Norwegian-type scabies mimicking contact dermatitis in an immunosuppressed patient.

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

authors： Hillman RS

更新日期：1978-10-01 00:00:00

abstract：:Syncope is a common complaint that is frequently evaluated without identifying a precipitating cause. Gelastic (laughter-induced) syncope is an uncommon and poorly understood condition. We describe 3 patients who experienced loss of consciousness during vigorous laughter. Each patient had an extensive medical evaluati...

journal_title：Postgraduate medicine

authors： Thiagarajah PH,Finkielstein D,Granato JE

更新日期：2010-11-01 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：:Acute cardiac events involving coronary symptoms, elevated enzyme levels, and electrocardiographic changes without the development of Q waves often result in higher rates of reinfarction and unstable angina than do more severe myocardial infarctions. The incidence of these non-Q wave events is on the rise, possibly be...

journal_title：Postgraduate medicine

authors： Tamberella MR 3rd,Warner JG Jr

更新日期：2000-02-01 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：: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：:In view of all the controversy surrounding travelers' diarrhea, how should patients be counseled regarding its prevention and treatment? First, all patients should be instructed on the importance of eating and drinking only safe food and water and on methods of dietary manipulation and oral rehydration therapy. The tr...

journal_title：Postgraduate medicine

authors： Lange WR,Kreider S

更新日期：1985-03-01 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：:Suicide is a major public health problem in the United States. Psychiatric disorders that feature or lead to suicidal ideation may be overlooked in the primary care setting because patients are reluctant to broach the subject. In this article, Dr Hamilton describes how physicians can open a dialogue with patients so t...

journal_title：Postgraduate medicine

authors： Hamilton NG

更新日期：2000-11-01 00:00:00

abstract：:Recognition and appropriate treatment of IBS can be challenging. A rational approach to management focuses on a positive diagnosis based on the characteristic pattern of symptoms and the exclusion of organic disorders. Dietary modification and pharmacologic therapy may be useful for relieving symptoms. Patient educati...

journal_title：Postgraduate medicine

authors： Harris MS

更新日期：1997-03-01 00:00:00

abstract：:Preview An elevated serum calcium level requires thorough investigation. Is hyperparathyroidism at the root of the abnormality? Malignant disease? Vitamin toxicity? In this article, Dr Kaye discusses clinical evaluation of hypercalcemia and outlines pharmacologic therapy, surgical intervention, and other treatment opt...

journal_title：Postgraduate medicine

authors： Kaye TB

更新日期：1995-01-01 00:00:00

abstract：:Traveler's diarrhea affects a substantial number of travelers to high-risk areas of the world. The key to controlling this troublesome disease is prevention. The most important preventive measures depend on educating patients to consume only safe foods and pure water. Physicians cannot overemphasize the importance of ...

journal_title：Postgraduate medicine

authors： Strum WB

更新日期：1988-07-01 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：:Many medical conditions that clearly have a strong genetic component are not transmitted in a straightforward dominant, recessive, or X-linked pattern. Recent progress in understanding other modes of inheritance, such as imprinting, trinucleotide repeat expansion, mitochondrial inheritance, and mosaicism, has allowed ...

journal_title：Postgraduate medicine

authors： Wagstaff J

更新日期：2000-09-01 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：:While a wide variety of thyroid function tests are currently available, all are sometimes abnormal in patients without thyroid disease. To interpret test results properly, the clinician needs to be aware of factors altering thyroid function tests. In every instance, the clinician needs to begin by asking whether the p...

journal_title：Postgraduate medicine

authors： de los Santos ET,Mazzaferri EL

更新日期：1989-04-01 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：:When considering conventional therapy with insulin for patients who have type 2 diabetes mellitus, healthcare providers must weigh the advantages and disadvantages of 3 primary approaches to treatment. Understanding the pros and cons of the various options will help physicians more readily identify the treatment appro...

journal_title：Postgraduate medicine

authors： Nattrass M

更新日期：2002-11-01 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：: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

authors： Heron CR,Simmons BB

更新日期：2014-10-01 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：:Myasthenia gravis most commonly affects the ocular muscles. Abnormal fatigability of the involved muscle groups is the most remarkable feature of the physical examination. Recent studies have demonstrated that a thymus-derived antibody plays a role in the pathogenesis of myasthenia gravis, which is now thought to be a...

journal_title：Postgraduate medicine

authors： Winkler LH,Winkler GF

更新日期：1979-08-01 00:00:00

abstract：OBJECTIVE:Laparoscopic adjustable gastric banding (LAGB) is an established bariatric surgical procedure that produces meaningful weight loss and improvements in patients with type 2 diabetes mellitus (T2DM) and a body mass index (BMI) ≥ 30 kg/m2. This study examined the effect of LAGB on T2DM status in severely obese p...

journal_title：Postgraduate medicine

authors： Edelman S,Bhoyrul S,Billy H,Cornell C,Okerson T

更新日期：2012-11-01 00:00:00

abstract：:Lactose intolerance is a common condition that can cause nonspecific gastrointestinal symptoms. A reliable diagnosis cannot be made on the basis of the patient's history. The breath hydrogen test is simple, noninvasive, accurate, and inexpensive and is the diagnostic method of choice. In addition to traditional dietar...

journal_title：Postgraduate medicine

authors： Montes RG,Perman JA

更新日期：1991-06-01 00:00:00

abstract：:Ovulatory dysfunctional uterine bleeding (DUB), a disease prevalent in the latter half of the reproductive years, is diagnosed when organic causes for bleeding have been excluded by clinical, laboratory, and surgical diagnostic means. Disordered prostaglandin metabolism within the endometrium explains most cases of DU...

journal_title：Postgraduate medicine

authors： Strickler RC

更新日期：1985-01-01 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：:Breast pain is a common, often distressing problem among women. After significant disease is ruled out, most patients respond to simple reassurance. Others, however, require treatment because symptoms interfere with their lifestyle. The authors offer practical suggestions for tailoring treatment for these patients acc...

journal_title：Postgraduate medicine

authors： Steinbrunn BS,Zera RT,Rodriguez JL

更新日期：1997-11-01 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：BACKGROUND:In October 2012, the American College of Rheumatology (ACR) published recommendations for chronic gout treatment goals and pharmacotherapy. OBJECTIVES:Identify potential gaps between real-world chronic gout treatment, ACR guideline recommendations, and physicians' perceived guideline adherence by evaluating...

journal_title：Postgraduate medicine

authors： Oderda GM,Shiozawa A,Walsh M,Hess K,Brixner DI,Feehan M,Akhras K

更新日期：2014-05-01 00:00:00

abstract：:In the evaluation of male and female infertility the history, family history, physical examination, and endocrine and gonadal functional evaluations are the most informative measures. The cause of the infertility is never found in some 17.5% of couples and in almost one fourth of males. In over one third of cases male...

journal_title：Postgraduate medicine

authors： Opitz JM,Shapiro SS,Uehling DT

更新日期：1979-07-01 00:00:00