Chest pain evaluation unit: a cost-effective approach for ruling out acute myocardial infarction.

abstract：:A patient had a tracheoesophageal fistula resulting from malignant histiocytoma. Surgical treatment included esophagectomy and repair of the left main-stem bronchus. Gastrointestinal continuity was restored by a right colon interposition after chemotherapy. ...

journal_title：Southern medical journal

authors： Kelly JP,Roper CL

更新日期：1984-09-01 00:00:00

abstract：:Anaerobic bacteria outnumber aerobic bacteria in normal flora in the oropharynx and gastrointestinal tract. They are important and frequent causes of infection, although they often go unrecognized except in the classic and very distincitve clostridial infections and intoxications-gas gangrene, botulism, and tetanus. A...

journal_title：Southern medical journal

authors： Meyer RD,Finegold SM

更新日期：1976-09-01 00:00:00

abstract：OBJECTIVES:Obstructive sleep apnea (OSA) is a prevalent disorder that is associated with multiple medical consequences. Although in-laboratory polysomnography is the gold standard for the diagnosis of OSA, portable monitors have been developed and studied to help increase efficiency and ease of diagnosis. We aimed to a...

journal_title：Southern medical journal

authors： Alsharif AM,Potts M,Laws R,Freire AX,Sultan-Ali I

更新日期：2016-10-01 00:00:00

abstract：:Most patients with heart failure today are treated by primary care practitioners, not cardiologists. The Consensus Recommendations for the Management of Chronic Heart Failure, developed by the Advisory Council to Improve Outcomes Nationwide in Heart Failure, provide practice guidelines for the prevention, diagnosis, a...

journal_title：Southern medical journal

authors： Basile J

更新日期：2001-02-01 00:00:00

abstract：:A 54-year-old man deliberately drank a potassium-gold cyanide solution that contained approximately 1,650 mg of potassium cyanide. He survived after treatment with the Lilly antidote kit and hyperbaric oxygen. ...

journal_title：Southern medical journal

authors： Goodhart GL

更新日期：1994-08-01 00:00:00

abstract：:The advantages of topical (as opposed to systemic) therapy for allergic rhinitis include the avoidance of undesirable systemic effects and the concentration of therapeutic effect on the target organ. Successful topical therapy requires establishment of a proper diagnosis, followed by effective delivery of the medicati...

journal_title：Southern medical journal

authors： Mabry RL

更新日期：1992-02-01 00:00:00

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

authors： Saha SP,Mayo P,Long GA

更新日期：1982-03-01 00:00:00

abstract：OBJECTIVES:Osteopenia is considerably more common than osteoporosis and accounts for most of the fracture burden in women older than 50 years. It is uncertain when to initiate treatment in osteopenia. We sought to determine in women with osteopenia what effect transitioning to lower categories had on subsequent fractur...

journal_title：Southern medical journal

authors： Pfister AK,Welch CA,John M,Emmett MK

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:The nursing home clinician may encounter euthyroid residents with low total serum thyroxine (T4) values associated with certain medications or nonthyroidal illness (NTI). Hypothyroidism may be incorrectly diagnosed and thyroid hormone prescribed. METHODS:We reviewed all T4 determinations and individuals wit...

journal_title：Southern medical journal

authors： Amberson J,Drinka PJ

更新日期：1998-05-01 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

authors： Goldsmith RS

更新日期：1978-12-01 00:00:00

abstract：:Children with sickle cell anemia who were less than 5 years old were observed over a three-year period. Those born to recent Haitian immigrants accounted for 108.4 patient-years. They had seven episodes of Streptococcus pneumoniae bacteremia and five due to Haemophilus influenzae for rates of 6.5 and 4.6 episodes per ...

journal_title：Southern medical journal

authors： Pegelow CH

更新日期：1989-07-01 00:00:00

abstract：:The results of a large randomized prospective clinical trial conducted by the Veterans Administration Co-operative Urological Research Group (VACURG) in 1968 are updated and reevaluated. In this study, placebo, diethylstilbestrol (DES, 5 mg/day), orchiectomy plus placebo, and orchiectomy plus DES were compared in pati...

