Evaluation and management of shoulder pain in primary care clinics.

abstract：:I reviewed factors contributing to diagnostic delay in 12 children who had symptoms of meningitis for more than three days before diagnosis. Prior antibiotic therapy was more common in children with delayed diagnosis. Parental factors included possible neglect in one child and passivity and failure to recognize the se...

journal_title：Southern medical journal

authors： Dunn DW

更新日期：1984-09-01 00:00:00

abstract：PURPOSE:To characterize rates of initial misclassification of type 1 diabetes mellitus as type 2/unspecified diabetes mellitus in a cohort of children/adolescents and to examine the impact of misclassification on the risk of diabetes-related complications. METHODS:An 11-year dataset (1996-2006) was analyzed. Inclusion...

journal_title：Southern medical journal

authors： Tripathi A,Rizvi AA,Knight LM,Jerrell JM

更新日期：2012-10-01 00:00:00

abstract：OBJECTIVE:To assess the current use of β-blockers in patients with compelling indications for use, following the acute exacerbation of chronic obstructive pulmonary disease (COPD). METHODS:We performed a multicenter retrospective observational study using data from all of the patients admitted to five institutions for...

journal_title：Southern medical journal

authors： Pinner N,Oliver W,Veasey T,Starr J,Eudaley S,Hutchison A,Wargo K

更新日期：2019-11-01 00:00:00

abstract：:Three patients seen recently at Wilford Hall USAF Medical Center emphasize the point that coccidioidomycosis may resemble lymphoma because of persistence of adenopathy on the chest roentgenogram after the initial infiltrate has resolved. Such a clinical picture strongly indicates dissemination and is probably sufficie...

journal_title：Southern medical journal

authors： Jenkins DW Jr

更新日期：1977-05-01 00:00:00

abstract：:Retinal detachment complicating proliferative diabetic retinopathy is being recognized with increasing frequency. Although one type of detachment is tractional and requires vitrectomy for hopeful repair, the other variety of detachment is rhegmatogenous. The rhegmatogenous form of retinal detachment does not generally...

journal_title：Southern medical journal

authors： Humphrey WT

更新日期：1978-10-01 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：:A technic of combined split-thickness and full-thickness skin grafts and local flap closure for extensive deep cicatricial neck contractures is presented. The head and neck are mobilized by excision of limiting tissues. The lateral neck skin is mobilized to be rotated anteriorly as flaps, and a full-thickness skin gra...

journal_title：Southern medical journal

authors： Vandeput JJ,Tanner JC,Lewis JR

更新日期：1976-06-01 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：:We have reported a case of reversible acute renal transplant failure due to the Page kidney phenomenon, which followed routine diagnostic needle biopsy. Duplex Doppler ultrasonography differentiated between allograft rejection and graft failure due to perirenal and mechanical abnormalities. Renal transplant failure ma...

journal_title：Southern medical journal

authors： Dempsey J,Gavant ML,Cowles SJ,Gaber AO

更新日期：1993-05-01 00:00:00

abstract：:Massive ovarian edema is a rare tumor-like condition of the ovary characterized by marked enlargement of one or both ovaries due to marked accumulation of edema fluid in the ovarian stroma. This paper reviews the literature on massive ovarian edema and presents a case associated with androgenic manifestations. ...

journal_title：Southern medical journal

authors： Siller BS,Gelder MS,Alvarez RD,Partridge EE

更新日期：1995-11-01 00:00:00

abstract：:We evaluated 100 primary care outpatients for signs of cognitive impairment using the Mini-Mental State Examination (MMSE). The 23 subjects scoring abnormal values (less than 24/30) were found to be cognitively impaired. Seventeen had previously undetected cognitive impairment, while six had prior diagnoses consistent...

journal_title：Southern medical journal

authors： Goldschmidt TJ,Mallin R,Still CN

更新日期：1983-10-01 00:00:00

abstract：:A prospective study of 45 granulocyte transfusions in children using continuous flow centrifugation is reported. During 13 episodes of proven or presumed infection, only two children failed to show a favorable response to granulocyte transfusion. The neutropenic child shows a significantly increased absolute granulocy...

journal_title：Southern medical journal

authors： Maybee DA,Millan AP,Ruymann FB

更新日期：1977-03-01 00:00:00

abstract：:Investigation into the severity of hemolytic disease due to Rh isoimmunization may be complicated by concurrent amniotic fluid contamination with bile. We have presented a case in which a prenatal sonogram showed evidence of fetal intestinal obstruction, which was subsequently confirmed postpartum by exploratory lapar...

journal_title：Southern medical journal

authors： Meyer WR,Walker BF,Randall HW,Vroon DH,Korotkin JH

更新日期：1990-02-01 00:00:00

abstract：:Pregnancy in patients who have non-Hodgkin's lymphoma is unusual. We have reported a case of diffuse, poorly differentiated lymphocytic lymphoma, stage IIIa, in a patient whose disease went into remission after she received six courses of CHOP therapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone). She...

journal_title：Southern medical journal

authors： Garg A,Kochupillai V

更新日期：1985-10-01 00:00:00

abstract：:We have presented a case of extensive coiling of both common carotid arteries in which surgical reconstruction on the most severely affected side relieved symptoms of cerebrovascular insufficiency. The underlying lesion is believed to be congenital, and surgical correction is recommended in symptomatic patients. ...

journal_title：Southern medical journal

authors： Daskalakis MK

更新日期：1987-03-01 00:00:00

abstract：:Patients with non-insulin-dependent diabetes mellitus (NIDDM) failing to respond to therapy with a maximum dose of glyburide (GB) or glipizide (GZ) are often given a trial of the alternate second-generation sulfonylurea (SGS) before insulin therapy is considered. The efficacy of this therapeutic maneuver has not been ...

