Abstract:
:The clinical presentations of liver abscess, hepatoma, and metastatic tumor to the liver may be quite similar, and procedures such as computerized tomography, radionuclide scanning, and ultrasonography of the liver cannot make a specific diagnosis. Therefore, we compared the clinical presentations of 38 patients seen during the last five years with liver abscess (13 patients), hepatoma (eight patients), and undifferentiated carcinoma metastatic to the liver (17 patients). Patients with liver abscess were distinguished from the other two groups by a significantly shorter prodrome, a history of known risk factors for liver abscess, fever, leukocytosis, and a normal-sized liver (P values all less than .1). A finding of three or more of these criteria correctly identified all cases of liver abscess. Only one of the 25 patients with neoplasms had three of the criteria. The presence of multiple or single lesions, abdominal pain, weight loss, or liver function abnormalities did not differ significantly among the three groups. Thus patients with liver abscess can be reliably differentiated from patients with hepatic neoplasms by clinical criteria alone, and appropriate empiric antibiotic therapy can be started while the diagnosis is being confirmed.
journal_name
South Med Jjournal_title
Southern medical journalauthors
Klotz SA,Penn RLdoi
10.1097/00007611-198712000-00013subject
Has Abstractpub_date
1987-12-01 00:00:00pages
1537-41issue
12eissn
0038-4348issn
1541-8243journal_volume
80pub_type
杂志文章abstract::We evaluated a perinatal outreach education program to determine its "transportability" (usefulness to other regional centers). Three kinds of data were available from seven regional centers: (1) participation in the program by health care providers, (2) changes in cognitive knowledge, and (3) changes in neonatal care...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198312000-00009
更新日期:1983-12-01 00:00:00
abstract::We studied etiologic factors important in colonization of 179 central venous catheters (CVCs) in patients randomized into group 1 (who received daily topical applications of povidone-iodine) or group 2 (who received only dry dressing changes). Colonization rates of CVC tips were similar between group 1 (18/84 or 21%) ...
journal_title:Southern medical journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007611-198404000-00012
更新日期:1984-04-01 00:00:00
abstract::Treatment of the adult respiratory distress syndrome requires an understanding of the current concepts of the pathogenesis of this syndrome. The clinical features and pathophysiology are briefly discussed. Differential diagnosis requires the exclusion of pulmonary infection and left heart failure. Therapy is aimed at ...
journal_title:Southern medical journal
pub_type: 杂志文章,评审
doi:10.1097/00007611-197811000-00028
更新日期:1978-11-01 00:00:00
abstract::Acute gastroduodenal erosions and ulcerations, often with life-threatening gastrointestinal hemorrhage, contribute to high mortality in critically ill patients. Hypersecretion of gastric acid to some degree seems to be necessary. Antacids and recently cimetidine, a histamine H2-receptor antagonist, have been used for ...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198004000-00007
更新日期:1980-04-01 00:00:00
abstract::A survey of death certificates of victims with laryngeal cancer in Oklahoma for the period 1950 to 1970 attempts to corroborate findings of the current literature. Sex-race specific death rates per 100,000 for white, nonwhite, and American Indian populaces displayed a distinct sex and racial pattern: respectively, 38....
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-197607000-00033
更新日期:1976-07-01 00:00:00
abstract::Documented fetal inactivity is strongly suggestive of fetal jeopardy, but the significance of excessive activity over a prolonged period has not been reported. Using data gathered from fetal movement charts recorded by 931 patients, fetal hyperactivity was defined statistically as 40 or more movements perceived per ho...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198302000-00005
更新日期:1983-02-01 00:00:00
abstract::A case of ruptured interstitial pregnancy is reported, along with review of the literature. Although sonography did not differentiate between interstitial and intrauterine pregnancy, I believe it will prove to be one of the most accurate diagnostic aids in detecting this condition. ...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198009000-00044
更新日期:1980-09-01 00:00:00
abstract::In response to the increasing care needs of geriatric patients and attendant hospital costs, the Nashville Veterans Administration Medical Center, which has 393 beds and admits 8400 patients annually, initiated an Intermediate Care Service in 1988. A geriatric team was formed, sharing staff and resources from existing...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:
更新日期:1991-05-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1988-10-01 00:00:00
abstract::We have used the island gluteus maximus musculocutaneous flap to cover sacral pressure sores. In this report, we describe the surgical anatomy, cadaveric dissections (n = 25), and postoperative follow-up (one to 40 months) in 13 clinical cases. Our results compare favorably with those of other previously reported seri...
