Abstract:
:With the exception of the arthritis associated with rubella, acute wrist conditions have no pathognomonic physical findings. The primary physician can diagnose and treat the majority of wrist problems presented. Referral to a rheumatologist is necessary only when confronted with an anxious patient or an individual having persistent wrist pain and swelling of obscure etiology. This article focuses on rheumatologic problems of the wrist that are most likely to come to the attention of the primary physician.
journal_name
Prim Carejournal_title
Primary careauthors
Weiss JJsubject
Has Abstractpub_date
1977-06-01 00:00:00pages
319-42issue
2eissn
0095-4543issn
1558-299Xjournal_volume
4pub_type
杂志文章相关文献
PRIMARY CARE文献大全abstract::Major concerns about physical injury, emotional stress, poor adult leadership, and interference with junior high school football programs contribute to the Junior League Football controversy. In the final analysis, benefits of participation in these football programs are shown to far outweigh the risks. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1980-06-01 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
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::Vaccination is one of the most effective preventative health measures in modern times. It has positively affected the incidence and prevalence of a myriad of diseases, as well as improved both their morbidity and mortality. It is essential that health care providers understand the value of this intervention, promote c...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.10.007
更新日期:2019-03-01 00:00:00
abstract::Management of chronic diseases is often palliative by definition. Empowering primary care providers to manage symptoms and effectively prognosticate is necessary for this challenging population. In this article, the authors focus specifically on end-stage congestive heart failure, chronic obstructive pulmonary disease...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.05.008
更新日期:2019-09-01 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
pub_type: 杂志文章
doi:
更新日期:1978-06-01 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::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
pub_type: 杂志文章,评审
doi:
更新日期:1988-09-01 00:00:00
abstract::Psychiatric problems constitute one of the prime reasons for failure in levodopa therapy in Parkinson's disease. While a variety of symptoms may be seen, the levodopa itself does not produce a defined set of psychiatric symptoms. The single most important factor determining the psychiatric response to levodopa therapy...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1977-09-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2008.06.004
更新日期:2008-09-01 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::EGD, using 1986 models of either the fiberoptic gastroscope or the videoscope, is a safe and accurate procedure that can be performed by any physician trained in the technique of endoscope passage. It may be performed at large medical centers or small rural hospitals, outpatient clinics, or even private offices. Patie...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1988-03-01 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::Upper extremity musculoskeletal disorders such as DeQuervain's tendonitis, carpal tunnel syndrome, and rotator cuff tendonitis have become increasingly common among working people in the United States. Extensive epidemiological investigation indicates that the adverse ergonomic exposures of force, repetition, vibratio...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70180-9
更新日期:2000-12-01 00:00:00
abstract::Continuous subcutaneous insulin infusion has provided patients who have diabetes with a system for achieving treatment targets with a lower incidence of severe hypoglycemia. Patients prefer the flexibility, convenience, and physiologic glycemic control of continuous subcutaneous insulin infusion. Future insulin pumps ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2007.07.005
更新日期:2007-12-01 00:00:00
abstract::Protocols for clinical exercise stress testing aid functional evaluation of cardiac impairment of ambulatory persons. Normal standards, criteria for functional impairment and exercise-enhanced prediction of risk of future cardiac events provide guidelines for clinical management. This review highlights development and...
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 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
pub_type: 杂志文章,评审
doi:
更新日期:1993-03-01 00:00:00
abstract::This article deals with common injuries to the elbow. Elbow anatomy is reviewed. Diagnosis and treatment of pronator syndrome,lateral epicondylitis (tennis elbow), radial tunnel syndrome, posterior interosseous nerve syndrome, medial epicondylitis (golfer's elbow), ulnar collateral ligament injury, cubital tunnel synd...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2004.11.001
更新日期:2005-03-01 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
pub_type: 杂志文章
doi:
更新日期:1985-09-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70089-0
更新日期:1998-12-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1993-03-01 00:00:00
abstract::A decline in host defense mechanisms and concurrent diseases combine to make the elderly patient particularly susceptible to common infections. The bacterial cause and antimicrobial sensitivity patterns may also be different in the elderly. The appropriate selection and dosing of antibiotics for elderly patients with ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1990-12-01 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::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
pub_type: 杂志文章
doi:
更新日期:1979-12-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2009.07.005
更新日期:2009-12-01 00:00:00
abstract::The foot is a remarkable structure that provides stable support for the body, lessens impact loading during gait, and allows for forward motion that is energy efficient. Because of the enormous loads concentrated at the joints in the foot and ankle with normal activities, frequent injuries occur and present to the pri...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/s0095-4543(05)70276-1
更新日期:1996-06-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2010.04.004
更新日期:2010-09-01 00:00:00
abstract::Decision rules help physicians make more accurate predictions about diagnosis, prognosis and response to treatment. In this article, guidelines for finding decision rules are outlined. A mnemonic is presented (Pre-Dic-TiVe) that assists physicians in evaluation of decision rules for clinical practice. A survey of deci...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1995-06-01 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::The medical emergency of diabetic ketoacidosis is a particular problem for children with insulin-dependent diabetes because it is frequently associated with their initial presentation. Subsequent episodes can be prevented with proper use of personal glucose monitoring. The pathophysiology and diagnosis of diabetic ket...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1983-12-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2004.04.015
更新日期:2004-09-01 00:00:00