journal_title：Southern medical journal

authors： Simcic KJ,McDermott MT,White JC,Kidd GS

更新日期：1991-06-01 00:00:00

abstract：OBJECTIVE:We sought to determine predictors of coronary events (cardiac death, acute myocardial infarction, and urgent revascularization) within 30 days after admission. METHODS:We prospectively collected data on 400 patients admitted through our emergency room for unstable angina and acute coronary syndromes. Patient...

journal_title：Southern medical journal

authors： Tadros GM,McConnell TR,Wood GC,Costello JM,Iliadis EA

更新日期：2003-11-01 00:00:00

abstract：:I report my experience during one 6-month period as the sole rheumatologist running a weekly clinic at a small community hospital. The report illustrates the impact of rheumatologic expertise in an environment well-served by generalists and other medical subspecialists. This experience identifies important gaps in the...

journal_title：Southern medical journal

authors： Kerr LD

更新日期：1995-03-01 00:00:00

abstract：:We have described a case of maternal primary aldosteronism in which there is virilization of the female offspring. The most common causes of virilization are considered unlikely on the basis of clinical and laboratory data. The report illustrates the exacerbation of aldosteronism that occurs postpartum and emphasizes ...

journal_title：Southern medical journal

authors： Elterman JJ,Hagen GA

更新日期：1983-04-01 00:00:00

abstract：:When patient records are to be auditied in a program designed to assess the quality of medical care rendered, careful consideration must be given to the cost of the system implemented. Structured data collection and a defined treatment plan are advantageous in facilitating the use of nonphysicians for the majority of ...

journal_title：Southern medical journal

authors： Ahlers P,Sullivan RJ,Hammond WE,Walter EL,Tolley HD

更新日期：1976-10-01 00:00:00

abstract：:In a retrospective review of one year's experience in the management of neck trauma, 88 cases comprising 42 gunshot wounds, 29 stab or slash injuries, and 17 injuries by blunt trauma were reviewed. Multiple injuries were noted in all groups, but a higher percentage was found in the blunt trauma series. Anesthetic mana...

journal_title：Southern medical journal

authors： Herrin TJ,Brzustowicz R,Hendrickson M

更新日期：1979-09-01 00:00:00

abstract：:The macerated stillborn fetus represents at least one third of all perinatal deaths. Microscopic examination of these specimens is often unrewarding. We have reported a clinically unsuspected cytomegalovirus infection in a second trimester macerated fetus. Cells suggestive of CMV inclusions were identified by light mi...

journal_title：Southern medical journal

authors： Schwartz DA,Walker B,Furlong B,Breding E,Someren A

更新日期：1990-11-01 00:00:00

abstract：:The antibody-coated bacteria (ACB) test was used to localize the site of urinary tract infection in a group of pediatric and adult patients. Duration of treatment of ACB-positive (upper tract) and ACB-negative (lower tract) infections was correlated with rates of recurrence during follow-up for six or more months. Two...

journal_title：Southern medical journal

authors： Kulasinghe HP,Cushing AH,Reed WP

更新日期：1977-11-01 00:00:00

abstract：:In this study, 1,027 healthy men over age 40 were screened for prostate cancer with digital rectal examinations (DRE) and prostate-specific antigen (PSA) levels. Findings were abnormal in 189 (18%). PSA levels alone were abnormal (> 4.0 ng/mL) in 111 men (12%), 60 men (8%) had abnormal DRE and normal PSA, and 18 men h...

journal_title：Southern medical journal

authors： Bretton PR

更新日期：1994-07-01 00:00:00

abstract：BACKGROUND:Mortality rates for hyperthermia and hypothermia are higher in Alabama than nationally, and Alabama has twice as many hypothermia deaths as hyperthermia deaths. These causes of death have not been studied in the southeastern United States. We describe the epidemiology of heat- and cold-related deaths in Alab...

journal_title：Southern medical journal

authors： Taylor AJ,McGwin G Jr

更新日期：2000-08-01 00:00:00

abstract：:An aberrant internal carotid artery (ICA) in the middle ear is rare. If unrecognized, it may lead to massive hemorrhage or other catastrophic results during even a minor surgical procedure of the tympanic membrane or middle ear. Recognition of this entity is particularly significant to the primary care or emergency de...

journal_title：Southern medical journal

authors： Cole RD,May JS

更新日期：1994-12-01 00:00:00

abstract：:Sepsis due to Pseudomonas aeruginosa continues to be an important source of morbidity and mortality in hospitalized patients. Early recognition of this condition is of paramount importance in choosing specific therapy at the earliest possible moment. We present three cases in which P aeruginosa bacteremia was manifest...

journal_title：Southern medical journal

authors： Campo RE,Ratzan KR,Melnick SJ

更新日期：1994-02-01 00:00:00

abstract：:We prospectively studied preoperative and postoperative grip and pinch strength in 21 patients having 30 consecutive median nerve decompressions for carpal tunnel syndrome. All procedures were done by one surgeon. Each hand operated on served as its own control and was studied by the same therapist preoperatively and ...

journal_title：Southern medical journal

authors： Young VL,Logan SE,Fernando B,Grasse P,Seaton M,Young AE

更新日期：1992-09-01 00:00:00

abstract：OBJECTIVES:Gas exchange measurements obtained during submaximal exercise have been shown to provide prognostic and diagnostic information in patients with heart failure (HF) and to differentiate heart versus lung limitations in patients with unexplained dyspnea. The aim of our study was to assess the clinical utility o...

journal_title：Southern medical journal

authors： Bhatt DV,Kocheril AG

更新日期：2014-03-01 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

authors： Bookstaver PB,Rudisill CN

更新日期：2009-04-01 00:00:00