Screening for colorectal cancer. Use of a new protocol may reduce death rates.

abstract：:Gastroesophageal reflux disease is a very common condition that is usually manifested by heartburn or regurgitation. Reflux esophagitis, caused by mucosal exposure to the backflow of caustic gastric contents, is primarily a result of lower esophageal sphincter dysfunction. Diagnostic workup varies but commonly include...

journal_title：Postgraduate medicine

authors： Sutherland JE

更新日期：1991-05-15 00:00:00

abstract：:Serum electrolyte levels by themselves may be difficult to interpret. For example, an abnormal serum potassium concentration cannot be understood without taking into account the patient's history, other serum electrolyte values, and possibly results of other laboratory tests. Knowledge of the principles of serum elect...

journal_title：Postgraduate medicine

authors： Kapsner CO,Tzamaloukas AH

更新日期：1991-12-01 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：: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

abstract：:Evaluation and diagnosis of obstructive lung disease call for careful history taking to distinguish asthma from chronic obstructive pulmonary disease (COPD). A history of atopy and intermittent, reactive symptoms points toward a diagnosis of asthma, whereas smoking and advanced age are more indicative of COPD. Clinica...

journal_title：Postgraduate medicine

authors： Martinez FJ,Standiford C,Gay SE

更新日期：2005-03-01 00:00:00

abstract：OBJECTIVES:Naloxone is indicated for reversal of opioid-induced respiratory depression. The objective of this study is to evaluate patterns of naloxone use in hospitalized patients. METHODS:Retrospective chart review at the University of California, San Diego Health. Subjects included adults ≥18 years old who were adm...

journal_title：Postgraduate medicine

authors： Yung L,Lee KC,Hsu C,Furnish T,Atayee RS

更新日期：2017-01-01 00:00:00

abstract：:The toxic effects of cocaine are becoming more widely recognized as the popularity of the drug increases. Although overdose is usually fatal, treatment is available for users who experience agitation, seizure, arrhythmias, severe hypertension, or other side effects. Hospital admission is often necessary to allow monit...

journal_title：Postgraduate medicine

authors： Lobl JK,Carbone LD

更新日期：1992-01-01 00:00:00

abstract：:The work of psychotherapists who have a cognitive-behavioral orientation and are trained in time-limited, focused psychotherapy has proved to be beneficial in the setting of a comprehensive medical and health maintenance organization. Group interventions that deal with relaxation, social skills, depression, agoraphobi...

journal_title：Postgraduate medicine

authors： Upper D,Kantor LE,Kulich RJ,Wurzelmann H,Bigwood GF

更新日期：1984-02-15 00:00:00

abstract：:Gallstones are very common, but at least two thirds of detected stones are asymptomatic and a large number undoubtedly go undetected. The presence of symptoms or complications is the indication for surgery. It is important to accurately identify which symptoms are caused by gallstones, because removing the gallbladder...

journal_title：Postgraduate medicine

authors： Egbert AM

更新日期：1991-10-01 00:00:00

abstract：:Some patients with severe and chronic pain fail to obtain adequate pain relief with standard pharmacologic treatment agents, including low to moderate dosages of opioids. Understandably, physicians might not believe patients who claim that a standard opioid dosage is an ineffective treatment. These patients may be sev...

journal_title：Postgraduate medicine

authors： Tennant F

更新日期：2015-01-01 00:00:00

abstract：:Although evidence indicates that the incidence of stroke has declined over the past 30 years, stroke remains one of the leading causes of disability and death in the United States. Prevention appears to be the best treatment. According to the Straub Stroke Registry, 52% of strokes in its patient population can be attr...

journal_title：Postgraduate medicine

authors： Nakano KK

更新日期：1986-09-15 00:00:00

abstract：:The fact that atopic dermatitis is such a common medical problem underlies the need for better understanding of the basic disease processes and the development of new therapeutic approaches. Infection is now recognized as an important exacerbating factor, and the role of inflammatory and immunologic mediators is recei...

journal_title：Postgraduate medicine

authors： Millikan LE

更新日期：1984-07-01 00:00:00

abstract：:Severe myocardial ischemia and infarction cause release of catecholamines, with exposure of injured myocardial cells to relatively high concentrations during the transitional period in which myocyte injury worsens. In experimental animals, the number of beta-adrenergic receptors increases markedly without any change i...

journal_title：Postgraduate medicine

authors： Willerson JT,Buja LM

更新日期：1988-02-29 00:00:00

abstract：:Throughout history, societies have circumscribed certain forms of intimacy in the family setting. Transgression has been punished by force of ecclesiastical rules and government statutes. However, no single definition of incest is widely accepted, as the degree of kinship in which marriage is allowed and the age of co...

journal_title：Postgraduate medicine

authors： Lande RG

更新日期：1989-06-01 00:00:00

abstract：:When many physicians think of managed care, they think first of Kaiser Permanente, the nation's largest HMO. That perception is misguided, according to David M. Lawrence, MD, the chief executive officer and chairman of the boards of the Kaiser Foundation health plan and hospitals. During a phone interview recently, La...

