Redesigning primary care in an academic medical center: lessons, challenges, and opportunities.

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

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

更新日期：2000-04-01 00:00:00

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

authors： Blankenhorn DH,Hodis HN

更新日期：1991-01-01 00:00:00

abstract：:Pain is among the most common reasons patients seek medical attention, and the care of patients with pain is a significant problem in the United States. Acute pain (mild-to-moderate intensity) represents one of the most frequent complaints encountered by primary care physicians (PCPs) and accounts for nearly half of p...

journal_title：Postgraduate medicine

authors： McCarberg BH

更新日期：2011-03-01 00:00:00

abstract：:In this review, we focus on current trends in the management of male lower urinary tract symptoms (LUTS), defined here as LUTS, namely, storage, voiding, and post-micturition symptoms presumed secondary to benign prostatic hyperplasia (BPH), and discuss possible novel approaches toward better care. According to result...

journal_title：Postgraduate medicine

authors： Roehrborn CG,Miner MM,Sadovsky R

更新日期：2018-06-01 00:00:00

abstract：:The role of reflux in the development of esophagitis, stricture, and Barrett's esophagus is well recognized. However, reflux is not an infrequent cause of atypical chest pain, chronic pulmonary disorders, and pharyngeal and laryngeal changes. Increased insight into the pathogenesis of reflux and the relationship betwe...

journal_title：Postgraduate medicine

authors： Barr LL

更新日期：1996-04-01 00:00:00

abstract：:Two cases of Listeria monocytogenes infection in patients receiving immunosuppressive treatment after kidney transplantation are described. In the first, the infection, which occurred soon after transplantation and was accompanied by signs of mild chronic rejection, was the immediate cause of death. The other case occ...

journal_title：Postgraduate medicine

authors： Holden FA,Kaczmer JE,Kinahan CC

更新日期：1980-12-01 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：: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：:Pseudomonas aeruginosa infections are a frequent cause of morbidity and mortality in hospitalized patients. Treatment of these infections is complicated by the intrinsic and acquired resistance of this bacterium to many commonly used antimicrobial agents. In this article, Drs Hauser and Sriram argue that careful consi...

journal_title：Postgraduate medicine

authors： Hauser AR,Sriram P

更新日期：2005-01-01 00:00:00

abstract：:Proximal gastric vagotomy without drainage is widely accepted in Great Britain and Europe but in the United States has been done mainly in university centers. The operation denervates the acid-secreting parietal cell mass of the stomach, preserving vagal innervation to the gastric antrum and extragastric abdominal vis...

journal_title：Postgraduate medicine

authors： Sawyers JL

更新日期：1978-04-01 00:00:00

abstract：:Pruritus scroti is a common clinical disorder that is caused by various inflammatory disorders, infections, infestations, and neoplasms. Laboratory evaluation, including bacterial and fungal cultures, microscopic examination, skin biopsies, and measurement of blood glucose levels, is useful in establishing the diagnos...

journal_title：Postgraduate medicine

authors： Kantor GR

更新日期：1990-11-01 00:00:00

abstract：:In a large percentage of patients with upper airway disease, asthma and sinusitis occur concomitantly. As many as 88% of patients with asthma exhibit the symptoms of rhinitis, and half of rhinitic patients have asthma. In this article, Dr Muller explores the interrelationship of sinusitis and asthma, including charact...

journal_title：Postgraduate medicine

authors： Muller BA

更新日期：2000-10-01 00:00:00

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

authors： Kamhi E

更新日期：1976-10-01 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：:Serum electrolyte levels by themselves may be difficult to interpret. For example, an abnormal serum potassium concentration cannot be understood without taking into account the patient's history, other serum electrolyte values, and possibly results of other laboratory tests. Knowledge of the principles of serum elect...

journal_title：Postgraduate medicine

authors： Kapsner CO,Tzamaloukas AH

更新日期：1991-12-01 00:00:00

abstract：:Objectives: To understand the role of ophthalmoscopic examination (dilated retina examination and widefield fundus photography) in the diagnosis and management of nosocomial acquisition of Mycobacterium chimaera following open heart surgery with cardiopulmonary bypass utilizing a heater-cooler unit, an entity that is ...

journal_title：Postgraduate medicine

authors： Colucciello M

更新日期：2020-03-01 00:00:00

abstract：:Drug-induced jaundice is relatively uncommon but can be a diagnostic puzzle. Because so many pharmaceutical classes and individual agents can produce jaundice, a thorough history of medications taken should be obtained from a patient presenting with jaundice. Jaundice usually resolves when the offending agent is disco...

