Massive bleeding in a Zenker's diverticulum.

abstract：OBJECTIVES:Accurate and consistent documentation of pain management, including patient responses regarding improvement in pain scores, is essential for improving patient care. The objective of the project was to evaluate the current prescribing patterns and to review the current documentation for opioid-managed, chroni...

journal_title：Southern medical journal

authors： DeRemer CE,Fleming VH,Brown S,May JR

更新日期：2011-09-01 00:00:00

abstract：:A clinical diagnosis of meningitis in neonates is difficult because of paucity of physical findings. In older infants and children, nuchal rigidity, Kernig's or Brudzinski's sign, or bulging fontanelles are sought. A review of 1,064 cases of bacterial meningitis beyond the neonatal period revealed that 16 (1.5%) patie...

journal_title：Southern medical journal

authors： Geiseler PJ,Nelson KE

更新日期：1982-04-01 00:00:00

abstract：:This study was planned to determine the effectiveness of the Breese scoring system for the diagnosis of streptococcal pharyngitis and to evaluate its significance in different age groups. The research population was divided into two age groups. Group 1 consisted of children aged three and below and group 2 comprised c...

journal_title：Southern medical journal

authors： Karacan M,Karakelleoğlu C,Orbak Z

更新日期：2007-12-01 00:00:00

abstract：OBJECTIVES:Age-related macular degeneration (AMD) is the leading cause of blindness in the United States. Although AMD shares multiple risk factors with coronary artery disease (CAD), the association between AMD and CAD has not been established. The objective of our study was to demonstrate an association between the d...

journal_title：Southern medical journal

authors： Thomas J,Mohammad S,Charnigo R,Baffi J,Abdel-Latif A,Ziada KM

更新日期：2015-08-01 00:00:00

abstract：:Malignant secondary parotid neoplasms are uncommon. Among 545 malignant parotid tumors, we found 52 (9%) that did not arise primarily in the parotid gland. Lymphomas or tumors of hematopoietic origin were excluded from this study. All patients had a parotid mass (two bilateral), one third of which were painful; 20% ha...

journal_title：Southern medical journal

authors： Rees R,Maples M,Lynch JB,Rosenfeld L

更新日期：1981-09-01 00:00:00

abstract：:The right ventricle is not normally displayed by studies with thallium 201 in patients at rest, but it can be shown by thallium 201 myocardial scintigraphy with pressure or volume overload of the right ventricle and with right ventricular hypertrophy. We sought to determine the frequency of right ventricular demonstra...

journal_title：Southern medical journal

authors： Shuck JW,Walder J,Oetgen WJ,Thomas HM

更新日期：1985-12-01 00:00:00

abstract：:We report a retrospective evaluation of the role of panretinal photocoagulation in the primary treatment of neovascular glaucoma. Thirty-six eyes (32 patients) received aggressive argon laser panretinal photocoagulation beginning as soon as feasible after diagnosis of the developing neovascular glaucoma. Thirty eyes w...

journal_title：Southern medical journal

authors： Cashwell LF,Marks WP

更新日期：1988-11-01 00:00:00

abstract：:In this paper we describe a technique for continuous spinal anesthesia, first described at the turn of the 20th century and long thought to have become obsolete. We discuss reasons for discontinuance and neglect of the technique, as well as its indications, applications, and specific advantages, and we report a signif...

journal_title：Southern medical journal

authors： Shroff PK,Skerman JH,Blass NH

更新日期：1988-02-01 00:00:00

abstract：:In a series of 565 morbidly obese patients having one of five gastric bariatric procedures done at North Carolina Memorial Hospital between May 1975 and December 1982, 55 patients had 58 complications requiring reoperation. These complications included a leak from the stomach or anastomosis, stomal obstruction, and su...

