Evaluating facial paralysis. Expensive diagnostic tests are often unnecessary.


:In most cases, the cause of facial paralysis can be determined on the basis of the clinical evaluation, and expensive diagnostic tests can be avoided. Because Bell's palsy is not always the cause, physicians need to be able to identify critical findings on history and physical examination that indicate an alternative diagnosis. Once identified, these findings can lead to a specific and directed evaluation.


Postgrad Med


Postgraduate medicine


Ruckenstein MJ




Has Abstract


1998-06-01 00:00:00


187-8, 191-2










  • 'Designer drugs'. Treating the damage caused by basement chemists.

    abstract::Use of "designer drugs" has created a new dilemma for physicians. Generally, it is possible to recognize symptoms and signs of intoxication that fit a specific class of substances, such as amphetamine-like effects for the phenylethylamines and opioid effects for the fentanyl analogues. Designer compounds have crossed ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Evanko D

    更新日期:1991-05-01 00:00:00

  • Diabetic ketoacidosis and hyperosmolar nonketotic state.

    abstract::Preview Severe metabolic complications of diabetes mellitus are a common cause of morbidity and death in both type I and type II disease. The distinctions between diabetic ketoacidosis and hyperosmolar nonketotic state are clearly defined, and accurate recognition is important for proper treatment. This article focuse...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Gonzalez-Campoy JM,Robertson RP

    更新日期:1996-06-01 00:00:00

  • Bacillus coagulans significantly improved abdominal pain and bloating in patients with IBS.

    abstract:BACKGROUND:Symptoms of irritable bowel syndrome (IBS) can have a profound impact on emotional health and quality of life, and current treatments are sometimes unsatisfactory for patients facing this lifelong disease. Probiotics, which can normalize gastrointestinal microflora, may alleviate symptoms of IBS. OBJECTIVE:...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,随机对照试验


    authors: Hun L

    更新日期:2009-03-01 00:00:00

  • Acute renal failure. 1. Classification, evaluation, and clinical consequences.

    abstract::Urinalysis and urine chemistries are most helpful in determining whether acute renal failure is due to a prerenal, renal, or postrenal cause. A plain film of the abdomen should be obtained, with ultrasound or computed tomography also being done if obstruction is suspected. When prerenal and postrenal causes have been ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Harter HR,Martin KJ

    更新日期:1982-12-01 00:00:00

  • Emergency care of chemical burns.

    abstract::Because of the large number of potentially injurious chemicals present in the home and workplace, chemical burns pose a unique challenge to the health care professional. For the majority of injuries, prompt and prolonged hydrotherapy is the cornerstone of therapy. The clinician needs to remember that the extent and de...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Fitzpatrick KT,Moylan JA

    更新日期:1985-10-01 00:00:00

  • Problems+Solutions.

    abstract::Readers are invited to submit questions relating to problem cases. Inquiries will be answered by qualified consultants and replies forwarded by mail promptly. Selected problems and solutions are published every month in this section. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Spitzer AR,Berberian DA,Moe JH

    更新日期:1985-02-01 00:00:00

  • Metabolic aspects of psoriasis: the basis for specific therapy.

    abstract::Psoriasis, like diabetes, is a multifactorial genetic disease with complex interactions of deranged metabolism. Factors that affect epidermal differentiation and proliferation include cyclic nucleotide interactions, polyamine metabolism, cell surface--cytoskeleton interactions, and arachidonic acid--prostaglandin casc...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Anderson TF,Voorhees JJ

    更新日期:1980-06-01 00:00:00

  • Acute allergic contact dermatitis. How to manage severe cases.

    abstract::An understanding of the causes and course of acute allergic contact dermatitis aids in recognition of this common problem. The most frequent cause is the Rhus group (poison ivy, oak, and sumac), and a large percentage of the US population is sensitized to this group of allergens. With severe cases, prompt administrati...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Wooldridge WE

    更新日期:1990-03-01 00:00:00

  • Coronary revascularization in multivessel disease. Which is better, stents or surgery?

    abstract::Coronary artery disease (CAD) remains the major cardiovascular health issue in contemporary clinical practice. Treatment options for multivessel CAD include medical therapy, percutaneous coronary intervention (PCI), and coronary artery bypass grafting (CABG). Here, the authors review the most recent data that compare ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Almeda FQ,Snell RJ

    更新日期:2005-12-01 00:00:00

  • Evaluation of lorcaserin on progression of prediabetes to type 2 diabetes and reversion to euglycemia.

