Effects of cocaine-positive urine screens on serum thyrotropin levels in patients admitted to an inpatient mental health unit.

Abstract:

OBJECTIVE:To assess the effect of a positive urine screen for cocaine on thyrotropin (TSH, also thyroid-stimulating hormone) concentrations. METHODS:In this retrospective cohort study, patients admitted to the mental health unit at an academic inpatient setting with a diagnosis of cocaine dependence or cocaine intoxication were routinely screened with urine drug toxicology tests and TSH concentrations. TSH concentrations from patients who tested positive for cocaine on urine toxicology were compared with patients having negative cocaine screenings. RESULTS:A total of 192 patients were included: 122 with a positive cocaine screen and 70 with a negative cocaine screen. All patients were screened using a highly sensitive TSH assay. A positive cocaine screen was not associated with a statistically significant difference in TSH concentrations compared with a negative cocaine screen. The percentage of patients with hypothyroidism (TSH >4.50 μIU/mL) or hyperthyroidism (TSH <0.40 μIU/mL) were similar in both study groups. CONCLUSIONS:The study failed to show that a positive urine screen for cocaine was associated with a significant effect on serum TSH levels in patients admitted to a mental health unit with a diagnosis of cocaine dependence or cocaine intoxication. Our findings support those of a prior study that cocaine use does not affect routine thyroid function tests. The present study does not support the clinical practice of ordering a serum TSH screening test on patients admitted to inpatient psychiatry units soley because the urine screen is positive for cocaine.

journal_name

South Med J

journal_title

Southern medical journal

authors

Koroscil MT,Schulte JJ,Bricker D,Koroscil TM

doi

10.14423/SMJ.0000000000000239

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

130-1

issue

2

eissn

0038-4348

issn

1541-8243

pii

SMJ14132

journal_volume

108

pub_type

杂志文章
  • Sequential herniation of stomach, then colon through the aortic hiatus.

    abstract::A patient with a large paraesophageal hernia had a Nissen fundoplication via laparoscopy. He returned a year later with the transverse colon herniated into the chest. At operation, the hernia ostium was found to be the aortic hiatus. We believe that the original ostium was missed because of the limited exposure of the...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199703000-00016

    authors: Wagner RB,Barry MJ,Manney MS

    更新日期:1997-03-01 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

  • The localization of multiple intra-abdominal abscesses by gallium scanning.

    abstract::A septic course suggestive of intra-abdominal abscess followed surgery in a small child with a perforated appendix. Usual diagnostic studies, fluoroscopy, and rectal and wound exploration failed to localized an abscess. The use of gallium 67 scanning accurately localized multiple abscesses which were successfully drai...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197610000-00038

    authors: Aycock TM,Graivier L,Lugo C,McConnell RW

    更新日期:1976-10-01 00:00:00

  • Impact of Evidence-Based Guidelines on Outcomes of Hospitalized Patients With Clostridium difficile Infection.

    abstract:OBJECTIVES:Clostridium difficile infection (CDI) is the most common healthcare-associated infection in the United States. Clinical practice guidelines for the treatment of CDI were updated in 2010 by the Society for Healthcare Epidemiology of America and the Infectious Diseases Society of America. An institutional guid...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000428

    authors: Knaus SJ,Saum L,Cochard E,Prichard W,Skinner B,Medas R

    更新日期:2016-03-01 00:00:00

  • Electroconvulsive therapy for malignant catatonia in adolescence.

    abstract::Malignant catatonia is a severe form of catatonia which is acute in onset, and is systemically devastating, as it is associated with fever and autonomic instability. Although rarely described in children and adolescents, malignant catatonia should feature prominently in the differential diagnosis of acute pediatric en...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181b9e39c

    authors: Dhossche DM,Shettar SM,Kumar T,Burt L

    更新日期:2009-11-01 00:00:00

  • Capgras' syndrome presenting as postpartum psychosis.

    abstract::A 25-year-old white woman was hospitalized with a postpartum psychosis presenting as an affective disorder with the delusion of Capgras. She was treated with electroconvulsive therapy with resolution of her affective and delusional states. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197708000-00012

    authors: Cohn CK,Rosenblatt S,Faillace LA

    更新日期:1977-08-01 00:00:00

  • Coexisting adenocarcinoma and cystadenofibroma (malignant cystadenofibroma) of the ovary.

    abstract::We have described an adenocarcinoma observed as a grossly discrete area within a cystadenofibroma of the ovary. Fewer than 35 cases of malignant cystadenofibroma have been reported. We find our observations lend support to the prevailing thought that these neoplasms most often originate from preexisting cystadenofibro...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198504000-00030

    authors: Saffos RO,Benrubi GI,Rhatigan RM,Nuss RC

    更新日期:1985-04-01 00:00:00

  • Current concerns for blood donor well-being and health.

    abstract::In addition to assuring an adequate and safe blood supply, blood collection agencies are responsible for the well being of donors. Several aspects of the current blood donor experience may negatively impact donor health and require modification. Physicians need to be aware of health-related issues associated with bloo...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e3181d3904f

    authors: Reiss RF,Kessler D

    更新日期:2010-04-01 00:00:00

  • Surgical treatment of anterior diaphragmatic hernia.

