Parasitic bowel disease: three pathogens important in primary care.

Abstract:

:A high index of suspicion and careful application of diagnostic methods are essential for accurate diagnosis of parasitic bowel diseases. The varied clinical spectrum of giardiasis, amebiasis, and strongyloidiasis emphasizes the need to consider these pathogens when patients present with gastrointestinal complaints. Giardiasis should be suspected in patients, especially returned travelers, with unexplained increase in stool frequency, particularly with bloating, flatulence, or vague systemic symptoms. Amebiasis must be considered in the differential diagnosis of any patient who presents with persistent diarrhea or signs of inflammatory bowel disease. Unexplained diarrheal illnesses associated with upper abdominal symptoms and eosinophilia should raise suspicion of the presence of strongyloidiasis. These findings in a patient with a compromised immune system or in a candidate for immunosuppressive therapy should prompt a thorough investigation to rule out this parasite, since disseminated strongyloidiasis often is fatal.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Burns TW

doi

10.1080/00325481.1982.11716069

subject

Has Abstract

pub_date

1982-05-01 00:00:00

pages

130-9

issue

5

eissn

0032-5481

issn

1941-9260

journal_volume

71

pub_type

杂志文章,评审
  • Practical tips on prescribing home oxygen therapy.

    abstract::Oxygen therapy is tremendously valuable for patients with chronic respiratory insufficiency. A physician's prescription is needed to obtain Medicare, Medicaid, or insurance-company reimbursement, and certain guidelines must be followed: Patients are selected if significant hypoxemia is present, appropriate pharmacolog...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1988.11700464

    authors: Petty TL

    更新日期:1988-11-01 00:00:00

  • Higher pneumococcal disease vaccination rates needed to protect more at-risk US adults.

    abstract::Pneumococcal disease, which includes pneumococcal pneumonia, meningitis, and bacteremia, is associated with substantial morbidity, mortality, and health care costs in adults. Advanced age, chronic lung or cardiovascular disease, immunosuppressive conditions, and smoking increase the risk for infection. Despite the ava...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2009.11.2069

    authors: Rehm SJ,Farley MM,File TM Jr,Hall WJ,Hopkins R,Levine OS,Nichol KL,Nuorti P,Zimmerman RK,Schaffner W

    更新日期:2009-11-01 00:00:00

  • Diagnosis of rheumatic disease. 2. Laboratory tests.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715082

    authors: Bluestone R

    更新日期:1979-03-01 00:00:00

  • Mechanisms and possible causes of Alzheimer's disease.

    abstract::Alzheimer's disease has been found to be genetically transmitted. Structural changes in the disease include loss of neurons, specifically cholinergic and perhaps noradrenergic neurons. Functional connections among neurons are also lost. No cause has yet been determined, but slow viruses, autoimmune processes, and alum...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1983.11698359

    authors: Schmidt G

    更新日期:1983-04-01 00:00:00

  • Common disorders of pigmentation: when are more than cosmetic cover-ups required?

    abstract::The many types of pigmentation disorders may present in diverse forms and distributions and have various causes. They can be inherited (eg, vitiligo, familial periorbital hyperpigmentation), acquired (eg, postinflammatory pityriasis alba, idiopathic guttate hypomelanosis, Becker's nevus, melasma), infectious (eg, tine...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hacker SM

    更新日期:1996-06-01 00:00:00

  • Hypertension in patients with diabetes. Strategies for drug therapy to reduce complications.

    abstract::Hypertension in diabetic patients must be treated aggressively if patients are to benefit from reduced risk of morbidity and mortality. Diabetes itself must be diagnosed promptly, particularly in at-risk patients, so appropriate lifestyle modifications can be made at the earliest opportunity. Although this may reduce ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2000.04.990

    authors: Sowers JR,Williams M,Epstein M,Bakris G

    更新日期:2000-04-01 00:00:00

  • Carcinoid tumor of the thymus.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1984.11698575

    authors: Kogan J

    更新日期:1984-01-01 00:00:00

  • Blood-loss anemia.

    abstract::Effective management of blood-loss anemia depends on an understanding of the physiologic response to volume loss, the pattern of marrow response to acute depletion of red cell mass, and the controlling influence of iron supply. Each of these elements must be evaluated and incorporated into the plan of management. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1978.11714948

    authors: Hillman RS

    更新日期:1978-10-01 00:00:00

  • Colorectal carcinoma: overview of management techniques.

