Thyroid screening.

Abstract:

:Preview The ultrasensitive third-generation assay for thyrotropin (TSH) is now the "gold standard" for measuring thyroid activity. Who should be screened with it, and what further studies should be done if results are abnormal? Which patients with subclinical disease should receive treatment? Drs Brody and Reichard discuss these and other issues and provide an algorithm for thyroid screening.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Brody MB,Reichard RA

doi

10.1080/00325481.1995.11946028

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

54-68

issue

2

eissn

0032-5481

issn

1941-9260

journal_volume

98

pub_type

杂志文章
  • Combination treatment with atorvastatin plus niacin provides effective control of complex dyslipidemias: a literature review.

    abstract::Patients with dyslipidemia receive a cardiovascular benefit from lowering low-density lipoprotein cholesterol (LDL-C). Atorvastatin is currently one of the most effective approved medications for lowering LDL-C, and has been shown to significantly reduce cardiovascular risk in many patient groups. However, even with s...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2012.01.2513

    authors: McKenney JM

    更新日期:2012-01-01 00:00:00

  • Acute allergic contact dermatitis. How to manage severe cases.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11704608

    authors: Wooldridge WE

    更新日期:1990-03-01 00:00:00

  • Pharmacologic therapy of asthma.

    abstract::Asthma is treated by avoiding the precipitants of symptoms, by a trial of hyposensitization (immunotherapy) if the precipitant cannot be avoided, and principally by pharmacologic therapy. Acute attacks have been most widely treated with epinephrine, but adrenergic aerosol bronchodilators and aminophylline are being us...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11714330

    authors: Ellis EF

    更新日期:1976-04-01 00:00:00

  • Distinguishing premature ejaculation from other sexual function disorders.

    abstract::Many men experience sexual function disorders, the most common of which are PE and ED. However, they may hesitate to seek treatment because of the perceived embarrassment associated with discussing their symptoms with a physician. The introduction of PDE-5 inhibitors for the treatment of ED has resulted in increased a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2008.04.1761

    authors: Miner M,Hellstrom WJ

    更新日期:2008-04-01 00:00:00

  • Inflammatory bowel disease. Options in office management.

    abstract::Current therapeutic options make office management of the patient with uncomplicated left-sided ulcerative colitis or mild to moderate Crohn's disease quite feasible for the primary care physician. On the horizon are additional drugs that will enhance the physician's ability to treat patients with inflammatory bowel d...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1988.11700202

    authors: Schuman BM

    更新日期:1988-03-01 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

    doi:10.1080/00325481.1994.11945854

    authors: Lawrence DM,Stenger A

    更新日期:1994-05-15 00:00:00

  • Evaluation of heart sounds and murmurs in children.

    abstract::Auscultation is the core of pediatric cardiovascular evaluation and should be performed according to a routine. The four heart sounds should be sought in order at their usual locations, with particular attention to the second sound because of its important diagnostic role in congenital cyanotic heart disease. The next...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1982.11716128

    authors: Kulangara RJ,Strong WB,Miller MD

    更新日期:1982-07-01 00:00:00

  • Tort reform, but what?

    abstract::Nearly every healthcare reform plan introduced in Congress this year addresses medical malpractice. Although the tort reform goals in the plans may be similar, the methods of achieving them differ substantially. To highlight the areas that need to be resolved, we set up a dialogue between a physician and a plaintiff's...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1994.11945900

    authors: Annis ER,Nace BJ

    更新日期:1994-10-01 00:00:00

  • Bronchiectasis: the 'other' obstructive lung disease.

    abstract::Bronchiectasis belongs to the family of chronic obstructive lung diseases, even though it is much less common than asthma, chronic bronchitis, or emphysema. Clinical features of these entities overlap significantly. The triad of chronic cough, sputum production, and hemoptysis always should bring bronchiectasis to min...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1999.07.607

    authors: Mysliwiec V,Pina JS

    更新日期:1999-07-01 00:00:00

  • Exercise-induced bronchospasm. Achieving control in asthmatic patients.

