Unusual cutaneous manifestations of sarcoidosis.

abstract：OBJECTIVES:Noninvasive assessment of right heart function and hemodynamics in patients with pulmonary arterial hypertension (PAH) is most often performed at rest, whereas the symptoms, in general, present with exertion. Assessment during exertion is limited to symptom assessment and the 6-minute walk distance. We inves...

journal_title：Southern medical journal

authors： Freeman ML,Landolfo C,Safford RE,Keller CA,Heckman MG,Burger CD

更新日期：2013-02-01 00:00:00

abstract：:We examined present and anticipated future levels of career satisfaction among psychiatrists in the greater Houston area. We gathered data by means of an anonymous questionnaire. The strongest univariate correlations between background variables and current and anticipated future levels of career satisfaction were fou...

journal_title：Southern medical journal

authors： McKelvey RS,Webb JA

更新日期：1995-05-01 00:00:00

abstract：:Tramadol (Ultram) is a new analgesic agent with a dual mechanism of action that includes weak agonistic effects at the mu-opioid receptor as well as inhibition of neurotransmitter (serotonin, norepinephrine) re-uptake. Although it has proven to be a safe and effective agent for the control of pain, adverse effects can...

journal_title：Southern medical journal

authors： Tobias JD

更新日期：1997-08-01 00:00:00

abstract：:We report a case of multiple myeloma in which the bone lesions showed high uptake of technetium Tc 99m methylene diphosphonate on a bone scan. A review of the literature comparing the usefulness of conventional skeletal radiography and bone scans in diagnosing the osteolytic lesions of myeloma shows that bone scintigr...

journal_title：Southern medical journal

authors： Murthy NJ,Rao H,Friedman AS

更新日期：2000-10-01 00:00:00

abstract：:In El Paso County, Texas, 73 domestic wells were sampled using a variety of selective media to determine the extent of bacterial contamination of the groundwater on the US side of the United States-Mexico border. Thirteen wells were contaminated by fecal coliforms, whereas other wells contained a variety of bacterial ...

journal_title：Southern medical journal

authors： Mroz RC Jr,Pillai SD

更新日期：1994-12-01 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：:We have described a 47-year-old white woman who had spontaneous E coli K1 meningitis after acquiring an E coli K1 urinary tract infection with associated sepsis. The patient's symptoms consisted only of severe headache, fever, and malaise. She had no meningeal or focal neurologic signs, and the CSF did not contain whi...

journal_title：Southern medical journal

authors： Gilmore RL,Lebow R,Berk SL

更新日期：1983-09-01 00:00:00

abstract：:Obsessive-compulsive disorder (OCD) is an intriguing, difficult problem characterized by anxiety-producing intrusive thoughts and performance of anxiety-reducing rituals. Current evidence suggests that OCD may be associated with dysregulation of serotonin and dopamine neurotransmission. Numerous early studies involvin...

journal_title：Southern medical journal

authors： Jackson CW,Morton WA,Lydiard RB

更新日期：1994-03-01 00:00:00

abstract：:In a retrospective review from 1987 to 1989, we identified seven alcoholics who had severe acute hepatocellular injury soon after using acetaminophen for therapeutic purposes and who had no suicidal intent. All had markedly elevated serum transaminase values (aspartate aminotransferase greater than 4000 U/L) and prolo...

journal_title：Southern medical journal

authors： Wootton FT,Lee WM

更新日期：1990-09-01 00:00:00

abstract：:The charts of 663 patients who had cholecystectomy were reviewed to determine the usefulness of preoperative radiologic examination of the upper gastrointestinal tract. In 14% of the patients a positive finding was reported. However, slightly less than half of these findings were confirmed at surgery. Only 2.9% of the...

journal_title：Southern medical journal

authors： Mullen JT,Watts MA,Ehrlich FE

更新日期：1977-05-01 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：BACKGROUND:In patients with FIGO (International Federation of Gynecology and Obstetrics) stage I ovarian carcinoma given care with or without subspecialists, we compared completeness of initial staging and disease-free survival. METHODS:Two groups of patients with stage I ovarian carcinoma were compared. Patients were...

journal_title：Southern medical journal

authors： Puls LE,Carrasco R,Morrow MS,Blackhurst D

更新日期：1997-11-01 00:00:00

abstract：:We evaluated an incentive spirometer (IS) for monitoring changes in lung function in hospitalized patients. Accuracy and reproducibility of IS measurements of known volumes were adequate (r = 0.87). Flow dependency was demonstrated but was not significant in the clinically useful range. Reproducibility of IS measureme...

journal_title：Southern medical journal

authors： Scheinhorn DJ,Warner W,Ellis E

更新日期：1982-06-01 00:00:00

abstract：:While in most states information physicians obtain from the about patients is confidential and cannot be disclosed without the patient's permission, a recent California Supreme Court decision affirms that when the doctor reasonably believes his patient can cause violent harm to third persons, he had an overriding duty...

journal_title：Southern medical journal

authors： Bunch PL,Dowben C

更新日期：1979-03-01 00:00:00

abstract：OBJECTIVES:Pulmonary arterial hypertension (PAH) is a progressive disease that can be treated with several medications. Macitentan, an endothelin receptor antagonist (ERA), has received approval as a PAH therapy. We report our data regarding the tolerability in patients with PAH who were switched from bosentan to macit...

