Special aspects of primary care.

abstract：:The prevalence of chronic kidney disease (CKD) has increased markedly over past decades due to the aging of the worldwide population. Despite the progress in the prevention and treatment, the cardiovascular (CV) morbidity and mortality remain high among patients with CKD. Although CKD is a progressive and irreversible...

journal_title：Postgraduate medicine

authors： Bazyluk A,Malyszko J,Zbroch E

更新日期：2018-06-01 00:00:00

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

authors： Wooldridge WE

更新日期：1990-03-01 00:00:00

abstract：:Human sexuality is a lifelong process with biologic, psychosocial, and moral consequences. During adolescence, coping with sexual feelings and controlling sexual drive become urgent tasks that are made more difficult by today's society. Recent studies document a dramatic increase in the frequency of sexual activity am...

journal_title：Postgraduate medicine

authors： Shen JT

更新日期：1982-04-01 00:00:00

abstract：OBJECTIVES:There is evidence that increasing severity of hypertriglyceridemia increases the risk of acute pancreatitis. There is a debate about superiority of treatment methods and previous works have specifically called for direct comparison between IV insulin and apheresis techniques. Identify patient characteristics...

journal_title：Postgraduate medicine

authors： Frankova D,Olson KM,Whyms BJ,Guevara Hernandez MA,Franko J

更新日期：2018-06-01 00:00:00

abstract：:Unresolved grief refers either to the absence or to the prolongation of normal grief. It is identified by (1) painful response to recall of the deceased, (2) realization of not having accepted the loss or of not being able to grieve, and (3) unaccountable depression, emergence of medical symptoms on the anniversary of...

journal_title：Postgraduate medicine

authors： DeVaul RA,Zisook S

更新日期：1976-05-01 00:00:00

abstract：:This paper compares the antifungal activity and efficacy of itraconazole and terbinafine in vitro with their experimental activity and efficacy in vivo in patients with superficial fungal infections (tinea pedis and onychomycosis). Onychomycosis and tinea pedis are often treated with oral antifungals. With the introdu...

journal_title：Postgraduate medicine

authors： De Doncker P,Gupta AK

更新日期：1999-07-01 00:00:00

abstract：:Women predominate at all ages among patients diagnosed as having primary fibromyalgia. Of 100 patients reviewed, the average age at onset of fibromyalgia was 46. Of 65 patients in whom menopause occurred before diagnosis of fibromyalgia, the average age at menopause was 42, and most of these women had menopause relate...

journal_title：Postgraduate medicine

authors： Waxman J,Zatzkis SM

更新日期：1986-09-15 00:00:00

abstract：:Splenomegaly is usually the result of systemic disease. The differential diagnosis can logically be subdivided into infectious, hematologic, metabolic, vascular, and neoplastic diseases which result in abnormalities of the lymphoid, reticuloendothelial, or vascular components of the spleen. Splenic enlargement increas...

journal_title：Postgraduate medicine

authors： Odom LF,Tubergen DG

更新日期：1979-04-01 00:00:00

abstract：:Preview Back pain can be a symptom of any number of problems, most commonly mechanical, or structural, in nature. Among the nonmechanical causes is ankylosing spondylitis, an inflammatory disease that involves the spine and sometimes other joints and extra-articular organs. Dr Escalante explains how to differentiate t...

journal_title：Postgraduate medicine

authors： Escalante A

更新日期：1993-07-01 00:00:00

abstract：:Although uncommon, hypertensive emergencies require prompt recognition and treatment to reduce very high morbidity and mortality rates. Admission to an intensive care unit for treatment and monitoring is essential for optimal care. A Swan-Ganz catheter is often helpful in management. Intravenous nitroprusside sodium (...

journal_title：Postgraduate medicine

authors： Smith CB,Flower LW,Reinhardt CE

更新日期：1991-04-01 00:00:00

abstract：:A patient's history usually contains key information regarding the type of dizziness and the best way to direct diagnostic workup. In dizziness with a vestibular cause (benign positional vertigo, vestibular neuritis, Meniere's disease, migraine, vertebrobasilar insufficiency), patients often describe their world as sp...

journal_title：Postgraduate medicine

authors： Baloh RW

更新日期：1999-02-01 00:00:00

abstract：:Many patients with significant carotid artery stenosis are candidates for endarterectomy, a procedure now proved to reduce the incidence of future stroke and death. In this article, Drs Jaigobin and Perry describe an approach to patients with both symptomatic and asymptomatic carotid stenosis and review current indica...

journal_title：Postgraduate medicine

authors： Jaigobin CS,Perry JR

更新日期：1994-10-01 00:00:00

abstract：:Primary care physicians play an important role in the outpatient evaluation of proteinuria, a common finding in everyday medical practice. Therefore, it is important to recognize which symptoms and signs signal the need for further evaluation. A simple urine dipstick test usually is the first step, but factors leading...

journal_title：Postgraduate medicine

authors： Ali H

更新日期：1997-04-01 00:00:00

abstract：:Despite cervical cancer being considered a preventable disease, it still remains the second most common malignancy in women worldwide, with a higher incidence in underdeveloped countries. Human papillomavirus (HPV) is considered the causative agent of cervical cancer. The major mechanisms through which HPV contributes...

journal_title：Postgraduate medicine

authors： Subramanya D,Grivas PD

更新日期：2008-11-01 00:00:00

abstract：:Asthma is treated by avoiding the precipitants of symptoms, by a trial of hyposensitization (immunotherapy) if the precipitant cannot be avoided, and principally by pharmacologic therapy. Acute attacks have been most widely treated with epinephrine, but adrenergic aerosol bronchodilators and aminophylline are being us...

