Primary sclerosing cholangitis and primary biliary cirrhosis. How effective is medical therapy?

abstract：:Deep neck infection has ominous implications if not detected and treated in an early stage. The anatomic relationships of head and neck spaces encourage spread of infection. Immediate hospitalization and constant monitoring of the patient after diagnosis are mandatory. ...

journal_title：Postgraduate medicine

authors： Johnson JT,Tucker HM

更新日期：1976-06-01 00:00:00

abstract：:In view of all the controversy surrounding travelers' diarrhea, how should patients be counseled regarding its prevention and treatment? First, all patients should be instructed on the importance of eating and drinking only safe food and water and on methods of dietary manipulation and oral rehydration therapy. The tr...

journal_title：Postgraduate medicine

authors： Lange WR,Kreider S

更新日期：1985-03-01 00:00:00

abstract：:Good personal hygiene is one of the most important measures for control of hepatitis infection. Hepatitis is transmitted by close contact with an infected person or nonhuman primate, exposure to infected food or water, transfusion of infected blood, dialysis, or contact with hepatitis-containing laboratory specimens. ...

journal_title：Postgraduate medicine

authors： Bryan JA

更新日期：1980-11-01 00:00:00

abstract：:As efforts to improve screening for colon cancer have increased, so has the importance of routine flexible sigmoidoscopy. However, the procedure is still underused, and about half of primary care physicians who recommend it refer their patients to other physicians. Increased use of this valuable screening tool is an i...

journal_title：Postgraduate medicine

authors： Davis PW,Stanfield CB

更新日期：1999-06-01 00:00:00

abstract：:Infections of the neck become life-threatening with airway or systemic involvement. The first step in successful management is early recognition by the initial examiner. Patient evaluation includes a thorough history and physical examination, laboratory studies, and if the patient's condition is stable, roentgenograph...

journal_title：Postgraduate medicine

authors： Beck HJ,McCaffrey TV

更新日期：1984-12-01 00:00:00

abstract：:Many drugs with which to treat reversible obstructive airway disease are available. Beta-adrenergic aerosols are the first line of defense; these are followed, when necessary, by either timed-release theophylline or oral beta-adrenergics. Often, a combination of these drugs must be used to achieve effective relief of ...

journal_title：Postgraduate medicine

authors： O'Loughlin JM

更新日期：1987-07-01 00:00:00

abstract：:Psychotic disorders usually develop by middle age, but initial onset can be later in life. Delusions, hallucinations, and other psychotic symptoms may accompany medical conditions, mood disorders, and Alzheimer's disease, thereby confusing the diagnosis. In this review, Dr Harris describes some of the more common psyc...

journal_title：Postgraduate medicine

authors： Harris MJ

更新日期：1997-12-01 00:00:00

abstract：:Preview How can physicians make appropriate treatment decisions in substance abusers who have serious medical illness, especially when patients may not offer the information needed? Drs Westreich and Rosenthal summarize common physical findings that suggest abuse of specific substances. Recognizing these signs allows ...

journal_title：Postgraduate medicine

authors： Westreich LM,Rosenthal RN

更新日期：1995-04-01 00:00:00

abstract：:The term "brain failure" implies only dysfunction of a major organ system, not that an exact diagnosis has been made. Assessment and treatment of older patients with diminished cognitive ability can be challenging; however, the experience can also be extremely rewarding when a reversible condition is alleviated and th...

journal_title：Postgraduate medicine

authors： Paist SS 3rd,Martin JR

更新日期：1996-05-01 00:00:00

abstract：:During the last few years, the number, variety, and complexity of nuclear medical examinations that can be performed in children have increased impressively, due partly to recent accomplishments in radiopharmaceutical development and the availability of gamma scintillation cameras and computer systems for acquisition,...

journal_title：Postgraduate medicine

authors： Treves S

更新日期：1975-03-01 00:00:00

abstract：OBJECTIVES:With advancements in medical imaging and current emphasis on regular physical examinations, multiple pulmonary lesions increasingly are being detected, including bilateral pulmonary lesions. Video-assisted thoracic surgery is an important method for treating such lesions. Most of video-assisted thoracic surg...

journal_title：Postgraduate medicine

authors： Yang X,Wang L

更新日期：2018-01-01 00:00:00

abstract：:Ingested ethylene glycol is readily absorbed and metabolized into toxic metabolites that can cause CNS depression, cardiopulmonary failure, and renal failure. Thorough history taking, physical examination, and laboratory testing are essential for diagnosis. Careful differential diagnosis is important because symptoms ...

journal_title：Postgraduate medicine

authors： de Chazal I,Houghton B,Frock J

更新日期：1999-10-01 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：:Anemia of chronic disease (ACD) is a prevalent condition commonly observed in patients with chronic infections, cancer, trauma, and inflammatory disorders. In this article, Dr Andrews examines new research findings that enhance the understanding of the pathophysiologic mechanisms of ACD. After a brief review of iron h...

journal_title：Postgraduate medicine

authors： Andrews NC

更新日期：2004-11-01 00:00:00

abstract：:Common dislocations that can usually be managed in the office include anterior dislocations of the shoulder, posterior dislocations of the elbow and joints of the fingers and toes, and lateral dislocations of the patella. A systematic approach based on an understanding of the mechanism of injury, roentgenographic docu...

