abstract：:Bullosis diabeticorum, or diabetic bullae, is a non-inflammatory blistering condition that is virtually diagnostic of diabetes. Diabetic bullae most often present as painless, tense, superficial bullae that occur in an acral distribution and commonly heal in 2-6 weeks without scarring, but complications such as second...

journal_title：Southern medical journal

authors： Lopez PR,Leicht S,Sigmon JR,Stigall L

更新日期：2009-06-01 00:00:00

abstract：:Undocumented patient information in the medical record (MR) is a barrier to providing high quality care. Inadequate documentation has recently been reported for two cardiovascular diseases. This study was designed to evaluate the documentation of asthma management in the MR to determine if it is consistent with the NI...

journal_title：Southern medical journal

authors： Arnold LB,Usery JB,Finch CK,Wallace JL,Deaton PR,Self TH

更新日期：2009-05-01 00:00:00

abstract：:To our knowledge, this is the first known case of a patient with leptospirosis and very elevated CSF, which caused hydrocephalus. ...

journal_title：Southern medical journal

authors： Sakellaridis N,Panagopoulos D,Androulis A

更新日期：2009-05-01 00:00:00

abstract：BACKGROUND:Hyponatremia is a frequent condition in elderly patients. In diagnostic workup, a 24-hour urine sample is used to measure urinary osmolality and urinary sodium concentration necessary to confirm the diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). This study was undertake...

journal_title：Southern medical journal

authors： Holm EA,Bie P,Ottesen M,Ødum L,Jespersen B

更新日期：2009-04-01 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

abstract：BACKGROUND:Despite an effective tetanus vaccine, tetanus continues to claim lives worldwide. The very young and the elderly are at highest risk for the disease. Farmers are at high risk for injury, the leading factor associated with tetanus. METHODS:As part of a larger study of older members of farm households in the ...

journal_title：Southern medical journal

authors： Reed DB,Westneat SC

更新日期：2009-03-01 00:00:00

abstract：:Anticonvulsant hypersensitivity syndrome (AHS) is a potentially life-threatening adverse drug reaction presenting with fever, skin eruptions, and internal organ involvement. We describe a case of AHS with fulminant hepatitis that occurred two weeks after introduction of lamotrigine in a 40-year-old female patient with...

journal_title：Southern medical journal

authors： Ouellet G,Tremblay L,Marleau D

更新日期：2009-01-01 00:00:00

abstract：:A 50-year-old man presented with progressive visual loss, headache, and two days of confusion. A computed tomography of his head suggested subarachnoid hemorrhage with accompanying right parietal ischemic infarction. The magnetic resonance image was consistent with right parietal perisulcal pial and superficial cortic...

journal_title：Southern medical journal

authors： Hoque R,Gonzalez-Toledo E,Jaffe SL

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND:Ventilator-associated pneumonia (VAP) is one of the most frequent infections in intensive care units (ICUs), and nearly 50% of patients with VAP develop septic shock. Septic shock is an independent predictor for mortality in these patients. OBJECTIVE:To investigate the predictors for septic shock in VAP pat...

journal_title：Southern medical journal

authors： Aydogdu M,Gursel G

更新日期：2008-12-01 00:00:00

abstract：:A patient with pathologically proven acrometastasis of his left thumb presented 3 months after esophagectomy for esophageal squamous cell carcinoma. Interestingly, there was indeed a faint uptake in his left thumb that was initially considered an artifact in the whole body bone scan taken before esophagectomy. Physici...

journal_title：Southern medical journal

authors： Hsieh CY,Bai LY,Lo WC,Huang HH,Chiu CF

更新日期：2008-11-01 00:00:00

abstract：OBJECTIVES:This study evaluated the role of ankle-brachial index (ABI) as an effective screening test of coronary artery disease (CAD) in the Hispanic population. METHODS:This was an observational cross-sectional study, based on a retrospective review of the medical management of the study patients using already avail...

