Subclavian steal syndrome. A report of two cases.


:Two cases of subclavian steal syndrome are reported. Symptoms included light-headedness or syncope, reflecting vertebrobasilar insufficiency, and in one case, numbness and tingling in the left upper extremity, reflecting ischemia. Many persons with this syndrome are asymptomatic. Key findings include unilaterally decreased pulses and a significant difference in blood pressure between the upper extremities. Arch aortography, the "gold standard" of diagnosis, must be performed before surgical intervention.


Postgrad Med


Postgraduate medicine


Harper CA 3rd,Haines JD Jr




Has Abstract


1988-02-01 00:00:00












  • Analgesics and warfarin. A case that brings up questions and cautions.

    abstract::This case report describes prolongation of a patient's prothrombin time and partial thromboplastin time possibly due to coadministration of warfarin and an overdose of an acetaminophen-propoxyphene combination analgesic. Patients receive warfarin for many indications, and concomitant use of an analgesic agent is commo...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Justice JL,Kline SS

    更新日期:1988-04-01 00:00:00

  • Treating dysthymia and minor depression in primary care.

    abstract::In the fast-paced setting of primary care, it is difficult to detect psychiatric disorders, especially the more subtle disorders, such as minor depression and dysthymia. In cases of dysthymia, in particular, the patients themselves may not even have a sense that anything medically treatable is wrong; they feel as thou...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: David AK

    更新日期:2003-11-01 00:00:00

  • Helping patients who say they cannot sleep. Practical ways to evaluate and treat insomnia.

    abstract::Why do some people spend most of the night tossing and turning while others drop off as quickly as a cat in the sun? There are many possible explanations for problems with falling and staying asleep and, sometimes, patients actually get a lot more sleep than they think they do. Each type of insomnia has its own set of...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Attarian HP

    更新日期:2000-03-01 00:00:00

  • Allergic rhinitis. A useful guide to diagnosis and treatment.

    abstract::Patients presenting with typical signs and symptoms of allergic rhinitis may respond to avoidance of allergens and to medications for symptomatic relief. Treatment may include antihistamines, decongestants, cromolyn sodium, and/or topical nasal steroids. Patients whose symptoms are refractory to these therapeutic meas...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Stafford CT

    更新日期:1987-01-01 00:00:00

  • Moderate Parkinson's disease. Strategies for maximizing treatment.

    abstract::Motor fluctuations and dyskinesia often develop in patients with Parkinson's disease after 3 to 5 years of levodopa therapy. Dosage adjustments, addition of a second medication to the drug regimen, and dietary modifications may help maximize response to symptomatic therapy. Given the dramatic variability of symptoms a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Silverstein PM

    更新日期:1996-01-01 00:00:00

  • Treatment of ischemic stroke. Lessons from clinical trials.

    abstract::The tools and methods of epidemiology, particularly the clinical trial, help guide the clinical practice of medicine. Dr Gorelick reviews the results of major clinical trials for prevention of transient cerebral ischemia and atherothrombotic stroke and assesses the effect of these findings on treatment. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Gorelick PB

    更新日期:1989-12-01 00:00:00

  • Carotid artery stenosis. Selecting candidates for surgical management.

    abstract::Many patients with significant carotid artery stenosis are candidates for endarterectomy, a procedure now proved to reduce the incidence of future stroke and death. In this article, Drs Jaigobin and Perry describe an approach to patients with both symptomatic and asymptomatic carotid stenosis and review current indica...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Jaigobin CS,Perry JR

    更新日期:1994-10-01 00:00:00

  • Surgery. Cornstarch peritonitis following the trail of the surgeon's gloves.

    abstract::Granulomatous inflammation of the peritoneal surfaces resulting from exposure to cornstarch granules from surgical gloves produces a syndrome of abdominal pair, adynamic ileus, fever, peritonitis, variable white blood cell count, and inflammatory ascites. Symptoms develop three to four weeks after a routine abdominal ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Berkow AE

