The solitary pulmonary nodule. An aggressive workup.

abstract：:Preview Hereditary hemochromatosis, once believed to be rare, is now known to affect 1 in 250 to 300 people of northern European descent. Untreated, the disorder can have serious complications, but for patients in whom it is discovered and treated early, the prognosis is good. In this guide to diagnosis and management...

journal_title：Postgraduate medicine

authors： Olynyk JK,Bacon BR

更新日期：1994-11-01 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：:Angina pectoris is a clinical diagnosis with various forms and manifestations. In many cases, the diagnosis can be made without expensive supplementary cardiovascular tests. In a given patient, the likelihood of significant coronary artery disease can be assessed clinically from such variables as age, sex, type of sym...

journal_title：Postgraduate medicine

authors： Shub C

更新日期：1984-09-01 00:00:00

abstract：:Tests to measure the volume of gastric contents are necessary to determine the nature of a gastric emptying disorder. The conditions that can affect gastric emptying are as varied as peptic ulcer disease, achlorhydria, viral and bacterial infections of the stomach, diabetes, scleroderma, anorexia nervosa, and CNS lesi...

journal_title：Postgraduate medicine

authors： McCallum RW

更新日期：1987-02-15 00:00:00

abstract：:Runny noses, sneezing, nasal congestion, and other nuisance symptoms are part and parcel of primary care practice. But how can you quickly discern which symptoms are related to common colds and which stem from allergic rhinitis? Careful history taking usually provides clues, but allergy testing may be needed when trig...

journal_title：Postgraduate medicine

authors： Ferguson BJ

更新日期：1997-05-01 00:00:00

abstract：:During the last few years, the number, variety, and complexity of nuclear medical examinations that can be performed in children have increased impressively, due partly to recent accomplishments in radiopharmaceutical development and the availability of gamma scintillation cameras and computer systems for acquisition,...

journal_title：Postgraduate medicine

authors： Treves S

更新日期：1975-03-01 00:00:00

abstract：:When patients have a clear understanding of the etiology and pathophysiology of Parkinson's disease, management is easier for the physician and the patient is better able to cope with the disease. Patients also should be made aware of the proper use of antihistamines and anticholinergics that control tremor, as well a...

journal_title：Postgraduate medicine

authors： Riley TL,Massey EW

更新日期：1980-09-01 00:00:00

abstract：:As understanding of the natural history of breast cancer has increased, radical mastectomy has given way to a preference for breast-sparing surgery and greater reliance on radiation therapy and chemotherapy. Probably the most important factor for selection of treatment is consultation with a multidisciplinary team ski...

journal_title：Postgraduate medicine

authors： Schwade JG,Robinson DS,Love N

更新日期：1989-10-01 00:00:00

abstract：:Transgenderism and gender dysphoria are becoming more prevalent diagnoses and the patient population is increasing. Primary care practitioners, endocrinologists, and mental health professionals are all part of the medical care team that treats these patients, but family and internal medicine physicians continue to del...

journal_title：Postgraduate medicine

authors： Wilczynski C,Emanuele MA

更新日期：2014-11-01 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：OBJECTIVE:The objective was to assess the relative risk (RR) for cardiovascular (CV) events across all 8 randomized phase 2/3 trials evaluating saxagliptin in patients with type 2 diabetes mellitus. METHODS:Cardiovascular events (death, myocardial infarction [MI], stroke, revascularization procedures, and cardiac isch...

journal_title：Postgraduate medicine

authors： Frederich R,Alexander JH,Fiedorek FT,Donovan M,Berglind N,Harris S,Chen R,Wolf R,Mahaffey KW

更新日期：2010-05-01 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：:Arthritis complicating the common viral infections--mumps, coxsackievirus, and adenovirus--can be enigmatic. Mumps arthritis is often difficult to identify, especially when parotitis is mild, because the arthritic syndrome generally follows complete clearing of salivary adenitis by one to two weeks. Migratory polyarth...

journal_title：Postgraduate medicine

authors： Bayer AS

更新日期：1980-07-01 00:00:00

abstract：:Part 1, which begins on page 64, discusses diagnosis of rheumatic disease by radiography. The most popular laboratory tests in rheumatic disease are nonspecific and include those based on the formation of autoantibodies. Rheumatoid factor assays actually are of little diagnostic help in rheumatoid arthritis, but antin...

journal_title：Postgraduate medicine

authors： Bluestone R

更新日期：1979-03-01 00:00:00

abstract：:Difficult or painful coitus is a symptom, not a pathologic entity. It may be caused by a congenital anomaly, an organic lesion, or a functional disorder of the vulva or vagina, or it may be psychic in origin. Although its cause can usually be determined relatively easily, a conditioned reflex created by a preexisting ...

