Southern Medical Journal

Hamdy, Ronald

Southern Medical Journal. 103(2):103, February 2010.

doi: 10.1097/SMJ.0b013e3181ca3749

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.

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Southern Medical Journal. 103(2):138, February 2010.

doi: 10.1097/SMJ.0b013e3181cfc1ef

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.

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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.

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Tageja, Nishant; Sethi, Saurabh; Rathod, Ankit

Southern Medical Journal. 103(2):181-182, February 2010.

doi: 10.1097/SMJ.0b013e3181c98de6

Southern Medical Journal. 103(2):, February 2010.

doi: 10.1097/01.smj.0000368417.92889.1e