Southern Medical Journal back issues from January 2004:
Alzheimer's disease: to tell or not to tell.(Editorial)
Jan 01, 2004; ... A sentence stood out in the letter: "I will not allow you to examine me unless you promise not to, under any circumstance, disclose my diagnosis without my prior consent." The author of the letter wanted to find out whether our Clinic could help her. The letter was succinct: only four ...
Medical comorbidity in black and white patients with Alzheimer's disease.(Original Article)
Jan 01, 2004; ... Background: Little is known about co-medical illnesses in black and white patients with probable Alzheimer's disease (AD). Methods: To address this question, we used two methods. In the first (Group I), black and white probable AD patients were matched on age at presentation to ...
Surgical treatment of achalasia in the 21st century.(Original Article)
Jan 01, 2004; ... Background: Achalasia is a primary motility disorder of the esophagus characterized by poor mid-esophageal motility and failure of the lower esophageal sphincter to properly relax. The optimal treatment of the disease would improve esophageal peristalsis and promote lower esophageal ...
Tonsillectomy using the Colorado microdissection needle: a prospective series and comparative technique review.(Original Article)
Jan 01, 2004; ... Abstract: Tonsillectomy remains one of the most common surgical procedures performed worldwide. Recent advancements in equipment technology have ushered in several new tonsillectomy techniques. Among these is the Colorado tip electromicrodissection needle. In this report, we describe the ...
Four-cut sinus computed tomographic scanning in screening for sinus disease.(Original Article)
Jan 01, 2004; ... Objective: We sought to calculate the sensitivity, specificity, negative predictive value, and positive predictive value of a limited sinus computed tomographic (CT) scan for sinus disease. Methods: We conducted a retrospective case series. Inclusion criteria included a sinus CT ...
Changes in transcutaneous carbon dioxide, oxygen saturation, and respiratory rate after interscalene block.(Original Article)
Jan 01, 2004; ... Background: We used transcutaneous (TC) carbon dioxide (C[O.sub.2]) monitoring to prospectively evaluate changes in respiratory status after interscalene anesthesia in 45 adults (40 successful and 5 unsuccessful blocks). Methods: TC-C[O.sub.2] oxygen saturation and respiratory ...
Handgrip strength, pulmonary function tests, and pulmonary muscle strength in fibromyalgia syndrome: is there any relationship?(Original Article)
Jan 01, 2004; ... Objective: It has been reported that patients with fibromyalgia syndrome (FMS) have lower maximal respiratory pressures than healthy subjects, indicating reduced pulmonary muscle strength. It has also been reported that patients with FMS have reduced grip strength. In this study, we aimed ...
Prevalence of occult celiac disease in patients with iron-deficiency anemia: a prospective study.(Original Article)
Jan 01, 2004; ... Background: Occult celiac disease has been reported in 0 to 6% of adults presenting with iron-deficiency anemia. Most prior studies have been retrospective or screened only a selected population of patients with small bowel biopsies. To more accurately define the true prevalence of this ...
Sex differences in analgesia: a randomized trial of [micro] versus [kappa] opioid agonists.(Original Article)
Jan 01, 2004; ... Objectives: We sought to evaluate whether there is a sex difference in the analgesic response to [micro] versus [kappa] opioids in the management of acute moderate to severe pain of injury in the emergency department. Methods: The study was a randomized, double-blind, clinical ...
Intralesional interferon-[alpha]-2B injections for the treatment of Peyronie's disease.(Original Article)
Jan 01, 2004; ... Background: Intralesional therapies provide an alternative to surgical treatment of Peyronie's disease (PD). This study examines the efficacy of intraplaque injections of interferon-[alpha]-2B (IFN-[alpha]-2B) in the treatment of PD. Methods: Twenty-five patients were enrolled ...
Cardiopathia fantastica.(CME Topic)
Jan 01, 2004; ... Date of Original Release: January 1, 2004 Term of Approval: 1 Year * Credit Expires: January 1, 2005 Estimated Time for Completion: 2 Hours The following section was designed for physicians in all specialties, especially those in primary care. The Southern ...
Cardiopathia fantastica: the Cardiac variant of Munchausen syndrome.(Review Article)
Jan 01, 2004; ... Abstract: Munchausen syndrome is a rare condition in which the patient repeatedly seeks medical care for factitious illnesses. Cardiac Munchausen syndrome was first reported in 1953 and later referred to as cardiopathia fantastica. It is characterized by clinical manifestations of acute ...
Vasectomy: a "seminal" analysis.(Review Article)
Jan 01, 2004; ... Abstract: Vasectomy is one of the most reliable and cost-effective permanent methods of contraception. Despite its popularity, certain issues pertaining to the procedure remain unresolved. Appropriate selection of candidates for vasectomy requires thorough counseling and screening, though ...
