Scleroderma. Current understanding of pathogenesis and management.

abstract：:Iron deficiency occurs when the body's iron stores are exhausted. The source of blood loss leading to iron deficiency must be identified in all cases. Anemia of chronic disease generally results from an infectious, inflammatory, or malignant process. However, in some reported cases, no such process could be identified...

journal_title：Postgraduate medicine

authors： Mohler ER Jr

更新日期：1992-09-15 00:00:00

abstract：:Atrial fibrillation (AF) is the most prevalent sustained cardiac arrhythmia, yet because AF can often be intermittent or lacking in overt symptoms, its prevalence is underestimated, and it may be diagnosed only incidentally. Because AF is a potent ischemic stroke risk factor and stroke rates are similar for paroxysmal...

journal_title：Postgraduate medicine

authors： Saliba W

更新日期：2011-03-01 00:00:00

abstract：:Because of the large number of potentially injurious chemicals present in the home and workplace, chemical burns pose a unique challenge to the health care professional. For the majority of injuries, prompt and prolonged hydrotherapy is the cornerstone of therapy. The clinician needs to remember that the extent and de...

journal_title：Postgraduate medicine

authors： Fitzpatrick KT,Moylan JA

更新日期：1985-10-01 00:00:00

abstract：:The end point in peptic ulcer disease is a crater in the mucosa. The cause of gastric ulcers seems to be the breakdown of defensive factors, which then allows damage from endogenous and/or exogenous aggressive factors. Aggressive factors are more important in duodenal ulcer formation. Treatment options discussed herei...

journal_title：Postgraduate medicine

authors： Ziller SA 3rd,Netchvolodoff CV

更新日期：1993-03-01 00:00:00

abstract：:In public whirlpools, low disinfectant levels and inadequate monitoring are clearly a public health concern. Implementing guidelines published by the Centers for Disease Control seems to be the most reasonable approach to preventing dermatitis in persons who use these facilities. Physicians should be on the alert for ...

journal_title：Postgraduate medicine

authors： Breitenbach RA

更新日期：1991-09-01 00:00:00

abstract：:Many new, minimally invasive interventional radiology procedures are now viable alternatives to traditional invasive therapy. The radiology procedures can often be performed in the outpatient setting, and although expensive technology may be required, the overall cost to the patient may be lower in the long run. Endov...

journal_title：Postgraduate medicine

authors： Montgomery ML,Sullivan JP

更新日期：2001-06-01 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：:Chronic neck and shoulder pain is a complex, multifactorial problem. Often many months have passed since its onset. During this time the patient may have seen many physicians and tried many medications, some with abuse potential. Most patients are depressed and have lost their ability to cope with the stresses of dail...

journal_title：Postgraduate medicine

authors： Grosshandler SL,Stratas NE,Toomey TC,Gray WF

更新日期：1985-02-15 00:00:00

abstract：:The compatibility of a medication with other drugs and implanted materials is an important factor impacting drug safety and efficacy. The liposomal formulation of the local anesthetic bupivacaine is designed to provide prolonged postsurgical analgesia. Its compatibility with other drugs and materials depends on the co...

journal_title：Postgraduate medicine

authors： Kharitonov V

更新日期：2014-01-01 00:00:00

abstract：:The three most common types of vertiginous episodes area benign positional vertigo, postural vertigo, and endolymphatic hydrops. One of these conditions will be found in more than 90% of patients who present with vertigo as their main complaint. A clear understanding of the differences among these three entities will ...

journal_title：Postgraduate medicine

authors： Maragos NE,Neel HB 3rd,McDonald TJ

更新日期：1981-05-01 00:00:00

abstract：:Occlusive peripheral arterial disease is rather easy to diagnose because of its characteristic symptoms and the ease with which the extremities and their circulation can be examined. Elevation and dependency tests give a rough but reliable estimate of the degree of ischemia, and if more objective data are desired, the...

journal_title：Postgraduate medicine

authors： Spittell JA Jr

更新日期：1982-02-01 00:00:00

abstract：OBJECTIVES:Our aim was to investigate the association of liver fibrosis and necroinflammation with HS in untreated young patients with chronic hepatitis B (CHB). MATERIALS AND METHODS:A retrospective study was conducted in a military hospital in Turkey. A total of 254 subjects with CHB were included in this study. The...

journal_title：Postgraduate medicine

authors： Karacaer Z,Okur G,Cermik H,Altun D

更新日期：2016-09-01 00:00:00

abstract：:Patients often seek help from their primary care physician for weight loss, so familiarity with pharmacologic options and their risks is important. Anorexiants have been available for decades and are relatively safe. Orlistat and sibutramine are two of the newer medications that patients may have heard about in televi...

journal_title：Postgraduate medicine

authors： Agrawal M,Worzniak M,Diamond L

更新日期：2000-07-01 00:00:00

abstract：:Despite a plethora of clinical guidelines and evidence outlining the efficacy of inhaled corticosteroids, these medications continue to be underused in the treatment of asthma. This article reviews the justification for prescribing inhaled steroids as first-line therapy, discusses indications for their use, and compar...

journal_title：Postgraduate medicine

authors： Laurie S,Khan D

更新日期：2001-05-01 00:00:00

abstract：:Patients taking immunosuppressive drugs are susceptible to various forms of infection, including dermatologic disease. Recently, atypical manifestations of scabies have been reported in such patients. In the case reported here, a 26-year-old woman who had had a renal transplant and was taking immunosuppressive drugs h...

