Splenomegaly in children. Identifying the cause.

abstract：:The prevalence of chronic kidney disease (CKD) has increased markedly over past decades due to the aging of the worldwide population. Despite the progress in the prevention and treatment, the cardiovascular (CV) morbidity and mortality remain high among patients with CKD. Although CKD is a progressive and irreversible...

journal_title：Postgraduate medicine

authors： Bazyluk A,Malyszko J,Zbroch E

更新日期：2018-06-01 00:00:00

abstract：:Drug acquisition cost is an important component in the analysis of economic and clinical outcomes in the treatment of respiratory tract infections (RTIs). However, bacterial resistance has emerged as a crucial variable that must also be considered. Drug-resistant infections result in more expensive drug therapy, longe...

journal_title：Postgraduate medicine

authors： Rapp RP

更新日期：2002-09-01 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 first step in evaluation of a presumed seizure is to determine whether the event was indeed a seizure and which diagnostic studies are needed. The second step is to correctly diagnose the seizure on the basis of the medical history and findings from the physical, neurologic, and laboratory evaluation. The third st...

journal_title：Postgraduate medicine

authors： Prego-Lopez M,Devinsky O

更新日期：2002-01-01 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：:Diagnosing acute otitis media (AOM) is quite challenging for physicians and especially other healthcare providers. Although the new guidelines from the American Academy of Pediatrics/American Academy of Family Physicians provide some guidance for making the correct diagnosis of AOM, overdiagnosis will still remain a p...

journal_title：Postgraduate medicine

authors： Block SL

更新日期：2005-12-01 00:00:00

abstract：:Pain is one of the most common problems for cancer patients, and its management is often hindered by barriers created by patients and physicians alike. By avoiding potential barriers and understanding the principles of pain management and drug selection and titration provided here by Dr Hartmann and colleagues, physic...

journal_title：Postgraduate medicine

authors： Hartmann LC,Zahasky KM,Grendahl DC

更新日期：2000-03-01 00:00:00

abstract：:Modern prospective trials have recently shown that warfarin prescribed to produce less anticoagulant effect than was customary in the past reduces cardioembolic stroke by up to 80% in patients with nonvalvular atrial fibrillation. These results represent a major advance in stroke prevention. The effectiveness of antit...

journal_title：Postgraduate medicine

authors： Anderson DC

更新日期：1991-12-01 00:00:00

abstract：BACKGROUND:Prescription opioids have substantial abuse potential. This study compared the positive subjective drug effects of a newly developed extended-release (ER) oxycodone (OC)/acetaminophen (acetyl-para-aminophenol [APAP]) formulation with those of immediate-release (IR) OC/APAP. METHODS:This randomized, double-b...

journal_title：Postgraduate medicine

authors： Morton T,Kostenbader K,Montgomery J,Devarakonda K,Barrett T,Webster L

更新日期：2014-07-01 00:00:00

abstract：:Evaluation and diagnosis of obstructive lung disease call for careful history taking to distinguish asthma from chronic obstructive pulmonary disease (COPD). A history of atopy and intermittent, reactive symptoms points toward a diagnosis of asthma, whereas smoking and advanced age are more indicative of COPD. Clinica...

journal_title：Postgraduate medicine

authors： Martinez FJ,Standiford C,Gay SE

更新日期：2005-03-01 00:00:00

abstract：:Use of "designer drugs" has created a new dilemma for physicians. Generally, it is possible to recognize symptoms and signs of intoxication that fit a specific class of substances, such as amphetamine-like effects for the phenylethylamines and opioid effects for the fentanyl analogues. Designer compounds have crossed ...

journal_title：Postgraduate medicine

authors： Evanko D

更新日期：1991-05-01 00:00:00

abstract：:Systolic dysfunction of the heart represents a state of "prerenal" azotemia, in which the excess of total body salt and water is redistributed to venous and interstitial fluid compartments. This results in a diminished effective circulating blood volume and thereby decreases tissue perfusion. The kidneys perceive the ...

journal_title：Postgraduate medicine

authors： Riley DJ,Weir M,Bakris GL

更新日期：1994-06-01 00:00:00

abstract：:Heparin and warfarin sodium (Coumadin, Panwarfin, Sofarin) are used most often to treat acute and recurrent venous thromboembolic disease, arterial disease, valvular heart disease, and atrial fibrillation. These agents along with dextran, pneumatic compression devices, and gradient stockings are also used to prevent d...

journal_title：Postgraduate medicine

authors： Dhami MS,Bona RD

更新日期：1991-07-01 00:00:00

abstract：:As efforts to improve screening for colon cancer have increased, so has the importance of routine flexible sigmoidoscopy. However, the procedure is still underused, and about half of primary care physicians who recommend it refer their patients to other physicians. Increased use of this valuable screening tool is an i...

