Abstract:
:Shoulder problems are extremely common reasons for visiting a primary care physician. To make a correct diagnosis, an appropriate physical examination must be performed. This article describes a systematic approach to the physical examination, correlating the various maneuvers and tests with the anatomy and pathology of the shoulder. The steps in this examination are: inspection, observation, palpation, manual muscle testing, and special testing. With this type of systematic approach, the physician is more likely to arrive at an accurate diagnosis.
journal_name
Prim Carejournal_title
Primary careauthors
McShane JM,Graveley MJ,Hopper BDdoi
10.1016/j.pop.2004.08.001keywords:
subject
Has Abstractpub_date
2004-12-01 00:00:00pages
783-8, viiissue
4eissn
0095-4543issn
1558-299Xpii
S0095-4543(04)00103-4journal_volume
31pub_type
杂志文章相关文献
PRIMARY CARE文献大全abstract::Eosinophilia is defined as elevation of eosinophils in the bloodstream (450-550 cell/μL). There are many reasons for eosinophilia to exist, including parasitic disease, allergic disease, autoimmune, connective tissue disease, rheumatologic disease, primary eosinophilia such as hypereosinophilic syndrome, and as part o...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.07.010
更新日期:2016-12-01 00:00:00
abstract::Ascaris lumbricoides is a significant health problem. One billion people worldwide are infected. Most frequently it is seen in malnourished people residing in developing countries. Areas with modern water and waste treatment have a low incidence. The major serious sequelae associated with the parasite is intestinal ob...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1991-03-01 00:00:00
abstract::Central sleep apnea (CSA) is characterized by the periodic occurrence of apnea caused by loss of ventilatory motor output. CSA is often discussed as a minor variant of obstructive sleep apnea.However, this view obscures the critical contribution of CSA as an important manifestation of breathing instability in a variet...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2005.02.003
更新日期:2005-06-01 00:00:00
abstract::New and existing rheumatic disease is frequently encountered in the primary care setting. The number of medications used to treat various rheumatic conditions continues to increase. Some medications have very specific indications, whereas others have increasing off-label uses. Regardless of the indication, the medicat...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.02.003
更新日期:2018-06-01 00:00:00
abstract::Primary care physicians are confronted daily with questions from their patients about alternative medicine. When maternity care patients seek information about such therapies, careful attention must be paid to issues of safety and efficacy for both the mother and her unborn child. This article clarifies the role of al...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70151-2
更新日期:2000-03-01 00:00:00
abstract::Classification of patients with prostatic complaints into one of the categories of bacterial or nonbacterial prostatitis or prostatodynia (see Table 3) enables a physician to give rational advice to men with confusing symptoms. By examining the prostatic fluid of patients with prostatic symptoms, a physician may easil...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1985-12-01 00:00:00
abstract::Chronic kidney disease is encountered by the primary care physician, in no small part owing to the high rates of hypertension and diabetes, the 2 most common etiologies of chronic kidney disease in the United States. As a primary care physician, it is important to understand the epidemiology, pathophysiology, and eval...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.08.001
更新日期:2020-12-01 00:00:00
abstract::The family practitioner has an important role in the detection of infants and young children with developmental delays. The physician may be the first or only professional in regular contact with infants and young children. Interpretation of a child's developmental status is best done with a clear understanding of the...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract::Nearly all the topics considered by medical ethics generally present themselves to those caring for cancer patients. Although most attention may be given to questions of resource allocation and limiting treatment, other issues are of equal importance. Providing respect and compassion for patients may be even more impo...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract::Guillain-Barré syndrome and its clinical variants are a group of rapidly progressing, potentially debilitating neurologic disorders that may have significant morbidity/mortality if left unrecognized or untreated. The most common symptoms include ascending limb weakness and paralysis, which may progress to respiratory ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2015.01.001
更新日期:2015-06-01 00:00:00
abstract::More people are employed in the health care sector than in any other industry in the United States. Health care workers are exposed to a wide variety of hazards, including biological, chemical, physical and psychological stressors. Concerns about exposure to contagious diseases such as HIV, Hepatitis B and C, and tube...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70190-1
更新日期:2000-12-01 00:00:00
abstract::Palliative care begins with establishing goals of care based on estimated prognosis in end-stage renal disease (ESRD). Patients with ESRD are increasingly characterized by older age and multiple comorbid illnesses, and have a mortality rate 8 times higher than the general Medicare population. Dialysis patients are app...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2011.03.009
更新日期:2011-06-01 00:00:00
abstract::Rural populations have different demographics and health issues compared to their metropolitan counterparts, including higher mortalities from ischemic heart disease, chronic obstructive pulmonary disease, unintentional injuries, motor vehicle accidents, and suicide. Rural primary care physicians (PCPs) have a unique ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.09.003
更新日期:2017-03-01 00:00:00
abstract::Pilonidal disease commonly is seen by all primary care practitioners, and guidelines for office management and referral are provided. Less commonly seen entities, such as hidradenitis suppurativa, anal cancer, and Bowen's and Paget's diseases, also may affect this anatomic area. Knowledge that they may be encountered ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70107-x