    abstract::Exercise-induced bronchospasm is a common complication of asthma. Aggressive treatment of this conditions permits patients to maintain full activity despite their illness. Since most asthmatic patients are healthy except for an intermittent respiratory problem, providing them the opportunity to exercise in all weather...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1992.11701232

    authors: Brook CJ

    更新日期:1992-02-15 00:00:00

  • Effects of parathyroid hormone-related peptide on the large conductance calcium-activated potassium channel and calcium homeostasis in vascular smooth muscle cells.

    abstract:AIM:To demonstrate the impact of the parathyroid hormone-related peptide (PTHrP) on the large conductance calcium-activated potassium (BKCa) channels in vascular smooth muscle cells (VSMC) and hyperpolarization of the cell membrane and its dependence on calcium. MATERIALS AND METHODS:VSMC were isolated from rat aorta ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2014.03.2742

    authors: Burgazli KM,Foerster N,Meriçliler M,Chasan R,Parahuleva M,Erdogan A

    更新日期:2014-03-01 00:00:00

  • Septic shock. What to do until a breakthrough comes along.

    abstract::Septic shock is a multisystem disorder that represents the host's response to microbial invasion in its most fulminant form. One of the critical defects is a widespread inability to use available substrate for energy production. Endogenous mediators, particularly the cytokines, appear to play an essential role in this...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1989.11704384

    authors: DePriest JL

    更新日期:1989-09-01 00:00:00

  • Measles in young adults. The case for vigorous pursuit of immunization.

    abstract::Although the incidence of measles has reached record low levels in the United States, measles continues to occur in young adults. No single public health measure can ensure immunity for young adults, as school immunization laws do for young children. Therefore, to eliminate measles in this age-group, clinicians must t...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11698856

    authors: Amler RW,Orenstein WA

    更新日期:1985-01-01 00:00:00

  • Pulmonary embolism. Clinical decision making to increase diagnostic accuracy.

    abstract::In this article, Drs Kerr and Yan describe four cases--two handled the wrong way and two the right way--to help you frame a set of criteria that will work for you in suspecting, testing for, diagnosing, and treating pulmonary embolism in ambulatory patients. In addition, Dr Kerr uses his legal expertise to provide sug...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1992.11701345

    authors: Kerr CP,Yan L

    更新日期:1992-05-15 00:00:00

  • The effects of a commercially available weight loss program among obese patients with type 2 diabetes: a randomized study.

    abstract::The purpose of this study was to assess the effects of a commercially available weight loss program on weight and glycemic control among obese patients with type 2 diabetes. Participants included 69 patients (49 females, 20 males) with type 2 diabetes who had a mean +/- SD age of 52.2 +/- 9.5 years, a body mass index ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.3810/pgm.2009.09.2046

    authors: Foster GD,Borradaile KE,Vander Veur SS,Leh Shantz K,Dilks RJ,Goldbacher EM,Oliver TL,Lagrotte CA,Homko C,Satz W

    更新日期:2009-09-01 00:00:00

  • Investigation of microcytic anemia.

    abstract::This article on microcytic anemia is the first of several on laboratory investigation of anemia. Microcytic anemia, characterized by a mean corpuscular volume of less than 80 cu mu, is usually due to iron deficiency or chronic disease but may signify thalassemia minor. Exact identification of the cause is important, s...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715037

    authors: Ward PC

    更新日期:1979-01-01 00:00:00

  • A checklist for evaluation of HIV-infected patients.

    abstract::To aid in making care of HIV-infected patients part of your office routine, Dr Coodley presents here a checklist that combines the various clinical aspects of initial management. Covering the steps from the history to plans for follow-up, this article should allay anxiety and promote confidence in your entire staff by...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1993.11701640

    authors: Coodley GO

    更新日期:1993-03-01 00:00:00

  • Dissection of dizziness: with emphasis on labyrinthine vertigo.

    abstract::The three most common types of vertiginous episodes area benign positional vertigo, postural vertigo, and endolymphatic hydrops. One of these conditions will be found in more than 90% of patients who present with vertigo as their main complaint. A clear understanding of the differences among these three entities will ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1981.11715757

    authors: Maragos NE,Neel HB 3rd,McDonald TJ

    更新日期:1981-05-01 00:00:00

  • Nonexercise cardiac stress testing.