    abstract::Of ten patients with anterior diaphragmatic hernia treated by operation, only three had shortness of breath and chest pain. The remainder of the patients were referred to us because of a roentgenographic abnormality. All patients have had follow-up of between six months and 11 years without recurrence. Surgical repair...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198203000-00008

    authors: Saha SP,Mayo P,Long GA

    更新日期:1982-03-01 00:00:00

  • Nodular fasciitis.

    abstract::Nodular fasciitis is a benign proliferation of fibroblasts and myofibroblasts in the subcutaneous tissues. The lesions are generally small and solitary, arising commonly in the upper extremities of adults and in the head and neck region of infants and children. A history of trauma may precede these reactive lesions, b...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199408000-00020

    authors: Zuber TJ,Finley JL

    更新日期:1994-08-01 00:00:00

  • Nontubercular mycobacterial pulmonary infection in immunocompetent men.

    abstract:BACKGROUND:Nontubercular mycobacteria (NTM) are increasingly recognized to cause lung disease in immunocompetent patients. We studied the occurrence of pulmonary infection due to NTM in immunocompetent men. METHODS:We retrospectively analyzed all sputum mycobacterial cultures at our institution over a 5-year period. C...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Kanathur N,Shantaveerapa HN,Byrd RP Jr,Mehta JB,Roy TM

    更新日期:2001-07-01 00:00:00

  • Effect of omeprazole on oral iron replacement in patients with iron deficiency anemia.

    abstract::Hypochlorhydric states such as atrophic gastritis and partial gastrectomy have long been known to cause iron deficiency anemia. However, studies to date have failed to show a similar association with omeprazole, a proton pump inhibitor that also produces achlorhydria. These studies, however, have primarily involved no...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000110405.63179.69

    authors: Sharma VR,Brannon MA,Carloss EA

    更新日期:2004-09-01 00:00:00

  • Cranial migration of a lumboperitoneal shunt catheter.

    abstract::We describe a patient with pseudotumor cerebri for which a lumboperitoneal (LP) shunt was placed. After a pseudomeningocele was noted at the lumbar incision site, an LP shunt revision was done, at which time migration of the catheter into the thecal sac was noted. Three months later, radiologic studies revealed crania...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199606000-00019

    authors: Alleyne CH Jr,Shutter LA,Colohan AR

    更新日期:1996-06-01 00:00:00

  • Barium appendicitis.

    abstract::We report a case of acute appendicitis with perforation associated with retained appendiceal barium. Abnormally retained barium may lead to appendicitis and this should be kept in mind when a barium-filled appendix is seen in an asymptomatic patient. Routine follow-up films on all patients whose appendix fills with ba...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198204000-00037

    authors: Sisley JF,Wagner CW

    更新日期:1982-04-01 00:00:00

  • Helium-oxygen and conventional mechanical ventilation in the treatment of large airway obstruction and respiratory failure in an infant.

    abstract::The application of 70% helium-30% oxygen mixtures by tight-fitting face mask in the emergency management of large airway obstruction is well known. We present the case of an infant with severe large airway obstruction and respiratory failure that was unresponsive to the more traditional approaches of airway management...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Sauder RA,Rafferty JF,Bilenki AL,Berkowitz ID

    更新日期:1991-05-01 00:00:00

  • Corynebacterium hemolyticum endocarditis on a native valve.

    abstract::We have described a patient with fatal Corynebacterium hemolyticum endocarditis on a native bicuspid aortic valve. This is the first report of endocarditis and the first fatal infection of any kind caused by Corynebacterium hemolyticum. This organism and other nondiphtheria corynebacteria must be considered as potenti...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198510000-00030

    authors: Worthington MG,Daly BD,Smith FE

    更新日期:1985-10-01 00:00:00

  • Effect of written information on physicians' knowledge of drug prices.

    abstract::Fifty-four residents in internal medicine and primary care medicine were surveyed before and after receiving a prescription drugs price guide booklet to determine whether providing written price information to the residents would improve their knowledge of drug costs. Results indicated that the pricing information did...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198303000-00015

    authors: Babington MA,Robinson LA,Monson RA

    更新日期:1983-03-01 00:00:00

  • Acute febrile neutrophilic dermatosis: Sweet's syndrome.

    abstract::A case of acute febrile neutrophilic dermatosis (Sweet's syndrome) is described in a patient with chronic myelogenous leukemia, with a review of all published reports in the English literature. The disease is characterized by an acute febrile illness with painful plaques involving the extremities, face, and neck, and ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197811000-00010

    authors: Chmel H,Armstrong D

    更新日期:1978-11-01 00:00:00

  • Rickets in premature infants fed different formulas.

    abstract::To study the role of formula as a cause of rickets, we randomly assigned 46 very-low-birth-weight (VLBW) infants (less than or equal to 1,500 gm) to one of three groups receiving either Isomil, a soy isolate formula, Similac with Iron, a common milk-based formula, or Similac 24 LBW, a hypercaloric milk-based formula d...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007611-198401000-00005

    authors: Kulkarni PB,Dorand RD,Bridger WM,Payne JH 3rd,Montiel DC,Hill JG

    更新日期:1984-01-01 00:00:00

  • Preventing disruption of abdominal wounds.

