Ehrlichiosis: making the diagnosis in the acute setting.

abstract：:The term "top of the basilar" has been used in reference to a group of signs and symptoms of midbrain, diencephalic, and posteroinferior hemispheric dysfunction. It has been attributed to ischemia in the territory of second- and third-order vessels that arise from the uppermost portion of the basilar artery. We report...

journal_title：Southern medical journal

authors： Gomez CR,Hogan PA,Cruz-Rodriguez RF,Jumao-As AP

更新日期：1988-07-01 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：:Although recent increases in the incidence of syphilis are well known to public health officials, the general medical community is less well informed regarding the dramatic rise in cases. We present trend data from Nashville and Tennessee over the past decade. These statistics emphasize specific factors, such as drug ...

journal_title：Southern medical journal

authors： Quinn RW,Federspiel CF,Lefkowitz LB Jr,Keller R

更新日期：1992-08-01 00:00:00

abstract：:We have described a patient with a biopsy-proven mucoepidermoid carcinoma of the orbit. Although it may have represented a metastasis from a malignancy of the upper respiratory tract, clinically it appeared to be a primary neoplasm of the lacrimal gland. This case emphasizes the value of transmission electron microsco...

journal_title：Southern medical journal

authors： Lawton AW,Karesh JW

更新日期：1989-05-01 00:00:00

abstract：:Asthma is a chronic inflammatory disease in which the genetic predisposition to allergic disease is the strongest identifiable predisposing factor. (1) Optimal outpatient treatment of asthma includes identifying and minimizing exposure to asthma triggers, whether they Me allergens or irritants. When these triggers are...

journal_title：Southern medical journal

authors： Peebles RS,Hartert TV

更新日期：2002-07-01 00:00:00

abstract：OBJECTIVES:To assess the efficacy of laparoscopic Nissen fundoplication for esophageal reflux in a community hospital. METHODS:One hundred nineteen patients (76%) of 157 patients having laparoscopic fundoplication for symptomatic reflux disease completed a questionnaire. All patients were evaluated with esophagoscopy,...

journal_title：Southern medical journal

authors： Tucker LE,Blatt C,Richardson NL,Richardson DT,Cassat JD,Riechers TB

更新日期：2005-04-01 00:00:00

abstract：:We have presented the case of an elderly woman with severe kyphoscoliosis, osteoarthritis and left knee effusion who had symptoms and signs of intermittent intestinal obstruction. Operation showed a left-sided obturator hernia. In any elderly, debilitated, chronically ill woman, symptoms and signs of recurrent small-b...

journal_title：Southern medical journal

authors： Rizk TA,Deshmukh N

更新日期：1990-06-01 00:00:00

abstract：:Several recent cases illustrate the medical-ethical-legal consequences associated with lack of awareness in caring for and treating the dying patient. We question whether solutions advanced by others are feasible or desirable for use in medical education, and suggest looking to the familiar principles of clinical medi...

journal_title：Southern medical journal

authors： Mullaly RW,Osmond H

更新日期：1979-04-01 00:00:00

abstract：:Swing beds contribute significantly to inpatient rehabilitation and skilled nursing care of the rural elderly, but little information is available in the general clinical literature regarding the types and outcomes of patients admitted to these programs. All swing bed admissions to a small rural hospital for the 1989 ...

journal_title：Southern medical journal

authors： Lammers JE

更新日期：1992-12-01 00:00:00

abstract：:Described is a surgical procedure for pes cavus which includes multiple osteotomies of the metatarsals, usually combined with Steindler fasciotomy and extensor tenotomy. This method permits the correction of the cavus deformity and preserves the length of the foot without disturbing any joint. A total of 11 patients w...

journal_title：Southern medical journal

authors： Wang GJ,Shaffer LW

更新日期：1977-01-01 00:00:00

abstract：:A new era in the treatment of immune-mediated inflammatory disorders has begun with the clinical availability of anticytokine therapy. Biological agents that are currently available include 3 agents that decrease the activity of tumor necrosis factor-alpha (infliximab, adalimumab, etanercept) and an interleukin-1 rece...

journal_title：Southern medical journal

authors： Efthimiou P,Markenson JA

更新日期：2005-02-01 00:00:00

abstract：BACKGROUND:A significant percentage of high school students participate in athletics, and of those participating, at least one third will experience a sport-related injury. Despite the high risk of injury, there are few guidelines on what type of medical coverage should be provided for high school athletics. Although v...

journal_title：Southern medical journal

authors： Aukerman DF,Aukerman MM,Browning D

更新日期：2006-02-01 00:00:00

abstract：:Parkinsonism associated with boxing has attracted recent media attention, yet little has been written about it in the medical literature. This report presents a typical case with a review of the literature. ...

journal_title：Southern medical journal

authors： Friedman JH

更新日期：1989-05-01 00:00:00

abstract：:We reviewed the first 100 consecutive patients treated with extracorporeal shock wave lithotripsy (ESWL) at one institution. A total of 115 treatments were delivered to 58 men and 42 women. Patients with calculi of various sizes were treated and compared for (1) length of hospitalization, (2) ancillary procedures, (3)...

