Early detection of breast cancer in women.

abstract：:The environment contains a huge array of allergens, primarily proteins or glycoproteins, to which the atopic individual may become sensitized. In situations of high exposure and highly reactive substances, even nonatopic individuals may develop allergic antibodies. The individual's response depends on the underlying i...

journal_title：Primary care

authors： Weber RW

更新日期：1987-09-01 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

authors： Kimmel SR,Quinn EA,Phelps KA

更新日期：1994-12-01 00:00:00

abstract：:This article is based on educating readers and physicians about the use of footwear and orthotics for themselves and their patients, to treat diseases and enhance functionality in sports and daily life. ...

journal_title：Primary care

authors： Khan MN,Jacobs BC,Ashbaugh S

更新日期：2013-12-01 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

authors： Udasin IG

更新日期：2000-12-01 00:00:00

abstract：:The groin, the lowest portion of the abdominal wall near the junction with the thigh, is the site of a disproportionately large amount of dermatologic disease. Because of its close proximity to the genitalia it is the site of numerous sexually transmitted disorders. Maceration of the skin, which can occur quite readil...

journal_title：Primary care

authors： Robins DN

更新日期：1978-06-01 00:00:00

abstract：:Adolescents are often at higher risk for acquiring sexually transmitted infections (STIs). Medical providers should be alert for both asymptomatic and symptomatic STIs, and follow appropriate screening guidelines. Moreover, providers need to know how to best administer adolescent-friendly confidential care, treatment,...

journal_title：Primary care

authors： Gibson EJ,Bell DL,Powerful SA

更新日期：2014-09-01 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

authors： Selman SH

更新日期：1989-12-01 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

authors： Smith DH,McCarty K

更新日期：1992-12-01 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：: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

authors： LaBella C

更新日期：2004-12-01 00:00:00

abstract：:Sound without external stimuli may warn of serious conditions. Accurate history and physical examination along with ancillary testing, including audiograms, are essential in evaluation of these patients. Evaluation of sudden tinnitus may save hearing. Extra-auditory tinnitus may arise from respiratory, vascular, and m...

journal_title：Primary care

authors： Alleva M,Loch WE,Paparella MM

更新日期：1990-06-01 00:00:00

abstract：:In summary, menopause tends to be associated with an increased risk of obesity and a shift to an abdominal fat distribution with associated increase in health risks. Changes in body composition at menopause may be caused by the decrease in circulating estrogen, and, for fat distribution shifts, the relative increase i...

journal_title：Primary care

authors： Lovejoy JC

更新日期：2003-06-01 00:00:00

abstract：:Benign prostatic hyperplasia (BPH) is the most common benign adenoma in men, affecting nearly all of them. BPH represents a clinically significant cause of bladder outflow obstruction in up to 40% of men. The growing frequency of diagnosis is due to increasing life expectancy and a trend toward seeking medical advice ...

journal_title：Primary care

authors： Djavan B,Eckersberger E,Finkelstein J,Espinosa G,Sadri H,Brandner R,Shah O,Lepor H

更新日期：2010-09-01 00:00:00

abstract：:Urticaria and angioedema are common medical problems. This article presents a classification and review of the diverse etiologic factors that can trigger these problems. A practical approach to differential diagnosis and various therapeutic modalities are also explained. ...

journal_title：Primary care

authors： Fineman SM

更新日期：1987-09-01 00:00:00

abstract：:Children with congenital anomalies often represent a special diagnostic and management challenge. To provide optimal care for these children, one must employ a systematic approach to identify the likely pathogenic mechanism leading to the birth defects present. Determining how distinct anomalies relate to one another ...

journal_title：Primary care

authors： Falk MJ,Robin NH

更新日期：2004-09-01 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

authors： Werb R

更新日期：2011-06-01 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：:Most patients with diabetes are managed in an outpatient primary care setting. This article reviews common dilemmas in outpatient insulin therapy and presents the evidence regarding the rational use of insulin therapy and combination oral agent-insulin therapy. ...

journal_title：Primary care

authors： DeWitt DE,Dugdale DC

更新日期：2003-09-01 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：:Sinusitis is common in children and adolescents, most frequently as a complication of a viral upper respiratory tract infection or allergic rhinitis. The diagnosis usually is suggested by symptoms of a viral upper respiratory tract infection persisting beyond 10 days without improvement or severe symptoms with fever a...

journal_title：Primary care

authors： Newton DA

更新日期：1996-12-01 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：: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

authors： Holland-Hall C

更新日期：2006-06-01 00:00:00

abstract：:Atopic dermatitis is a complex, chronic inflammatory skin disease. Affected individuals, particularly those with moderate to severe disease, often suffer from significant morbidity, such as sleep loss, skin infections, and school or work disruption. Treatment for these patients can be especially challenging. Restoring...

journal_title：Primary care

authors： Ong PY,Boguniewicz M

更新日期：2008-03-01 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

authors： Joseph AM,Byrd JC

更新日期：1989-03-01 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：: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

authors： DeCastro A,Mims L,Hueston WJ

更新日期：2014-03-01 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：: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

authors： Harnisch JM,Harnisch PH,Harnisch DR Sr

更新日期：2012-03-01 00:00:00

abstract：:The rational use of laboratory testing to investigate early, undifferentiated joint pain depends heavily on a detailed history and careful physical examination. Nevertheless, several diagnostic tests have some discriminatory function in the initial evaluation of soft tissues and joint complaints, given the correct cli...

journal_title：Primary care

authors： Waits JB

更新日期：2010-12-01 00:00:00

abstract：:Osteoarthritis presents in primary and secondary forms. The primary, or idiopathic, form occurs in previously intact joints without any inciting agent, whereas the secondary form is caused by underlying predisposing factors (eg, trauma). The diagnosis of osteoarthritis is primarily based on thorough history and physic...

journal_title：Primary care

authors： Taruc-Uy RL,Lynch SA

更新日期：2013-12-01 00:00:00