    abstract::The use of silver wire retention sutures requires added operating room time and expense, and it incurs the potential hazards of caught viscera, the possibility of more adhesions, leakage of intraperitoneal fluid through the exit wound, mild infection of exit wounds, and, on removal of the sutures, pain despite sedatio...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197905000-00013

    authors: Old WL Jr,Stokes TL

    更新日期:1979-05-01 00:00:00

  • Unusual skin lesions in chronic myelomonocytic leukemia.

    abstract::Chronic myelomonocytic leukemia (CMML) is a relatively rare, heterogeneous syndrome classified as a myelodysplastic syndrome according to the French-American-British classification system. The patient's presenting symptom was a pigmented skin nodule that, although common for cases of acute monoblastic leukemia, is pec...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000054224.50737.4C

    authors: McCollum A,Bigelow CL,Elkins SL,Hardy CL,Files JC

    更新日期:2003-07-01 00:00:00

  • Blood loss at vaginal delivery.

    abstract::Although the accurate assessment of blood loss at vaginal delivery is clinically important in terms of maternal morbidity and mortality, the quantity is usually underestimated. We present a simple, practical, and convenient method of quantitating blood loss at vaginal delivery. The method of vaginal delivery (spontane...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198602000-00013

    authors: Hill JA,Fadel HE,Nelson MC,Nelson RM,Nelson GH

    更新日期:1986-02-01 00:00:00

  • Timeliness of Treatment Initiation and Associated Survival Following Diagnosis of Non-Small-Cell Lung Cancer in South Carolina.

    abstract:OBJECTIVES:Non-small-cell lung cancer (NSCLC) patient survival depends on a number of factors, including early diagnosis and initiation of treatment. Standard treatment options for patients with NSCLC include surgery, radiation therapy, and chemotherapy. The objective of this study was to evaluate the impact that the i...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000601

    authors: Bullard JT,Eberth JM,Arrington AK,Adams SA,Cheng X,Salloum RG

    更新日期:2017-02-01 00:00:00

  • Hypothenar hammer syndrome.

    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

    pub_type: 杂志文章

    doi:10.1097/00007611-198104000-00031

    authors: Ettien JT,Allen JT,Vargas C

    更新日期:1981-04-01 00:00:00

  • Neonatal sepsis and meningitis due to alpha-hemolytic Streptococcus.

    abstract::We have reported a case of septicemia and meningitis due to alpha-hemolytic Streptococcus in a 5-day-old infant. The microbiologic and clinical characteristics of neonatal infection with this organism lead us to conclude that this bacterium can be pathogenic in the newborn and should not be dismissed as a contaminant....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198303000-00032

    authors: Fraser JJ Jr,Marks MI,Welch DF

    更新日期:1983-03-01 00:00:00

  • Water sanitation practices on the Texas-Mexico border: implications for physicians on both sides.

    abstract::With the epidemic of cholera in South and Central America and reports of cholera in the Northern Hemisphere in Mexico, increasing concern focuses on sanitation problems along the border between the United States and Mexico. It is feared that binationally shared water supplies are threatened or contaminated by sewage a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199211000-00003

    authors: Cech I,Essman A

    更新日期:1992-11-01 00:00:00

  • Benign familial neonatal convulsions.

    abstract::Two siblings had frequent seizures from the second and third day of life until one week and seven months, respectively. The mother, grandmothers, and three other family members were similarly affected. Known causes of neonatal seizures were excluded. The condition is inherited as an autosomal dominant trait. Its etiol...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198205000-00038

    authors: Giacoia GP

    更新日期:1982-05-01 00:00:00

  • Tissue expansion in the treatment of hypertrophic scars and scar contractures.

    abstract::The temporary tissue expander can generate an excess of full-thickness skin that can be recruited into an adjacent area of tissue deficiency caused by scar contracture. The creation of a pseudobursa enhances the functional improvement gained by this technique. Now in its developmental stage, tissue expansion carries a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198604000-00011

    authors: Hagerty RC,Zubowitz VN

    更新日期:1986-04-01 00:00:00

  • Pancreatic pseudocyst with splenic involvement: an uncommon complication of pancreatitis.

    abstract::We have presented a case of chronic pancreatitis with pseudocyst involvement of the spleen complicated by splenic rupture. This complication is uncommon, only 19 cases having been reported. As illustrated by our case, there is a high risk of hemorrhage from a pseudocyst involving the spleen and pancreas. Immediate sur...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198807000-00025

    authors: McMahon NG,Norwood SH,Silva JS

    更新日期:1988-07-01 00:00:00

  • Spontaneous peripelvic extravasation of urine during pregnancy.

    abstract::We have described a case of peripelvic extravasation of urine caused by lower ureteral obstruction from a breech presentation in a 20-year-old primigravida. The patient was successfully treated with cesarean section to relieve the obstruction, and systemic antibiotics. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198006000-00043

    authors: Noe HN,Raghavaiah NV

    更新日期:1980-06-01 00:00:00