Abstract:
:The radiographic evaluation of the arthritides still relies primarily on the plain films that are readily available to every practicing clinician. The radiographic examination serves primarily to confirm the clinician's diagnosis based on the history, clinical findings, and laboratory studies and to document the severity of the arthritic changes. On occasion, the radiographic studies will be diagnostic when other findings are equivocal and the diagnosis is in question. The radiographic studies, in association with the other data, should result in a firm diagnosis greater than 90% of the time. This review article has outlined the basic features of the common arthritides and hopefully will serve as a handy reference in office practice for the evaluation of a patient with arthritis. There will always be unusual or perplexing cases that may require reference to text books devoted exclusively to the radiology of arthritis and bone disease. Of course, you can always get some excellent help by consulting with your local radiologist.
journal_name
Prim Carejournal_title
Primary careauthors
Beachley MC,Franklin JW,Ostlund W,Fielding E,Lenkey J,Urbanik Esubject
Has Abstractpub_date
1993-12-01 00:00:00pages
771-94issue
4eissn
0095-4543issn
1558-299Xjournal_volume
20pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全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::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::Development of SOGIE (sexual orientation and gender identity and expression) is not unique to minority populations, as all adolescents grapple with their sexuality and identity. Health care providers straddle the unique positions of authority figure and advocate and can help these young people establish behaviors that...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.02.012
更新日期:2020-06-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1991-06-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1992-06-01 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::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::Cleaning and disinfection are two necessary and equally important steps to prevent transmission of infection from patient to patient by the endoscope and accessories. There is no evidence that complete sterility is necessary; high-level disinfection is recommended. Controversy remains as to how "high level" this disin...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1995-09-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.05.011
更新日期:2014-09-01 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::An approach to preconception health promotion by obtaining a history and through physical examination and laboratory investigation is outlined. The controversies are explained, and the current programs that have been developed in the United Kingdom, Canada, and the United States are described. All women of childbearin...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1993-09-01 00:00:00
abstract::Eosinophilia is defined as elevation of eosinophils in the bloodstream (450-550 cell/μL). There are many reasons for eosinophilia to exist, including parasitic disease, allergic disease, autoimmune, connective tissue disease, rheumatologic disease, primary eosinophilia such as hypereosinophilic syndrome, and as part o...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.07.010
更新日期:2016-12-01 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::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::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::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::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::Skin and soft tissue infections account for 0.5% of outpatient visits to primary care. Skin and soft tissue infections can usually be managed in an outpatient setting. However, there are certain circumstances as discussed in this article that require more urgent care or inpatient management. Primary care providers sho...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2015.08.001
更新日期:2015-12-01 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::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
pub_type: 杂志文章,评审
doi:
更新日期:1997-09-01 00:00:00
abstract::Pulmonary rehabilitation does have a place in the medical management of COPD. It is the responsibility of the primary care practitioner to be sufficiently informed to make intelligent choices among programs for optimum benefit to the patient. Beyond bronchodilators and small volume nebulizers is the concept of pulmona...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract::Child abuse is a common pediatric problem that can be recognized and treated appropriately by all primary care physicians who care for children. One of the necessary skills in this process involves being prepared to interface with the legal system. The physician is mandated to report suspected child abuse according to...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1993-06-01 00:00:00
abstract::Mental health and primary care delivery systems have evolved to operate differently. For example, attention to multiple medical issues, health maintenance, and structured diagnostic procedures are standard elements of primary care rarely incorporated into mental health care. A multidisciplinary treatment approach, gro...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2007.05.007
更新日期:2007-09-01 00:00:00
abstract::A significant minority of patients and parents are vaccine hesitant, defined as having the desire to delay or defer immunizations despite easy access to vaccines. Vaccine hesitancy exists along a spectrum, from patients who are concerned but willing to accept the recommended vaccine schedule to those who wish to use a...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.05.010
更新日期:2020-09-01 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::Foot and ankle injuries account for a significant volume of primary care office visits each year. Given the incidence of injury and concern for long-term sequelae, it is imperative that primary care physicians familiarize themselves with commonly encountered foot and ankle injuries. Coupling a sound understanding of k...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.10.007
更新日期:2020-03-01 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::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::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::Infectious arthritis should be suspected in any patient with a swollen joint but especially in children, debilitated patients, immunocompromised persons, those with infection elsewhere (even if on antibiotics), and those with other types of arthritis or a prosthetic joint. Diagnosis depends on obtaining joint fluid fo...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00