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February 2010 - - Issue 2
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Hamdy, Ronald
Southern Medical Journal. 103(2):103, February 2010.
doi: 10.1097/SMJ.0b013e3181ca3749
Zylstra, Robert G.
Southern Medical Journal. 103(2):104, February 2010.
doi: 10.1097/SMJ.0b013e3181bea2ff
Subramanian, Srinivas
Southern Medical Journal. 103(2):105-106, February 2010.
doi: 10.1097/SMJ.0b013e3181c98dd2
Block, Robert W.
Southern Medical Journal. 103(2):107, February 2010.
doi: 10.1097/SMJ.0b013e3181c7e7d4
Waseem, Muhammad; Zipin, Kevan
Southern Medical Journal. 103(2):108, February 2010.
doi: 10.1097/SMJ.0b013e3181ca78a3
Shega, Joseph W.
Southern Medical Journal. 103(2):109-110, February 2010.
doi: 10.1097/SMJ.0b013e3181c98cbe
Reeves, Roy R.; Parker, Jefferson D.; Burke, Randy S.; Hart, Roy H.
Southern Medical Journal. 103(2):111-115, February 2010.
doi: 10.1097/SMJ.0b013e3181c99423
Delirium is a medical emergency that may be overlooked in the elderly. This article discusses the problem of misattribution of delirium to symptoms of mental illness.
Berez, Paul Bruce
Southern Medical Journal. 103(2):116-120, February 2010.
doi: 10.1097/SMJ.0b013e3181c98b82
This article describes an as-yet unnamed but very commonly encountered syndrome consisting of anasarca, the inability to successfully unload the excess fluid off of the patient with diuretics because of significant deterioration of renal function test results and associated with cor pulmonale and pre-renal azotemia with diuresis of anasarca (CorPRADA).
Fickenscher, Kristin A.; Dean, Julianne S.; Mena, David C.; Green, Brian A.; Lowe, Lisa H.
Southern Medical Journal. 103(2):121-125, February 2010.
doi: 10.1097/SMJ.0b013e3181c9944e
A retrospective review of 58 children under 20 months who underwent neuroimaging for possible abusive trauma was performed. Data collected were demographics, neurological signs/symptoms, imaging findings, and disposition (abusive or accidental). Although victims of abusive trauma under 20 months of age are less often neurologically asymptomatic compared to accidental trauma victims, neuroimaging revealed a high rate of occult traumatic brain injury in both groups.
Swaminath, Arun; Longstreth, George F.; Runnman, Eva M.; Yang, Su-Jau
Southern Medical Journal. 103(2):126-130, February 2010.
doi: 10.1097/SMJ.0b013e3181c9800f
Percutaneous feeding tube placement is common and will become more so as the population ages. There are multiple factors influencing feeding tube placement including patient and family preferences, physician preference, and long term care goals. The benefit of feeding tube placement has not shown to consistently improve or prolong life when placed for certain conditions.
Jain, Rahul; Evenson, Ariana; Jain, Rohit; Biddison, Elizabeth; Dalal, Darshan; Kelly, Kathleen M.; Karmand, Arezo J.; Hullsiek, Heide; Punnam, Jyothi; Plantholt, Stephen
Southern Medical Journal. 103(2):131-137, February 2010.
doi: 10.1097/SMJ.0b013e3181c98ff3
Heart failure is a major health problem with conflicting reports on the heart failure management program. The present study compares the outcomes in patients both attending and not attending a heart failure clinic.
Southern Medical Journal. 103(2):138, February 2010.
doi: 10.1097/SMJ.0b013e3181cfc1ef
Southern Medical Journal. 103(2):139, February 2010.
doi: 10.1097/SMJ.0b013e3181d1cfc5
Brosnahan, Godela; Fraer, Mony
Southern Medical Journal. 103(2):140-146, February 2010.
doi: 10.1097/SMJ.0b013e3181c99438
This review article begins with a clinical case vignette and then describes the definition and current classification of chronic kidney disease (CKD). Epidemiological studies have shown that CKD is common worldwide and associated with a high risk of cardiovascular morbidity and mortality. We discuss the etiology and risk factors for CKD, who should be screened, and what tests are recommended for screening and evaluation of patients who are found to have chronic kidney disease.