    更新日期:1976-01-01 00:00:00

  • Brain failure in older patients. Uncovering treatable causes of a diminished ability to think.

    abstract::The term "brain failure" implies only dysfunction of a major organ system, not that an exact diagnosis has been made. Assessment and treatment of older patients with diminished cognitive ability can be challenging; however, the experience can also be extremely rewarding when a reversible condition is alleviated and th...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Paist SS 3rd,Martin JR

    更新日期:1996-05-01 00:00:00

  • Real-world misuse, abuse, and dependence of abuse-deterrent versus non-abuse-deterrent extended-release morphine in Medicaid non-cancer patients.

    abstract:OBJECTIVE:Opioids with abuse-deterrent properties may reduce widespread abuse, misuse, and diversion of these products. This study aimed to quantify misuse, abuse, dependence, and health resource use of extended-release morphine sulfate with sequestered naltrexone hydrochloride (ER-MSN; EMBEDA®), compared with non-abus...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Cicero TJ,Mendoza M,Cattaneo M,Dart RC,Mardekian J,Polson M,Roland CL,Schnoll SH,Webster LR,Park PW

    更新日期:2019-04-01 00:00:00

  • Prescription omega-3-acid ethyl esters for the treatment of very high triglycerides.

    abstract::Triglyceride (TG) levels can increase for numerous reasons, including a sedentary lifestyle, an unhealthy diet, especially one rich in refined carbohydrates, and comorbidities. According to the National Cholesterol Education Program (NCEP), the normal TG level is < 150 mg/dL. Patients with very high TG (VHTG) levels (...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Sadovsky R,Kris-Etherton P

    更新日期:2009-07-01 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


    authors: Edmeads J

    更新日期:1989-07-01 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


    authors: Ault KA,Faro S

    更新日期:1993-02-01 00:00:00

  • Milk-alkali syndrome. A consequence of chronic antacid abuse.

    abstract::The case described here illustrates the need to consider milk-alkali syndrome in the differential diagnosis of hypercalcemia, even in this age of histamine2 blockers and mucosal protectors. Thorough history taking and gastrointestinal workup help rule out alternative causes of hypercalcemia, such as cancer, hyperparat...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Newmark K,Nugent P

    更新日期:1993-05-01 00:00:00

  • Options in topical therapies in the management of patients with acute pain.

    abstract::The traditional cornerstones of analgesic therapy for patients with acute pain have been oral therapies; however, all oral agents exhibit a variety of potentially dose-limiting or intolerable adverse effects in patients. Elderly patients and those with concomitant conditions already being managed with multiple systemi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: McCarberg B,D'Arcy Y

    更新日期:2013-07-01 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


    authors: Bluestone R

    更新日期:1979-03-01 00:00:00

  • Kaiser Permanente's twist on managed care.

    abstract::When many physicians think of managed care, they think first of Kaiser Permanente, the nation's largest HMO. That perception is misguided, according to David M. Lawrence, MD, the chief executive officer and chairman of the boards of the Kaiser Foundation health plan and hospitals. During a phone interview recently, La...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Lawrence DM,Stenger A

    更新日期:1994-05-15 00:00:00

  • Stress-related disorders. Recent developments in hospital treatment.

    abstract::The stress treatment program at Ochsner, New Orleans, provides participants with knowledge of necessary skills and opportunities for rehearsal and practice within the setting. In addition, the modalities chosen reinforce what Lazarus and Opton described as "perceived control," which was found to be as instrumental as ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Wakeman RJ,Mestayer RF 3rd

    更新日期:1985-05-01 00:00:00

  • Vaccination update. Hib, hepatitis, polio, varicella, influenza, pneumococcal and meningococcal disease.

    abstract::Immunization of infants and children is the most effective strategy for decreasing the incidence of some infectious diseases. Most invasive disease due to Haemophilus influenzae type b occurs before age 5 years, and routine vaccination of infants for hepatitis B is currently recommended because selective immunization ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Vetter RT,Johnson GM

    更新日期:1995-11-01 00:00:00

  • Atrial flutter. Tracing an elusive arrhythmia.

    abstract::Seven bried case reports representing variations of atrial flutter point up important considerations bearing on diagnosis: situations predisposing individuals to atrial flutter with 1:1 atrioventricular conduction, the need for special care in placing ECG leads for continuous monitoring, the use of carotid sinus massa...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Glasser SP,Martinez-Lopez JI

    更新日期:1977-08-01 00:00:00

  • Genetic causes and workup of male and female infertility. 3. Details of the clinical evaluation.