journal_title：Southern medical journal

authors： Jordan WP Jr,Blackard CE,Byar DP

更新日期：1977-12-01 00:00:00

abstract：:The purpose of this review article is to selectively examine research that was designed to evaluate the relation between religious involvement and health among older people. Four facets of religion are examined in detail: church-based social support, religious coping, forgiveness, and prayer. In addition, potential ne...

journal_title：Southern medical journal

authors： Krause N

更新日期：2004-12-01 00:00:00

abstract：:Nonspherocytic hemolytic anemia was diagnosed in a 34-year-old man with jaundice since childhood. Splenectomy at the age of 8 had no influence on the anemia. Bronze diabetes was diagnosed at age 31, presumably due to hemosiderosis and secondary hemochromatosis. Iron chelation was unsuccessful in controlling iron overl...

journal_title：Southern medical journal

authors： Hanna WT,Machado EA,Montgomery RN,Lange RD

更新日期：1985-05-01 00:00:00

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 intoxic...

journal_title：Southern medical journal

authors： Koroscil MT,Schulte JJ,Bricker D,Koroscil TM

更新日期：2015-02-01 00:00:00

abstract：:We have described a case of reversible acute renal failure caused by acute pyelonephritis. In this entity, the kidneys are swollen by an interstitial infiltrate and edema, and white cell tubular casts and microabscesses may be present. Fractional excretion of sodium is high, and nephrotic proteinuria may occur without...

journal_title：Southern medical journal

authors： Olsson PJ,Black JR,Gaffney E,Alexander RW,Mars DR,Fuller TJ

更新日期：1980-03-01 00:00:00

abstract：:Medical care in resource-limited environments (austere settings) can occur in the context of a disaster, wilderness, or a tactical field operation. Regardless of the type of environment, there are common organizational themes in most successful humanitarian missions that occur in harsh natural or manmade environmental...

journal_title：Southern medical journal

authors： Macias DJ,Williams J

更新日期：2013-01-01 00:00:00

abstract：:A woman developed anterior uveitis at age 24, inflammatory bowel disease at age 29, and ankylosing spondylitis at age 45 by history. There were frequent recurrences. An HLA-B27 test was positive at age 53. The literature indicates that all of these conditions together in a HLA-B27-positive woman are uncommon. Physicia...

journal_title：Southern medical journal

authors： Singleton EM,Hutson SE

更新日期：2006-05-01 00:00:00

abstract：:A "life stress" scale is applied to the antecedent events motivating 179 patients to seek outpatient psychiatric help. Intake evaluation reports of patients who kept their appointments at the Adult Psychiatric Outpatient Clinic of Vanderbilt University Hospital over a three-month period were reviewed. Almost half of t...

journal_title：Southern medical journal

authors： Corney RT,Roback HB

更新日期：1976-02-01 00:00:00

abstract：BACKGROUND:This study was designed to identify differences among internists in their attitudes about diabetes and how those attitudes influence practice behavior. METHODS:A cross-sectional study of 55 internists in an academic medical center was done using the Diabetes Attitude Scale (DAS-3), a valid and reliable meas...

journal_title：Southern medical journal

authors： Egede LE,Michel Y

更新日期：2002-01-01 00:00:00

abstract：:Anorexia nervosa has been associated with various hematologic and immunologic abnormalities, including characteristic bone marrow changes, red cell acanthocytosis, leukopenia, complement deficiencies, and defective bactericidal activity of granulocytes. Dietary and psychogenic factors may play a role in these abnormal...

journal_title：Southern medical journal

authors： Kay J,Stricker RB

更新日期：1983-08-01 00:00:00

abstract：OBJECTIVES:The lack of access to diagnostic imaging in resource-limited settings (RLSs) poses a worldwide problem. Advances in ultrasound (US) imaging technology bridge this gap, particularly when examinations are performed by physicians and integrated into the patient encounter, termed point-of-care ultrasound (POCUS)...