journal_title：Southern medical journal

authors： Safdar Z,Thakur A,Frost A

更新日期：2017-03-01 00:00:00

abstract：:Whipple disease (WD) is a rare disease caused by Tropheryma whipplei. The classic profile of the patient is that of a middle-aged man presenting with fever, chronic diarrhea, and arthralgias. Extragastrointestinal manifestations are not rare. A high degree of clinical suspicion for the disease is needed in atypical ca...

journal_title：Southern medical journal

authors： Basagiannis CS,Panagoulias GS,Tentolouris N,Basoukeas S,Sambaziotis D,Ladas SD

更新日期：2010-04-01 00:00:00

abstract：:The ultimate evolution of our case and its atypical features of unilateral blindness, bilateral involvement, and extensive involvement of the trigeminal nerve revealed the pathogenesis of this case of alternating painful ophthalmoplegia resembling the Tolosa-Hunt syndrome to be that of a parasellar pituitary adenoma. ...

journal_title：Southern medical journal

authors： Freeman NR,Shraberg D

更新日期：1980-10-01 00:00:00

abstract：BACKGROUND:The objective of the study was to determine whether treatment with protease inhibitors is associated with unprotected sexual behavior. METHODS:A total of 592 HIV-infected persons recruited from statewide public clinics in nonurban Alabama communities completed an assessment that, among other variables, elic...

journal_title：Southern medical journal

authors： DiClemente RJ,Funkhouser E,Wingood G,Fawal H,Holmberg SD,Vermund SH

更新日期：2002-04-01 00:00:00

abstract：:In three patients with SIADH, mannitol or glycerol promoted a rapid free water diuresis. Use of osmotic agents requires less laboratory and clinical monitoring than use of furosemide, is appropriate treatment, and in fact may be the treatment of choice in some patients with symptomatic hyponatremia from SIADH. ...

journal_title：Southern medical journal

authors： Weinberg MS,Donohoe JF

更新日期：1985-03-01 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：:With ever-increasing costs confronting health care facilities, much attention is being focused on various cost-containment projects. Although it is generally assumed that a radiology department quality control program will increase costs, institutional savings may also result. A comprehensive quality control program i...

journal_title：Southern medical journal

authors： Carlton WH,Avecilla LS,Pool WH,Wise CH Jr,Young RG

更新日期：1980-02-01 00:00:00

abstract：:We reviewed the records of 100 consecutive patients who had gastroscopy. All endoscopic work was done by our four-man surgical group. Roentgenographic and endoscopic diagnoses are compared with reference to degree of accuracy. The expanded uses of gastroscopy in surgical practice are illustrated and a plea is made for...

journal_title：Southern medical journal

authors： Futch CB,Jennings ER,Egan RW,Addison BA

更新日期：1978-02-01 00:00:00

abstract：BACKGROUND:In 1998, the Patient Care Partnership Project was conducted by general internal medicine physicians and hospital administration in an academic health care center. The project was designed to optimize cost, quality, and service results to inpatients. METHODS:The project focused on improved communication amon...

journal_title：Southern medical journal

authors： Palmer HC Jr,Halperin A,Elnicki M,Powers R,Kolar M,Evans K,Anderson K

更新日期：2002-11-01 00:00:00

abstract：:Most nonendocrine pancreatic neoplasms are adenocarcinomas of ductal cell or acinar origin. Primary carcinomas of the pancreas with squamous differentiation are rare enough to warrant a search for other primary tumors. In the past few decades, well-documented individual reports and large series reviews support the vie...

journal_title：Southern medical journal

authors： Colarian J,Fowler D,Schor J,Poolos S

更新日期：2000-08-01 00:00:00

abstract：BACKGROUND:The aim of this study was to determine the prevalence of impairments relevant to upper extremity following breast cancer surgery and its impact on disability and health-related quality of life. METHODS:Sixty-seven female patients being treated with modified radical mastectomy or breast conserving surgery we...

journal_title：Southern medical journal

authors： Kaya T,Karatepe AG,Günaydn R,Yetiş H,Uslu A

更新日期：2010-01-01 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：:Sixteen patients with spinal epidural compression by metastatic small-cell lung cancer were given radiotherapy for palliation. Lower limb motor deficit was the most prominent clinical manifestation. Neurologic dysfunction was commonly present for more than 48 hours before the diagnosis of compression. Median interval ...

journal_title：Southern medical journal

authors： Ampil FL,Abreo F

更新日期：1992-03-01 00:00:00

abstract：:Hepatobiliary tuberculosis (HTB) is uncommon and can be difficult to diagnose. We present our experience with HTB (over a 10-year period). Fourteen patients were identified from a total of 1888 cases of tuberculosis (TB) infection during this period. Five patients had isolated organ involvement [hepatic (n=3) and bili...

journal_title：Southern medical journal

authors： Chong VH

更新日期：2008-04-01 00:00:00

abstract：:Between 1975 and 1978, over 200 knee arthroscopies were performed at the Emory University Hospitals; the findings were totally correct in 91%. During the same period, arthrograms were performed on 79 different patients, 39 of whom had confirming arthrotomies. The arthrograms were totally correct in 38%. Fifteen totall...

journal_title：Southern medical journal

authors： St Pierre RK,Sones PJ,Fleming LL

更新日期：1981-11-01 00:00:00

abstract：:Continent reconstruction of the lower urinary tract using the appendicovesicostomy (Mitrofanoff principle) is an excellent means of managing many patients with altered bladder function, especially those with good bladder volume and low pressure. Motivated patients unable to perform urethral catheterization because of ...

journal_title：Southern medical journal

authors： Harmon EP,Hurwitz G

更新日期：1994-10-01 00:00:00