Adrenal dysfunction: test strategies for diagnosis.

abstract：OBJECTIVE:Laparoscopic adjustable gastric banding (LAGB) is an established bariatric surgical procedure that produces meaningful weight loss and improvements in patients with type 2 diabetes mellitus (T2DM) and a body mass index (BMI) ≥ 30 kg/m2. This study examined the effect of LAGB on T2DM status in severely obese p...

journal_title：Postgraduate medicine

authors： Edelman S,Bhoyrul S,Billy H,Cornell C,Okerson T

更新日期：2012-11-01 00:00:00

abstract：:Cluster headache is a syndrome of severe head and facial pain accompanied by autonomic abnormalities. Men are affected more frequently than women. Headaches occur daily during periods of susceptibility, which may be followed by periods of remission. The etiology of cluster headache is uncertain. Recent work suggests t...

journal_title：Postgraduate medicine

authors： Marks DR,Rapoport AM

更新日期：1992-02-15 00:00:00

abstract：:Preview Several dermatoses are potentially fatal, and the mortality rate for some is quite high; prompt recognition and treatment are essential. Dr Gannon's succinct discussions of pemphigus vulgaris, necrotizing fasciitis, toxic epidermal necrolysis, Stevens-Johnson syndrome, toxic shock syndrome, and urticaria and a...

journal_title：Postgraduate medicine

authors： Gannon T

更新日期：1994-07-01 00:00:00

abstract：:Spirometry is a simple but underutilized test that is particularly well suited for office practice. With it, the physician can distinguish among different types of ventilatory impairment and follow the patient's course. It also permits detection of small-airway disease at an early stage, when measures to prevent devel...

journal_title：Postgraduate medicine

authors： Francis PB

更新日期：1978-01-01 00:00:00

abstract：:Is the degree of risk involved in providing health care to people infected with human immunodeficiency virus (HIV) acceptable? Every health care worker, even if only for a few anxious minutes, has certainly worried about this risk. Drs Wilson, Williams, and Robinson discuss these concerns and summarize the indications...

journal_title：Postgraduate medicine

authors： Wilson SE,Williams RA,Robinson G

更新日期：1990-09-01 00:00:00

abstract：:By being aware of which patients are at high risk for ingestion or insertion of foreign bodies, physicians can be on the lookout for objects in the gastrointestinal tract and ready to institute initial care. Esophageal foreign bodies and other objects that increase the chance of perforation or obstruction may require ...

journal_title：Postgraduate medicine

authors： Clarkston WK

更新日期：1992-10-01 00:00:00

abstract：:Chronic hepatitis B is a complex disease for which there are an increasing number of approved treatment options. Clinicians who strive to keep up to date on the diagnosis and treatment of hepatitis B will be in the best position to meet the challenge of managing patients with this serious infection. ...

journal_title：Postgraduate medicine

authors： Tsai N

更新日期：2006-07-01 00:00:00

abstract：:Regular aerobic exercise has significant cardiovascular benefits, including a reduction in incidence of and mortality from coronary artery disease--probably because of positive effects on blood lipid levels and blood pressure. Aerobic exercise can also be an important adjunct to a weight-loss program. Many persons who...

journal_title：Postgraduate medicine

authors： Mersy DJ

更新日期：1991-07-01 00:00:00

abstract：:Granulomatous inflammation of the peritoneal surfaces resulting from exposure to cornstarch granules from surgical gloves produces a syndrome of abdominal pair, adynamic ileus, fever, peritonitis, variable white blood cell count, and inflammatory ascites. Symptoms develop three to four weeks after a routine abdominal ...

journal_title：Postgraduate medicine

authors： Berkow AE

更新日期：1976-01-01 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：:Although coronary heart disease (CHD) remains the No. 1 cause of death in the United States, the CHD mortality rate has shown a recent decline. This has been attributed to lower fat consumption in the general population, with associated lower serum cholesterol levels. Thus, diet seems to be an important factor in cont...

journal_title：Postgraduate medicine

authors： Fletcher DJ,Rogers DA

更新日期：1985-04-01 00:00:00

abstract：:Prompt and accurate diagnosis of patients presenting with symptoms suggestive of pulmonary arterial hypertension (PAH) is of outmost importance as delays in identifying this clinical entity have detrimental effects on both morbidity and mortality. Initial noninvasive assessment of these patients has traditionally incl...

journal_title：Postgraduate medicine

authors： Vargas PE,Lopez-Candales A

更新日期：2016-01-01 00:00:00

abstract：:A concerted national effort has reduced cardiovascular mortality rates in the general US population. Unfortunately, not all ethnic groups have benefited equally from these improvements in our national health. The author presents insights into social and clinical factors that affect cardiovascular disease among Hispani...

journal_title：Postgraduate medicine

authors： Caralis PV

更新日期：1992-03-01 00:00:00

abstract：:Even healthy persons may experience some form of altitude illness when they hike or ski in high mountains. Therefore, it is imperative that those with compromised cardiac or pulmonary function take extra precautions by allowing time for ascent, by recognizing and accepting their limitations, and by descending promptly...

