Southern medical journal
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Southern medical journal · Dec 1997
Comparative StudyPulmonary function tests: comparison of 95th percentile-based and conventional criteria of normality.
Although 95th percentile-based normal limits are recommended instead of conventional criteria of normality to guide pulmonary function test (PFT) readings, we have found no objective assessment of how the choice of normal limits might influence PFT interpretation. ⋯ Discrepancies between 95th percentile-based and conventional normal limits can potentially influence PFT readings, and 95th percentile-based criteria are not used in the majority of VA PFT laboratories.
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Southern medical journal · Nov 1997
Necrotizing fasciitis: improved survival with early recognition by tissue biopsy and aggressive surgical treatment.
Necrotizing fasciitis is a soft tissue gangrenous infection that is optimally treated by early diagnosis, radical surgical debridement of all involved necrotic tissue, broad spectrum antibiotics, and aggressive nutritional support. The early clinical diagnosis of an area of necrotizing fasciitis is difficult and frequently unreliable. We are reporting a series of cases in which an early, accurate diagnosis of necrotizing fasciitis was established by a frozen section tissue biopsy obtained at the bedside. ⋯ Frozen section tissue biopsy is a useful adjunct in establishing an early, accurate diagnosis of infectious gangrene.
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Tension hydrothorax is a rare complication associated with a variety of diseases. In this case report, we describe the acute hemodynamic and respiratory effects of tube thoracostomy drainage in a patient with tension hydrothorax.
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Many articles have reviewed medical care at mass gatherings, but few have specifically looked at care provided during football games. Some of the largest gatherings occur at various stadiums during football season. ⋯ These results reflect patients with medical complaints seen during one collegiate football season in South Carolina. We believe this information can be used in planning medical care needs at other mass gatherings.
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Southern medical journal · Nov 1997
Cancer screening in women by internal medicine resident physicians.
Research suggests that women may not have consistent cancer surveillance. ⋯ We need to increase cancer screening in women. Assessment of the impact of the sex of the physician on cancer surveillance needs to be further evaluated.