The elbow: diagnosis and treatment of common injuries.

abstract：:SLE is an illness of unknown cause(s) affecting multiple organ systems, whose diagnosis depends upon a high index of suspicion and knowledge of its clinical manifestations. The American Rheumatism Association criteria may be used as a guide to help direct one's clinical and laboratory approaches. Survivorship appears ...

journal_title：Primary care

authors： Feldman S,Kaplan D

更新日期：1978-03-01 00:00:00

abstract：:This article addresses advance directives and methods to establish the goals of care for remaining life in the decisional and nondecisional patient. Without these discussions, patient autonomy is negated, and the opportunity to provide patient-centered care using shared decision making is lost. ...

journal_title：Primary care

authors： Leland J

更新日期：2001-06-01 00:00:00

abstract：:Anorectal disorders are very common among a wide population of patients. Because patients may be embarrassed about the anatomic location of their symptoms, they may present to care late in the course of their illness. Care should be taken to validate patient concerns and normalize fears. This article discusses the dia...

journal_title：Primary care

authors： Davies D,Bailey J

更新日期：2017-12-01 00:00:00

abstract：:Although primary care physicians provide traditional diagnosis, treatment, and follow-up to patients with sexually transmitted diseases, their role in prevention efforts is becoming increasingly important. This reflects a younger patient group, often otherwise healthy patients who consult for contraception, as well as...

journal_title：Primary care

authors： Rosenberg MJ

更新日期：1990-03-01 00:00:00

abstract：:With Internet access available to all, patients are increasingly gaining access to medical information, and then looking to their primary care physician for interpretation. Physicians encounter an "information jungle"--there were 682,121 articles recorded in PubMed in 2005. If clinicians read two articles per day, in ...

journal_title：Primary care

authors： Miser WF

更新日期：2006-12-01 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

authors： Paisley J

更新日期：1984-09-01 00:00:00

abstract：:A problem-oriented algorithm is used to categorize skin eruptions in children into 10 morphologic groups, eliminating much of the difficulty and confusion of antiquated terms. This approach results in rapid differential diagnosis of common skin rashes in children. ...

journal_title：Primary care

authors： Weston WL

更新日期：1984-09-01 00:00:00

abstract：:This article discusses the technique of cervical electrosurgical loop excision, which allows for treatment of premalignant conditions of the cervix. The primary goal of cervical loop excision is to provide a method of managing preneoplastic cervical conditions in a safe, effective manner while minimizing the chance of...

journal_title：Primary care

authors： Newkirk GR

更新日期：1997-06-01 00:00:00

abstract：:The 2009 influenza A (H1N1) pandemic provided a major test to the public health system in the United States and abroad. Although the virus was rapidly identified, it took longer than expected to bring an effective vaccine to market. During the interim the virus demonstrated a predilection for infecting younger persons...

journal_title：Primary care

authors： Kimmel SR

更新日期：2011-12-01 00:00:00

abstract：:Cost-effectiveness and cost containment are becoming increasingly more important in medicine as health care costs continue to rise and as public attention continues to focus on these costs. This article examines the major issues and terminology of cost-effectiveness and cost containment in the context of primary care....

journal_title：Primary care

authors： Bishof RO,Nash DB

更新日期：1996-03-01 00:00:00

abstract：:Reports of factitious disorders, Munchausen's syndrome, and self-induced illness exist throughout medical history. In practice, disease simulation represents a spectrum of behaviors that range from relatively common and benign (e.g., pleading illness to avoid an unwanted social obligation) to rare and malignant forms ...

journal_title：Primary care

authors： Wise MG,Ford CV

更新日期：1999-06-01 00:00:00

abstract：:The most important factors that influence development of the eye, kidney, and nerve complications of diabetes are the duration and degree of exposure to hyperglycemia. Hypertension is also very important. The risk of complications appears to be similar for all patients with diabetes; differences in complication rates ...

journal_title：Primary care

authors： Eastman RC,Garfield SA

更新日期：1999-12-01 00:00:00

abstract：:The major obstacle to a recommendation for screening adults for NIDDM is the conflicting evidence that early detection and treatment reduce future complications. Because obesity is a risk factor for NIDDM, and hypertension in conjunction with NIDDM leads to early atherosclerosis, treatment is indicated for both hypert...

journal_title：Primary care

authors： Trilling JS

更新日期：1988-06-01 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

authors： Massengill JB

更新日期：1980-06-01 00:00:00

abstract：:An approach to preconception health promotion by obtaining a history and through physical examination and laboratory investigation is outlined. The controversies are explained, and the current programs that have been developed in the United Kingdom, Canada, and the United States are described. All women of childbearin...

