Evaluation of involuntary weight loss. Where do you start?

abstract：:Bronchiectasis is characterized by permanent, abnormal dilation of the bronchi with chronic inflammation and infection. Bronchiectasis is either caused by or associated with several systemic disorders, and in a significant number of cases, the underlying etiology remains unidentified and is subsequently referred to as...

journal_title：Postgraduate medicine

authors： Lazarus A,Myers J,Fuhrer G

更新日期：2008-09-01 00:00:00

abstract：:The urine of less than 3% of healthy persons shows more than three red cells per high-power field, which is about the limit of sensitivity of test strips for occult blood. Even minimal hematuria may herald serious problems and must be investigated. Common causes include infection, urethritis, and urethrotrigonitis (25...

journal_title：Postgraduate medicine

authors： Brown DC

更新日期：1987-09-15 00:00:00

abstract：:Uremic polyneuropathy occurs in about half of patients undergoing dialysis and is characterized by axonal degeneration with secondary segmental demyelination. Hemodialysis or peritoneal dialysis halts the progress of polyneuropathy but usually does not bring improvement. However, improvement invariably occurs with suc...

journal_title：Postgraduate medicine

authors： Pirzada NA,Morgenlander JC

更新日期：1997-10-01 00:00:00

abstract：:Treatment of congestive heart failure depends on the cause, precipitating factors, and symptoms of the disease in each patient. Dr Kahn outlines the use of the three main types of pharmacologic agents given for heart failure--diuretics, vasodilators, and digoxin. He describes a stepwise regimen, whereby agents are add...

journal_title：Postgraduate medicine

authors： Kahn JK

更新日期：1991-05-01 00:00:00

abstract：OBJECTIVES:There are no evidence-based recommendations to screen for iron deficiency in non-anemic patients, even though symptoms may be present. The aim of this study is to measure the prevalence of iron deficiency (ID) without anemia in the general population aged 18-50 presenting to primary care along with the incid...

journal_title：Postgraduate medicine

authors： Abuaisha M,Itani H,El Masri R,Antoun J

更新日期：2020-04-01 00:00:00

abstract：:Clinicians are often perplexed by patients with bacterial infection who are not responding to oral antibiotic therapy. Since most of the commonly used antibiotics are excreted in the urine, inhibitory activity of urine against susceptible organisms can be used as a measure of patient compliance. To assess the reliabil...

journal_title：Postgraduate medicine

authors： Kumar A,Nankervis GA

更新日期：1979-03-01 00:00:00

abstract：:Preview Few people can say they have never experienced some form of pressure-related changes while flying. Although uncommon on commercial flights, severe middle ear blocks do occur. Drawing from his experience treating military pilots, Dr Brown discusses the causes of barotrauma, steps that airline passengers can tak...

journal_title：Postgraduate medicine

authors： Brown TP

更新日期：1994-08-01 00:00:00

abstract：:Even modest alcohol ingestion can increase the risk of steatosis, and long-term, excessive consumption can lead to alcoholic hepatitis and eventually cirrhosis. Most patients with clinically significant alcoholic liver disease have histologic findings typical of all three conditions. The only clearly beneficial treatm...

journal_title：Postgraduate medicine

authors： Hill DB,Kugelmas M

更新日期：1998-04-01 00:00:00

abstract：:Irritable bowel syndrome (IBS), which is characterized by recurrent abdominal pain and disordered bowel habits, is one of the most common functional bowel disorders. IBS is a substantial burden on both patient health-related quality of life and healthcare costs. Several pathophysiologic mechanisms have been postulated...

journal_title：Postgraduate medicine

authors： Harris LA,Baffy N

更新日期：2017-11-01 00:00:00

abstract：:The recent resurgence of rheumatic fever reported in eight locations in the United States after years of decline has several noteworthy characteristics. Most patients were children of families in high- to middle-income brackets with ready access to medical care. In four of the outbreaks, the majority of patients were ...

