Southern medical journal
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Southern medical journal · Jan 2004
Prevalence of occult celiac disease in patients with iron-deficiency anemia: a prospective study.
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 disorder in patients presenting with iron-deficiency anemia (with or without stool hemoccult positivity), we initiated this prospective study. ⋯ The prevalence of occult celiac disease in this prospective study of patients presenting with iron-deficiency anemia was 2.8%. A significant number of other gastrointestinal lesions amenable to therapy were also found on upper and lower endoscopy in these patients. Given the treatable nature of celiac disease, it should be screened for in patients with unexplained iron-deficiency anemia with or without hemoccult-positive stools.
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Southern medical journal · Jan 2004
Randomized Controlled Trial Clinical TrialSex differences in analgesia: a randomized trial of mu versus kappa opioid agonists.
We sought to evaluate whether there is a sex difference in the analgesic response to mu versus kappa opioids in the management of acute moderate to severe pain of injury in the emergency department. ⋯ Females had better pain scores with butorphanol than morphine at 60 minutes.
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Southern medical journal · Jan 2004
Comparative StudyMedical comorbidity in black and white patients with Alzheimer's disease.
Little is known about co-medical illnesses in black and white patients with probable Alzheimer's disease (AD). ⋯ In both groups, black patients with probable AD had a higher rate of hypertension than white patients with probable AD, and whites had higher rates of atrial fibrillation and cancer. This finding suggests that these comorbid illnesses in black and white patients with probable AD is not due to a statistical Type II error, but rather to differences in these groups.
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Southern medical journal · Jan 2004
Changes in transcutaneous carbon dioxide, oxygen saturation, and respiratory rate after interscalene block.
We used transcutaneous (TC) carbon dioxide (CO2) monitoring to prospectively evaluate changes in respiratory status after interscalene anesthesia in 45 adults (40 successful and 5 unsuccessful blocks). ⋯ After interscalene blockade, we found an increase in respiratory rate and hypercarbia that resulted in no clinically significant effect.
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Southern medical journal · Jan 2004
Case ReportsEsophageal foreign body aspiration presenting as asthma in the pediatric patient.
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 had symptoms of asthma and/or respiratory tract infection for at least 1 month before correct diagnosis.