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. Patients themselves have indicated preference for endoscopic evaluation over the double-contrast barium meal after they have experienced both procedures. The short time of procedure, its accuracy, safety, and its relative lack of discomfort to the patient lend it readily to being an initial component in the primary evaluation of symptoms of abdominal distress, gastrointestinal bleeding, dysphagia, esophageal reflux, persistent vomiting, and odynophagia. It is essential in the evaluation of complications of esophageal reflux and the evaluation of abnormal radiological findings in the upper gastrointestinal tract. It should never be overlooked in evaluating the patient with iron deficiency anemia of unknown etiology. Economic pressures have already moved EGD from the surgery wards to endoscopy labs and to the outpatient setting. These same forces will project more physicians into the role of the diagnostic endoscopist and the patient will benefit by decreased medical costs, quicker diagnosis and treatment, and enhanced continuity of care.
journal_name
Prim Carejournal_title
Primary careauthors
Coleman WHsubject
Has Abstractpub_date
1988-03-01 00:00:00pages
1-11issue
1eissn
0095-4543issn
1558-299Xjournal_volume
15pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全abstract::Most disease states giving rise to pulmonary symptoms represent a composite of physiologic changes involving ventilation and perfusion. The major initial physiologic abnormality is identified for a number of problems commonly encountered. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1978-09-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70027-0
更新日期:2001-06-01 00:00:00
abstract::Medical decision making (MDM) contains tools that can contribute to the skill and expertise of physicians. MDM is especially useful for primary care physicians. Practicing in this clinical world is practicing in a world of great uncertainty--the world in which many of these tools were designed to be useful. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1995-06-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70358-4
更新日期:1996-12-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70394-8
更新日期:1997-06-01 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::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::This article is intended as an overview of emergencies that could and often do present to the physician's office, especially when a hospital emergency department may not be nearby. It is not intended as an in-depth view of every problem but should be considered as a presentation of essential management in the emergenc...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1986-03-01 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
pub_type: 杂志文章
doi:
更新日期:1984-09-01 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::This review provides an update on lung cancer screening with low-dose computed tomography (LDCT) and its implications for primary care providers. One of the unique features of lung cancer screening is the potential complexity in patient management if an LDCT scan reveals a small pulmonary nodule. Additional tests, con...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.02.007
更新日期:2014-06-01 00:00:00
abstract::Primary dysmenorrhea is commonly a straightforward diagnosis that can be made accurately with an attentive history. In young women who have classic symptoms and no specific indication, a pelvic examination is often unnecessary in the initial evaluation. The opportunity for primary care practitioners to support women i...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2008.10.004
更新日期:2009-03-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70190-1
更新日期:2000-12-01 00:00:00
abstract::A number of analgesic and anesthetic options are available for patients during the intrapartum period. Appropriate attention in the prenatal period to patient education regarding these options is imperative. If pharmacologic anesthesia is required, risks and benefits both to the mother and neonate must be considered. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1993-09-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1988-06-01 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::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::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
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.04.012
更新日期:2016-09-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1987-09-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1990-06-01 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::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
pub_type: 杂志文章
doi:
更新日期:1992-12-01 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::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
pub_type: 杂志文章,评审
doi:
更新日期:1990-03-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(01)00008-2
更新日期:2002-06-01 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::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
abstract::The pediatric cardiology field has developed rapidly over the past few decades. More children than ever born with congenital heart disease (CHD) are growing into adulthood. Primary care providers play a key role in diagnosis, management, and referral of children with CHD because many common cardiac complaints (eg, fee...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.10.005
更新日期:2018-03-01 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
pub_type: 杂志文章
doi:
更新日期:1984-03-01 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