journal_title：Postgraduate medicine

authors： Ayoub EM

更新日期：1992-09-01 00:00:00

abstract：:The incidence of nonmelanoma skin cancer is rapidly increasing. With early diagnosis and treatment, almost all basal cell and squamous cell carcinomas can be cured. Premalignant actinic keratoses are treated with cryosurgery; the CO2 laser is the treatment of choice for actinic cheilitis. Generally, nonmelanoma skin c...

journal_title：Postgraduate medicine

authors： Kibarian MA,Hruza GJ

更新日期：1995-12-01 00:00:00

abstract：:Oculoglandular syndrome and swelling of the parotid gland are unusual manifestations of cat-scratch disease. Although exposure to cats is considered an important part of the patient history, an actual cat scratch is not required to establish the diagnosis. Oral fluoroquinolones show promise in the treatment of the inf...

journal_title：Postgraduate medicine

authors： Tobin EH,McDaniel H

更新日期：1992-04-01 00:00:00

abstract：:Hoarseness indicates an abnormality at the level of the glottis. This symptom may result from either structural or physiologic disorders. The differential diagnosis is lengthy and includes both benign and malignant diseases. History taking and physical examination, particularly laryngeal visualization, provide key clu...

journal_title：Postgraduate medicine

authors： Dettelbach M,Eibling DE,Johnson JT

更新日期：1994-04-01 00:00:00

abstract：:Five common conditions and several less common ones cause eyelid dermatitis. Diagnosis and treatment depend on recognizing their characteristics, obtaining a good history, performing a careful skin examination, administering and interpreting patch tests, prescribing the proper medications at the right time, and teachi...

journal_title：Postgraduate medicine

authors： Parkinson RW

更新日期：1996-08-01 00:00:00

abstract：:Technical advances over the past few years have rapidly increased the possibilities for filmless radiology services provided by PACS. Such systems are also financially feasible for many healthcare practices, primarily because of the goals achieved through increased efficiency and improved patient care. In coming years...

journal_title：Postgraduate medicine

authors： Naul LG,Sincleair ST

更新日期：2001-06-01 00:00:00

abstract：:Asthma is a common and eminently treatable disease. Most asthma patients are initially seen by primary care physicians, who are likely to have a significant part in management. Research has provided physicians with a better understanding of the pathophysiologic basis of asthma and new antiasthma agents. Guidelines hav...

journal_title：Postgraduate medicine

authors： Keenan JM

更新日期：1998-03-01 00:00:00

abstract：:Cataracts are the most common treatable form of reduced vision in older adults. Although the incidence of cataracts is high after age 65, careful history taking and clinical examination are essential to establish the diagnosis. Cataract surgery is medically indicated when the view to the retina is obscured or lens-ind...

journal_title：Postgraduate medicine

authors： Trudo EW,Stark WJ

更新日期：1998-05-01 00:00:00

abstract：OBJECTIVE:To identify attitudes and practices of endocrinologists (ENDOs), family practitioners (FPs), internists (IMs), primary care nurse practitioners (NPs), physician assistants (PAs), certified diabetes educators (CDEs), retail pharmacists (R-PHs), and hospital pharmacists (H-PHs) with respect to type 2 diabetes m...

journal_title：Postgraduate medicine

authors： Williamson C,Glauser TA,Burton BS,Schneider D,Dubois AM,Patel D

更新日期：2014-05-01 00:00:00

abstract：:Healthcare providers usually assess glycemic control in diabetic patients by measuring fasting plasma glucose and preprandial glucose levels, as well as hemoglobin A1c (HbA1c). Evidence now suggests that elevated postprandial glucose concentrations may contribute to suboptimal glycemic control. Several medications and...

journal_title：Postgraduate medicine

authors： Fasy EA,Buse JB

更新日期：2001-12-01 00:00:00

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

authors： Kutty CP,Varkey B

更新日期：1982-01-01 00:00:00

abstract：:Nasal congestion is considered the most bothersome of allergic rhinitis (AR) symptoms and can significantly impair ability to function at work, home, and school. Effective management of AR-related nasal congestion depends on accurate diagnosis and appropriate treatment. Many individuals with AR and AR-related congesti...