journal_title：Southern medical journal

authors： Fakhry SM,Herbst CA Jr,Buckwalter JA

更新日期：1985-05-01 00:00:00

abstract：:Massive unilateral virginal breast hypertrophy in a 13-year-old girl was treated by right breast reduction, with removal of 2,968 g of breast tissue. A year later, the patient had enlargement of the left breast, and contralateral reduction mammoplasty was done. Two-year follow-up has shown no further enlargement. This...

journal_title：Southern medical journal

authors： Netscher DT,Mosharrafa AM,Laucirica R

更新日期：1996-04-01 00:00:00

abstract：:A 32-year-old farmer had signs and symptoms of dinitrophenol poisoning after crop spraying with a herbicide containing derivatives of 2,4-dinitrophenol. Dinitrophenol causes toxicity by the uncoupling of oxidative phosphorylation in the mitochondria of cells throughout the body. In man the classic syndrome consists of...

journal_title：Southern medical journal

authors： Leftwich RB,Floro JF,Neal RA,Wood AJ

更新日期：1982-02-01 00:00:00

abstract：BACKGROUND:To design and evaluate interventions for reducing the impact of stroke in Georgia, we assessed knowledge of signs, risk factors, and burden of stroke. METHODS:Adults in Georgia were studied with a random digit dial telephone survey. RESULTS:Answering an unaided question, 39% of 602 respondents named > or =...

journal_title：Southern medical journal

authors： Rowe AK,Frankel MR,Sanders KA

更新日期：2001-06-01 00:00:00

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

authors： Worthington MG,Daly BD,Smith FE

更新日期：1985-10-01 00:00:00

abstract：:Diabetic ketoacidosis can be effectively and economically treated by using low-dose intravenous insulin and 2 to 3 liters of isotonic saline at 500 ml/hr to replace extracellular fluids, followed by 2 to 4 L of 5% glucose in 0.45% saline with potassium chloride and/or potassium phosphate to replace intracellular fluid...

journal_title：Southern medical journal

authors： Moss JM

更新日期：1987-07-01 00:00:00

abstract：:Narcolepsy is a severely debilitating neurologic disease that is not as rare as many believe, affecting an estimated 140,000 Americans. Despite the sometimes debilitating nature of narcolepsy symptoms, the disease may go undiagnosed without an organized method for evaluating patients with sleep complaints. Many of the...

journal_title：Southern medical journal

authors： Feldman NT

更新日期：2003-03-01 00:00:00

abstract：:Cronkhite-Canada syndrome is a rare, noninherited gastrointestinal polyposis syndrome associated with characteristic ectodermal abnormalities. This report describes a 60-year-old female who was diagnosed with Cronkhite-Canada syndrome with hypothyroidism after presenting with chronic diarrhea, alopecia, intermittent a...

journal_title：Southern medical journal

authors： Qiao M,Lei Z,Nai-Zhong H,Jian-Ming X

更新日期：2005-05-01 00:00:00

abstract：:For over a decade there has been concern about hepatitis related to halothane anesthesia. No dose relationship or other direct cause has ever been established, and jaundice has been found to occur after other anesthetics for surgical operations. Enflurane is a newer halogenated compound with a remarkable record of saf...

journal_title：Southern medical journal

authors： Thompson DS,Friday CD

更新日期：1978-07-01 00:00:00

abstract：:Ten bites by Loxosceles reclusa, the North American brown recluse spider, are reported from South Carolina. Envenomation by the brown recluse spider is becoming a public health problem in the United States. The spider reportedly now is found from coast to coast in the southern half of the country and its range is prob...

journal_title：Southern medical journal

authors： Majeski JA,Durst GG Sr

更新日期：1976-07-01 00:00:00

abstract：:A 42-year-old man had nausea, vomiting, periumbilical pain, tenesmus, and diarrhea shortly after eating seafood. Stool microscopy showed "beaver bodies," or Psorospermium haeckelii, a nonpathogenic algal organism often confused with enteric pathogens and commonly found in the excrement of persons consuming crayfish. ...