journal_title：Postgraduate medicine

authors： Davis PW,Stanfield CB

更新日期：1999-06-01 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：: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：:Hyponatremia (serum sodium <135 mEq/L) is a common electrolyte disorder in community or hospitalized patients. Serum sodium levels should be corrected at a proper rate in patients with hyponatremia, since overcorrection of serum sodium levels is related to devastating neurologic consequences, such as the osmotic demye...

journal_title：Postgraduate medicine

authors： Filippatos TD,Liamis G,Elisaf MS

更新日期：2016-06-01 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：:Unresolved grief refers either to the absence or to the prolongation of normal grief. It is identified by (1) painful response to recall of the deceased, (2) realization of not having accepted the loss or of not being able to grieve, and (3) unaccountable depression, emergence of medical symptoms on the anniversary of...

journal_title：Postgraduate medicine

authors： DeVaul RA,Zisook S

更新日期：1976-05-01 00:00:00

abstract：:An understanding of the causes and course of acute allergic contact dermatitis aids in recognition of this common problem. The most frequent cause is the Rhus group (poison ivy, oak, and sumac), and a large percentage of the US population is sensitized to this group of allergens. With severe cases, prompt administrati...

journal_title：Postgraduate medicine

authors： Wooldridge WE

更新日期：1990-03-01 00:00:00

abstract：:In cases of unusual presentations, such as the three cases described here, gout or gouty arthritis may be misdiagnosed as rheumatoid arthritis, septic arthritis, or other rheumatic conditions and thus inappropriately treated. Microscopic analysis using compensated polarized light and culture of synovial fluid helps di...

journal_title：Postgraduate medicine

authors： Uy JP,Nuwayhid N,Saadeh C

更新日期：1996-07-01 00:00:00

abstract：:Primary care physicians have a crucial role in recognition of potentially emergent conditions in patients with known or suspected cancer. This task presents a significant challenge because the initial manifestations of these conditions are usually nonspecific. In most cases, therapy is far more effective when diagnosi...

journal_title：Postgraduate medicine

authors： Love N

更新日期：1990-12-01 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：:Severe illness of any type predictably leads to abnormal results on thyroid function tests. The first apparent changes are a decrease in total triiodothyronine (T3) and an increase in reverse T3. As disease progresses, a marked decline in thyroxine and an increase in T3 resin uptake are observed. Thyrotropin levels re...

journal_title：Postgraduate medicine

authors： Felicetta JV

更新日期：1989-06-01 00:00:00

abstract：:Elective resection and prosthetic graft replacement of asymptomatic abdominal aortic aneurysms 5 cm or more in diameter are dependable measures to counter the formidable threat of rupture. Operative mortality should be less than 5% among patients without severe associated disease. Those patients who have large aneurys...

journal_title：Postgraduate medicine

authors： Hertzer NR,Beven EG

更新日期：1977-02-01 00:00:00

abstract：:Considering that over half of Americans will die from cardiovascular disease, the over-whelming majority of those deaths being from atherosclerosis, we need to accept and act on the vast body of information derived from investigation of coronary risk factors. Identification of persons at risk needs to be done early--w...

journal_title：Postgraduate medicine

authors： Glatter TR

更新日期：1984-11-01 00:00:00

abstract：INTRODUCTION:The American Academy of Pediatrics and the American Academy of Family Physicians believe that infants, children, and adolescents benefit from having a medical home, characterized by accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective care. Several st...

journal_title：Postgraduate medicine

authors： Lutfiyya MN,Scott N,Hurliman B,McCullough JE,Zeitz HJ,Lipsky MS

更新日期：2010-03-01 00:00:00

abstract：:Surgical intervention is usually indicated in reflux esophagitis when medical therapy fails to control symptoms. Since most patients with peptic esophagitis also have a sliding hiatal hernia, early procedures focused on hernia repair. Weakness of the lower esophageal sphincter is now known to be the pathogenetic mecha...

journal_title：Postgraduate medicine

authors： Woodward ER

更新日期：1977-02-01 00:00:00

abstract：:Healthcare providers usually assess glycemic control in diabetic patients by measuring fasting plasma glucose and preprandial glucose levels, as well as hemoglobin A1c (HbA1c). Evidence now suggests that elevated postprandial glucose concentrations may contribute to suboptimal glycemic control. Several medications and...

journal_title：Postgraduate medicine

authors： Fasy EA,Buse JB

更新日期：2001-12-01 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