    abstract::The fact that the national death rate from carcinoma of the colon and rectum has remained static over the past two decades is strong incentive for future investigation of measures to allow detection in its early and more favorable stage. Although no significant improvements in surgical techniques have afforded improve...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715249

    authors: Bland KI,Garrison RN,Knutson CO

    更新日期:1979-09-01 00:00:00

  • Smoking, catecholamines, and the ischemic myocardium.

    abstract::Catecholamine stimulation increases the heart rate and the force of cardiac contraction. Cardiac output then increases, with a decrease occurring in total peripheral resistance due to smooth muscle dilation in the vascular beds of the muscle and heart, though there is constriction of the skin and viscera; this leads t...

    journal_title:Postgraduate medicine

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Fox KM

    更新日期:1988-02-29 00:00:00

  • Diagnosis and management of nasal congestion: the role of intranasal corticosteroids.

    abstract::Nasal congestion is considered the most bothersome of allergic rhinitis (AR) symptoms and can significantly impair ability to function at work, home, and school. Effective management of AR-related nasal congestion depends on accurate diagnosis and appropriate treatment. Many individuals with AR and AR-related congesti...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2009.01.1961

    authors: Benninger M

    更新日期:2009-01-01 00:00:00

  • Chemotherapy for lung cancer.

    abstract::Oat cell carcinoma is the one variety of primary lung cancer which is sufficiently responsive to a variety of drugs and drug combinations that a very high rate of response and significant prolongation of survival can be consistently achieved. The question of whether anyone has been "cured" by drug treatment awaits mor...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1978.11714758

    authors: Golbey RB

    更新日期:1978-02-01 00:00:00

  • End-of-life care in advanced dementia.

    abstract::In the next 30 years, the average age of the population will continue to increase, as will the prevalence of dementia. The management of advanced dementia requires the careful orchestration of communication, prognostication, patient care, and caregiver education. Understanding the specific tools available to establish...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2014.10.2826

    authors: Heron CR,Simmons BB

    更新日期:2014-10-01 00:00:00

  • When bleeding complicates oral anticoagulant therapy. How to anticipate, investigate, and treat.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Brigden ML

    更新日期:1995-09-01 00:00:00

  • Demystifying hypoglycemia. When is it real and how can you tell?

    abstract::Contrary to popular belief, hypoglycemia is an infrequently encountered condition and its presence is questionable until confirmed by appropriate tests. In ambulatory patients, blood glucose levels obtained during intake of a normal diet are more reliable than those obtained during a glucose tolerance test. If the blo...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11700028

    authors: McFarland KF,Baker C,Ferguson SD

    更新日期:1987-11-01 00:00:00

  • Update on the clinical management of atrial fibrillation: guidelines and beyond.

    abstract::In clinical practice, atrial fibrillation (AF) is the most commonly encountered arrhythmia. With the aging of the US population, the number of patients with AF that physicians encounter will increase. Atrial fibrillation management involves a combination of rate- and rhythm-control strategies with thromboprophylaxis, ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2011.11.2491

    authors: Curtis AB

    更新日期:2011-11-01 00:00:00

  • Dose selection and dosing interval determination for LTRA use in asthma.

    abstract::The dose and dosing interval for leukotriene receptor antagonists montelukast and zafirlukast in adult asthmatic patients were determined by bronchoprovocation with exercise or leukotriene D4 inhalation. Subsequent dose-ranging studies confirmed that once-daily ingestion of a 10-mg dose of montelukast was effective an...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.09.15.2000.suppl7.40

    authors: Hendeles L

    更新日期:2000-09-15 00:00:00

  • Intervention in family violence. A role for the physician-and for society.

    abstract::Contrary to long-standing mores, what goes on in the person's home is not always sacred. When family relationships break down and family members deal violently with various stresses and problems, intervention is in order. Certain changes in societal attitudes would help prevent the problem. Physicians-alone or working...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1982.11716255

    authors: Pelton CL

    更新日期:1982-11-01 00:00:00

  • Educational needs in the diagnosis and management of pediatric functional constipation: a US survey of specialist and primary care clinicians.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.2018.1464364

    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

  • Leprosy in the United States. Risks, recognition, regimens, resources.