journal_title：Postgraduate medicine

authors： Benninger M

更新日期：2009-01-01 00:00:00

abstract：:Community-acquired pneumonia is still a significant cause of morbidity and mortality and is often misdiagnosed and inappropriately treated. Although it can be caused by a wide variety of micro-organisms, the pneumococcus, atypicals, such as Mycoplasma pneumoniae and Chlamydophila pneumoniae, Staphylococcus aureus and ...

journal_title：Postgraduate medicine

authors： Mandell LA

更新日期：2015-08-01 00:00:00

abstract：STUDY OBJECTIVES:To compare the safety and efficacy of U.S. Food and Drug Administration (FDA)-recommended doses of labetalol and nicardipine for hypertension (HTN) management in a subset of patients with renal dysfunction (RD). DESIGN:Randomized, open label, multicenter prospective clinical trial. SETTING:Thirteen U...

journal_title：Postgraduate medicine

authors： Varon J,Soto-Ruiz KM,Baumann BM,Borczuk P,Cannon CM,Chandra A,Cline DM,Diercks DB,Hiestand B,Hsu A,Jois-Bilowich P,Kaminski B,Levy P,Nowak RM,Schrock JW,Peacock WF

更新日期：2014-07-01 00:00:00

abstract：:Hypertension in diabetic patients must be treated aggressively if patients are to benefit from reduced risk of morbidity and mortality. Diabetes itself must be diagnosed promptly, particularly in at-risk patients, so appropriate lifestyle modifications can be made at the earliest opportunity. Although this may reduce ...

journal_title：Postgraduate medicine

authors： Sowers JR,Williams M,Epstein M,Bakris G

更新日期：2000-04-01 00:00:00

abstract：:Although low-dose oral corticosteroid therapy cannot be considered remittive, it has earned a place in the therapeutic armamentarium for rheumatoid arthritis. Major clinical trials of a group using corticosteroid compared with a control group have not been done since the 1950s. One of these three large trials showed s...

journal_title：Postgraduate medicine

authors： Iannuzzi LP

更新日期：1987-10-01 00:00:00

abstract：:The patient with jaundice may be accurately diagnosed through clinical history, physical findings, and noninvasive laboratory and radiologic examinations available in most community hospitals. Ultrasonography is usually the procedure of choice in initial evaluation, but if acute cholecystitis is suspected, hepatobilia...

journal_title：Postgraduate medicine

authors： Marin GA

更新日期：1987-01-01 00:00:00

abstract：:Because some cases of hearing loss demand urgent attention, an approach to patients with hearing loss should be adopted in the primary care setting that allows for systematic institution of an individualized and appropriate treatment plan. Workup is enhanced by categorizing the hearing loss as acute or chronic and con...

journal_title：Postgraduate medicine

authors： Ruckenstein MJ

更新日期：1995-10-01 00:00:00

abstract：:Not since the early 1950s has the number of new cases of syphilis been as high as it is now. The infectious agent, Treponema pallidum, is extremely difficult to culture in vitro and almost impossible to see by conventional light microscopy. A nonspecific antibody test is used for screening and a specific treponemal an...

journal_title：Postgraduate medicine

authors： Farnes SW,Setness PA

更新日期：1990-02-15 00:00:00

abstract：:Maternal peripartum complications continue to be a significant problem in the United States, even among previously healthy women. The problems include peripartum bleeding, infection, hypertension, and thromboembolic disease. Primary care physicians are often called upon to treat these conditions. An awareness of the a...

journal_title：Postgraduate medicine

authors： Ritter DC,deShazo RD

更新日期：1994-02-01 00:00:00

abstract：:Preview The effects of waning ovarian function start before menstruation stops, and they can be medically important. What changes should women expect, and what preventive health measures can they take? When is oral contraceptive therapy appropriate? How can irregular bleeding and decreased vaginal lubrication best be ...

journal_title：Postgraduate medicine

authors： Bachmann AG

更新日期：1994-04-01 00:00:00