    abstract:OBJECTIVES:Lorcaserin is a selective 5-HT2C (5-hydroxytryptamine 2C) receptor agonist indicated for weight management. Here, we assess the impact of lorcaserin on progression from prediabetes to type 2 diabetes (T2D) and on reversion from prediabetes to euglycemia. METHODS:This is a post hoc analysis of pooled data fr...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Nesto R,Fain R,Li Y,Shanahan W

    更新日期:2016-05-01 00:00:00

  • Adrenal dysfunction: test strategies for diagnosis.

    abstract::The best way to detect Cushing's syndrome is to measure urinary free cortisol and to conduct a 1-mg dexamethasone suppression test. The best way to distinguish among the varieties of Cushing's syndrome is to measure plasma adrenocorticotropic hormone (ACTH). Urinary 17-ketosteroid and plasma testosterone determination...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Burke MD

    更新日期:1981-01-01 00:00:00

  • Sarcoidosis presenting with posterior mediastinal lymphadenopathy.

    abstract::A young man with exertional dyspnea, maculopapular skin lesions, and generalized lymphadenopathy was found to have a posterior mediastinal density on a chest roentgenogram. Sarcoidosis was diagnosed on the basis of lymph node and skin biopsy findings, and corticosteroid therapy was started. After six months of treatme...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Kutty CP,Varkey B

    更新日期:1982-01-01 00:00:00

  • Smoking, catecholamines, and the ischemic myocardium.

    abstract::Catecholamine stimulation increases the heart rate and the force of cardiac contraction. Cardiac output then increases, with a decrease occurring in total peripheral resistance due to smooth muscle dilation in the vascular beds of the muscle and heart, though there is constriction of the skin and viscera; this leads t...

    journal_title:Postgraduate medicine

    pub_type: 临床试验,杂志文章,评审


    authors: Fox KM

    更新日期:1988-02-29 00:00:00

  • Relationship between sleep disorders and the risk for developing type 2 diabetes mellitus.

    abstract::Sleep is increasingly being recognized as an important factor in the homeostasis of multiple body functions, including blood glucose metabolism. One of the most common sleep disorders, obstructive sleep apnea, is not only highly prevalent in patients with type 2 diabetes mellitus, but may contribute to the development...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Ioja S,Weir ID,Rennert NJ

    更新日期:2012-07-01 00:00:00

  • When to worry about hypoglycemia.

    abstract::The important causes of hypoglycemia unrelated to known diabetes are relatively few. Postprandial hypoglycemia is a relatively benign disorder. Fasting hypoglycemia is more serious and may be caused by metabolic disturbances or tumors. Several hereditary disorders cause hypoglycemia in infants and must be diagnosed an...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Felicetta JV

    更新日期:1990-07-01 00:00:00

  • Prescribing opioids for chronic noncancer pain in primary care: risk assessment.

    abstract::The use of opioids for patients with chronic noncancer pain has increased dramatically, and with increasing use there is increasing concern about the potential for abuse and addiction during long-term treatment. Clinicians should avoid viewing formal or subjective risk assessment as a means of classifying patients int...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Gordon A,Cone EJ,DePriest AZ,Axford-Gatley RA,Passik SD

    更新日期:2014-09-01 00:00:00

  • A review of the compatibility of liposome bupivacaine with other drug products and commonly used implant materials.

    abstract::The compatibility of a medication with other drugs and implanted materials is an important factor impacting drug safety and efficacy. The liposomal formulation of the local anesthetic bupivacaine is designed to provide prolonged postsurgical analgesia. Its compatibility with other drugs and materials depends on the co...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Kharitonov V

    更新日期:2014-01-01 00:00:00

  • Problems/Solutions.

    abstract::Readers are invited to submit questions relating to problem cases. Inquiries will be answered by qualified consultants and replies forwarded by mail promptly. Selected problems and solutions are published every month in this section. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章



    更新日期:1973-01-01 00:00:00

  • Intervention in family violence. A role for the physician-and for society.

    abstract::Contrary to long-standing mores, what goes on in the person's home is not always sacred. When family relationships break down and family members deal violently with various stresses and problems, intervention is in order. Certain changes in societal attitudes would help prevent the problem. Physicians-alone or working...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Pelton CL

    更新日期:1982-11-01 00:00:00

  • Management of new-onset diabetes mellitus after transplantation.

