Abstract:
:Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner) sutures. Although suturing is the preferred method for laceration repair, tissue adhesives are similar in patient satisfaction, infection rates, and scarring risk in low skin-tension areas and may be more cost-effective. The tissue adhesive hair apposition technique also is effective in repairing scalp lacerations. The sting of local anesthesia injections can be lessened by using smaller gauge needles, administering the injection slowly, and warming or buffering the solution. Studies have shown that tap water is safe to use for irrigation, that white petrolatum ointment is as effective as antibiotic ointment in postprocedure care, and that wetting the wound as early as 12 hours after repair does not increase the risk of infection. Patient education and appropriate procedural coding are important after the repair.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Forsch RTsubject
Has Abstractpub_date
2008-10-15 00:00:00pages
945-51issue
8eissn
0002-838Xissn
1532-0650journal_volume
78pub_type
杂志文章abstract::Ectopic pregnancy affects 1% to 2% of all pregnancies and is responsible for 9% of pregnancy-related deaths in the United States. When a pregnant patient presents with first-trimester bleeding or abdominal pain, physicians should consider ectopic pregnancy as a possible cause. The patient history, physical examination...
journal_title:American family physician
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更新日期:2014-07-01 00:00:00
abstract::The incidence of skin cancer is increasing by epidemic proportions. Basal cell cancer remains the most common skin neoplasm, and simple excision is generally curative. Squamous cell cancers may be preceded by actinic keratoses-premalignant lesions that are treated with cryotherapy, excision, curettage or topical 5-flu...
journal_title:American family physician
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abstract::Self-care is becoming increasingly popular among health care consumers. The availability of over-the-counter medications makes it possible for consumers to treat numerous ailments without the supervision of a health care professional. Many of the medications now available without a prescription were previously classif...
journal_title:American family physician
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doi:
更新日期:1998-05-01 00:00:00
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journal_title:American family physician
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doi:
更新日期:1995-08-01 00:00:00
abstract::A clear perception of the psychologic factors affecting both the physician and the patient can greatly influence the course of therapy in diabetes. Genuine, realistic assessment and acceptance of the limitations inherent in physician-patient interactions will lead to considerably more satisfying personal and professio...
journal_title:American family physician
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2007-07-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
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abstract::Excessive sweating from the palms and soles, known as palmoplantar hyperhidrosis, affects both children and adults. Diagnosis of this potentially embarrassing and socially disabling condition is based on the patient's history and visible signs of sweating. The condition usually is idiopathic. Treatment remains a chall...
journal_title:American family physician
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doi:
更新日期:2004-03-01 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:2003-04-15 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:2011-12-01 00:00:00
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journal_title:American family physician
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doi:
更新日期:1993-08-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1987-09-01 00:00:00
abstract::Childhood bullying has potentially serious implications for bullies and their targets. Bullying involves a pattern of repeated aggression, a deliberate intent to harm or disturb a victim despite the victim's apparent distress, and a real or perceived imbalance of power. Bullying can lead to serious academic, social, e...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2004-11-01 00:00:00
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pub_type: 杂志文章,评审
doi:
更新日期:2010-12-15 00:00:00
abstract::For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness Criteria for chronic neck pain. Ima...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2010-10-15 00:00:00
abstract::Contrast sensitivity vision testing is the new technology in visual screening. Easy to administer and quick to perform, contrast sensitivity vision testing appears to be cost-effective for use by family physicians. It is a more sensitive indicator of ocular disease than traditional Snellen acuity testing and may detec...
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:1986-09-01 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:1999-11-15 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:2007-06-01 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:1991-10-01 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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abstract::Patients with restless legs syndrome often have difficulty describing their symptoms. Three features characterize the classic syndrome: an unusual, almost indescribable sensation in the lower extremities; an irresistible urge to move the legs, and the exclusive occurrence of the symptoms at rest, with their relief by ...
journal_title:American family physician
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doi:
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doi:
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journal_title:American family physician
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doi:
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journal_title:American family physician
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journal_title:American family physician
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doi:
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abstract::Atypical moles can be distinguished visually by clinical features of size greater than 6 mm in diameter, color variegation, indistinct borders, and textured surface. All patients who have atypical moles should be counselled about sun avoidance, screening of family members, and regular skin checks at least once per yea...
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doi:
更新日期:2008-09-15 00:00:00
abstract::Worry is a normal response to uncertainty. Education, empathetic support, reassurance, and passage of time usually ameliorate ordinary worries. However, these common-sense strategies for dealing with transient worries often prove ineffective for patients with excessive worry, many of whom meet the criteria for disorde...
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doi:
更新日期:2006-03-15 00:00:00
abstract::Industrial carbon tetrachloride is used in the synthesis of chlorofluorocarbons and chlorinated solvents. Although both production and use of carbon tetrachloride are declining, industrial and hazardous waste sites remain as sources of exposure. Workers using carbon tetrachloride or products that contain it are at hig...
journal_title:American family physician
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doi:
更新日期:1992-10-01 00:00:00
abstract::Down syndrome (trisomy 21) is the most commonly recognized genetic cause of mental retardation. The risk of trisomy 21 is directly related to maternal age. All forms of prenatal testing for Down syndrome must be voluntary. A nondirective approach should be used when presenting patients with options for prenatal screen...
journal_title:American family physician
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doi:
更新日期:2000-08-15 00:00:00