Evaluation of the patient with angina pectoris.

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

authors： Pelton CL

更新日期：1982-11-01 00:00:00

abstract：:Many aspects of Kawasaki syndrome remain a mystery. The cause of the disease has eluded researchers, and its pathophysiology is a subject of much debate. However, the diagnostic features have been identified: A significant fever for at least 5 days, bilateral nonexudative conjunctivitis, erythema of the palms and sole...

journal_title：Postgraduate medicine

authors： Applegate BL

更新日期：1995-02-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to describe practice patterns of US psychiatrists with regard to the diagnosis and management of depression in adults with bipolar I disorder and to identify relevant gaps in clinical knowledge and competence. METHODS:Two focus groups were conducted using nominal group technique...

journal_title：Postgraduate medicine

authors： Glauser TA,Cerenzia W,Wiley S,Howson A,Thase M

更新日期：2013-01-01 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：:Although the link between cigarette smoking and its cardiovascular effects is well established, the mechanisms through which smoking raises blood pressure remain to be clarified. Possible mechanisms include nicotine-induced peripheral and central sympathetic nervous system stimulation, persisting levels of nicotine in...

journal_title：Postgraduate medicine

authors： Kochar MS,Bindra RS

更新日期：1996-11-01 00:00:00

abstract：:Aspirin-induced hypersensitivity affects a substantial number of people, including 20% or more of asthmatic patients. A dramatic flare of symptoms occurs after indigestion of aspirin or a nonsteroidal anti-inflammatory drug, and symptoms can persist even after the agent is discontinued. Fortunately, aspirin desensitiz...

journal_title：Postgraduate medicine

authors： Manning ME,Stevenson DD

更新日期：1991-10-01 00:00:00

abstract：:Solitary pulmonary nodules are usually identified on routine chest radiographs in asymptomatic patients. Most nodules have a benign cause, but bronchogenic carcinoma, metastases, and other malignant processes are important causes as well and must be excluded in differential diagnosis. Plain chest radiography, computed...

journal_title：Postgraduate medicine

authors： Dholakia S,Rappaport DC

更新日期：1996-02-01 00:00:00

abstract：:Women predominate at all ages among patients diagnosed as having primary fibromyalgia. Of 100 patients reviewed, the average age at onset of fibromyalgia was 46. Of 65 patients in whom menopause occurred before diagnosis of fibromyalgia, the average age at menopause was 42, and most of these women had menopause relate...

journal_title：Postgraduate medicine

authors： Waxman J,Zatzkis SM

更新日期：1986-09-15 00:00:00

abstract：:Simple screening tests are available to detect abnormalities in the plasma coagulation system and platelet function. Prothrombin time reflects the integrity of the extrinsic system, while activated partial thromboplastin time indicates whether the intrinsic system is intact. Thrombin clotting time is a measure of the ...

journal_title：Postgraduate medicine

authors： Horwitz CA

更新日期：1981-03-01 00:00:00

abstract：:Primary care physicians often encounter epistaxis. Its treatment may involve nasal sponge tampons, double-balloon nasal catheters, and anterior gauze with posterior Foley catheters, depending on the location of the bleed. Topical anesthetic and decongestant agents are essential, and intravenous analgesia, which enhanc...

journal_title：Postgraduate medicine

authors： Randall DA

更新日期：2006-06-01 00:00:00

abstract：:Viral diseases are an important cause of morbidity and mortality in elderly patients, whether they live in the community or in long-term care facilities. Management of viral infections in older adults is complicated by factors that include the infrequency or absence of common signs and symptoms of infection and advers...

journal_title：Postgraduate medicine

authors： Bader MS,McKinsey DS

更新日期：2005-11-01 00:00:00

abstract：:Neonatal circumcision continues to be a controversial subject. The American Academy of Pediatrics has revised its earlier policy, stating that newborn circumcision has potential benefits as well as risks and emphasizing the need to explain these issues to parents considering the procedure so that an informed decision ...

journal_title：Postgraduate medicine

authors： Robson WL,Leung AK

更新日期：1992-05-01 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：:Preview A patient limps into your office with ankle pain and a story about a popping sound he heard during a mad dash to the net on a tennis court. After evaluation, you diagnose complete rupture of the Achilles tendon. Do you apply a cast or refer him to an orthopedic surgeon? When are the higher risks and costs asso...

journal_title：Postgraduate medicine

authors： Fierro NL,Sallis RE

更新日期：1995-09-01 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：: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：:Solid organ transplantation is now the standard of care for end-stage organ failure, and primary care physicians are frequently involved in the follow-up care of transplant recipients. New-onset diabetes mellitus after solid organ transplantation (NODAT) has emerged as an increasingly important determinant of outcomes...

