Southern medical journal
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Southern medical journal · May 2002
Review Case ReportsComa and thyroid storm in apathetic thyrotoxicosis.
We report the case of an 87-year-old woman with coma who was found to be in thyrotoxic crisis. The patient had a recent history of decreased mentation and apathy, and laboratory findings were found to be consistent with hyperthyroidism. After a stormy course, the clinical condition recovered to baseline, with return of laboratory values to normal following antithyroid therapy. We provide the details of this rarely documented presentation of apathetic hyperthyroidism with thyroid storm and coma and review the characteristics of similar cases in the literature.
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Southern medical journal · May 2002
Can elbow extension be used as a test of clinically significant injury?
The objective of this study was to evaluate whether a simple test of full elbow extension was a reliable indicator of bone/joint injury at the elbow joint. ⋯ The elbow-extension test can be used as a sensitive clinical screening test for patients with acute elbow injuries.
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Southern medical journal · Apr 2002
Residents with disabilities: a national survey of directors of emergency medicine residency programs.
The Americans With Disabilities Act (ADA) has been in effect since 1990. The present study shows response to this act for emergency medicine (EM) residents nationwide. ⋯ There is a wide array of disabilities among EM residents. Available assistance varies. This may apply to other residencies as well.