journal_title：Southern medical journal

authors： Enoch A,Ijeoma A

更新日期：2008-11-01 00:00:00

abstract：:A 68-year-old male presented with progressive abdominal pain, dyspnea, weight loss, and dysuria. Lab work revealed elevated creatine phosphokinase levels, prostate-specific antigen level (approximately 60 ng/mL), and elevated liver enzymes. He was admitted to the intensive care unit for worsening respiratory distress ...

journal_title：Southern medical journal

authors： Shakir FA,Madhoun M,Whorton J,Harty R

更新日期：2008-10-01 00:00:00

abstract：:Sarcoidosis is a multisystem disorder of unknown cause, characterized pathologically by noncaseating granulomas. It is more commonly seen in younger adults and African Americans. Myocardial involvement occurs in at least 25% of patients with sarcoidosis and is associated with poor prognosis. In spite of recent advance...

journal_title：Southern medical journal

authors： Ruiz-Arango A,Sharma GK

更新日期：2008-10-01 00:00:00

abstract：:This is a systematic review of the available literature and our own personal experience regarding the optimal management of the rhinoplasty patient. The routine utilization of nasal splinting, casting and perioperative antibiotics is supported. The management of a number of common early complications is also discussed...

journal_title：Southern medical journal

authors： Cochran CS,Ducic Y,DeFatta RJ

更新日期：2008-09-01 00:00:00

abstract：:This case presents a rare type of crescentic glomerulonephritis characterized as IgA deposits predominantly along the glomerular basement membranes (GBM). The patient clinically manifested with rapidly progressive glomerulonephritis (RPGN) without pulmonary hemorrhage or vasculitis-related systematic symptoms. No posi...

journal_title：Southern medical journal

authors： Cai G,Chen P,Wu D,Shi S,Yin Z,Zhang X,Wei R,Chen X

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:The Orthopaedic In-Training Examination (OITE) provides an objective way for both the residency program and the resident to monitor progress. METHODS:This longitudinal descriptive study tracks the OITE performance of 16 residents from one orthopaedic surgery residency program over nine years (1997-2005). Do...

journal_title：Southern medical journal

authors： Risner B,Nyland J,Crawford CH 3rd,Roberts CS,Johnson JR

更新日期：2008-08-01 00:00:00

abstract：:The International Society for Clinical Densitometry (ISCD) periodically holds Position Development Conferences (PDCs) for the purpose of establishing standards and guidelines for the assessment of skeletal health -- the nomenclature, indications, acquisition, analysis, quality control, interpretation, and reporting of...

journal_title：Southern medical journal

authors： Lewiecki EM,Baim S,Binkley N,Bilezikian JP,Kendler DL,Hans DB,Silverman S,International Society for Clinical Densitometry.

更新日期：2008-07-01 00:00:00

abstract：OBJECTIVES:Adhesive capsulitis is characterized by a progressive and painful loss of shoulder motion of unknown etiology. Previous studies have found the prevalence of adhesive capsulitis to be slightly greater than 2% in the general population. However, the relationship between adhesive capsulitis and diabetes mellitu...

journal_title：Southern medical journal

authors： Tighe CB,Oakley WS Jr

更新日期：2008-06-01 00:00:00

abstract：:A 45-year-old Costa Rican woman was seen for a jejunostomy tube malfunction. There was no evidence of tube malposition or intestinal obstruction. During endoscopy, a long worm was retrieved from the distal duodenum; it was later confirmed to be Ascaris lumbricoides. After treatment with mebendazole, no further episode...

journal_title：Southern medical journal

authors： Kiafar C,Shah D,Wadas D,Gilani N

更新日期：2008-06-01 00:00:00

abstract：:A 63-year-old male patient with a history of bipolar I disorder presented to the emergency department in an acutely psychotic state. The patient had just returned from vacation in a malarial high-risk area and, as a result, had taken five weekly doses of mefloquine for prophylaxis. The patient's bipolar disorder was b...

