Tick-borne infections in the United States.

abstract：:Persistent or chronic cough is defined as a cough lasting more than 3 weeks. A systematic approach to the diagnosis and treatment of chronic cough involves a detailed history. The age of the child, descriptive qualities of the cough, and environmental exposures are particularly important. A thorough physical examinati...

journal_title：Primary care

authors： Meyer AA,Aitken PV

更新日期：1996-12-01 00:00:00

abstract：:Acute gastroenteritis is a common cause of emergency and office visits. This article reviews causes, pathogenesis, diagnosis, prevention, and treatment. The incidence of antibiotic-associated colitis is increasing worldwide as a consequence of widespread use of broad-spectrum antibiotics for various illnesses. The pat...

journal_title：Primary care

authors： Jabbar A,Wright RA

更新日期：2003-03-01 00:00:00

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：:When prescribing drugs for patients who are pregnant or lactating, a clinician needs to ask the following questions: (1) Is pharmacotherapy necessary? (2) What drug can be used that has the lowest potential toxicity according to current knowledge? (3) What pharmacokinetic parameters does the drug follow during pregnan...

journal_title：Primary care

authors： Ives TJ,Tepper RS

更新日期：1990-09-01 00:00:00

abstract：:Sexually transmitted disease poses an increasing challenge for the clinician in the 1980s, with increasing numbers of pathogens and diseases. This article discusses the diagnosis and outpatient management of gonorrhea, herpes virus type II, chlamydia trachomatis, and condyloma accuminatum. In addition, the diagnosis a...

journal_title：Primary care

authors： Nesse RE

更新日期：1988-09-01 00:00:00

abstract：:Injuries are the leading cause of death in children. Approximately 23,000 children are killed each year in the United States, and many more suffer from nonlethal injuries. This article discusses general principles of effective intervention strategies, the most serious injury categories, and practical injury prevention...

journal_title：Primary care

authors： Losh DP

更新日期：1994-12-01 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

authors： Shammas NW,Padaria RF,Coyne EP

更新日期：2013-03-01 00:00:00

abstract：:Ankle injuries are the most frequent cause of physician evaluation in a sports-oriented environment. The lateral ligaments are most commonly injured. With a detailed history, physical and radiographic examination to avoid missing underlying pathology, the primary care physician can diagnose and treat the majority of a...

journal_title：Primary care

authors： Wilkerson LA

更新日期：1992-06-01 00:00:00

abstract：:This article reviews the role of exercise testing in the assessment of patients with suspected coronary disease. To accomplish this, four major topics are considered: the general concept of risk stratification; the estimation of outcomes using data from the initial evaluation of the patient; diagnostic assessment with...

journal_title：Primary care

authors： Mark DB

更新日期：2001-03-01 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

authors： Charles C,Ferris AH

更新日期：2020-12-01 00:00:00

abstract：:Detoxification is the medical care that safely carries the patient through withdrawal. It is normally not an end point but is a step toward rehabilitation. Protocols should be tailored to meet the needs of individual patients. ...

journal_title：Primary care

authors： Cross GM,Hennessey PT

更新日期：1993-03-01 00:00:00

abstract：:Language disorder is often mistaken for confusion, psychosis, or memory loss, and thorough evaluation may require much time. A simple beside examination can often separate aphasic syndromes, and the anatomic location of the lesion can be inferred. Speech therapy, although not entirely satisfactory, is helpful in most ...

journal_title：Primary care

authors： Palmer EP

更新日期：1979-12-01 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：: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：:Eighty per cent of severe sports-related central nervous system trauma occurs as a result of collision sports, chiefly American football and rugby union football, followed by wrestling and gymnastics. Although serious head injury is uncommon, episodes of concussion are frequent; repeated concussion should be grounds f...

journal_title：Primary care

authors： Bruce DA,Schut L,Sutton LN

更新日期：1984-03-01 00:00:00

abstract：:The purpose of this foot and ankle update is to educate the reader on important foot and ankle topics including current controversies, physical examination, diagnostics, and management. Quick-view lists are used to give easy access to the most significant knowledge points for providing patient care for these entities....

journal_title：Primary care

authors： Saleh A,Sadeghpour R,Munyak J

更新日期：2013-06-01 00:00:00

abstract：:Evidence for the effectiveness of lipid-lowering therapy in reducing CHD risk continues to emerge. In primary prevention, clinical trials have demonstrated a benefit for middle-aged, high-risk men with high LDL cholesterol and, more recently, for men and women with "average" LDL and low HDL cholesterol. Although low H...