    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

    pub_type: 杂志文章


    authors: Opitz JM,Shapiro SS,Uehling DT

    更新日期:1979-07-01 00:00:00

  • Identifying psychiatrists' practice patterns when managing depression in patients with bipolar I disorder: a descriptive study to inform education needs.

    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

    pub_type: 杂志文章


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

    更新日期:2013-01-01 00:00:00

  • Thymoma. The most common anterior mediastinal mass.

    abstract::Thymomas may be discovered during routine evaluation, through reported symptoms, or increasingly, during evaluation for myasthenia gravis. Histologic details of these tumors have little bearing on prognosis or evaluation of malignant potential. Malignancy is determined by evidence of invasion through the tumor capsule...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Cohen DJ

    更新日期:1986-03-01 00:00:00

  • Assessing breast cancer risk: genetic factors are not the whole story.

    abstract::Genetic syndromes that convey a significant risk of breast cancer are responsible for a small but significant percentage of these cancers. However, the vast majority of breast cancers occur in women with no family history of the disease. Nongenetic risk factors include age, previous breast disease, breast tissue densi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Korde LA,Calzone KA,Zujewski J

    更新日期:2004-10-01 00:00:00

  • Surgical treatment of reflux esophagitis and stricture.

    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

    pub_type: 杂志文章


    authors: Woodward ER

    更新日期:1977-02-01 00:00:00

  • The patient experience with DSM-5-defined binge eating disorder: characteristics, barriers to treatment, and implications for primary care physicians.

    abstract:BACKGROUND:Binge eating disorder (BED) is now a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). However, post-DSM-5 patient profiles and viewpoints on BED diagnosis and treatment remain unclear. This study used a focus group methodology to examine demographic and cl...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Herman BK,Safikhani S,Hengerer D,Atkins N Jr,Kim A,Cassidy D,Babcock T,Agus S,Lenderking WR

    更新日期:2014-09-01 00:00:00

  • Treating serum lipid abnormalities in high-priority patients.

    abstract::Normalization of serum lipid levels should be initiated as soon as possible in patients with myocardial, cerebrovascular, or peripheral vascular disease. Clinical trials indicate that coronary artery disease and overall mortality rates can be reduced and atherosclerosis stabilized or reversed by lipid-lowering therapy...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Blankenhorn DH,Hodis HN

    更新日期:1991-01-01 00:00:00

  • Alpha 1-blocker combination therapy for hypertension.

    abstract::Combination therapy is a cost-effective and rational approach to treatment of severe hypertension and of mild to moderate hypertension that is refractory to monotherapy. The method has several advantages, most notably improved tolerability and enhanced antihypertensive efficacy. Long-term prospective studies are neede...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Houston MC

    更新日期:1998-09-01 00:00:00

  • Allergic rhinitis. Recognizing signs, symptoms, and triggering allergens.

    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

    pub_type: 杂志文章,评审


    authors: Ferguson BJ

    更新日期:1997-05-01 00:00:00

  • Eating disorders in adolescents with type 1 diabetes. A closer look at a complicated condition.

    abstract::The cultural drive to be thin can lead to eating disorders in many women and girls. In adolescent females with diabetes, the increased focus on eating and the weight gain associated with good glycemic control likely increase their susceptibility to abnormal eating. It is clear that nonspecified and subthreshold eating...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Hoffman RP

    更新日期:2001-04-01 00:00:00