journal_title：Postgraduate medicine

authors： Huffman JW

更新日期：1983-02-01 00:00:00

abstract：:The prognosis for patients with obsessive-compulsive disorder has improved dramatically in recent years. Primary care physicians, who may be the first healthcare professionals to consult with these patients, can often provide appropriate treatment or therapeutic guidance. Psychiatric consultations and the implementati...

journal_title：Postgraduate medicine

authors： Khouzam HR

更新日期：1999-12-01 00:00:00

abstract：:Nearly every healthcare reform plan introduced in Congress this year addresses medical malpractice. Although the tort reform goals in the plans may be similar, the methods of achieving them differ substantially. To highlight the areas that need to be resolved, we set up a dialogue between a physician and a plaintiff's...

journal_title：Postgraduate medicine

authors： Annis ER,Nace BJ

更新日期：1994-10-01 00:00:00

abstract：OBJECTIVE:To evaluate healthcare resource utilization (HCRU) by osteoarthritis (OA) pain severity. METHODS:Cross-sectional surveys of US physicians and their patients were conducted between February and May 2017. Using the Numeric Rating Scale, patients were classified by self-reported pain intensity in the last week ...

journal_title：Postgraduate medicine

authors： Nalamachu S,Robinson RL,Viktrup L,Cappelleri JC,Bushmakin AG,Tive L,Mellor J,Hatchell N,Jackson J

更新日期：2021-01-01 00:00:00

abstract：:Over the past decade, despite the controversies surrounding prostate cancer screening, significant refinements have improved its application. PSA screening, although it has been questioned, appears to confer a mortality benefit and remains the most effective way to identify the possible presence of prostate cancer. Me...

journal_title：Postgraduate medicine

authors： French WW,Wallen EM

更新日期：2020-12-01 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：:Physicians must be alert to the possibility of abuse within the family and home. They should be well prepared to help victims begin the transition to a safer environment. An awareness of the prevalence of abuse and a high index of suspicion are the most effective clinical tools for assisting victims of domestic violen...

journal_title：Postgraduate medicine

authors： Steiner RP,Vansickle K,Lippmann SB

更新日期：1996-07-01 00:00:00

abstract：:Evidence from epidemiologic, lipid intervention, and coronary angiographic studies demonstrates the importance of high-density lipoprotein cholesterol (HDL-C) in coronary artery disease (CAD) risk. Data from these studies strongly support the measurement of HDL-C in all patients screened for CAD. Patients with low lev...

journal_title：Postgraduate medicine

authors： Lavie CJ,O'Keefe JH,Blonde L,Gau GT

更新日期：1990-05-15 00:00:00

abstract：:Patients with dyslipidemia receive a cardiovascular benefit from lowering low-density lipoprotein cholesterol (LDL-C). Atorvastatin is currently one of the most effective approved medications for lowering LDL-C, and has been shown to significantly reduce cardiovascular risk in many patient groups. However, even with s...

journal_title：Postgraduate medicine

authors： McKenney JM

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Chronic kidney disease is frequently present in patients with type 2 diabetes mellitus (T2DM). New therapeutic options in this patient subpopulation are needed. OBJECTIVES:Assess the effect of renal impairment on the pharmacokinetics (PK), efficacy, and safety of albiglutide in single- and multiple-dose stu...

journal_title：Postgraduate medicine

authors： Young MA,Wald JA,Matthews JE,Yang F,Reinhardt RR

更新日期：2014-05-01 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：:Because new drugs continue to be developed, physicians treating patients with type 2 diabetes have a wide range of agents from which to choose. The newest class, the thiazolidinediones (TZDs), should be a mainstay of treatment for most patients with type 2 diabetes, because these agents reduce insulin resistance as we...

journal_title：Postgraduate medicine

authors： Bell DS

更新日期：2003-05-01 00:00:00

abstract：:Although fairly common, syncope is a frightening symptom that can signal a serious underlying disease. The varying causes present a diagnostic challenge to the examining physician, who needs to assess whether referral for more specialized or invasive study is appropriate. The authors review common cases of syncope and...

journal_title：Postgraduate medicine

authors： Hopson JR,Kienzle MG

更新日期：1992-04-01 00:00:00

abstract：:The evaluation of the bleeding patient starts with the integration of data from the history and physical examination. From this results either one probable explanation that can easily be substatniated by laboratory studies or, as more commonly occurs in practice, several possibilities that are reasonable and must be i...

journal_title：Postgraduate medicine

authors： Marengo-Rowe AJ,Leveson JE

更新日期：1977-07-01 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：:If frostbite is to be treated successfully, direct and indirect effects of injury must be understood. Rapid rewarming helps to preserve tissue by limiting the amount of direct cellular injury. Selective management of blisters helps protect the subdermal plexus, and application of Aloe vera cream (eg, Dermaide Aloe Cre...

journal_title：Postgraduate medicine

authors： McCauley RL,Heggers JP,Robson MC

更新日期：1990-12-01 00:00:00