Drug use in renal failure.

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：: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：:Electroconvulsive therapy is controversial and readily arouses the passions of both its supporters and detractors. In this article, Dr Schoen, an internist, discusses various aspects of this 50-year-old technique, including risks, contraindications, and physiologic effects. ...

journal_title：Postgraduate medicine

authors： Schoen RE

更新日期：1990-05-01 00:00:00

abstract：:Febrile convulsions affect about 1 child in 30. Most of these children have a good outcome with no sequelae and do not require prophylactic medication. Differential diagnosis should include meningitis, epilepsy, hypoglycemia, and encephalopathies and other central nervous system disorders. Children with a high risk fo...

journal_title：Postgraduate medicine

authors： Leung AK,Robson WL

更新日期：1991-04-01 00:00:00

abstract：:Combination therapy is a cost-effective and rational approach to treatment of severe hypertension and of mild to moderate hypertension that is refractory to monotherapy. The method has several advantages, most notably improved tolerability and enhanced antihypertensive efficacy. Long-term prospective studies are neede...

journal_title：Postgraduate medicine

authors： Houston MC

更新日期：1998-09-01 00:00:00

abstract：:The diagnostic survey of the infertile couple usually takes about three months. After semen analysis, the husband is referred for general and urologic examination. The wife is given a general physical and pelvic examination and returns during the next two months for ovulation studies. Tubal patency tests are also perf...

journal_title：Postgraduate medicine

authors： Cohen MR

更新日期：1977-10-01 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：:Treatment of primary breast cancer with excision of the tumor plus radiation is now an accepted alternative to mastectomy in women who desire breast preservation and have a suitable clinical presentation. Tumor size and location should be carefully considered before applying treatment with this method, the primary con...

journal_title：Postgraduate medicine

authors： Lichter AS

更新日期：1986-06-01 00:00:00

abstract：:Preview Just when it appeared that diuretics were becoming obsolete in the attack against hypertension, they have come charging back to the fore. This is especially true in treatment of systolic hypertension in the elderly. The perspective on diuretics and their recommendations for administration have changed recently...

journal_title：Postgraduate medicine

authors： Cushman WC

更新日期：1993-08-01 00:00:00

abstract：:Obesity is currently a worldwide epidemic, and will likely only increase in prevalence in the coming years. The incidence of the metabolic syndrome (MetS) seems to be paralleling obesity. The MetS is strongly linked to insulin resistance, abdominal obesity, diabetes mellitus, and dyslipidemia. Nonalcoholic fatty liver...

journal_title：Postgraduate medicine

authors： Boppidi H,Daram SR

更新日期：2008-07-31 00:00:00

abstract：:Varicose veins are a common problem that still presents a major challenge to the physician and the patient. Complete surgical removal of the malfunctioning veins has proved to be the most effective management for significant varicosities, although several nonsurgical methods are available for mild cases or those not s...

journal_title：Postgraduate medicine

authors： Lofgren KA

更新日期：1979-06-01 00:00:00

abstract：BACKGROUND:Symptoms of irritable bowel syndrome (IBS) can have a profound impact on emotional health and quality of life, and current treatments are sometimes unsatisfactory for patients facing this lifelong disease. Probiotics, which can normalize gastrointestinal microflora, may alleviate symptoms of IBS. OBJECTIVE:...

journal_title：Postgraduate medicine

authors： Hun L

更新日期：2009-03-01 00:00:00

abstract：:Prolongation of survival of children with acute leukemia by systemic therapy has brought a marded increase in incidence of CNS leukemia. In mice inoculated with leukemia cells, CNS i nfiltrates are rare unless life is prolonged by chemotherapy. Available evidence seems to indicate that leukemic cells in the CNS in mos...

journal_title：Postgraduate medicine

authors： Pochedly C

更新日期：1976-01-01 00:00:00

abstract：OBJECTIVE:Chronic kidney disease is a global public health concern. Glomerular filtration rate (GFR) prediction based on serum creatinine is used to assess renal function in the elderly. The Cockcroft-Gault (CG) formula, based on body surface area (CG/BSA formula), and the Modified Diet and Renal Disease formula (MDRD ...

journal_title：Postgraduate medicine

authors： Alagiakrishnan K,Senthilselvan A

更新日期：2010-11-01 00:00:00

abstract：:Common variable immunodeficiency (CVID) is readily considered in patients presenting with recurrent sino-pulmonary infections, however this disease has a broad range of clinical manifestations and diagnosis can be delayed by several years. We present the case of a 44-year-old postpartum female who presented with nause...

journal_title：Postgraduate medicine

authors： Arays R,Goyal S,Jordan KM

更新日期：2016-08-01 00:00:00

abstract：:Sjögren's syndrome is a chronic, systemic, autoimmune inflammatory disorder characterized by lymphocytic infiltration of exocrine glands, most notably the salivary and lacrimal glands. It results in loss of functional epithelium, diminished exocrine function, and gradual onset of dryness of the eyes, mouth, and other ...

