Clinical practice. How physicians make medical decisions and why medical decision making can help.

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

authors： Lloyd KG

更新日期：1977-09-01 00:00:00

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

authors： Godshall RW

更新日期：1980-06-01 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

authors： Selman SH

更新日期：1989-12-01 00:00:00

abstract：:Care of the patient with tracheostomy is not difficult if care is taken to define clearly the needs of the particular patient. An awareness of the goals of care, daily maintenance, and possible complications is necessary to successful management. ...

journal_title：Primary care

authors： Furiel AE,Putnam JS

更新日期：1978-09-01 00:00:00

abstract：:Pregnancy in the diabetic is no longer the universal tragedy for mother and child that it once was but avoidable fetal loss wil continue to occur unless gestational diabetes is detected, and unless meticulous control and monitoring of the insulin dependent diabetic is maintained. As Kinch has so succinctly stated "car...

journal_title：Primary care

authors： Hazlett BE,Kenshole AB

更新日期：1977-12-01 00:00:00

abstract：:Psoriasis is a common affliction that family practitioners and other primary care physicians are certain to encounter in their daily practice. This disease presents in many manifestations and in a diffuse patient population. The therapeutic tools available to combat this disease are numerous, as are their untoward eff...

journal_title：Primary care

authors： Drew GS

更新日期：2000-06-01 00:00:00

abstract：:Acute lower respiratory illness (LRI) is the leading cause of disease worldwide as measured by disability-adjusted life years. New strategies are necessary to decrease the disease burden that is largely borne by infants. Respiratory syncytial virus is the most important cause of LRI in infants. Lower respiratory illne...

journal_title：Primary care

authors： Glezen WP

更新日期：2001-12-01 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

authors： Steyer TE,Ables A

更新日期：2009-06-01 00:00:00

abstract：:The 2009 influenza A (H1N1) pandemic provided a major test to the public health system in the United States and abroad. Although the virus was rapidly identified, it took longer than expected to bring an effective vaccine to market. During the interim the virus demonstrated a predilection for infecting younger persons...

journal_title：Primary care

authors： Kimmel SR

更新日期：2011-12-01 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

authors： Maury EE,Flores RH

更新日期：2006-09-01 00:00:00

abstract：:Mosquito-borne diseases have become more common as previously geographically isolated diseases have spread globally. Chikungunya, dengue, Japanese encephalitis, malaria, West Nile, yellow fever, and Zika are a few of the common and emerging viral diseases spread by mosquitoes. A thorough patient history, physical, and...

journal_title：Primary care

authors： Lee H,Halverson S,Ezinwa N

更新日期：2018-09-01 00:00:00

abstract：:Depression, chronic fatigue, and premenstrual syndrome often coexist in women seeking treatment for premenstrual distress. A reliable diagnosis can be made by prospectively rating symptoms for two cycles, taking a careful history, performing physical and gynecologic examinations, and obtaining basic laboratory test re...

journal_title：Primary care

authors： Gonsalves L,Domb J,Gidwani G

更新日期：1991-06-01 00:00:00

abstract：:Medications for obesity management can be divided into 4 groups: antidepressants (naltrexone/bupropion), stimulants (phentermine, phendimetrazine, diethylpropion, phentermine/topiramate), fat blockers (orlistat), and diabetes medications (liraglutide). Each group has specific therapeutic effects, adverse effects, and ...

journal_title：Primary care

authors： Rodríguez JE,Campbell KM

更新日期：2016-03-01 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

authors： Falk MJ,Robin NH

更新日期：2004-09-01 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

authors： Kellerman R,Kintanar T

更新日期：2017-12-01 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：:Asthma is a complex disease, involving many different allergic, inflammatory, and environmental components. It is a disease for which patient and family education and a team-based approach are paramount for successful management. Guidelines have been put forth by the National Heart, Lung and Blood Institute, which pro...

journal_title：Primary care

authors： VanGarsse A,Magie RD,Bruhnding A

更新日期：2015-03-01 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：:The clinician handling skin disorders may be confounded in a number of ways. By being aware of the general types of errors seen in clinical medicine and the specific, clinical pitfalls of common dermatoses, the physician should be better able to triage and treat skin problems accurately. ...

journal_title：Primary care

authors： Pariser RJ

更新日期：1989-09-01 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

authors： McShane JM,Graveley MJ,Hopper BD

更新日期：2004-12-01 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：:Because patients with HIV are living longer, health maintenance and disease prevention have become important aspects of care. Clinical use of CD4 cell counts and viral load assays to monitor disease progression is reviewed. This article discusses the effect malnutrition has on disease progression and interventions to ...

journal_title：Primary care

authors： Maddox TG

更新日期：1997-09-01 00:00:00

abstract：:This article discusses alternative therapies for secondary prevention and treatment of major cardiac disorders: congestive heart failure, hypertension, dyslipidemias, and peripheral vascular disease. The role of various therapies (eg, herbal and botanic preparations, supplements, mind/body interventions, other alterna...

journal_title：Primary care

authors： Pratt C

更新日期：2010-06-01 00:00:00

abstract：:Acute pyogenic infections of the skin, caused by hemolytic streptococci and S. aureus, account for the vast majority of bacterial infections of the skin seen in ambulatory practice. In preschool children the principal manifestation is pyoderma, which is usually caused by Group A Streptococcus. In this age group pyoder...

journal_title：Primary care

authors： Causey WA

更新日期：1979-03-01 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

authors： White RD

更新日期：2007-12-01 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

authors： Chaisson N,Shore WB

更新日期：2014-09-01 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：:The relationships between oral health conditions, dietary practices and nutritional status, and general health status in the older American are complex, with many interrelating factors. Just as inadequate nutrition can affect oral health, poor oral health status affects food choices and, thus, nutritional status. It i...

journal_title：Primary care

authors： Pla GW

更新日期：1994-03-01 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：:Dysfunction of the eustachian tube is the underlying problem in all types of otitis media. Systemic antibiotics and careful follow-up are the treatment of choice for acute suppurative otitis media, whereas topical antibiotics with saline irrigation are used in patients with a chronic condition. Myringotomy and tube in...

journal_title：Primary care

authors： Chui R

更新日期：1982-06-01 00:00:00