    abstract::Although leprosy is increasing in incidence in the United States, it is confined almost entirely to immigrants from developing countries and their close contacts. While the clinical disease has not changed, leprosy has diffused more widely throughout the United States as a result of migration. Primary care physicians ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11698955

    authors: Pust RE,Campos-Outcalt D

    更新日期:1985-04-01 00:00:00

  • Allergic disease in children. Guide to diagnosis and treatment.

    abstract::Allergy is responsible for many problems in the pediatric age-group. At times the most difficult job for the physician is to determine if the patient is indeed allergic and, if so, to what. Allergy skin testing remains the first choice for diagnostic study. Treatment consists of avoiding the offending allergen if poss...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1984.11716317

    authors: Hein EW,Kishore R

    更新日期:1984-05-01 00:00:00

  • Treatment of osteoporosis. What is the role of calcium?

    abstract::On the basis of currently available information, the following recommendations can be made for treating osteoporosis. Women with no contraindications should maintain a total calcium intake of 1,000 mg daily before menopause and 1,500 mg daily after menopause. Calcium supplementation should be considered adjunct treatm...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11704612

    authors: Trachtenbarg DE

    更新日期:1990-03-01 00:00:00

  • Head trauma in the elderly.

    abstract::Head trauma in the elderly is a major source of morbidity and mortality in this population. Prevention of the primary injury is ideal and requires that the primary care physician understands the neurosensory changes of aging. Failing prevention, rapid diagnosis and efficient management of the traumatized patient are o...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1988.11700292

    authors: Lehman LB

    更新日期:1988-05-15 00:00:00

  • Pelvic inflammatory disease. Current diagnostic criteria and treatment guidelines.

    abstract::Pelvic inflammatory disease (PID) is a common infection in women of reproductive age. PID is actually a spectrum of disease, beginning with cervicitis and progressing to endometritis and eventually salpingitis. Sequelae include ectopic pregnancy, infertility, chronic pelvic pain, hydrosalpinx, and tubo-ovarian abscess...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1993.11701600

    authors: Ault KA,Faro S

    更新日期:1993-02-01 00:00:00

  • What private-practice doctors can do to contain costs. Steps you can take to preserve a free market.

    abstract::Not all of the costs of private practice, particularly those related to government regulation, are within your control. However, there are steps, both large and small, that you can take to get fees under control and to eliminate or reduce expenditures. Dr Orient suggests a number of these. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:

    authors: Orient JM

    更新日期:1994-02-15 00:00:00

  • Legg-Calvé-Perthes disease.

    abstract::Legg-Calvé-Perthes disease affects children, mostly boys, in the age range of 3 to 12 years. Severity and duration are quite variable. Catterall's classification of disease according to degree of femoral head involvement is of real prognostic value. Other factors of prognostic importance are loss of motion, metaphysea...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11714449

    authors: Kamhi E

    更新日期:1976-10-01 00:00:00

  • Eyelid dermatitis. A common, often confounding rash.

    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

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1996.08.61

    authors: Parkinson RW

    更新日期:1996-08-01 00:00:00

  • Hirsutism and virilization. A systematic approach to benign and potentially serious causes.

    abstract::A woman with excessive body hair may visit a physician with concerns about fertility and general health as well as appearance. Fortunately, the cause is usually benign, most often polycystic ovarian syndrome. However, life-threatening causes must be quickly ruled out. Hirsutism secondary to endocrinopathies and tumors...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Marshburn PB,Carr BR

    更新日期:1995-01-01 00:00:00

  • Resource use and costs in high-risk symptomatic peripheral artery disease patients with diabetes and prior acute coronary syndrome: a retrospective analysis.

    abstract:OBJECTIVES:As the prevalence of peripheral artery disease (PAD) increases there is growing concern about the associated healthcare burden. This burden has not been well-characterized in high-risk patients with concurrent diabetes and/or acute coronary syndrome (ACS). The objective of this analysis was to assess comorbi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2016.1144447

    authors: Reed Chase M,Friedman HS,Navaratnam P,Heithoff K,Simpson RJ Jr

    更新日期:2016-01-01 00:00:00

  • The worst headache ever. 2. Innocuous causes.

    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

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1989.11704328

    authors: Edmeads J

    更新日期:1989-07-01 00:00:00