journal_title：Postgraduate medicine

authors： Derk CT,Vivino FB

更新日期：2004-09-01 00:00:00

abstract：:The tools and methods of epidemiology, particularly the clinical trial, help guide the clinical practice of medicine. Dr Gorelick reviews the results of major clinical trials for prevention of transient cerebral ischemia and atherothrombotic stroke and assesses the effect of these findings on treatment. ...

journal_title：Postgraduate medicine

authors： Gorelick PB

更新日期：1989-12-01 00:00:00

abstract：:The prevalence and public health importance of attention-deficit/hyperactivity disorder (ADHD) as well as its impact on public health has led various groups to develop clinical practice guidelines (CPGs). Clinical practice guidelines are systematically developed statements designed to assist practitioner and patient d...

journal_title：Postgraduate medicine

authors： Bukstein OG

更新日期：2010-09-01 00:00:00

abstract：:Coma is a common, life-threatening medical problem encountered by primary care physicians. The principles of emergency management mandate that adequate oxygenation, blood flow, and supplementation with thiamine and glucose be given to the brain before a thorough diagnostic evaluation is undertaken. Knowledge of the us...

journal_title：Postgraduate medicine

authors： Alguire PC

更新日期：1990-05-01 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：:Overuse syndrome and peripheral nerve entrapment syndromes arise in work situations in which the body is stressed beyond its limits by cumulative, repetitive trauma. These syndromes arise in some nonwork situations as well. When such an injury occurs, prompt diagnosis, treatment, and retraining aid in returning the em...

journal_title：Postgraduate medicine

authors： Mandel S

更新日期：1987-11-01 00:00:00

abstract：:Pregabalin is one of the first-line treatments approved for the management of neuropathic pain (NeP). While many patients benefit from treatment with pregabalin, they are often treated with suboptimal doses, possibly due to unfamiliarity around prescribing the drug and/or side effects that can occur with up-titration....

journal_title：Postgraduate medicine

authors： Freynhagen R,Baron R,Kawaguchi Y,Malik RA,Martire DL,Parsons B,Rey RD,Schug SA,Jensen TS,Tölle TR,Ushida T,Whalen E

更新日期：2021-01-01 00:00:00

abstract：:Self-assessment case studies illustrating prudent selection of antimicrobial agents in septic shock following urinary catheterization, bacteremia and skin lesions in an immunocompromised patient, and endocarditis in a patient with a prosthetic heart valve. ...

journal_title：Postgraduate medicine

authors： Rahal JJ Jr,Simberkoff MS

更新日期：1978-03-01 00:00:00

abstract：:Primary aldosteronism is a potentially curable cause of hypertension; it occurs in about 1% of hypertensive patients. In the case reported here, persistent hypokalemia developed in a 72-year-old man who had been treated for 13 years for essential hypertension. Investigation revealed elevated aldosterone level and redu...

journal_title：Postgraduate medicine

authors： Burke M,Papo J,Stavorovsky M,Almog C

更新日期：1984-08-01 00:00:00

abstract：:With use of the International Normalized Ratio (INR), physicians can accurately assess the intensity of anticoagulation in treatment programs and trials. Bleeding is the major complication of oral anticoagulant therapy, and its incidence can be lessened, with no loss of efficacy, by using less intense therapy (INR, 2 ...

journal_title：Postgraduate medicine

authors： Brigden ML

更新日期：1995-09-01 00:00:00

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：:Primary care physicians play an important role in the outpatient evaluation of proteinuria, a common finding in everyday medical practice. Therefore, it is important to recognize which symptoms and signs signal the need for further evaluation. A simple urine dipstick test usually is the first step, but factors leading...

journal_title：Postgraduate medicine

authors： Ali H

更新日期：1997-04-01 00:00:00

abstract：:Rocky Mountain spotted fever, caused by a rickettsial organism transmitted by the bite of a tick, can be confused with many more common diseases. Diagnosis is made more challenging by the fact that treatment is most efficacious if begun before the second week of illness. Tetracycline and doxycycline are the most succe...

journal_title：Postgraduate medicine

authors： Fischer JJ

更新日期：1990-03-01 00:00:00

abstract：:The concurrent use of opioids, benzodiazepines (BZDs), and/or alcohol poses a formidable challenge for clinicians who manage chronic pain. While the escalating use of opioid analgesics for the treatment of chronic pain and the concomitant rise in opioid-related abuse and misuse are widely recognized trends, the contri...

journal_title：Postgraduate medicine

authors： Gudin JA,Mogali S,Jones JD,Comer SD

更新日期：2013-07-01 00:00:00

abstract：:In addition to prolonged glucocorticoid therapy (not discussed here), at least five other conditions cause Cushing's syndrome. They are excessive corticotropin secretion by the pituitary gland (which results in Cushing's disease), ectopic production of corticotropin by malignant nonpituitary tumors, benign adrenal ade...

journal_title：Postgraduate medicine

authors： Felicetta JV

更新日期：1989-12-01 00:00:00