Yield of diagnostic tests and its impact on cost in adult patients with syncope presenting to a community hospital.

abstract：:We have described massive intermittent intestinal hemorrhage due to a vascular anomaly in an ileal duplication cyst in a 30-year-old man. This unusual case illustrates that these lesions disguise themselves symptomatically and must be considered in the differential diagnosis of gastrointestinal bleeding. ...

journal_title：Southern medical journal

authors： Salameh RN,Hausner RJ,Thomas SJ,Johnson CD

更新日期：1984-12-01 00:00:00

abstract：:Sarcoidosis rarely involves the genitourinary system or the spinal cord. This report describes a case of sarcoidosis with a scrotal mass, a mass compressing the spinal cord, and lesions in the liver and spleen. This case illustrates an uncommon manifestation of sarcoidosis, which may mimic disseminated testicular canc...

journal_title：Southern medical journal

authors： SultanAli I,Zaman M,Yende S

更新日期：2005-09-01 00:00:00

abstract：:To make informed career decisions, physicians must acquire a basic knowledge in medical management and health care economics as they evaluate the potential survival and growth of a primary care practice. Health care providers considering a specific community and local leaders and hospital administrators attempting to ...

journal_title：Southern medical journal

authors： Miller KA,Miller D,Doeksen G,Shelton P

更新日期：1994-04-01 00:00:00

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

authors： Cotton JL,Gallaher KJ,Henry GW

更新日期：2002-09-01 00:00:00

abstract：:Urinary incontinence in the elderly is a significant health problem fraught with isolation, depression, and an increased risk of institutionalization and medical complications. Stress urinary incontinence (SUI), the complaint of involuntary loss of urine during effort or exertion or during sneezing or coughing, is the...

journal_title：Southern medical journal

authors： Viktrup L,Koke S,Burgio KL,Ouslander JG

更新日期：2005-01-01 00:00:00

abstract：:Premalignant lesions of the anal margin include Bowen's disease (intraepithelial squamous cell carcinoma) and Paget's disease (intraepithelial adenocarcinoma). Our experience includes 11 patients with perianal Paget's disease and 37 patients with perianal Bowen's disease treated from 1957 to 1986. The patients with pe...

journal_title：Southern medical journal

authors： Beck DE,Fazio VW

更新日期：1989-04-01 00:00:00

abstract：:We present a case believed to be the first reported North American presentation of Ascaris lumbricoides within the urogenital tract. A young man came to the emergency department because of painless hematuria and having observed a 6-inch worm exit his urethra while urinating. The most common site for A lumbricoides inf...

journal_title：Southern medical journal

authors： Quick G,Sheikho SH,Walker JS

更新日期：2001-04-01 00:00:00

abstract：:We retrospectively reviewed medical records and computerized critical care data for 40 consecutive critically ill surgical patients receiving "standard" doses (1.5 to 2.0 mg/kg loading dose and 3 to 5 mg/kg/day) of gentamicin or tobramycin for gram-negative infections. End points measured were serum drug levels and cl...

journal_title：Southern medical journal

authors： Cornwell EE 3rd,Belzberg H,Berne TV,Kern JW,Henriques G,Asensio JA,Demetriades D

更新日期：1997-01-01 00:00:00

abstract：BACKGROUND:Pneumonia is a leading infectious cause of morbidity and mortality in the United States. The Infectious Disease Society of America (IDSA) and American Thoracic Society (ATS) have published treatment guidelines for community-acquired pneumonia (CAP) based upon the site of acquisition and specific pathogen ris...

journal_title：Southern medical journal

authors： Fleming V,Buck B,Nix N,Kumar P,Southwood R

更新日期：2013-03-01 00:00:00

abstract：:The purpose of this study was to train and evaluate teams of standardized (simulated) patients as part of a required course in family medicine for second-year medical students. During three hours of training, six women were trained to play the same person. These standardized teams played four roles during the 12-week ...

journal_title：Southern medical journal

authors： Nieman LZ,Thomas R

更新日期：1987-09-01 00:00:00

abstract：:Patients with sickle cell disease are predisposed to infection caused by Streptococcus pneumoniae. However, there has been only one published case of bacteremic pneumococcal meningitis in an adult with sickle cell anemia. We report here the cases of six adults with sickle cell disease, pneumococcal sepsis, and meningi...

journal_title：Southern medical journal

authors： Olopoenia L,Frederick W,Greaves W,Adams R,Addo FE,Castro O

更新日期：1990-09-01 00:00:00

abstract：:Two premature infants were infected with HIV via blood transfusions during the neonatal period. Although neither patient had serum antibody to HIV owing to severe hypogammaglobulinemia, HIV infection was confirmed by finding HIV antigen in the sera of both patients. These cases show that HIV infection can produce seve...

journal_title：Southern medical journal

authors： Saulsbury FT

更新日期：1989-04-01 00:00:00

abstract：:The frequency with which house staff noticed their patients to be anemic, the frequency with which they tried to find out why the patients were anemic, and the diagnostic accuracy of such endeavors were measured. Next, an intervention was conducted in which the teams were lectured on the subject of anemia, given readi...

journal_title：Southern medical journal

authors： Sapira JD

更新日期：1991-02-01 00:00:00

abstract：:A resurgence of acute rheumatic fever (ARF) has been reported in many areas of the United States in recent years. We retrospectively reviewed the medical records of inpatients with a new diagnosis of ARF from 1982 through 1988 at a children's hospital that serves a six-state referral area in the mid-South. Thirty pati...

