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 respiratory fluoroquinolone is indicated for non-pregnant patients. Patients who fail to respond to antibiotic therapy should be suspected of having chronic sinusitis, which may requirea dditional therapy, including endoscopic surgery. Referral of these patients to an otolaryngologist for further evaluation is recommended. Patients with severe systemic symptoms including altered mental status or severe headaches should be suspected of having fungal sinusitis and to an otolaryngologist acutely because this condition has high mortality if not treated emergently.
journal_name
Prim Carejournal_title
Primary careauthors
DeCastro A,Mims L,Hueston WJdoi
10.1016/j.pop.2013.10.006subject
Has Abstractpub_date
2014-03-01 00:00:00pages
47-61issue
1eissn
0095-4543issn
1558-299Xpii
S0095-4543(13)00102-4journal_volume
41pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全abstract：:Cardiovascular disease is the most prevalent health challenge to the global health care industry. The goal of prevention is compression of morbidity and enhancement of quality of life through modification of lifestyle and environmental risk factors. Treatment of established cardiovascular disease is expensive and inef...
journal_title：Primary care
pub_type： 杂志文章
doi：10.1016/j.pop.2008.07.007
更新日期：2008-12-01 00:00:00
abstract：:Urinary tract infections, including cystitis and pyelonephritis, are the most common bacterial infection primary care clinicians encounter in office practice. Dysuria and frequency in the absence of vaginal discharge and vaginal irritation are highly predictive of cystitis. Urine culture is recommended for the diagnos...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2019.01.001
更新日期：2019-06-01 00:00:00
abstract：:AIDS is a progressively debilitating disease in which the infected individual will require a diverse range and often intensive set of formal and informal services. With assistance from health care providers, community-based organizations, family, and friends, quality of life can be maintained. Community-based organiza...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1992-03-01 00:00:00
abstract：:This article discusses pregnancy and nutrition in 3 main timeframes, the prepregnancy nutritional health evaluation, nutrition during pregnancy, and nutrition during the puerperium, and also includes comments on nutrition and lactation. This article begins with a brief review of the risks of obesity (increased body ma...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2011.11.003
更新日期：2012-03-01 00:00:00
abstract：:STI are among the most common pathological conditions affecting sexually active adolescents. Both screening of asymptomatic adolescents and a thoughtful, thorough approach to the evaluation of symptoms are critical measures in STI identification and control. ...
journal_title：Primary care
pub_type： 杂志文章
doi：10.1016/j.pop.2006.01.007
更新日期：2006-06-01 00:00:00
abstract：:Although many complementary therapies are promoted for the treatment of obesity, few are truly therapeutic. Evidence suggests that food containing diacylglycerol oil, acupuncture, and hypnosis are the only evidence-based complementary therapies for the treatment of obesity, and, at best, these should be used as adjuva...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2009.01.011
更新日期：2009-06-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2004.02.006
更新日期：2004-06-01 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：:An integrative approach to individuals with mood, emotional or mental health concerns involves a comprehensive model of care that is person-centered. Integrative medicine builds on a patient's personal meaning and goals (spiritual aspects) and includes herbal therapies, nutritional support, movement and physical manip...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2017.02.003
更新日期：2017-06-01 00:00:00
abstract：:Sexuality is an important part of a person's life continuing into older age. Physiologic changes that occur with aging can affect sexual function and may be exacerbated by comorbid disease. To diagnose sexual dysfunction, providers must obtain a thorough history and physical examination, including psychosocial factors...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2017.04.004
更新日期：2017-09-01 00:00:00
abstract：:The disease of addiction is upon us and it is obvious that the elderly are not immune. There is every reason to believe from early reports that the elderly respond favorably to treatment, perhaps more so than their younger counterparts. It is believed that treating chemical dependency as a primary disease rather than ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1989-06-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1991-03-01 00:00:00
abstract：:The major differences that have been recognized between black and white hypertensives are primarily epidemiologic, with hypertension being more prevalent, having an earlier onset, and having more severe sequelae in the black population. The cause of the problem in both black and white people remains obscure, but it ap...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1991-09-01 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：: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
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2014.05.001
更新日期：2014-09-01 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
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(03)00075-7
更新日期：2002-03-01 00:00:00
abstract：:Double reading of radiographs increases the likelihood of detecting pulmonary disease and, accordingly, physicians have an obligation to view the radiographic examinations performed on their patients, either with the radiologist or independently. It is also essential that the radiologist be proved with the clinical fi...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1976-03-01 00:00:00
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
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70368-7
更新日期：1996-12-01 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：:The diagnosis for an acute monarthritis may still be elusive, even after an extensive initial evaluation. For example, what should be done for a patient who has a paucity of extra-articular findings on physical examination and an inflammatory synovial fluid with negative Gram's stain, cultures, and crystals? Conservat...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2006.06.010
更新日期：2006-09-01 00:00:00
abstract：:There have been important expansions in knowledge about alcohol recently. In this chapter a number of advances pertinent to the family practitioner are summarized. However, technology is not our focus. We are talking first about troubled people. The applications of research may help such people in practice. However, o...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1979-06-01 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
pub_type： 杂志文章
doi：
更新日期：1980-06-01 00:00:00
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 ...
journal_title：Primary care
pub_type： 杂志文章
doi：10.1016/j.pop.2004.08.001
更新日期：2004-12-01 00:00:00
abstract：:Gastroesophageal reflux disease (GERD) is a gastrointestinal motility disorder that results from the reflux of stomach contents into the esophagus or oral cavity resulting in symptoms or complications. The typical symptoms of GERD are heartburn and regurgitation of gastric contents into the oropharynx. GERD affects qu...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2017.07.001
更新日期：2017-12-01 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：:Malignancies of the male genitourinary system make up a significant proportion of current urologic practice. The primary physician plays an important role in the early detection and referral of patients with these problems. Early treatment offers the best chance of disease control. It is encouraging that some of the m...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1989-12-01 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：: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：:An adverse drug reaction relates to an undesired response to administration of a drug. Type A reactions are common and are predictable to administration, dose response, or interaction with other medications. Type B reactions are uncommon with occurrences that are not predictable. Appropriate diagnosis, classification,...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2016.04.005
更新日期：2016-09-01 00:00:00
abstract：:Musculoskeletal disorders of the workplace include the acute, cumulative and chronic injuries or illnesses of the soft tissues which are caused by mechanical stress, strain, sprain, vibration, inflammation, or irritation. The successful management of occupational musculoskeletal disorders must account for workplace co...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1994-06-01 00:00:00