journal_title：Postgraduate medicine

authors： Ellis EF

更新日期：1976-04-01 00:00:00

abstract：:Patients with colon cancer involving regional lymph nodes (stage C disease) have a 5-year survival rate of only 30% to 40%, and the majority die of recurrent disease. Recent trials have shown increased survival rates with postoperative use of fluorouracil plus levamisole. The authors discuss these findings and the imp...

journal_title：Postgraduate medicine

authors： Treat J,Joseph RR

更新日期：1990-10-01 00:00:00

abstract：:Pseudomonas aeruginosa infections are a frequent cause of morbidity and mortality in hospitalized patients. Treatment of these infections is complicated by the intrinsic and acquired resistance of this bacterium to many commonly used antimicrobial agents. In this article, Drs Hauser and Sriram argue that careful consi...

journal_title：Postgraduate medicine

authors： Hauser AR,Sriram P

更新日期：2005-01-01 00:00:00

abstract：:The patient with diarrhea is generally looking for prompt relief, not a prolonged diagnostic workup. In many cases effective treatment can be initiated after careful review of the clinical symptoms and of the patient's recent travel or other activities. Stool examination, sigmoidoscopy, or other studies may be necessa...

journal_title：Postgraduate medicine

authors： Farmer RG

更新日期：1983-06-01 00:00:00

abstract：OBJECTIVES:Multilevel noncontiguous thoracic and lumbar spinal tuberculosis (MNST) is a relatively rare entity. The objective of this retrospective study was to investigate whether a technique involving a one-stage posterior debridement and decompression, combined with an intervertebral fusion and posterior instrumenta...

journal_title：Postgraduate medicine

authors： Chen RS,Liao X,Xiong ML,Chen FR,Wang BW,Huang JM,Chen XL,Yin GH,Liu HY,Jin DD

更新日期：2019-01-01 00:00:00

abstract：:The cause, depth, and location of a laceration are major determining factors in its treatment. In all cases, the wound must be completely cleansed with irrigation under pressure and then examined radiographically if necessary and debrided. Successful repair depends on understanding and using the principles of wound he...

journal_title：Postgraduate medicine

authors： Phillips LG,Heggers JP

更新日期：1988-06-01 00:00:00

abstract：:The tools and methods of epidemiology, particularly the clinical trial, help guide the clinical practice of medicine. Dr Gorelick reviews the results of major clinical trials for prevention of transient cerebral ischemia and atherothrombotic stroke and assesses the effect of these findings on treatment. ...

journal_title：Postgraduate medicine

authors： Gorelick PB

更新日期：1989-12-01 00:00:00

abstract：:Present evidence suggests that the most important nutritional factor bearing on the risk of development of diabetes mellitus is an excessive caloric intake. Other evidence suggests that both dietary prevention of diabetes and mitigation of hyperglycemia by dietary means can prevent morbidity and mortality from the mic...

journal_title：Postgraduate medicine

authors： West KM

更新日期：1976-09-01 00:00:00

abstract：:Aspiration results from abnormal structure or from dysfunction during the oral, pharyngeal, or esophageal stage of deglutition. Chemically induced inflammation of the lungs and obstruction of the airways may ensue. Feeding and swallowing problems may occur at any age, but they are particularly prevalent in the elderly...

journal_title：Postgraduate medicine

authors： Khawaja IT,Buffa SD,Brandstetter RD

更新日期：1992-07-01 00:00:00

abstract：:Farming is a dangerous life-style and occupation for children and adults. Dangerous situations are taken in stride and considered part of life on a family farm. Regulatory and educational programs and funding have been minimal in the United States. Physicians have been a major force in accident-prevention efforts in o...

journal_title：Postgraduate medicine

authors： Sterner S

更新日期：1991-08-01 00:00:00

abstract：:There are three key goals in current management of the diabetic pregnancy. Normal diabetes control before conception and during the first trimester in an attempt to reduce the incidence of congenital abnormalities. This implies that all diabetic women of childbearing age should have counseling before pregnancy. Routin...

journal_title：Postgraduate medicine

authors： Hollander P,Maeder EC Jr

更新日期：1985-02-01 00:00:00

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

authors： Harter HR,Martin KJ

更新日期：1982-12-01 00:00:00

abstract：:Patients "lucky" enough to have a nondisabling transient ischemic attack as a warning sign of impending stroke deserve the best possible prophylactic treatment in an attempt to avert that catastrophe. Dr Edmeads provides a step-by-step discussion of diagnostic studies and therapeutic regimens that help avoid stroke in...

journal_title：Postgraduate medicine

authors： Edmeads J

更新日期：1992-08-01 00:00:00

abstract：:Infectious diseases in the institutionalized elderly are emerging as 1 of the major issues challenging physicians treating adult patients. The most common syndromes encountered are nursing home-acquired pneumonia, urinary tract infections, and skin and soft tissue infections. As a complicating factor, immunocompromise...

journal_title：Postgraduate medicine

authors： Bonomo RA

更新日期：2001-02-01 00:00:00

abstract：OBJECTIVE:Among a random sample of emergency department (ED) patients, we sought to determine the extent to which reported risk for human immunodeficiency virus (HIV) is related to ever having been tested for HIV. METHODS:A random sample of patients (aged 18-64 years) from an adult, urban, northeastern United States, ...

journal_title：Postgraduate medicine

authors： Merchant RC,Freelove SM,Langan TJ 4th,Clark MA,Mayer KH,Seage GR 3rd,DeGruttola VG

更新日期：2010-01-01 00:00:00

abstract：:Chronic pain is considered one of the most prevalent causes of costly and disabling medical conditions. This review will define chronic pain and its categories and then will summarize the effectiveness and side effects associated with the use of various antidepressants, including the tricyclics, the selective serotoni...

journal_title：Postgraduate medicine

authors： Khouzam HR

更新日期：2016-01-01 00:00:00