journal_title：Southern medical journal

authors： Leggiadro RJ,Birnbaum SE,Chase NA,Myers LK

更新日期：1990-12-01 00:00:00

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

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

更新日期：1990-05-01 00:00:00

abstract：:Patent ductus arteriosus (PDA) is a malady usually identified during childhood. Prompt surgical correction provides definitive therapy with long-term survival. When not corrected, PDA leads to significant morbidity and mortality, making it a rare condition in the adult population. We report the case of a 44-year-old m...

journal_title：Southern medical journal

authors： Chang EE,Diethelm L,Lasky JA,Rubio ER

更新日期：2001-03-01 00:00:00

abstract：:Perinephric and prostatic abscesses may present with protean symptoms and often arise from ascending urinary tract infections. Both abscesses are often caused by uropathogens, and only on rare occasions is the etiology due to methacillin-resistant Staphylococcus aureus (MRSA). Perinephric and prostatic abscesses have ...

journal_title：Southern medical journal

authors： Tobian AA,Ober SK

更新日期：2007-05-01 00:00:00

abstract：:I describe the case of a 25-year-old man who, after a scuba dive, had ocular barotrauma caused by mask squeeze. As in most cases, the condition occurred because the patient failed to exhale into the mask during descent to equalize the pressure within the mask. Although alarming in appearance, the condition is generall...

journal_title：Southern medical journal

authors： Rudge FW

更新日期：1994-07-01 00:00:00

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

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

更新日期：1991-05-01 00:00:00

abstract：OBJECTIVES:People living with human immunodeficiency virus (HIV) have an increased risk of other infections, including viral hepatitis, which can complicate the treatment and progression of the disease. We sought to characterize Alabama cases of HIV co-infected with hepatitis C virus or hepatitis B virus. METHODS:Usin...

journal_title：Southern medical journal

authors： Siza C,Bixler D,Davidson S

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Among patients with pulmonary disease due to Mycobacterium avium complex (MAC) seen recently at our center, a substantial number have had extensive calcified mediastinal, hilar, and peribronchial lymphadenopathy, a finding historically inconsistent with pulmonary MAC disease. METHOD:We retrospectively studi...

journal_title：Southern medical journal

authors： Chan ED,Iseman MD

更新日期：1999-06-01 00:00:00

abstract：:Guar gum is a high polymer carbohydrate that undergoes considerable expansion and thickening when placed in water. Because of this property, guar gum has been used in "weight loss" tablets marketed by several pharmaceutical manufacturers. These tablets undergo expansion in the stomach and are expected to cause early s...

journal_title：Southern medical journal

authors： Halama WH,Mauldin JL

更新日期：1992-06-01 00:00:00

abstract：:The use of psychotropic medication is often associated with weight gain. We provide documentation for this effect and review the mechanisms possibly responsible for it in the case of neuroleptic agents, lithium carbonate, monoamine oxidase inhibitors, and amitriptyline. We also enumerate the undesirable medical conseq...

journal_title：Southern medical journal

authors： Rockwell WJ,Ellinwood EH Jr,Trader DW

更新日期：1983-11-01 00:00:00

abstract：:Insomnia disorder is present in as much as 30% of the general adult population. Given the significant adverse effects of pharmacotherapy, cognitive behavioral therapy (CBT) has been found to be an effective alternative in individuals with insomnia. CBT for insomnia (CBTi) encompasses sleep hygiene, stimulus control, s...

journal_title：Southern medical journal

authors： Haynes J,Talbert M,Fox S,Close E

更新日期：2018-02-01 00:00:00

abstract：:In a community hospital, we correlated results of thallium 201 myocardial scintigraphy with coronary arteriographic data in 79 patients. Scintigraphy was 92% sensitive and 85% specific in detecting coronary artery disease. There were no false-negative scintigrams in patients with double or triple vessel disease. The m...

journal_title：Southern medical journal

authors： Tendera M,Campbell WB,Moyers JR

更新日期：1984-08-01 00:00:00

abstract：OBJECTIVES:Cystic fibrosis (CF) is associated with vitamin D deficiency, which can lead to adverse effects including recurrent pulmonary infections and osteoporosis. We longitudinally investigated calcifediol or 25-hydroxyvitamin D (25(OH)D) levels for our pediatric patients with CF based on the time of year as well as...

journal_title：Southern medical journal

authors： Lansing AH,McDonald C,Patel RA,Meihls S,Crowell K,Chatfield B,Pohl JF

更新日期：2015-03-01 00:00:00

abstract：:This paper describes a transverse approach to the knee which gives unequalled access to the joint for extensive synovectomies, extensive surgical debridement, installation of total knee prostheses, or reduction of supracondylar fracture of the femur involving the articular surfaces. The temporary patellar tendon subst...

journal_title：Southern medical journal

authors： McConnell BE

更新日期：1976-05-01 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：:Two cases of recurrent psychotic depression are reported in which ECT (electroconvulsive therapy) was administered with good results for previous episodes of depression, but treatment of the current episode with combined drug therapy (antidepressant and antipsychotic drugs) in one case and antidepressant chemotherapy ...

journal_title：Southern medical journal

authors： Solomon JG

更新日期：1978-12-01 00:00:00

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

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

更新日期：1985-04-01 00:00:00