更新日期:1999-03-01 00:00:00
abstract::The recently completed NHLBI sponsored multicenter double-blind Coronary Heart Disease Prevention Trial has provided the long sought-after proof that hyperlipidemia is a major CAD risk factor and that the incidence of CHD and its complications can be favorable modified by control of hyperlipidemia with appropriate die...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1985-03-01 00:00:00
abstract::Patellofemoral pain syndrome is common among athletes and non-athletes. It results from an imbalance of forces acting on the patellofemoral joint, which leads to increased strain on the peripatellar soft tissues, increased patellofemoral joint stress, or both. The most important risk factors are overuse, quadriceps we...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/j.pop.2004.07.006
更新日期:2004-12-01 00:00:00
abstract::An overview of pericarditis, cardiomyopathy, and acute myocarditis is presented. Clinical presentation, causes, physical signs, laboratory testing, and various imaging procedures are discussed. Established pharmacologic and mechanical therapies are reviewed. Short-term and long-term prognoses, when relevant, are discu...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2012.11.009
更新日期:2013-03-01 00:00:00
abstract::In this article, two cases are presented that illustrate that the principles underlying medical practice and religious scruples are often the same. The author argues, therefore, that better understanding of religious traditions that inform patients' views might diminish seeming conflicts in the provision of medical ca...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1986-06-01 00:00:00
abstract::Smokers expect health care professionals to help them stop smoking. Brief physician advice effectively increases cessation rates and should be given in a supportive and positive atmosphere emphasizing short-term benefits of cessation. Accurate information on withdrawal, weight gain, and nicotine gum should be offered,...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1989-03-01 00:00:00
abstract::Heart failure (HF) often presents as dyspnea either with exertion and/or recumbency. Patients also experience dependent swelling and fatigue. Measurement of the left ventricular ejection fraction (LVEF) identifies HF patients who may respond to pharmacologic therapy and/or electrophysiologic device implantation. Angio...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2012.11.010
更新日期:2013-03-01 00:00:00
abstract::Primary care clinicians treat patients with cancer and cancer pain. It is essential that physicians know how to effectively manage pain including assessment and pharmacologic and nonpharmacologic treatment modalities. Barriers to adequate assessment of pain must be recognized and overcome. Pharmacologic regimens are b...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70073-7
更新日期:1998-06-01 00:00:00
abstract::A significant portion of the adult population uses one or more medications on a regular basis to manage chronic conditions. As the number of medications that patients are prescribed increases, an increase in pharmacologic-related issues and complications may occur, such as polypharmacy, inappropriate prescribing, medi...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2012.03.007
更新日期:2012-06-01 00:00:00
abstract::The shoulder is one of the most complex joints in the body requiring coordinated, functioning muscles and joints to have a fluid, rhythmic motion. The shoulder consists of the glenohumeral (GH) joint, the acromioclavicular (AC) joint, the scapulothoracic (ST) joint, and the sternoclavicular (SC) joint. This article wi...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1988-12-01 00:00:00
abstract::Although sinusitis is common, controversy exists regarding terminology, diagnostic criteria, indications for imaging, and treatment guidelines. Patients who are diagnosed with bacterial sinusitis should be started on amoxicillin-clavulanate unless an allergy to penicillin is reported, in which case doxycycline or a re...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2013.10.006
更新日期:2014-03-01 00:00:00
abstract::This article attempts to illustrate ways in which family physician practices are able to demonstrate high value, enhanced quality, and streamlined costs, essential components of practice sustainability. Specific examples are provided to assist practices to consider questions and information that allow for skillful eng...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/j.pop.2012.08.004
更新日期:2012-12-01 00:00:00
abstract::The most common conditions of gastroenteritis in children and avoidance of errors in their management are emphasized in this article. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1984-09-01 00:00:00
abstract::Overuse injuries are caused by intrinsic and extrinsic factors. Exercise exposes even the most subtle anatomic imperfections and extrinsic influences. Overuse that is not musculoskeletal in nature and new information pertaining to the role of bursae are discussed. Treatment philosophy is approached with an emphasis on...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1991-12-01 00:00:00
abstract::Colorectal cancer causes significant morbidity and mortality in the United States. The incidence of colorectal cancer increases at age 50, approximately. Risk factors that have been identified include a personal history of colorectal cancer or adenomas, a family history of colon cancer or adenomas, inherited colorecta...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70059-2
更新日期:2001-09-01 00:00:00
abstract::The objective of an exercise program for persons with or without disease should be the development or maintenance of cardiorespiratory fitness, strength and muscular endurance, and flexibility. The basic principles of prescribing exercise--frequency, intensity, and duration of training--and the mode of activity as rec...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1994-09-01 00:00:00
abstract::Fingertip injuries and lacerations of the hand are often dismissed as inconsequential, although this attitude can lead to more serious problems. Appropriate and timely treatment of these injuries prevents loss of function, preserves digital sensibility, and lessens the need for reconstructive surgery. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1980-06-01 00:00:00