journal_title：Southern medical journal

authors： Bouckenooghe AR,Marino BJ

更新日期：2001-02-01 00:00:00

abstract：:The scapulocostal syndrome is an often encountered yet infrequently diagnosed cause of back and/or shoulder pain. Results of examination and treatment in the three cases described point out the necessary differential diagnosis to effectively screen these groups of patients from among those with more complex diseases. ...

journal_title：Southern medical journal

authors： Cohen CA

更新日期：1980-04-01 00:00:00

abstract：OBJECTIVES:This study describes the clinical problems and psychiatric diagnoses of college students who sought services at a student counseling clinic and were subsequently referred for evaluation by a psychiatrist. Several important psychiatric problems present before leaving for college that could mandate the selecti...

journal_title：Southern medical journal

authors： Lowe B,Bryant-Melvin K,Peterson M,Hussain N,Holroyd S

更新日期：2020-05-01 00:00:00

abstract：:This is a case which highlights unique diagnostic challenges in the evaluation of a previously healthy patient presenting with a myelopathy initially most concerning for malignancy. However, timely recognition and nonoperative therapy of unexpected spinal sarcoidosis with corticosteroidal therapy was crucial in averti...

journal_title：Southern medical journal

authors： Nguyen H,Le C,Nguyen H

更新日期：2010-09-01 00:00:00

abstract：:Reported is the association of condyloma acuminatum and squamous carcinoma of the vulva in three cases and condyloma followed by squamous dysplasia in a fourth case. This association has previously been reported in both male and female genitalia and in the perianal area. In our four cases, cancer or squamous dysplasia...

journal_title：Southern medical journal

authors： Rhatigan RM,Saffos RO

更新日期：1977-05-01 00:00:00

abstract：:Cardiac ascites is a rare condition. Diagnosis is aided by liver histology, which characteristically shows diffuse hepatic congestion affecting the centrilobular region. In our case of refractory ascites due to constrictive pericarditis, diagnosis was delayed because centribular hepatic congestion was absent histologi...

journal_title：Southern medical journal

authors： Kirsch M,Fleshler B

更新日期：1992-11-01 00:00:00

abstract：:Among exocrine pancreatic tumors, adenosquamous carcinoma (ASC) is a rare, aggressive subtype with a worse prognosis and a higher potential for metastases compared to its more conventional glandular counterpart, adenocarcinoma. The disease distribution shows an approximately 1:1 male/female ratio and a median survival...

journal_title：Southern medical journal

authors： Trikudanathan G,Dasanu CA

更新日期：2010-09-01 00:00:00

abstract：:Chordomas are tumors originating from remnants of the notochord, most commonly found in the cranial and caudal regions. This is a report of the seventh intrathoracic chordoma in the world literature and the second to be reported in a woman. Histologically the physalipherous (blister-bearing) cell is characteristic of ...

journal_title：Southern medical journal

authors： Castellano GC,Johnston HW

更新日期：1975-01-01 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：: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

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

更新日期：1979-05-01 00:00:00

abstract：OBJECTIVES:Transcranial Doppler ultrasound (TCD) effectively identifies children with sickle cell anemia (SCA) who are at increased risk of stroke. We evaluated a low-cost quality improvement (QI) intervention to increase the proportion of children screened by TCD. METHODS:We measured the proportion of children with S...

journal_title：Southern medical journal

authors： Muntz DS,Bundy DG,Strouse JJ

更新日期：2016-09-01 00:00:00

abstract：:Two patients receiving steroid therapy for sarcoidosis had a potentially fatal opportunistic infection that was difficult to differentiate from the underlying illness, but was successfully treated after the diagnosis was made. The effects of sarcoidosis on the immune system and the additional effects of steroid therap...

journal_title：Southern medical journal

authors： Sadikot RT,Doré P,Arnold AG

更新日期：2001-01-01 00:00:00