Dissection of dizziness: with emphasis on labyrinthine vertigo.

abstract：:Wound healing calls for little outside interference. All the physician need do is ensure that the wound is clean and debrided and decide whether closure by suture or by granulation tissue formation is indicated. Suture repair should be delayed if the wound is heavily contaminated. Use of skin tapes or of constant-pres...

journal_title：Postgraduate medicine

authors： Fernandez A,Finley JM

更新日期：1983-10-01 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：: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：:While more remains to be learned about the natural history of deep vein thrombosis and pulmonary embolism, better information is now available on which to base decisions about diagnosis and treatment. Several retrospective and prospective studies have placed the value of lung scanning, venography, and pulmonary angiog...

journal_title：Postgraduate medicine

authors： Broaddus C,Matthay MA

更新日期：1986-03-01 00:00:00

abstract：:Although chronic hepatitis B is a relatively common disease that may have a serious outcome, the outlook is by no means uniformly poor. Alpha interferon therapy may be helpful in up to one third of patients who have hepatitis B e antigen in serum and elevated serum aminotransferase levels. New drugs that may have even...

journal_title：Postgraduate medicine

authors： Di Bisceglie AM

更新日期：1995-07-01 00:00:00

abstract：:Therapy for osteomyelitis requires a multidisciplinary approach. A precise microbiologic diagnosis and adequate debridement of necrotic tissue are essential. Acute hematogenous osteomyelitis usually responds to antimicrobial therapy. The presence of an abscess or a metaphyseal cavity in hematogenous osteomyelitis and ...

journal_title：Postgraduate medicine

authors： Bamberger DM

更新日期：1993-10-01 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：:Heart transplantation is the treatment of choice for a select group of patients with end-stage heart failure. Survival rates have increased and complication rates have decreased due to better immunosuppressive agents, improvement in organ procurement and surgical technique, and overall increase in experience for perfo...

journal_title：Postgraduate medicine

authors： Kansara P,Kobashigawa JA

更新日期：2012-07-01 00:00:00

abstract：:Epileptiform seizures occurred in a 34-year-old woman who was receiving amitriptyline and lithium carbonate therapy for treatment of endogenous depression. While receiving amitriptyline maintenance therapy, she was given lithium on two separate occasions, and despite serum levels of lithium in the therapeutic range, g...

journal_title：Postgraduate medicine

authors： Solomon JG

更新日期：1979-09-01 00:00:00

abstract：:Solid organ transplantation is now the standard of care for end-stage organ failure, and primary care physicians are frequently involved in the follow-up care of transplant recipients. New-onset diabetes mellitus after solid organ transplantation (NODAT) has emerged as an increasingly important determinant of outcomes...

journal_title：Postgraduate medicine

authors： Reynolds LR,Tannock LR

更新日期：2008-07-01 00:00:00

abstract：:More than half of new mothers may be affected by mood disorders after childbirth. Possible causes and recommended management depend on the type of disorder and its severity. In this article, Dr Knops discusses recognition, prevention, and management of three types of postpartum mood disorders as well as the need for s...

journal_title：Postgraduate medicine

authors： Knops GG

更新日期：1993-02-15 00:00:00

abstract：:Psoriasis, like diabetes, is a multifactorial genetic disease with complex interactions of deranged metabolism. Factors that affect epidermal differentiation and proliferation include cyclic nucleotide interactions, polyamine metabolism, cell surface--cytoskeleton interactions, and arachidonic acid--prostaglandin casc...

journal_title：Postgraduate medicine

authors： Anderson TF,Voorhees JJ

更新日期：1980-06-01 00:00:00

abstract：:In developed countries, prevalence is increasing of malignancy-related secondary lymphedema, usually resulting from lymph node resection or irradiation. Untreated lymphedema usually increases over time, and the physical and psychological sequelae in even mild cases demand appropriate diagnosis and treatment. Patients ...

journal_title：Postgraduate medicine

authors： Tunkel RS,Lachmann E

更新日期：1998-10-01 00:00:00

abstract：:Since the introduction of estimated glomerular filtration rate (GFR), the number of patients with chronic kidney disease (CKD) has considerably increased. This is particularly true for elderly patients as the majority have a low GFR. Chronic kidney disease has a significant impact on a patient's outcome. We have revie...

journal_title：Postgraduate medicine

authors： Abdelhafiz AH,Tan E,El Nahas M

更新日期：2008-11-01 00:00:00

abstract：:Introduction: Adolescents and young adults are the primary reservoirs and transmitters of meningococci. In the US, meningococcal serogroup B (MenB) disease predominates over A, C, W, and Y; ACIP-recommended MenACWY and MenB vaccines are available. We investigated invasive meningococcal disease (IMD) burden and vaccina...