journal_title：Southern medical journal

authors： Brumbaugh M,Price P,Fagan N,Hsieh H

更新日期：2008-05-01 00:00:00

abstract：:Coronary heart disease remains the major cause of mortality and morbidity in the United States and other western countries despite major advances in its treatment. During the last decades, many markers of coronary artery disease have been found which help predict future risk of cardiovascular events. High-sensitivity ...

journal_title：Southern medical journal

authors： Abi-Saleh B,Iskandar SB,Elgharib N,Cohen MV

更新日期：2008-05-01 00:00:00

abstract：:A 64-year-old female patient presented with acute cerebellar ataxia. After ruling out vascular, infectious, metastatic, demyelinating, and medication etiologies, a paraneoplastic origin for her illness was determined. A renal mass was discovered and found to be renal cell carcinoma. Her symptoms resolved after a radic...

journal_title：Southern medical journal

authors： Ammar H,Brown SH,Malani A,Sheth HK,Sollars EG,Zhou SX,Gupta C,Mughal S

更新日期：2008-05-01 00:00:00

abstract：:Human immunodeficiency virus (HIV) has caused resurgence in tuberculosis (TB) worldwide. HIV-TB coinfected individuals are at increased risk for complications of TB and HIV treatment, such as adverse drug reactions and immune reconstitution syndrome. A 17-year-old male with HIV-TB coinfection, who developed cardiac ta...

journal_title：Southern medical journal

authors： Wang SH,Menon A,Hyslop NE

更新日期：2008-05-01 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：:Cladophialophora bantiana, a dematiaceous fungus, is an uncommon pathogenic organism originally thought to more commonly affect immunocompetent patients. Increasing numbers of reports, however, describe the organism affecting immunocompromised patients. Like all dematiaceous fungi, Cladophialophora can be recognized i...

journal_title：Southern medical journal

authors： Harrison DK,Moser S,Palmer CA

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND:Oxybutynin is a tertiary amine and has chemical similarities like protamine sulfate. Protamine sulfate's effect on bacterial viability has been shown in some studies; however, there is scanty data regarding the effect of oxybutynin on bacterial viability. Accordingly, the aim of the present study was to inve...

journal_title：Southern medical journal

authors： Gedik A,Ersay A,Atmaca S,Sener A

更新日期：2008-03-01 00:00:00

abstract：:Like the introduction of bare metal stents (BMS), that of drug-eluting stents (DES) represented a quantum leap in the interventional cardiology community's ongoing efforts to conquer restenosis. However, recent concerns over late thrombosis (LT) have tempered the initial enthusiasm. Nonetheless, when compared with BMS...

journal_title：Southern medical journal

authors： Chen JP

更新日期：2008-02-01 00:00:00

abstract：:Intravesical BCG (bacillus Calmette-Guérin) instillation is a first-line treatment for superficial transitional cell carcinoma of the bladder. A rare but severe complication of BCG immunotherapy is the development of disseminated BCG disease, which can result in miliary pneumonitis, granulomatous hepatitis, soft tissu...

journal_title：Southern medical journal

authors： Nadasy KA,Patel RS,Emmett M,Murillo RA,Tribble MA,Black RD,Sutker WL

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:The epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) was investigated at a tertiary care hospital, and relationship was made between the clinical and genetic definitions of community- and healthcare-associated MRSA. METHODS:Nonduplicate isolates of S. aureus were collected during 2004. Iso...

journal_title：Southern medical journal

authors： Patel M,Hoesley CJ,Moser SA,Stamm AM,Baddley JW,Waites KB

更新日期：2008-01-01 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：:While fish consumption is considered a component of a heart-healthy diet, many illnesses have been associated with eating contaminated fish. The authors describe two cases of muscle weakness and rhabdomyolysis that occurred after eating salmon. Cases of rhabdomyolysis and muscle weakness after consumption of fresh wat...