journal_title：Southern medical journal

authors： Kraebber DM,Torres SA

更新日期：1988-01-01 00:00:00

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

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

更新日期：2009-11-01 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：:We report the first case ofextracranial tuberculous lymphadenitis which paradoxically developed during treatment of intracranial tuberculoma. Our patient, a 15-year-old girl who initially presented with meningitis and intracranial tuberculomas, developed extracranial tuberculomas during treatment for central nervous s...

journal_title：Southern medical journal

authors： Kalkan A,Serhatlioglu S,Ozden M,Denk A,Demirdag K,Yilmaz T,Kilic SS

更新日期：2006-04-01 00:00:00

abstract：:Renal cell carcinoma is not an uncommon finding in our population. Since the symptoms of renal cell carcinoma may mimic those of other abdominal disease, we strongly advocate ultrasonic evaluation of the entire abdomen when screening patients with pain. Whether our three patients' symptoms were due to gallbladder dise...

journal_title：Southern medical journal

authors： Daughtry JD,Rodan BA

更新日期：1984-03-01 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：:Several treatment regimens of trimethoprim-sulfamethoxazole (TMP-SMZ) were compared to the USPHS-recommended schedules for treatment of uncomplicated gonorrhea with ampicillin plus probenecid, tetracycline, or aqueous procaine penicillin G in both men and women. TMP-SMZ, six tablets as a single oral dose daily for 3 d...

journal_title：Southern medical journal

authors： Duncan WC,Knox JM,Jackson TH

更新日期：1975-09-01 00:00:00

abstract：:Pentazocine (Talwin) originally was believed to be a safe, nonaddictive analgesic, but further experience has shown that severe mental and emotional disturbance, as well as addiction, may occur. This survey documents the experience in the Texas Medical Center and elsewhere. The accumulated data show the following: (1)...

journal_title：Southern medical journal

authors： Kane FJ Jr,Pokorny A

更新日期：1975-07-01 00:00:00

abstract：:To understand fully a physician's role in society, and to deal successfully with the current sense of crisis, the medical profession must evolve a world-view that appropriately relates a physician to the patient, to the practice environment, to the base of knowledge, and to the physician's own sense of self. Such a wo...

journal_title：Southern medical journal

authors： Bessinger CD Jr

更新日期：1988-12-01 00:00:00

abstract：OBJECTIVES:Insurance status has the potential to play a significant role in an individual's health care by affecting the time of diagnosis and the treatment options used. Our study reviewed insurance status as a determinant of the time of a breast cancer diagnosis as well as the surgical treatment options offered. MET...

journal_title：Southern medical journal

authors： Lukavsky R,Sariego J

更新日期：2015-05-01 00:00:00

abstract：:Public outcry regarding unsafe interhospital patient transfers led to the passage of the COBRA Law of 1985. Since its implementation in 1986, the law has been sharply criticized for its sporadic enforcement, narrow focus, and lack of care provisions for the poor. We reviewed retrospectively the charts of all emergency...

journal_title：Southern medical journal

authors： Kerr HD,Byrd JC,Stuart RW,Whitcomb J

更新日期：1993-11-01 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：:Intraorbital hydatid disease (IHD) is quite rare and represents < 1% of the Echinococcus cases. In our current communication, we report two children with solitary, primary intraorbital hydatid cysts. Both children presented with nontender, nonpulsatile proptosis. Imaging workup, including CT and MRI scans of the head ...

journal_title：Southern medical journal

authors： Ciurea AV,Giuseppe G,Machinis TG,Coman TC,Fountas KN

更新日期：2006-06-01 00:00:00

abstract：OBJECTIVES:Current US healthcare delivery systems do not adequately address healthcare demands. Physicians are integral but rarely emphasize prevention as a primary tool to change health outcomes. Home visitation is an effective method for changing health outcomes in some populations. The Florida International Universi...

journal_title：Southern medical journal

authors： Rock JA,Acuña JM,Lozano JM,Martinez IL,Greer PJ Jr,Brown DR,Brewster L,Simpson JL

更新日期：2014-04-01 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：:Sixty-six cases of serologically documented Rocky Mountain spotted fever (RMSF) from North Carolina are reviewed. Gastrointestinal manifestations were present in 80% of these patients. Because other common expressions of RMSF occasionally do not accompany severe gastrointestinal dysfunction, improper diagnosis and the...

journal_title：Southern medical journal

authors： Middleton DB

更新日期：1978-06-01 00:00:00

abstract：:We have reported a case of severe erythema multiforme caused by outbreaks of recurrent HSV-2 infection. The EM was debilitating and responded to the treatment of HSV with oral acyclovir. On stopping the oral acyclovir, the HSV and the EM both recurred. We recommend a trial of oral acyclovir in cases of severe EM cause...

journal_title：Southern medical journal

authors： Goldberg LH,Sperber J

更新日期：1986-06-01 00:00:00