Chillag, Shawn; Krieg, Jake; Bhargava, Ranjana
Southern Medical Journal. 103(2):147-150, February 2010.
doi: 10.1097/SMJ.0b013e3181c99140
In 1975, the Heimlich maneuver (HM) was described increasing rapidly in use with many popular media descriptions of dramatic and, presumably, life-saving uses. However, there has never been any systematic study of the use of the HM, its benefits, or its ill effects. A case of a novel complication and a review of all complications in the English literature are reported. Patients at the extremes of age are most vulnerable to choking and perhaps more frequent complications. Alterations in techniques to expel a food bolus may be needed.
Narang, Puneet; Paladugu, Anubha; Manda, Sainath Reddy; Smock, William; Gosnay, Cynthia; Lippmann, Steven
Southern Medical Journal. 103(2):151-153, February 2010.
doi: 10.1097/SMJ.0b013e3181c9902e
Firearm presence in the home increases the rates for suicide, homicide, domestic violence, and accidental killings. Gun ownership more often results in shooting oneself and/or a family member than an intruder. Firearm-related violence vastly increases expenditures for health care, services for the disabled, insurance, and our criminal justice system. The bills are paid by taxpayers and those who buy insurance.
Solak, Yalcin; Turkmen, Kultigin; Atalay, Huseyin; Turk, Suleyman
Southern Medical Journal. 103(2):154-155, February 2010.
doi: 10.1097/SMJ.0b013e3181bfd553
Emphysematous pyelonephritis is a life-threatening infection especially seen in patients with poorly-controlled diabetes mellitus. This infection has a high mortality rate if it is bilateral and cannot be recognized promptly. Based on the radiologic classification of the extensiveness of disease, treatment modalities vary. In mild cases limited to one kidney, antibiotic treatment along with vigorous hydration may suffice. But in severe cases presented as bilateral involvement or septic shock, only bilateral nephrectomy can save the patient's life. We present a case of a 46-year-old female who had hypertension and type 2 diabetes mellitus and presented with complaints of dysuria, back pain, and decreased urine output. Despite acute renal failure, we were able to manage the patient's infection solely on a medical basis.
Naveed, Sajid; Okoli, Kelechi; Hollingsworth, Jocelyn; Kasmani, Rahil
Southern Medical Journal. 103(2):156-158, February 2010.
doi: 10.1097/SMJ.0b013e3181bfd2c0
Guillain-Barré syndrome (GBS) is an autoimmune inflammatory demyelinating polyradiculoneuropathy characteristically preceded by an infection. References to GBS concomitant with malignancies are emerging. Whether GBS is a paraneoplastic manifestation or just a casual relationship is an unsettled issue. We present a case in which two pathophysiological mechanisms might have triggered GBS.
Ünverdi, Selman; Köklü, Seyfettin; Tuncer, Filiz; Duranay, Murat
Southern Medical Journal. 103(2):159-161, February 2010.
doi: 10.1097/SMJ.0b013e3181bf66a2
The gastrointestinal tract and duodenum are rarely involved by multiple myeloma, either diffusely or as a focal mass. A 59-year-old man was diagnosed with multiple myeloma and given chemotherapy. Four months later, he developed jaundice. Gastroduodenal plasmacytoma causing extrahepatic biliary obstruction was diagnosed.
Liao, Chien-Ming; Chang, Wei-Chou; Ko, Kai-Hsiung; Kao, Hung-Wen; Cheng, Ming-Fang; Huang, Guo-Shu; Wu, Ching-Jiunn
Southern Medical Journal. 103(2):162-164, February 2010.
doi: 10.1097/SMJ.0b013e3181bf2d61
The pathogenesis of desmoid tumor is still unclear. A 79-year-old woman who developed a desmoid tumor after surgical research of an abdominal lipoma. Seven years previously is presented. Preoperative computed tomography revealed a large, left lower abdominal mass. Pathology showed the spindle fibro blastic cell pattern typical of desmoids.
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