Southern medical journal
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Southern medical journal · Apr 2005
ReviewLessons learned in the management of thirteen celiac axis injuries.
Celiac axis injuries are rare. The purposes of this study were to (1) review institutional experience, (2) determine additive effect on death of associated vessel injuries, and (3) correlate mortality rates with the American Association for the Surgery of Trauma-Organ Injury Scale (AAST-OIS) for abdominal vascular injury. ⋯ Celiac axis injuries are rare. Patients with isolated injuries have better survival rates. Mortality rate correlates well with AAST-OIS for abdominal vascular injury.
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The objective of this study was to determine racial bias in patient selection of an obstetrician. ⋯ In an urban community with a racially diverse population, there is a strong racial bias in patient selection of an obstetrician.
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Southern medical journal · Apr 2005
Female patients' sex preferences in selection of gynecologists and surgeons.
In this study, the authors investigated sex preferences for gynecologists and surgeons among female patients, and explored potential contributing factors. ⋯ Our investigation demonstrated that women's preferences for a gynecologist were divided equally between preferring a male, a female, and having no preference. Our study did find, however, that about half of the female patients preferred a male surgeon.
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The authors reviewed MEDLINE and references of major articles in the published literature over the last 30 years regarding the complications of alcohol abuse and discuss the critical care aspects of alcohol abuse. This article discusses the severe medical conditions associated with alcohol abuse that lead to admission to the medical intensive care unit. The clinical manifestations, pathophysiology, diagnostic studies, and management of these conditions are discussed in detail.
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Southern medical journal · Mar 2005
Case ReportsPulmonary sarcoidosis presenting with acute respiratory failure.
This is a case report of pulmonary sarcoidosis presenting with acute respiratory failure. A 33-year-old black man presented with 4 days of headache and fever. He had subsequent development of respiratory failure on the seventh hospital day. ⋯ Extensive workup for collagen vascular disease and infectious pathology were negative. Transbronchial biopsy specimens of the lung parenchyma showed noncaseating epithelioid granulomas consistent with sarcoidosis. The patient was treated with intravenous methylprednisolone succinate with dramatic clinical improvement.