journal_title：Postgraduate medicine

authors： Huffer JM

更新日期：1977-11-01 00:00:00

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

authors： Ioja S,Weir ID,Rennert NJ

更新日期：2012-07-01 00:00:00

abstract：:With the US population aging steadily, herpes zoster represents a growing contributor to diminished quality of life. Dermatologic manifestations appear as immunity declines with age but rarely pose a significant threat, except in instances when ocular structures are involved. Pain is of more concern, because it usuall...

journal_title：Postgraduate medicine

authors： Landow K

更新日期：2000-06-01 00:00:00

abstract：:Optimum therapy with psychopharmacologic agents in geriatric patients requires an appreciation of the elderly's increased predisposition to emotional disorders and their unique sensitivity to adverse drug-drug interactions. Although nonpharmacologic approaches should be considered, adjunctive use of psychoactive medic...

journal_title：Postgraduate medicine

authors： Cadieux RJ

更新日期：1993-03-01 00:00:00

abstract：:A woman with excessive body hair may visit a physician with concerns about fertility and general health as well as appearance. Fortunately, the cause is usually benign, most often polycystic ovarian syndrome. However, life-threatening causes must be quickly ruled out. Hirsutism secondary to endocrinopathies and tumors...

journal_title：Postgraduate medicine

authors： Marshburn PB,Carr BR

更新日期：1995-01-01 00:00:00

abstract：:Lyme disease can be difficult to recognize because not all patients have erythema migrans or other classic symptoms. Therefore, laboratory testing has become an important aid to clinical diagnosis. But the story doesn't end there-serologic testing presents another set of problems and concerns. Drs. Still and Ryan expl...

journal_title：Postgraduate medicine

authors： Still MM,Ryan ME

更新日期：1997-07-01 00:00:00

abstract：:Joint space infections continue to be among the most common forms of arthritis. Diagnosis can be difficult, particularly in the presence of underlying joint disease. Septic arthritis should be suspected in all patients who present with an acutely swollen joint. Immediate joint aspiration with Gram's stain and culture ...

journal_title：Postgraduate medicine

authors： Evanchick CE,Davis DE,Harrington TM

更新日期：1986-02-01 00:00:00

abstract：OBJECTIVES:The majority of patients seeking medical care for chronic pain consult a primary care physician (PCP). Because systemic opioids are commonly prescribed to patients with chronic pain, PCPs are attempting to balance the competing priorities of providing adequate pain relief while reducing risks for opioid misu...

journal_title：Postgraduate medicine

authors： McDowell GC 2nd,Winchell J

更新日期：2018-05-01 00:00:00

abstract：:Preview No physician would treat hypertension without monitoring blood pressure, but some treat bronchial asthma without objectively measuring pulmonary function. This empirical approach is inappropriate, according to the authors, who discuss key measurements that should be taken to assess disease status, guide therap...

journal_title：Postgraduate medicine

authors： Weiss SM,Petty TL

更新日期：1995-06-01 00:00:00

abstract：:Penile lesions are a discomfiting affliction demanding skillful diagnosis and management by the primary care physician. This article discusses and illustrates 14 common types, delineating characteristics, course, and treatment. ...

journal_title：Postgraduate medicine

authors： Witherington R

更新日期：1981-09-01 00:00:00

abstract：:The term "enteropathic arthritis" describes joint manifestations that occur in conjunction with gastrointestinal disease. Underlying causes include inflammatory bowel disease, reactive arthritis, iatrogenic disease. Whipple's disease, and other gastrointestinal diseases. A possible association between Reiter's syndrom...

journal_title：Postgraduate medicine

authors： Finch W

更新日期：1989-08-01 00:00:00

abstract：:Contrary to popular belief, hypoglycemia is an infrequently encountered condition and its presence is questionable until confirmed by appropriate tests. In ambulatory patients, blood glucose levels obtained during intake of a normal diet are more reliable than those obtained during a glucose tolerance test. If the blo...

journal_title：Postgraduate medicine

authors： McFarland KF,Baker C,Ferguson SD

更新日期：1987-11-01 00:00:00

abstract：:Preview Heparin is used worldwide to prevent arterial and venous thrombosis and to treat established thromboembolic disorders. It is also the mainstay of anticoagulation therapy for cardiopulmonary bypass and hemodialysis circuits. In this article, the authors examine the common indications for heparin therapy and des...

journal_title：Postgraduate medicine

authors： Berry BR,Nantel S

更新日期：1996-06-01 00:00:00

abstract：:Viral diseases are an important cause of morbidity and mortality in elderly patients, whether they live in the community or in long-term care facilities. Management of viral infections in older adults is complicated by factors that include the infrequency or absence of common signs and symptoms of infection and advers...

journal_title：Postgraduate medicine

authors： Bader MS,McKinsey DS

更新日期：2005-11-01 00:00:00

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

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

更新日期：2014-09-01 00:00:00

abstract：:When a patient presents with a hard, painless lump in the neck, one should assume that it is a cancer and that it is metastatic from a primary lesion located above the clavicle. A careful physical examination with the appropriate instruments most often will determine the site of the primary lesion. Laryngograms or lat...

journal_title：Postgraduate medicine

authors： Devine KD

更新日期：1975-05-01 00:00:00