journal_title：Postgraduate medicine

authors： Alderfer JT,Moran MM,Srivastava A,Isturiz RE

更新日期：2019-11-01 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

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：:Primary carcinoid tumor of the thymus is a rare, slow-growing neoplasm occurring most commonly in middle-aged men. The usual clinical manifestations are those of a mediastinal mass, although in asymptomatic patients, the diagnosis may be suggested by a routine chest roentgenogram. Excision is the most common treatment...

journal_title：Postgraduate medicine

authors： Kogan J

更新日期：1984-01-01 00:00:00

abstract：:In a series of 123 children with disorders of defecation, constipation was the main problem in 89 and fecal incontinence in 34. All but three of the latter also had constipation. The principal physical findings were abdominal protuberance with palpable stool in the bowel and the presence of a fecal mass in the rectal ...

journal_title：Postgraduate medicine

authors： Liebman WM

更新日期：1979-08-01 00:00:00

abstract：:Evaluation of the suicidal patient involves careful consideration of risk factors, including attention to subtle clues from the history, and mental status examination. The most urgent decision for the physician to make is whether or not to insist on hospitalization. If the need for inpatient care is uncertain, a "no s...

journal_title：Postgraduate medicine

authors： Smith CW Jr,Bope ET

更新日期：1986-06-01 00:00:00

abstract：:Patients "lucky" enough to have a nondisabling transient ischemic attack as a warning sign of impending stroke deserve the best possible prophylactic treatment in an attempt to avert that catastrophe. Dr Edmeads provides a step-by-step discussion of diagnostic studies and therapeutic regimens that help avoid stroke in...

journal_title：Postgraduate medicine

authors： Edmeads J

更新日期：1992-08-01 00:00:00

abstract：:Fever of unknown origin (FUO) remains a challenging clinical problem despite recent advances in diagnostic tools and techniques. Because primary care physicians are often the first ones to encounter a case of FUO, it is important that they be familiar with the best strategy and steps for confronting this problem initi...

journal_title：Postgraduate medicine

authors： Amin K,Kauffman CA

更新日期：2003-09-01 00:00:00

abstract：:Preview The ultrasensitive third-generation assay for thyrotropin (TSH) is now the "gold standard" for measuring thyroid activity. Who should be screened with it, and what further studies should be done if results are abnormal? Which patients with subclinical disease should receive treatment? Drs Brody and Reichard di...

journal_title：Postgraduate medicine

authors： Brody MB,Reichard RA

更新日期：1995-08-01 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：: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：BACKGROUND:The mechanism of action of dipeptidyl peptidase-4 inhibitors, such as saxagliptin, makes them suitable for combination therapy in type 2 diabetes mellitus (T2DM). Genetic, cultural, and environmental differences in individuals from different regions of the world may result in differences in treatment respons...

journal_title：Postgraduate medicine

authors： Karyekar C,Donovan M,Allen E,Fleming D,Ravichandran S,Chen R

更新日期：2011-07-01 00:00:00

abstract：OBJECTIVES:There is limited and contradictory information regarding the role of serum ischemia-modified albumin (IMA) in obstructive sleep apnea (OSA). In this study we examine the effects of OSA and obesity on IMA and interleukin-6 (IL-6), and detect whether IMA and IL-6 may be potential biomarkers in OSA. METHODS:Fi...

journal_title：Postgraduate medicine

authors： Dogan D,Ocal N,Aydogan M,Tasci C,Arslan Y,Tapan S,Yetkin S,Bilgic H

更新日期：2016-08-01 00:00:00

abstract：:Inflammatory bowel disease (IBD) is difficult to diagnose, and differentiating between ulcerative colitis (UC) and Crohn's disease (CD) can be challenging. Overlapping symptoms of UC and CD often delay diagnosis, despite availability of endoscopic, radiologic, and histologic tools. This delay in diagnosis is quite com...

journal_title：Postgraduate medicine

authors： Arai R

更新日期：2010-07-01 00:00:00

abstract：:Some skin disorders are more common in blacks than in whites or are so rare in whites as to be almost peculiar to blacks. Pigmentary abnormalities, either dark or light spots, often occur in association with inflammatory skin diseases. Curvature of the hair follicle is thought to be at the root of two other painful co...

journal_title：Postgraduate medicine

authors： Kenney JA Jr

更新日期：1977-06-01 00:00:00

abstract：:Preview Although specific vitamin deficiency syndromes are relatively rare in the United States, primary care physicians may encounter them in elderly patients and persons who consume minimal diets. Knowledge of such deficiencies is crucial in the evaluation of these patients. The authors discuss manifestations of def...

journal_title：Postgraduate medicine

authors： Skelton WP,Skelton NK

更新日期：1990-03-01 00:00:00