journal_title：Postgraduate medicine

authors： Wolf R,Wolf D,Viskoper RJ,Sandbank M

更新日期：1985-07-01 00:00:00

abstract：OBJECTIVES:The goal of this study was to identify opportunities among gastroenterologists and gastroenterology nurse practitioners (NPs)/physician assistants (PAs) for continuing medical education (CME) related to functional constipation. METHODS:An online, case-vignette survey was designed to identify and quantify pr...

journal_title：Postgraduate medicine

authors： Barnes J,Coleman B,Hwang S,Stolic A,Bousvaros A,Nurko S,Salinas GD

更新日期：2018-05-01 00:00:00

abstract：:In most cases, patients presenting with "the worst headache ever" are found to have a benign condition, notably migraine, toxic vascular headache, or exertion-induced headache. However, ominous causes first must be excluded by appropriate investigation, such as computed tomographic or magnetic resonance imaging scans ...

journal_title：Postgraduate medicine

authors： Edmeads J

更新日期：1989-07-01 00:00:00

abstract：:Abdominal paracentesis is a useful and safe technique in the evaluation of ascites. The withdrawn ascitic fluid should be routinely analyzed for appearance, blood cell count, and amylase and total protein concentrations; examined cytologically; and cultured. Results should either substantiate the clinical diagnosis or...

journal_title：Postgraduate medicine

authors： Babb RR

更新日期：1978-05-01 00:00:00

abstract：:Neonatal circumcision continues to be a controversial subject. The American Academy of Pediatrics has revised its earlier policy, stating that newborn circumcision has potential benefits as well as risks and emphasizing the need to explain these issues to parents considering the procedure so that an informed decision ...

journal_title：Postgraduate medicine

authors： Robson WL,Leung AK

更新日期：1992-05-01 00:00:00

abstract：:The esophageal obturator airway is a relatively new addition to equipment for emergency resuscitation. It is simple to use after minimal training and can be inserted quickly without laryngoscopic visualization. Problems are uncommon. ...

journal_title：Postgraduate medicine

authors： Key GK

更新日期：1980-02-01 00:00:00

abstract：:When a patient presents with involuntary weight loss, the etiologic considerations can be overwhelming. To plan a cost-effective workup, physicians need to be aware of the most common causes of weight loss and the tests that yield the most pertinent data. Drs Wise and Craig review the clinical studies on unintentional...

journal_title：Postgraduate medicine

authors： Wise GR,Craig D

更新日期：1994-03-01 00:00:00

abstract：:Looking back at the long history of cancer, we can still relate to that POSTGRADUATE MEDICINE editorial written 50 years ago: "None of the basic problems of cancer has been solved. The death rate is constantly mounting. Small wonder that many doctors face cancer with a pessimism bordering on resignation." The temptati...

journal_title：Postgraduate medicine

authors： Harpham WS,Hoel D

更新日期：1997-09-01 00:00:00

abstract：:Beta-blockers (beta-blockers) have demonstrated their value across the cardiovascular disease spectrum. Beta-blockers effectively lower blood pressure in patients with hypertension and provide symptomatic or mortality benefits in patients with heart failure and in post-myocardial infarction patients. However, despite ...

journal_title：Postgraduate medicine

authors： Kountz DS

更新日期：2009-01-01 00:00:00

abstract：:The case described here illustrates the need to consider milk-alkali syndrome in the differential diagnosis of hypercalcemia, even in this age of histamine2 blockers and mucosal protectors. Thorough history taking and gastrointestinal workup help rule out alternative causes of hypercalcemia, such as cancer, hyperparat...

journal_title：Postgraduate medicine

authors： Newmark K,Nugent P

更新日期：1993-05-01 00:00:00

abstract：:The complexity of coding in the auditory nerve makes it unlikely that a prosthesis for deaf persons can exactly duplicate the normal function of the ear. With recent advances, however, cochlear prostheses can perform some of the frequency-analysis functions of the normal ear. Cochlear prostheses are effective aids to ...

journal_title：Postgraduate medicine

authors： Farrar CL,Mangham CA Jr,Kuprenas SV

更新日期：1984-11-15 00:00:00

abstract：:Auscultation is the core of pediatric cardiovascular evaluation and should be performed according to a routine. The four heart sounds should be sought in order at their usual locations, with particular attention to the second sound because of its important diagnostic role in congenital cyanotic heart disease. The next...

journal_title：Postgraduate medicine

authors： Kulangara RJ,Strong WB,Miller MD

更新日期：1982-07-01 00:00:00

abstract：:Most changes that occur in the aging face are related to gravity working on skin that is becoming progressively thinner, drier, and less elastic. Exposure to sunlight hastens these changes, and protection from the sun is the only proved way to delay them. Dermabrasion, chemabrasion, and collagen implant (Zyderm) injec...

journal_title：Postgraduate medicine

authors： Larrabee WF Jr,Caro I

更新日期：1984-11-15 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：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：:Aspirin-induced hypersensitivity affects a substantial number of people, including 20% or more of asthmatic patients. A dramatic flare of symptoms occurs after indigestion of aspirin or a nonsteroidal anti-inflammatory drug, and symptoms can persist even after the agent is discontinued. Fortunately, aspirin desensitiz...

journal_title：Postgraduate medicine

authors： Manning ME,Stevenson DD

更新日期：1991-10-01 00:00:00