journal_title：Postgraduate medicine

authors： Houston CS

更新日期：1990-07-01 00:00:00

abstract：:Several risks can be posed by travel, even when the stay is not protracted nor the destination exotic. Air travelers should consider the potential problems associated with decreased cabin pressure, hypoxia, and circadian dysrhythmia, problems that can contraindicate flying for some. Motion sickness can affect those tr...

journal_title：Postgraduate medicine

authors： Lange WR,Kreider SD

更新日期：1983-04-01 00:00:00

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

authors： Doherty DE

更新日期：2002-06-01 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：:Vasodilator therapy represents an important step forward in the treatment of chronic left ventricular failure. Angiotensin converting enzyme (ACE) inhibitors appear to be the most versatile vasodilators, but selected direct-acting vasodilators, sympathetic inhibitors (prazosin), and possibly calcium channel antagonist...

journal_title：Postgraduate medicine

authors： Alpert MA

更新日期：1987-05-01 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：:In cases of unusual presentations, such as the three cases described here, gout or gouty arthritis may be misdiagnosed as rheumatoid arthritis, septic arthritis, or other rheumatic conditions and thus inappropriately treated. Microscopic analysis using compensated polarized light and culture of synovial fluid helps di...

journal_title：Postgraduate medicine

authors： Uy JP,Nuwayhid N,Saadeh C

更新日期：1996-07-01 00:00:00

abstract：:Simple screening tests are available to detect abnormalities in the plasma coagulation system and platelet function. Prothrombin time reflects the integrity of the extrinsic system, while activated partial thromboplastin time indicates whether the intrinsic system is intact. Thrombin clotting time is a measure of the ...

journal_title：Postgraduate medicine

authors： Horwitz CA

更新日期：1981-03-01 00:00:00

abstract：:The majority of patients can be easily weaned from mechanical ventilation, but a substantial minority pose considerable difficulty. In such cases, the cause of ventilator dependency should be identified and correctable factors should be rectified. An organized plan of management, a team approach, optimal pulmonary and...

journal_title：Postgraduate medicine

authors： Tobin MJ

更新日期：1991-01-01 00:00:00

abstract：:A 65-year-old woman was hospitalized several times after having an acute anteroseptal transmural infarction. Her course was complicated by recurrent ventricular tachycardia and severe left ventricular failure. Chest x-ray films showed pulmonary congestion and mild right pleural effusion. Two-dimensional echocardiograp...

journal_title：Postgraduate medicine

authors： Cheng TC

更新日期：1982-10-01 00:00:00

abstract：:Nephrolithiasis is caused by several biochemical mechanisms, identification of which allows specific therapy that may prevent recurrences. In patients with their first kidney stone, careful evaluation is needed to identify those at highest risk for recurrence. Extensive evaluation of this subgroup should lead to prope...

journal_title：Postgraduate medicine

authors： Trivedi BK

更新日期：1996-12-01 00:00:00

abstract：:Proper treatment of non-insulin-dependent (type II) diabetes presents the physician with a number of choices. Diet and exercise should be tried first in many patients; if this regimen is unsuccessful, treatment with either insulin or a first- or second-generation sulfonylurea must be considered. Theoretically, second-...

journal_title：Postgraduate medicine

authors： Nelson RL

更新日期：1987-05-01 00:00:00

abstract：:Gastric volvulus is torsion of the stomach, which can compromise the gastric orifices and result in either acute or chronic and intermittent symptoms. We believe that gastric volvulus, especially when partial or intermittent, may be more common than has been previously thought. The condition should be suspected in any...

journal_title：Postgraduate medicine

authors： Llaneza PP,Salt WB 2nd

更新日期：1986-10-01 00:00:00

abstract：OBJECTIVE:To compare effects of raisin snacks with conventional snacks on glycemia and cardiovascular risk factors. MATERIALS AND METHODS:A 12-week, randomized, controlled trial compared 3-times-a-day consumption of raisins with intake of processed snacks on glycemia and cardiovascular risk factors. Men and women were...

journal_title：Postgraduate medicine

authors： Anderson JW,Weiter KM,Christian AL,Ritchey MB,Bays HE

更新日期：2014-01-01 00:00:00

abstract：OBJECTIVES:This study aimed to investigate the prevalence and associated factors of inter-arm blood pressure difference (IAD) in Chinese community hypertensive population. METHODS:The cross-sectional study included 7788 hypertensive patients (3673 male and 4115 female, aged 62.3 ± 13.6 years) in Guangdong, China. IAD ...

journal_title：Postgraduate medicine

authors： Yu Y,Liu L,Lo K,Tang S,Feng Y

更新日期：2020-10-29 00:00:00

abstract：:Sinusitis may present as an indolent infection, without the classic symptoms and signs commonly expected, and will probably be missed in children who have only cough and persistent rhinorrhea unless this diagnosis is kept in mind. Plain radiography is the most commonly used diagnostic procedure for sinusitis, but comp...

journal_title：Postgraduate medicine

authors： Herrera AM,deShazo RD

更新日期：1990-04-01 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