Cerebellar involvement in legionellosis.(Review Article)
Jan 01, 2004; ... Abstract: The involvement of the cerebellum in Legionnaires' disease has been noted in occasional case reports, but there have been no reviews on this subject to date. We report a previously healthy patient who contracted Legionella pneumonia and developed profound cerebellar dysfunction ...
Capgras syndrome related to diazepam treatment.(Case Report)
Jan 01, 2004; ... Abstract: Capgras syndrome, the delusion that identical-appearing impostors have replaced familiar people, is an unusual phenomenon usually seen in schizophrenia or dementia. We recently cared for a 78 year old man who seemed to develop Capgras syndrome as an adverse reaction to diazepam ....
Celiac disease as a manifestation of Munchausen by proxy.(Case Report)
Jan 01, 2004; ... Abstract: In typical cases of Munchausen by proxy maltreatment, a mother feigns or produces illness in her child. Her primary goal is to accrue emotional gratification, and no mental disorder better accounts for the behavior. We present the first published case in which the principal ...
Medication-associated depersonalization symptoms: report of transient depersonalization symptoms induced by minocycline.(Case Report)
Jan 01, 2004; ... Abstract: Patients with depersonalization disorder experience episodes in which they have a feeling of detachment from themselves. Symptoms of depersonalization may occur in individuals who have other mental disorders, or who have various medical conditions, or who have taken certain ...
Septic arthritis caused by Chryseobacterium meningosepticum in an elbow joint prosthesis.(Case Report)
Jan 01, 2004; ... Abstract: Chryseobacterium meningosepticum is a Gram-negative bacillus historically associated with meningitis and sepsis in premature neonates. Clinicians should suspect this organism when Gram-negative bacilli are seen on Gram-stain and culture, particularly in immunocompromised ...
Septic arthritis of the ankle due to Salmonella enteritidis: a case report.(Case Report)
Jan 01, 2004; ... Abstract: Salmonella septic arthritis in healthy individuals is a rare phenomenon in the United States. This case report chronicles the clinical course of a 41-year-old male farmworker who presented with a 3-week history of fever, chills, night sweats with pain, and swelling and redness of ...
Pigmented villonodular synovitis of the knee in a 9-year-old child.(Case Report)
Jan 01, 2004; ... Abstract: This report describes a 9-year-old girl with pigmented villonodular synovitis of the right knee. She presented with a chronic bloody effusion of the knee. The diagnosis of pigmented villonodular synovitis was suggested by the findings on magnetic resonance imaging and confirmed ...
Neck pain: common complaint, uncommon diagnosis--symptomatic clival chordoma.(Case Report)
Jan 01, 2004; ... Abstract: Patients presenting with neck complaints, such as pain or stiffness, are not uncommon in the Emergency Department. Complaints of neck instability, however, are unusual. We report the case of a 30-year-old woman who presented with multiple neck complaints that included having a ...
Risk-factor profile in severe, generalized, obliterating vascular disease.(Case Rebort)
Jan 01, 2004; ... Abstract: A 74-year-old woman had a history over 25 years of endarterectomy of both renal arteries, iliac venous thrombosis, pulmonary embolism, left internal carotid artery endarterectomy, coronary angioplasty, aortocoronary bypass grafting, occlusion of the right axillary artery, ...
Esophageal foreign body aspiration presenting as asthma in the pediatric patient.(Case Report)
Jan 01, 2004; ... Abstract: This report describes three cases of foreign body ingestion incorrectly diagnosed as asthma and/or upper respiratory tract infection. These cases demonstrate the need for further clinical investigations in any child who does not improve with adequate therapy. Many of our patients ...
Cytomegalovirus enteritis in common variable immunodeficiency.(Case Report)
Jan 01, 2004; ... Abstract: A woman with previously undiagnosed common variable immunodeficiency presented with diarrhea and volume depletion. Biopsies from upper and lower endoscopy revealed atrophic gastritis, villous atrophy, and an inflammatory bowel disease-like chronic colitis, with absence of plasma ...
SMA leader earns prestigious Duke University Medical Center Award.(T. Rudolph Howell)
Jan 01, 2004 ... On October 31, 2003, T. Rudolph "Rudy" Howell, MD, of Chester, Virginia, was presented with the 2003 Charles A. Dukes Award, Duke University's highest honor for volunteer service. Just a few days later, on November 8, Dr. Howell was installed as President of the Southern Medical ...
Hyalinizing Spitz nevus: spindle and epithelioid cell nevus with paucicellular collagenous stroma.(Case Report)
Jan 01, 2004; ... Abstract: Hyalinizing spindle and epithelioid cell nevus (Spitz nevus) is an uncommon melanocytic lesion. The histologic features of this benign tumor can mimic those of certain benign (dermatofibroma and desmoplastic cellular blue nevus) and malignant (metastatic carcinoma and malignant ...