    abstract::Many patients who require evaluation for coronary artery disease are unable to undergo exercise stress testing because of physiologic or psychological limitations. Drs Vacek and Baldwin describe three alternative methods for assessment of cardiac function in these patients, all of which have high levels of diagnostic ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1989.11704412

    authors: Vacek JL,Baldwin T

    更新日期:1989-09-15 00:00:00

  • Operating on HIV-positive patients. What are the risks to healthcare workers? To patients?

    abstract::Is the degree of risk involved in providing health care to people infected with human immunodeficiency virus (HIV) acceptable? Every health care worker, even if only for a few anxious minutes, has certainly worried about this risk. Drs Wilson, Williams, and Robinson discuss these concerns and summarize the indications...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11704737

    authors: Wilson SE,Williams RA,Robinson G

    更新日期:1990-09-01 00:00:00

  • The suicidal patient. The primary care physician's role in evaluation and treatment.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699432

    authors: Smith CW Jr,Bope ET

    更新日期:1986-06-01 00:00:00

  • Abdominal aortic aneurysm. Recognition and management.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1977.11712114

    authors: Hertzer NR,Beven EG

    更新日期:1977-02-01 00:00:00

  • Leprosy in the United States. Risks, recognition, regimens, resources.

    abstract::Although leprosy is increasing in incidence in the United States, it is confined almost entirely to immigrants from developing countries and their close contacts. While the clinical disease has not changed, leprosy has diffused more widely throughout the United States as a result of migration. Primary care physicians ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11698955

    authors: Pust RE,Campos-Outcalt D

    更新日期:1985-04-01 00:00:00

  • Meningococcal vaccination: a discussion with all adolescents, whether college-bound or not.

    abstract::Introduction: Adolescents and young adults are the primary reservoirs and transmitters of meningococci. In the US, meningococcal serogroup B (MenB) disease predominates over A, C, W, and Y; ACIP-recommended MenACWY and MenB vaccines are available. We investigated invasive meningococcal disease (IMD) burden and vaccina...

    journal_title:Postgraduate medicine

    pub_type: 社论

    doi:10.1080/00325481.2019.1671667

    authors: Alderfer JT,Moran MM,Srivastava A,Isturiz RE

    更新日期:2019-11-01 00:00:00

  • Hip problems in children. Aids to early recognition.

    abstract::Awareness of the age at which various pediatric hip disorders present and familiarity with their characteristics greatly aid in early detection. A properly performed physical examination is still the mainstay of early diagnosis. The earlier a hip disorder is discovered and treated, the less the chance of lasting harm ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1984.11698744

    authors: Gross RH

    更新日期:1984-09-15 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

    doi:10.1080/00325481.2013.1110567011

    authors: McCarberg B,D'Arcy Y

    更新日期:2013-07-01 00:00:00

  • Pseudomonas folliculitis from a health club whirlpool.

    abstract::In public whirlpools, low disinfectant levels and inadequate monitoring are clearly a public health concern. Implementing guidelines published by the Centers for Disease Control seems to be the most reasonable approach to preventing dermatitis in persons who use these facilities. Physicians should be on the alert for ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11701042

    authors: Breitenbach RA

    更新日期:1991-09-01 00:00:00

  • Pharmacologic therapy for bronchial asthma.

    abstract::Many drugs with which to treat reversible obstructive airway disease are available. Beta-adrenergic aerosols are the first line of defense; these are followed, when necessary, by either timed-release theophylline or oral beta-adrenergics. Often, a combination of these drugs must be used to achieve effective relief of ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699911

    authors: O'Loughlin JM

    更新日期:1987-07-01 00:00:00

  • Gallstone symptoms. Myth and reality.

    abstract::Gallstones are very common, but at least two thirds of detected stones are asymptomatic and a large number undoubtedly go undetected. The presence of symptoms or complications is the indication for surgery. It is important to accurately identify which symptoms are caused by gallstones, because removing the gallbladder...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11701076

    authors: Egbert AM

    更新日期:1991-10-01 00:00:00

  • Coronary artery disease in Hispanic Americans. How does ethnic background affect risk factors and mortality rates?

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1992.11701252

    authors: Caralis PV

    更新日期:1992-03-01 00:00:00