journal_title：Postgraduate medicine

authors： Lawrence DM,Stenger A

更新日期：1994-05-15 00:00:00

abstract：:Preview Management of otitis media in children is a controversial matter: The basic questions of why, in whom, and how it should be treated are undergoing continual reassessment. In this article, Drs Shapiro and Bluestone provide answers to these and other questions, such as Why is treatment of acute otitis media just...

journal_title：Postgraduate medicine

authors： Shapiro AM,Bluestone CD

更新日期：1995-05-01 00:00:00

abstract：:In 90% of children, otitis media with effusion resolves within 3 months. When it persists longer, it is considered chronic. Initial treatment of chronic otitis media with effusion is repeated courses of antibiotics, and a short course of steroids may be appropriate. Use of antihistamines and decongestants has not been...

journal_title：Postgraduate medicine

authors： Terris MH,Magit AE,Davidson TM

更新日期：1995-01-01 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：:Drug acquisition cost is an important component in the analysis of economic and clinical outcomes in the treatment of respiratory tract infections (RTIs). However, bacterial resistance has emerged as a crucial variable that must also be considered. Drug-resistant infections result in more expensive drug therapy, longe...

journal_title：Postgraduate medicine

authors： Rapp RP

更新日期：2002-09-01 00:00:00

abstract：:Thymomas may be discovered during routine evaluation, through reported symptoms, or increasingly, during evaluation for myasthenia gravis. Histologic details of these tumors have little bearing on prognosis or evaluation of malignant potential. Malignancy is determined by evidence of invasion through the tumor capsule...

journal_title：Postgraduate medicine

authors： Cohen DJ

更新日期：1986-03-01 00:00:00

abstract：:Since the sexual revolution of the 1960s, medical complications of sexual activity and sexual side effects related to use of medications have become a significant part of healthcare practice. Specifically, there has been an expanding interest in the treatment of headaches and their relationship to sexual function. Mos...

journal_title：Postgraduate medicine

authors： Goldstein J

更新日期：2001-01-01 00:00:00

abstract：BACKGROUND:Irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) are common functional bowel disorders. Patients with IBS-C or CIC often present with ≥ 1 comorbidity that coincides with either of these conditions. These comorbidities may make underappreciated contributions to the ...

journal_title：Postgraduate medicine

authors： Nellesen D,Chawla A,Oh DL,Weissman T,Lavins BJ,Murray CW

更新日期：2013-03-01 00:00:00

abstract：:Narcotic maintenance may be needed to relieve chronic pain in ambulatory patients who fail to respond to other pain therapies. Oral, long-acting narcotics are preferred, and nonnarcotic pain therapies can be administered simultaneously to reduce the narcotic dosage. To legally undertake narcotic maintenance, the physi...

journal_title：Postgraduate medicine

authors： Tennant FS J,Uelmen GF

更新日期：1983-01-01 00:00:00

abstract：:When ascites is the presenting symptom and the underlying disease is not apparent, the physician must be aware of the various diseases that may be associated with the accumulation of serous fluid in the abdominal cavity and the various approaches that are available to aid in the differential diagnosis. ...

journal_title：Postgraduate medicine

authors： Wortzel EM,Rogers AI

更新日期：1977-05-01 00:00:00

abstract：:The maximal exercise stress test continues to be an important diagnostic and prognostic tool in the primary care office setting. But are you getting the most accurate information possible? Drs Driggers and Marchant discuss several factors that are crucial to the test's validity--and thus to its usefulness in your clin...

journal_title：Postgraduate medicine

authors： Driggers DA,Marchant D

更新日期：1999-05-01 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

abstract：:The spectrum of interaction between drugs and the kidney is broad. Most drugs are excreted at least partially by the kidney, and renal function affects drug bioavailability, volume of drug distribution, and drug metabolism and rate of drug elimination. Drug therapy not only is potentially hazardous in patients with re...

journal_title：Postgraduate medicine

authors： Henrich WL,Anderson RJ

更新日期：1978-11-01 00:00:00

abstract：:Amyloidosis occurs in association with many diseases and can also be idiopathic. It is usually a systemic disease with variable presentations. The diagnosis should be suspected in patients with unexplained proteinuria, cardiomyopathy, congestive heart failure, peripheral neuropathy, carpal tunnel syndrome, macroglossi...

journal_title：Postgraduate medicine

authors： Vogelgesang SA,Klipple GL

更新日期：1994-10-01 00:00:00

abstract：:Preview An elevated serum calcium level requires thorough investigation. Is hyperparathyroidism at the root of the abnormality? Malignant disease? Vitamin toxicity? In this article, Dr Kaye discusses clinical evaluation of hypercalcemia and outlines pharmacologic therapy, surgical intervention, and other treatment opt...

journal_title：Postgraduate medicine

authors： Kaye TB

更新日期：1995-01-01 00:00:00

abstract：: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 ...

journal_title：Postgraduate medicine

authors： Ruckenstein MJ

更新日期：1998-06-01 00:00:00