Southern medical journal
-
Southern medical journal · Mar 2003
Comparative StudyDigital radiography in the diagnosis of Toddler's fracture.
The objective of this study was to evaluate the accuracy of digital imaging in the diagnosis of toddler's fractures. ⋯ Digitized images may be helpful in evaluating limping children with suspected toddler's fractures, possibly eliminating the need for further diagnostic studies.
-
Southern medical journal · Jan 2003
Case ReportsFatal spontaneous retroperitoneal hematoma secondary to enoxaparin.
An 83-year-old woman was transferred to our cardiac intensive care unit with an acute non-Q-wave myocardial infarction and pulmonary edema. Enoxaparin was one component of the treatment regimen used. Her hospital course was complicated by episodes of hypotension, as well as by recurrent left hip and left thigh pain. ⋯ Enoxaparin is being increasingly used in patients with acute coronary syndromes. Review of the medical literature revealed that this is the first reported case of a patient with an acute coronary syndrome who died as a result of an enoxaparin-induced, spontaneous retroperitoneal hematoma. This article reviews important clinical signs and symptoms, identifies high-risk patient populations, and discusses management strategies.
-
Southern medical journal · Dec 2002
Evidence-based medicine in internal medicine clerkships: a national survey.
Although evidence-based medicine (EBM) has become widely accepted, the extent of its implementation during clinical clerkships is not well described. This study was done to characterize the implementation of formal EBM curricula in internal medicine clerkships. ⋯ Evidence-based medicine has been formally incorporated into relatively few internal medicine clerkships. Faculty development programs in conjunction with innovative teaching methods may help overcome these barriers.