Abstract:
:Urinary tract infections in children are sometimes associated with vesicoureteral reflux, which can lead to renal scarring if it remains unrecognized. Since the risk of renal scarring is greatest in infants, any child who presents with a urinary tract infection prior to toilet training should be evaluated for the presence of reflux. Children who may be lost to follow-up and those who have recurrent urinary tract infections should also be evaluated. The preferred method for evaluation of urinary reflux is a voiding cystourethrogram. Documented reflux is initially treated with prophylactic antibiotics. Patients who have breakthrough infections on prophylaxis, develop new renal scarring, have high-grade reflux or cannot comply with long-term antibiotic prophylaxis should be considered for surgical correction. The preferred method of surgery is ureteral reimplantation. A newer method involves injection of the bladder trigone with collagen.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Ross JH,Kay Rsubject
Has Abstractpub_date
1999-03-15 00:00:00pages
1472-8, 1485-6issue
6eissn
0002-838Xissn
1532-0650journal_volume
59pub_type
杂志文章,评审abstract::Frostbite can cause loss of life and limbs. Proper treatment and follow-up care are essential in reducing morbidity and mortality. Management of the frostbite patient consists of three stages. Initial care includes protection of the extremity from trauma or partial thawing. The second stage consists of rapid rewarming...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract::Patients with variceal or other gastrointestinal hemorrhage require aggressive resuscitative measures and early diagnosis for optimal therapy. A number of nonsurgical endoscopic modalities, such as laser therapy, sclerotherapy, heater probe and electrocoagulation (monopolar or bipolar), are available to arrest and som...
journal_title:American family physician
pub_type: 杂志文章
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abstract::Concussion is the most common head injury in sports. The injury ranges from a simple "ding" to prolonged loss of consciousness with amnesia. Proper grading of the severity of the injury is necessary to establish a protocol for deciding when to allow an athlete to return to his or her sport. This approach to concussion...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-09-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1999-01-15 00:00:00
abstract::Alzheimer's disease accounts for about 60 percent of dementia cases. Misdiagnosis of the treatable dementias can have devastating results. Pseudodementia accompanying major depression and chronic cognitive dysfunction due to psychoactive drugs are among the most commonly missed diagnoses. Although cortical atrophy is ...
journal_title:American family physician
pub_type: 杂志文章
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更新日期:1987-11-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2002-08-01 00:00:00
abstract::Rehabilitation of the multiple sclerosis patient must be individualized because of the varied manifestations and fluctuating course of the disease. The activity schedule must be modified to compensate for muscle weakness and fatigability. Spasticity and the preventable complication of joint contractures may be treated...
journal_title:American family physician
pub_type: 杂志文章
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journal_title:American family physician
pub_type: 杂志文章,评审
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更新日期:2018-06-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1977-05-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1993-01-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1977-09-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVES:People with acute bronchitis may show little evidence of bacterial infection. If effective, antibiotics could shorten the course of the disease. However, if they are not effective, the risk of antibiotic resistance may be increased. The objective of this review was to assess the effects of antibiotic treatme...
journal_title:American family physician
pub_type: 杂志文章,meta分析
doi:
更新日期:2001-07-01 00:00:00
abstract::Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The incidence in the United States is between 3% and 6%. The cardinal feature of PFPS is pain in or around the anterior knee that intensifies...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2019-01-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2007-10-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1982-11-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1993-11-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2006-11-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-10-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-08-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2007-03-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1993-12-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-09-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2004-03-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2017-02-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-06-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
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