journal_title：Primary care

authors： Levitt C

更新日期：1993-09-01 00:00:00

abstract：:Public awareness of the benefits of a healthy transition through menopausal and postmenopausal stages offers women a new perspective on aging and empowers them to take greater responsibility for their own health and well-being. Primary care physicians are a chief influence on information regarding health behaviors, ri...

journal_title：Primary care

authors： Weismiller DG

更新日期：2009-03-01 00:00:00

abstract：:The results of cardiac tests must always be interpreted through the lens of pretest probabilities created by the history and the physical examination. Tests should be chosen with a clear diagnostic and prognostic purpose in mind. A clear understanding of the relationship between the history and physical examination an...

journal_title：Primary care

authors： Brewer DE

更新日期：2000-09-01 00:00:00

abstract：:Dysfunction of the eustachian tube is the underlying problem in all types of otitis media. Systemic antibiotics and careful follow-up are the treatment of choice for acute suppurative otitis media, whereas topical antibiotics with saline irrigation are used in patients with a chronic condition. Myringotomy and tube in...

journal_title：Primary care

authors： Chui R

更新日期：1982-06-01 00:00:00

abstract：:The primary care medical home continues to adapt by applying new research to population health approaches to care. With the discovery that life experiences trigger a chain of biologic events linked to chronic illnesses, the role of patient-centered multidisciplinary care teams becomes of paramount importance. Subseque...

journal_title：Primary care

authors： Dobbins MI,Thomas SA,Melton SL,Lee S

更新日期：2016-06-01 00:00:00

abstract：:The diagnostic criteria for eating disorders are described, including assessment of complications related to semi-starvation, binge eating, and purging. The key components of treatment are presented, including normalization of eating, individual and family therapy, and cognitive behavioral therapy. The role of the pri...

journal_title：Primary care

authors： Powers PS,Santana CA

更新日期：2002-03-01 00:00:00

abstract：:The majority of mood-altering drugs that have significant abuse potential possess several properties that contribute to drug dependence, including behavioral reinforcing and rewarding actions, tolerance to behavioral effects, and development of physical dependence. Although various drug classes may differ in the relat...

journal_title：Primary care

authors： Carr LA

更新日期：1993-03-01 00:00:00

abstract：:This article explains the proposed pathophysiology, evidence of efficacy, and adverse effects of several complementary and alternative medicine modalities, for the treatment of allergic conditions, such as traditional Chinese medicine formula, herbal treatments, acupuncture, and homeopathy. ...

journal_title：Primary care

authors： Qiu J,Grine K

更新日期：2016-09-01 00:00:00

abstract：:Adolescence is marked by complex physical, cognitive, social, and emotional development, which can be stressful for families and adolescents. Before the onset of puberty, providers should clearly lay the groundwork for clinical care and office visits during the adolescent years. This article addresses the guidelines a...

journal_title：Primary care

authors： Chaisson N,Shore WB

更新日期：2014-09-01 00:00:00

abstract：:Adolescents can be expected to inflict some pain on their environment periodically, and complete conformity of an adolescent is not necessarily a sign of mental health. With the exception of some particular behaviors such as a suicide attempt, auditory hallucinations, or a school phobia, one cannot make a prediction a...

journal_title：Primary care

authors： LeBow JA

更新日期：1975-06-01 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

authors： Shortliffe LM

更新日期：1985-12-01 00:00:00

abstract：:A computerized database will serve a practice well if physicians and staff make their expectations and needs explicit, establish clear database specifications, and use those specifications as the basis for selecting appropriate data management software and computer hardware. Any computerized database management system...

journal_title：Primary care

authors： Bobula JA

更新日期：1985-09-01 00:00:00

abstract：:Coronary heart disease (CHD) is prevalent and often related to an unhealthy diet and hyperlipidemia. The diagnosis of hyperlipidemia should be carefully made, using more than one measurement in the manner described. An assessment of risks allows one to decide whom to treat. Patients with CHD should be treated aggressi...

journal_title：Primary care

authors： Yu JN,Cunningham JA,Thouin SR,Gurvich T,Liu D

更新日期：2000-09-01 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

authors： Smith DH,McCarty K

更新日期：1992-12-01 00:00:00

abstract：:Kidney stones affect more than 5% of adults in the United States, and the prevalence is rising. The fundamental cause for all stones is supersaturation of urine with respect to the stone components; factors affecting solubility include urine volume, pH, and total solute excretion. Calcium stones are the most common in...

journal_title：Primary care

authors： Worcester EM,Coe FL

更新日期：2008-06-01 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

authors： Cutson TM

更新日期：1998-06-01 00:00:00