mediated by endorphin production, we measured loaded and unloaded CO2 response after injection of placebo and n...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007611-198701000-00004

    authors: Phillips B,Cooper KR,Newsome HH,Dewey WL

    更新日期:1987-01-01 00:00:00

  • Facial diplegia due to amyloidosis.

    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

    pub_type: 杂志文章

    doi:10.1097/00007611-198611000-00037

    authors: Massey EW,Massey JM

    更新日期:1986-11-01 00:00:00

  • Planning for ambulatory care: simple methods for improving patient flow.

    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

    pub_type: 杂志文章

    doi:10.1097/00007611-197706000-00004

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

    更新日期:1977-06-01 00:00:00

  • Malpractice liability of physicians to nonpatients.

    abstract::Sometimes physicians assume responsibilities to third parties when undertaking the care of patients. Physicians have been held liable to third parties, though strangers to the patients, for failing to warn regarding the communicability of contagious diseases. Two suits have been allowed against physicians by third par...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197606000-00031

    authors: Hirsh HL

    更新日期:1976-06-01 00:00:00

  • Incidental sonographic detection of renal cell carcinoma.

    abstract::Renal cell carcinoma is not an uncommon finding in our population. Since the symptoms of renal cell carcinoma may mimic those of other abdominal disease, we strongly advocate ultrasonic evaluation of the entire abdomen when screening patients with pain. Whether our three patients' symptoms were due to gallbladder dise...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198403000-00004

    authors: Daughtry JD,Rodan BA

    更新日期:1984-03-01 00:00:00

  • Osteotomy of the metatarsals for pes cavus.

    abstract::Described is a surgical procedure for pes cavus which includes multiple osteotomies of the metatarsals, usually combined with Steindler fasciotomy and extensor tenotomy. This method permits the correction of the cavus deformity and preserves the length of the foot without disturbing any joint. A total of 11 patients w...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197701000-00034

    authors: Wang GJ,Shaffer LW

    更新日期:1977-01-01 00:00:00

  • Booster effect in delayed hypersensitivity skin testing.

    abstract::After a pilot study had suggested that a drug augmented delayed hypersensitivity, we conducted a control study in which 19 normal volunteers had the same skin test battery applied as in the pilot study, on two occasions one month apart with no intervening treatment. No change was observed in delayed hypersensitivity r...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198609000-00009

    authors: Maguire LC,Lackey SD,Roszman TL,Kidwell NS

    更新日期:1986-09-01 00:00:00

  • Intracerebral tuberculoma misdiagnosed as neurosarcoidosis.

    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

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000048150.02504.99

    authors: Cortez K,Kottilil S,Mermel LA

    更新日期:2003-05-01 00:00:00

  • Benign and malignant neoplasms in a family with Peutz-Jeghers syndrome: study of three generations.

    abstract::Three members of a family with Peutz-Jeghers syndrome had intussusception due to intestinal hamartomas. In addition, the grandfather had carcinoma of the jejunum, and the granddaughter had benign ovarian sex cord/stromal tumor causing sexual precocity. Benign and malignant tumors, not often associated with Peutz-Jeghe...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199110000-00011

    authors: Laughlin EH

    更新日期:1991-10-01 00:00:00