journal_title：Postgraduate medicine

authors： Reynolds LR,Tannock LR

更新日期：2008-07-01 00:00:00

abstract：:Community-acquired pneumonia is still a significant cause of morbidity and mortality and is often misdiagnosed and inappropriately treated. Although it can be caused by a wide variety of micro-organisms, the pneumococcus, atypicals, such as Mycoplasma pneumoniae and Chlamydophila pneumoniae, Staphylococcus aureus and ...

journal_title：Postgraduate medicine

authors： Mandell LA

更新日期：2015-08-01 00:00:00

abstract：:The Editor welcomes readers' comments, and selected letters are published each month. Letters must be signed and should be sent to Editor's Mail at the address shown. The journal reserves the right to condense letters if necessary for space. ...

journal_title：Postgraduate medicine

authors： Butler T,Cunha BA

更新日期：1982-03-01 00:00:00

abstract：:Splenomegaly is usually the result of systemic disease. The differential diagnosis can logically be subdivided into infectious, hematologic, metabolic, vascular, and neoplastic diseases which result in abnormalities of the lymphoid, reticuloendothelial, or vascular components of the spleen. Splenic enlargement increas...

journal_title：Postgraduate medicine

authors： Odom LF,Tubergen DG

更新日期：1979-04-01 00:00:00

abstract：:Hand eczema continues to bedevil both patients and physicians. While appropriate and judicious intervention minimizes aggravation, discomfort, and inconvenience, recurrences are frequent. Treatment with corticosteroids is often effective for irritant dermatitis. Efforts to avoid the irritant, protect the hands, and us...

journal_title：Postgraduate medicine

authors： Landow K

更新日期：1998-01-01 00:00:00

abstract：:Ultraviolet (UV) radiation is a notorious environmental carcinogen. Acute and chronic UV radiation exposure increase the risk for skin cancer. Protecting oneself from both UVA and UVB radiation with broad-based sunscreen can prevent certain skin cancers, their precursors, and photoaging. Although sun protection factor...

journal_title：Postgraduate medicine

authors： Stechschulte SA,Kirsner RS,Federman DG

更新日期：2011-07-01 00:00:00

abstract：:A concerted national effort has reduced cardiovascular mortality rates in the general US population. Unfortunately, not all ethnic groups have benefited equally from these improvements in our national health. The author presents insights into social and clinical factors that affect cardiovascular disease among Hispani...

journal_title：Postgraduate medicine

authors： Caralis PV

更新日期：1992-03-01 00:00:00

abstract：:Human sexuality is a lifelong process with biologic, psychosocial, and moral consequences. During adolescence, coping with sexual feelings and controlling sexual drive become urgent tasks that are made more difficult by today's society. Recent studies document a dramatic increase in the frequency of sexual activity am...

journal_title：Postgraduate medicine

authors： Shen JT

更新日期：1982-04-01 00:00:00

abstract：:A 65-year-old woman presented to the hospital with weight loss and diarrhea. A diagnosis of thyroid storm was established by the presence of fever, lethargy, tachycardia, heart failure (HF), and abnormal thyroid function tests. An acute coronary syndrome (ACS) was suspected because of anteroseptal ST-segment elevation...

journal_title：Postgraduate medicine

authors： Radhakrishnan A,Granato JE

更新日期：2009-05-01 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：:Various antidepressants and anxiolytic agents have proved to be effective as short-term therapy for generalized anxiety disorder (GAD) and other anxiety disorders. However, less is known about their efficacy in the long-term treatment of GAD. This gap in our knowledge poses a problem for physicians, who treat GAD over...

journal_title：Postgraduate medicine

authors： Lydiard RB

更新日期：1999-11-01 00:00:00

abstract：:Iron deficiency occurs when the body's iron stores are exhausted. The source of blood loss leading to iron deficiency must be identified in all cases. Anemia of chronic disease generally results from an infectious, inflammatory, or malignant process. However, in some reported cases, no such process could be identified...

journal_title：Postgraduate medicine

authors： Mohler ER Jr

更新日期：1992-09-15 00:00:00

abstract：:The best way to detect Cushing's syndrome is to measure urinary free cortisol and to conduct a 1-mg dexamethasone suppression test. The best way to distinguish among the varieties of Cushing's syndrome is to measure plasma adrenocorticotropic hormone (ACTH). Urinary 17-ketosteroid and plasma testosterone determination...

journal_title：Postgraduate medicine

authors： Burke MD

更新日期：1981-01-01 00:00:00

abstract：:Penile lesions are a discomfiting affliction demanding skillful diagnosis and management by the primary care physician. This article discusses and illustrates 14 common types, delineating characteristics, course, and treatment. ...

journal_title：Postgraduate medicine

authors： Witherington R

更新日期：1981-09-01 00:00:00