journal_title:Southern medical journal
pub_type: 临床试验,杂志文章
doi:
更新日期:1985-10-01 00:00:00
abstract::A 63-year-old male patient with a history of bipolar I disorder presented to the emergency department in an acutely psychotic state. The patient had just returned from vacation in a malarial high-risk area and, as a result, had taken five weekly doses of mefloquine for prophylaxis. The patient's bipolar disorder was b...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/SMJ.0b013e318167a9e2
更新日期:2008-05-01 00:00:00
abstract::Despite available chemotherapy, survival of patients with skeletal tuberculosis and secondary amyloidosis for more than five years is extremely unusual. We have described a patient with inadequately treated tuberculous osteomyelitis and later concomitant pulmonary tuberculosis and secondary amyloidosis. After a prolon...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198901000-00024
更新日期:1989-01-01 00:00:00
abstract::An unusual intestinal infection with the parasite Metagonimus yokogawai was acquired by an American traveling in the Orient. Diarrhea began abroad, and recurred at intervals until she was seen 1 1/2 years later. Stool examinations resulted in the recovery of small operculated ova characteristic of intestinal or biliar...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-197812000-00020
更新日期:1978-12-01 00:00:00
abstract::A 38-year-old African-American male complaining of pain in multiple joints was initially diagnosed with gouty arthritis concurrent with gonococcal septic arthritis. The diagnosis was made based on arthrocentesis results showing Gram-variable cocci and monosodium urate crystals in the synovial fluid. Final blood and sy...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/SMJ.0b013e31819ba3c0
更新日期:2009-04-01 00:00:00
abstract::A previously healthy 38-year-old man was stung multiple times by yellow jackets without any signs of anaphylaxis being observed. An electrocardiogram taken 16 hours later revealed episodes of wandering atrial pacemaker, junctional rhythm, and intermittent premature ventricular contractions. These arrhythmias disappear...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-197904000-00030
更新日期:1979-04-01 00:00:00
abstract::As this case illustrates, lung cancer should be included in the differential diagnosis in a young person with fever, purulent sputum, and a large cystic mass on chest roentgenogram. An aggressive diagnostic approach including biopsy is recommended if symptoms do not respond to early treatment. ...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198810000-00031
更新日期:1988-10-01 00:00:00
abstract::Any terrorist attack using weapons of mass destruction will result in substantial psychological trauma and stress. Primary care and emergency clinics will likely see patients who have stress-related emotional or physical symptoms, or exacerbations of preexisting health concerns. Significant psychological and behaviora...