journal_title：Primary care

authors： Green ML

更新日期：2003-12-01 00:00:00

abstract：:Multidisciplinary management in the diagnosis and management of patients with ocular inflammatory disease is often critical. The workup of uveitis or scleritis may reveal an underlying systemic disease. Recognition of inflammation by the primary care physician can facilitate prompt referral to a uveitis specialist and...

journal_title：Primary care

authors： Dunn JP

更新日期：2015-09-01 00:00:00

abstract：:There can be no question that smoking is a modern version of plague; that, as Camus points out, the public does not comprehend its true nature. As in the metaphorical community in Camus' narrative, the struggle of individuals against the pestilence (including official obstruction) is imperative. Physicians have multip...

journal_title：Primary care

authors： Houston TP

更新日期：1992-09-01 00:00:00

abstract：:This article summarizes the current understanding of infant crying and sleeping problems, together with the implications of this understanding for services and research, with a focus on the first months of infancy. ...

journal_title：Primary care

authors： St James-Roberts I

更新日期：2008-09-01 00:00:00

abstract：:Homeless persons die significantly younger than their housed counterparts. In many cases, relatively straightforward primary care issues escalate into life-threatening, expensive emergencies. Poor health outcomes driven by negative interactions between comorbid symptoms meet the definition of a health syndemic in this...

journal_title：Primary care

authors： Fleisch SB,Nash R

更新日期：2017-03-01 00:00:00

abstract：:Anaphylaxis is a clinical syndrome and is caused by many different agents. Acute therapy is epinephrine. Chronic therapy depends on the agent causing the anaphylaxis, but usually consists of avoidance of the agent only. Individuals who suffer from this problem should be issued epinephrine and wear or carry medical ale...

journal_title：Primary care

authors： Freeman TM

更新日期：1998-12-01 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：:Heart failure is a clinical syndrome that results in diminished tissue perfusion and volume overload. Because of increasing population age and improved survival after myocardial infarction, the prevalence of heart failure is likely to increase dramatically. Primary care physicians are in an ideal position to care for ...

journal_title：Primary care

authors： Wilbur J,James P

更新日期：2005-12-01 00:00:00

abstract：:The nature and treatment of the three major types of juvenile rheumatoid arthritis--systemic, polyarticular, and pauciarticular--are presented. ...

journal_title：Primary care

authors： Alepa FP

更新日期：1984-06-01 00:00:00

abstract：:This article reviewed the parasitic signs and symptoms most likely to be seen in the office setting. Particular attention has been given to the endemic parasites. The physician will be called upon increasingly to recognize the often subtle and seemingly unrelated symptom complex. Nowhere else in the animal kingdom has...

journal_title：Primary care

authors： Jones JE

更新日期：1991-03-01 00:00:00

abstract：:Patients with asthma and allergic rhinitis may benefit from hydration and a diet low in sodium, omega-6 fatty acids, and transfatty acids, but high in omega-3 fatty acids (i.e., fish, almonds, walnuts, pumpkin, and flax seeds), onions, and fruits and vegetables (at least five servings a day). Physicians may need to be...

journal_title：Primary care

authors： Jaber R

更新日期：2002-06-01 00:00:00

abstract：:There are many types of miscellaneous primary headache, but two groups have been selected for discussion: trigeminal autonomic cephalalgias (TAC) and cephalalgias without autonomic dysfunction(CWAD). TAC are strictly unilateral and CWAD are usually bilateral. Sudden onset and relatively short duration characterize mos...

journal_title：Primary care

authors： Wheeler SD

更新日期：2004-06-01 00:00:00

abstract：:Mental health and primary care delivery systems have evolved to operate differently. For example, attention to multiple medical issues, health maintenance, and structured diagnostic procedures are standard elements of primary care rarely incorporated into mental health care. A multidisciplinary treatment approach, gro...

journal_title：Primary care

authors： Thielke S,Vannoy S,Unützer J

更新日期：2007-09-01 00:00:00

abstract：:Finding cancer at its earliest, most treatable stage gives patients the greatest chance of survival. For a number of cancers, screening tests allow for early detection and treatment, and thereby, reduce cancer-related mortality. However, many cancers are discovered by symptomatic presentation rather than screening. Th...

journal_title：Primary care

authors： Salzman BE,Lamb K,Olszewski RF,Tully A,Studdiford J

更新日期：2009-12-01 00:00:00