journal_title：Southern medical journal

authors： Langley RL,Bobbitt WH 3rd

更新日期：2007-11-01 00:00:00

abstract：OBJECTIVES:To determine why there has been a decrease in the amount of applicants to Florida-based obstetrics and gynecology (OB/GYN) residency programs, and how this has been affected by the current medical liability climate. METHODS:Fourth year Florida medical students were surveyed about their concerns of a career ...

journal_title：Southern medical journal

authors： Deutsch A,McCarthy J,Murray K,Sayer R

更新日期：2007-11-01 00:00:00

abstract：:While opioids are regarded as the mainstay of chronic pain management, their use is controversial in the minds of many primary care physicians due to clinical concerns about dependence, abuse, and addiction and medicolegal concerns regarding state and federal regulatory authorities. For patients with moderate to moder...

journal_title：Southern medical journal

authors： Nicholson B,Passik SD

更新日期：2007-10-01 00:00:00

abstract：BACKGROUND:Many hospitalized anemic patients do not undergo appropriate evaluation. We hypothesized that specific clinical variables were likely to be important in triggering evaluation for iron deficiency anemia. METHODS:We prospectively identified 637 consecutive anemic patients without acute gastrointestinal bleedi...

journal_title：Southern medical journal

authors： Ioannou GN,Spector J,Rockey DC

更新日期：2007-10-01 00:00:00

abstract：:This article explores the history of lupus erythematosus from the origins of the name to the most modern therapeutic advances. The review includes information about the origin of the name "lupus," the first clear description of the skin lesions, the discovery of the systemic and discoid forms, and further advances whi...

journal_title：Southern medical journal

authors： Mallavarapu RK,Grimsley EW

更新日期：2007-09-01 00:00:00

abstract：:Human monocytic ehrlichiosis (HME) is a tick-borne disease transmitted during the summer months in the mid-Atlantic, southeastern and south-central United States. A large proportion of patients presenting with ehrlichiosis must be hospitalized because of the severity of their presenting signs, symptoms and lab abnorma...

journal_title：Southern medical journal

authors： Prince LK,Shah AA,Martinez LJ,Moran KA

更新日期：2007-08-01 00:00:00

abstract：:Perennial allergic rhinitis (PAR) can have a significant impact on a patient's quality of life. While allergen avoidance is the first line of management for PAR, complete avoidance is difficult. Therapeutic options available for PAR include intranasal corticosteroids (INS), H1-antihistamines, decongestants and local c...

journal_title：Southern medical journal

authors： Brunton SA,Fromer LM

更新日期：2007-07-01 00:00:00

abstract：:A retrospective study of 45 patients hospitalized with blastomycosis of bones or joints revealed 41 cases of osteomyelitis and 12 cases of septic arthritis. The majority were men (35 [78%] patients) and non-Aboriginal (32 [71%] patients). Median time from the onset of symptoms to hospitalization was shorter in women t...

journal_title：Southern medical journal

authors： Oppenheimer M,Embil JM,Black B,Wiebe L,Limerick B,MacDonald K,Trepman E

更新日期：2007-06-01 00:00:00

abstract：:Perinephric and prostatic abscesses may present with protean symptoms and often arise from ascending urinary tract infections. Both abscesses are often caused by uropathogens, and only on rare occasions is the etiology due to methacillin-resistant Staphylococcus aureus (MRSA). Perinephric and prostatic abscesses have ...

journal_title：Southern medical journal

authors： Tobian AA,Ober SK

更新日期：2007-05-01 00:00:00

abstract：:Pulmonary arterial hypertension (PAH), a rare disease involving the pulmonary vascular circuit, is defined as an elevation in pulmonary arterial pressures and is characterized by symptoms of dyspnea, chest pain, and syncope. If left untreated, the disease carries a high mortality rate, with the most common cause of de...

journal_title：Southern medical journal

authors： LaRaia AV,Waxman AB

更新日期：2007-04-01 00:00:00