journal_title：Southern medical journal

authors： Barron KR,Lai JC,MenkinSmith LP,Lee JS,Humphrey ME,Hall JW

更新日期：2018-07-01 00:00:00

abstract：:An elderly woman complaining of a gait disorder was found to have the GALOP syndrome (gait ataxia, late-onset polyneuropathy). She exhibited mild distal weakness and sensory loss in the legs, a positive Romberg, and an unsteady gait. Serum immunofixation disclosed a monoclonal IgM-kappa protein. There was specific IgM...

journal_title：Southern medical journal

authors： Alpert JN

更新日期：2004-04-01 00:00:00

abstract：:Of 72 patients with chronic myelogenous leukemia (CML), 37 were Ph1 positive, eight were negative, and 27 were not evaluated for the Ph1 chromosome. Of the 37 patients positive for Ph1, 31 had adequate evaluation. These 31 patients were reviewed for survival with reference to spleen size. Seventeen patients with splee...

journal_title：Southern medical journal

authors： Collins RK,Jackson JF,Morrison FS,Meydrech EF

更新日期：1979-06-01 00:00:00

abstract：BACKGROUND:Pulmonary contusion (PC) is the most common injury identified in pediatric blunt chest trauma. The disagreement over management principles of children with PC may complicate care of these patients. METHODS:We reviewed the literature and our institutional experience. RESULTS:Pulmonary contusion is most ofte...

journal_title：Southern medical journal

authors： Allen GS,Cox CS Jr

更新日期：1998-12-01 00:00:00

abstract：BACKGROUND:Patient comfort is an important part of laceration repair. METHODS:The study was a randomized single-blind cross-over trial in which each participant received 250 ml warmed and 250 ml room temperature saline irrigation in simple linear wounds after a local anesthetic was instilled. The solutions and the ord...

journal_title：Southern medical journal

authors： Ernst AA,Gershoff L,Miller P,Tilden E,Weiss SJ

更新日期：2003-05-01 00:00:00

abstract：:A 42-year-old woman had dysentery caused by the Shiga bacillus, Shigella dysenteriae type 1, while taking diphenoxylate with atropine during and after her return from a trip to Mexico. Although she was treated with appropriate antibiotics, she suffered a prolonged and toxic acute course followed by intermittent bouts ...

journal_title：Southern medical journal

authors： Rice PA,Baine WB

更新日期：1980-03-01 00:00:00

abstract：:Primary squamous cell carcinoma of the breast is a rare cancer. Published reports of prognosis are variable, and most studies are case reports of one or a few patients. We report an additional case of squamous cell carcinoma of the breast occurring in a 53-year-old black woman. In reviewing the reported cases of this ...

journal_title：Southern medical journal

authors： Weigel RJ,Ikeda DM,Nowels KW

更新日期：1996-05-01 00:00:00

abstract：BACKGROUND:Although studies have identified physician beliefs that may cause them to avoid spiritual topics in the clinic (eg, lack of time), it is unknown to what extent these beliefs predict behavior. The purpose of the present study was to identify physician beliefs about religion and medicine that predict attention...

journal_title：Southern medical journal

authors： Chibnall JT,Brooks CA

更新日期：2001-04-01 00:00:00

abstract：OBJECTIVES:To determine whether prolonged length of stay (pLOS) in ischemic stroke is related to delays in discharge disposition arrangement. METHODS:We designed a retrospective study to compare patients with acute ischemic stroke who experienced pLOS to those who did not experience pLOS. Patients who have had acute i...

journal_title：Southern medical journal

authors： Siegler JE,Boehme AK,Fowler BD,George AJ,Monlezun DJ,Albright KC,Beasley TM,Martin-Schild S

更新日期：2013-12-01 00:00:00