journal_title：Postgraduate medicine

authors： Garabedian-Ruffalo SM,Ruffalo RL

更新日期：1988-10-01 00:00:00

abstract：:Nearly 1 in 5 Americans will struggle with major depression in their lives; some will have recurring bouts. Recent psychiatric research has given new attention to the prevalence of cognitive deficits in major depression and the impact such deficits have on remission and overall life functioning. When depression is par...

journal_title：Postgraduate medicine

authors： Mattingly G,Anderson RH,Mattingly SG,Anderson EQ

更新日期：2016-09-01 00:00:00

abstract：:Epileptiform seizures occurred in a 34-year-old woman who was receiving amitriptyline and lithium carbonate therapy for treatment of endogenous depression. While receiving amitriptyline maintenance therapy, she was given lithium on two separate occasions, and despite serum levels of lithium in the therapeutic range, g...

journal_title：Postgraduate medicine

authors： Solomon JG

更新日期：1979-09-01 00:00:00

abstract：:Bronchiectasis is characterized by permanent, abnormal dilation of the bronchi with chronic inflammation and infection. Bronchiectasis is either caused by or associated with several systemic disorders, and in a significant number of cases, the underlying etiology remains unidentified and is subsequently referred to as...

journal_title：Postgraduate medicine

authors： Lazarus A,Myers J,Fuhrer G

更新日期：2008-09-01 00:00:00

abstract：:Inhalation of pressurized 100% oxygen is a helpful adjunctive treatment for certain patients, because the increased oxygen carried by the blood to the tissue enhances new growth of microcirculation and, thus, healing. Patients with tissue breakdown after radiation therapy, refractory osteomyelitis, gas gangrene, soft-...

journal_title：Postgraduate medicine

authors： Cohn GH

更新日期：1986-02-01 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：: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：:The incidence of nonmelanoma skin cancer is rapidly increasing. With early diagnosis and treatment, almost all basal cell and squamous cell carcinomas can be cured. Premalignant actinic keratoses are treated with cryosurgery; the CO2 laser is the treatment of choice for actinic cheilitis. Generally, nonmelanoma skin c...

journal_title：Postgraduate medicine

authors： Kibarian MA,Hruza GJ

更新日期：1995-12-01 00:00:00

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

authors： Orient JM

更新日期：1994-02-15 00:00:00

abstract：:Migraine is a common hereditary disorder manifested by episodic headache, irritability, and gastrointestinal upset. The condition may be triggered by dietary, environmental, psychological, or pharmacologic factors. With proper diagnosis and judicious use of abortive and prophylactic therapy, patients often obtain exce...

journal_title：Postgraduate medicine

authors： Diamond S,Freitag FG,Solomon GD,Millstein E

更新日期：1987-06-01 00:00:00

abstract：:Primary aldosteronism is a potentially curable cause of hypertension; it occurs in about 1% of hypertensive patients. In the case reported here, persistent hypokalemia developed in a 72-year-old man who had been treated for 13 years for essential hypertension. Investigation revealed elevated aldosterone level and redu...

journal_title：Postgraduate medicine

authors： Burke M,Papo J,Stavorovsky M,Almog C

更新日期：1984-08-01 00:00:00

abstract：:With the US population aging steadily, herpes zoster represents a growing contributor to diminished quality of life. Dermatologic manifestations appear as immunity declines with age but rarely pose a significant threat, except in instances when ocular structures are involved. Pain is of more concern, because it usuall...

journal_title：Postgraduate medicine

authors： Landow K

更新日期：2000-06-01 00:00:00

abstract：:Knee and elbow injuries are seen frequently by the primary care physician and require prompt and careful treatment in order to prevent infection, preserve joint function, and avoid scarring. A thorough history and physical examination help to rule out more significant damage to the related joint, nerves, or tendons. I...

journal_title：Postgraduate medicine

authors： Stevenson TR,Smith DJ Jr

更新日期：1989-04-01 00:00:00

abstract：:Inflammatory bowel disease is a conglomeration of disorders of unclear etiology and pathogenesis. Confirming the diagnosis of active disease may be difficult but is critical to judicious therapy. Sulfasalazine (Azulfidine) and its newer derivatives mesalamine (Asacol, Rowasa) and olsalazine sodium (Dipentum) are used ...

journal_title：Postgraduate medicine

authors： Butt JH

更新日期：1992-11-01 00:00:00