    abstract::Solid organ transplantation is now the standard of care for end-stage organ failure, and primary care physicians are frequently involved in the follow-up care of transplant recipients. New-onset diabetes mellitus after solid organ transplantation (NODAT) has emerged as an increasingly important determinant of outcomes...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Reynolds LR,Tannock LR

    更新日期:2008-07-01 00:00:00

  • How to manage other risk factors in patients with hypertension.

    abstract::High blood pressure is unquestionably a risk factor for premature morbidity and mortality, especially from coronary artery disease and stroke. Risk of clinical manifestations of coronary artery disease increases dramatically if other risk factors, such as a history of cigarette smoking, hypercholesterolemia, left vent...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Borhani NO

    更新日期:1989-11-01 00:00:00

  • Legionnaires' disease: an atypical pneumonia.

    abstract::Given the present state of the art, any case of apparent pneumonia that is not responding to optimum therapy, or of "viremia" which appears to be progressively deteriorating, should be considered Legionnaires' disease and treated accordingly until proven otherwise. Titers for antibody to the disease in serum obtained ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Komansky HJ,Gordon R,Giudice JC

    更新日期:1980-01-01 00:00:00

  • Early detection and management of COPD. What you can do to reduce the impact of this disabling disease.

    abstract::Primary care physicians play a pivotal role in the early identification of patients with COPD. Early diagnosis, along with aggressive intervention, is the only way that the increasing morbidity and mortality of COPD can be reversed. Any patient with a history of smoking should undergo evaluation for the possibility of...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Doherty DE

    更新日期:2002-06-01 00:00:00

  • Use of the esophageal obturator airway; with a report of an unusual complication.

    abstract::The esophageal obturator airway is a relatively new addition to equipment for emergency resuscitation. It is simple to use after minimal training and can be inserted quickly without laryngoscopic visualization. Problems are uncommon. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Key GK

    更新日期:1980-02-01 00:00:00

  • Rapid evaluation of comatose patients.

    abstract::Coma is a common, life-threatening medical problem encountered by primary care physicians. The principles of emergency management mandate that adequate oxygenation, blood flow, and supplementation with thiamine and glucose be given to the brain before a thorough diagnostic evaluation is undertaken. Knowledge of the us...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Alguire PC

    更新日期:1990-05-01 00:00:00

  • Hyperlipidemia. What is 'normal,' who should be treated and how.

    abstract::Considering that over half of Americans will die from cardiovascular disease, the over-whelming majority of those deaths being from atherosclerosis, we need to accept and act on the vast body of information derived from investigation of coronary risk factors. Identification of persons at risk needs to be done early--w...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Glatter TR

    更新日期:1984-11-01 00:00:00

  • Raising the curtain on cancer. Is the puzzle finally becoming clear?

    abstract::Looking back at the long history of cancer, we can still relate to that POSTGRADUATE MEDICINE editorial written 50 years ago: "None of the basic problems of cancer has been solved. The death rate is constantly mounting. Small wonder that many doctors face cancer with a pessimism bordering on resignation." The temptati...

    journal_title:Postgraduate medicine

    pub_type: 历史文章,杂志文章


    authors: Harpham WS,Hoel D

    更新日期:1997-09-01 00:00:00

  • Bronchiectasis: the 'other' obstructive lung disease.

    abstract::Bronchiectasis belongs to the family of chronic obstructive lung diseases, even though it is much less common than asthma, chronic bronchitis, or emphysema. Clinical features of these entities overlap significantly. The triad of chronic cough, sputum production, and hemoptysis always should bring bronchiectasis to min...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Mysliwiec V,Pina JS

    更新日期:1999-07-01 00:00:00

  • Conventional therapy with insulin.

    abstract::When considering conventional therapy with insulin for patients who have type 2 diabetes mellitus, healthcare providers must weigh the advantages and disadvantages of 3 primary approaches to treatment. Understanding the pros and cons of the various options will help physicians more readily identify the treatment appro...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Nattrass M

    更新日期:2002-11-01 00:00:00

  • Helicobacter pylori and peptic ulcer disease. Bridging the gap between knowledge and treatment.

    abstract::Eradication of H pylori and cure of peptic ulcer disease are possible if effective regimens are used correctly. Treatment markedly improves clinical outcomes and significantly decreases cost of care. As primary care physicians take a larger role in management of these infections, they need to understand the importance...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Laine L,Fendrick AM

    更新日期:1998-03-01 00:00:00