journal_title:Southern medical journal
pub_type: 杂志文章,评审
doi:10.1097/01.SMJ.0000054783.69453.79
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Lichen simplex chronicus (LSC) is a common pruritic disorder resulting from repeated rubbing and scratching. Nighttime pruritus is a common feature in LSC and may disrupt the sleep pattern. The aim of this study is to determine whether there are sleep abnormalities in patients with LSC. PATIENTS AND METHODS...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/01.smj.0000215640.97668.3f
更新日期:2006-05-01 00:00:00
abstract::This paper discusses the pathology produced by pit viper venom and the pharmacologically active substances released by the action of venom on human tissue. The risks of many of the popular methods of treatment such as tourniquets, cryotherapy, incisions, excisions, and cortisone are also discussed. A prospective treat...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-197908000-00002
更新日期:1979-08-01 00:00:00
abstract::Hepatobiliary tuberculosis (HTB) is uncommon and can be difficult to diagnose. We present our experience with HTB (over a 10-year period). Fourteen patients were identified from a total of 1888 cases of tuberculosis (TB) infection during this period. Five patients had isolated organ involvement [hepatic (n=3) and bili...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/SMJ.0b013e318164ddbb
更新日期:2008-04-01 00:00:00
abstract::Because of the persistently high mortality from sepsis in cancer patients, a retrospective study was designed to identify the causative organisms and to determine the factors affecting the outcome of sepsis. A total of 84 episodes of septicemia in 61 children with cancer were studied. The more frequently isolated orga...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-197902000-00007
更新日期:1979-02-01 00:00:00
abstract::We report a case of perforated solitary jejunal diverticulum in an 80-year-old woman. Jejunal diverticulosis occurs in 0.07% to 2.0% of the population. Jejunal diverticulitis with perforation is rare and is associated with high mortality. Treatment is surgical resection of the involved segment. Several theories to exp...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199505000-00013
更新日期:1995-05-01 00:00:00
abstract::Nearly three million persons in the United States are viremic with hepatitis C (HCV). Despite a decreasing incidence of HCV in this country, the prevalence of HCV-related chronic liver disease is increasing. Most infections in the United States are acquired by intravenous drug use. The chronicity rate of HCV is high, ...
journal_title:Southern medical journal
pub_type: 杂志文章,评审
doi:10.1097/01.SMJ.0000118903.35704.30
更新日期:2004-04-01 00:00:00
abstract::We examined present and anticipated future levels of career satisfaction among psychiatrists in the greater Houston area. We gathered data by means of an anonymous questionnaire. The strongest univariate correlations between background variables and current and anticipated future levels of career satisfaction were fou...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199505000-00003
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND:This study was done to determine survival rates in subpopulations of severely neurologically disabled children who reside in pediatric skilled nursing facilities and to compare these survival rates with those in previously published studies. METHODS:Data were collected at three pediatric skilled nursing fac...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-199802000-00009
更新日期:1998-02-01 00:00:00
abstract::Intraorbital hydatid disease (IHD) is quite rare and represents < 1% of the Echinococcus cases. In our current communication, we report two children with solitary, primary intraorbital hydatid cysts. Both children presented with nontender, nonpulsatile proptosis. Imaging workup, including CT and MRI scans of the head ...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/01.smj.0000217492.03019.16
更新日期:2006-06-01 00:00:00
abstract::We have described the clinical, hemodynamic, and echocardiographic features of torn aortic cusps with mitral valve fenestration in a patient with infective endocarditis. Hemodynamic studies showed left atrial pressure intermittently exceeding left ventricular end-diastolic pressure. This phenomenon corresponded with i...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198411000-00022
更新日期:1984-11-01 00:00:00
abstract::Proximal gastric vagotomy is a useful operation for duodenal ulcer disease that is intractable to medical management. It is also useful in selected patients with acute duodenal ulcer perforation. We present an overview of the indications for proximal gastric vagotomy, along with its results. The major benefits of prox...
journal_title:Southern medical journal
pub_type: 杂志文章,评审
doi:10.1097/00007611-198906000-00014
更新日期:1989-06-01 00:00:00
abstract::The accuracy of the noninvasive carotid system studies done in our laboratory during an 18-month period were reviewed. The usefulness of these procedures was found to be limited when used as a "blind" screen for extracranial vascular disease. The overall correlation with angiography was good, with few false-negatives ...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198205000-00008
更新日期:1982-05-01 00:00:00
abstract::Forty consecutive patients having left ventricular (LV) aneurysmectomy were evaluated for surgical risk predictors and were then followed up after operation. Factors evaluated included age, time since last myocardial infarction, NYHA classification, principal indication for surgery, LV end diastolic pressure, LV "A" w...
journal_title:Southern medical journal
pub_type: 杂志文章
doi:10.1097/00007611-198005000-00018
更新日期:1980-05-01 00:00:00