Official positions of the International Society for Clinical Densitometry.(Special Report)
Jan 01, 2004; ... Introduction With the increasing use of bone density testing for diagnosing osteoporosis and establishing fracture risk, inconsistencies have arisen in the way in which bone densitometry is performed and the results interpreted. Differences in indications for bone mass testing, ...
The Behavioral Sciences and Health Care.(Book Review)
Jan 01, 2004; ... The Behavioral Sciences and Health Care Olle Jane Z. Sahler, MD, and John E. Carr, PhD, editors. Cambridge, MA: Hogrefe & Huber, June 2003. 432 pages. $39.95. ISBN: 0-88937-261-6. As the practice of medicine becomes more technical, specialized, and firmly anchored in ...
Glaucoma: A Guide for Patients--An Introduction for Care-Providers: A Quick Reference.(Book Review)
Jan 01, 2004; ... Glaucoma: A Guide for Patients--An Introduction for Care-Providers: A Quick Reference Josef Flammer, MD; K. Bucher, A. Funkhouser, R. Gerste, translators. Cambridge, MA: Hogrefe & Huber Publishers, 2003, 2nd rev ed. 416 pp. $16.95. ISBN: 0-88937-269-1. Glaucoma is ...
Cover Your Assets: Lawsuit Protection--How to Safeguard Yourself, Your Family, and Your Business in the Litigation Jungle.(Brief Article)(Book Review)
Jan 01, 2004; ... Cover Your Assets: Lawsuit Protection--How to Safeguard Yourself, Your Family, and Your Business in the Litigation Jungle Jay W. Mitton, MBA, JD, with Ginita Wall, CPA, CFP. New York: Crown Trade Paperbacks, 1995, 1st ed. 256 pages. $19.00. ISBN: 0-517-88518-2. It is ...
HIV.(Book Review)
Jan 01, 2004; ... HIV Howard Libman, MD, and Harvey J. Makadon, MD, editors. Philadelphia: American College of Physicians, March 21, 2003. 2nd ed. 356 pages. $40.00. ISBN: 1-930513-35-6. There is good news and bad news as far as human immunodeficiency virus (HIV) infection is ...
In the Wake of Terror: Medicine and Morality in a Time of Crisis.(Book Review)
Jan 01, 2004; ... In the Wake of Terror: Medicine and Morality in a Time of Crisis Jonathan D. Moreno, editor. Cambridge, MA: MIT Press, April 2003. 264 pages. $24.95. ISBN: 0-262-13428-4. The events triggered by the September 11, 2001, destruction of the World Trade Center ...
Practice without Fear: A Physician's Guide to Asset Protection and Liability Reduction.(Brief Article)(Book Review)
Jan 01, 2004; ... Practice without Fear: A Physician's Guide to Asset Protection and Liability Reduction Roger Murray, MD, and Toby Unwin, MBA. Orlando, FL: Element Limited Corp., June 2003, 1st ed. 159 pages. $99.95 plus shipping and handling. ISBN: 0-9729814-0-3. Available at: ...
Psychoneuroendocrinology: The Scientific Basis of Clinical Practice.(Book Review)
Jan 01, 2004; ... Psychoneuroendocrinology: The Scientific Basis of Clinical Practice Owen M. Wolkowitz, MD, and Anthony J. Rothschild, MD, editors. Washington, DC: American Psychiatric Press, March 2003, 1st ed. 592 pages. $69.00. ISBN: 0-88048-857-3. The disciplines of endocrinology ...
Cross-Cultural Medicine.(Book Review)
Jan 01, 2004; ... Cross-Cultural Medicine Judy Ann Bigby, MD, editor. Philadelphia: American College of Physicians, 2003. 300 pages. $38.00. ISBN: 1-930513-02-X. The diversity of the U.S. population is expected to increase significantly within the next few decades. It is projected that ...
Atlas of the Musculoskeletal Examination.(Brief Article)(Book Review)
Jan 01, 2004; ... Atlas of the Musculoskeletal Examination Gerald F. Moore, MD. Philadelphia: American College of Physicians, 2003. 128 pages. $30.00. ISBN: 1-930513-33-X. This 128-page book truly fulfills the expectations of its title. There are more pictures than text, and the ...
Office Practice of Medicine.(Brief Article)(Book Review)
Jan 01, 2004; ... Office Practice of Medicine William T. Branch, Jr., MD, MACP, editor. Philadelphia: W.B. Saunders Co., 2003, 4th ed. 1,165 pages. $89.95. ISBN: 0721676723. Clinicians who provide primary care are expected to be knowledgeable about a wide variety of medical problems ...
The Quotable Osler.(Book Review)
Jan 01, 2004; ... The Quotable Osler Mark E. Silverman, MD, MACP, T. Jock Murray, OC, MD, MACP, and Charles S. Bryan, MD, FACP, editors. Philadelphia: American College of Physicians, 2003. 320 pages. $30.00. ISBN 1-930513-34-8. The practice of medicine has changed significantly during ...