Otitis media reassessed.

abstract：:The rate of decrease in coronary heart disease (CHD) mortality in the United States has slowed, probably in association with the aging of the population and the increasing rates of obesity, metabolic syndrome, and diabetes. Worldwide, guidelines for reducing risk of CHD and lowering lipid levels must continue to evolv...

journal_title：Postgraduate medicine

authors： Davidson MH

更新日期：2004-09-01 00:00:00

abstract：:The recent resurgence of rheumatic fever reported in eight locations in the United States after years of decline has several noteworthy characteristics. Most patients were children of families in high- to middle-income brackets with ready access to medical care. In four of the outbreaks, the majority of patients were ...

journal_title：Postgraduate medicine

authors： Ayoub EM

更新日期：1992-09-01 00:00:00

abstract：:Sinusitis may present as an indolent infection, without the classic symptoms and signs commonly expected, and will probably be missed in children who have only cough and persistent rhinorrhea unless this diagnosis is kept in mind. Plain radiography is the most commonly used diagnostic procedure for sinusitis, but comp...

journal_title：Postgraduate medicine

authors： Herrera AM,deShazo RD

更新日期：1990-04-01 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：:The esophageal obturator airway is a relatively new addition to equipment for emergency resuscitation. It is simple to use after minimal training and can be inserted quickly without laryngoscopic visualization. Problems are uncommon. ...

journal_title：Postgraduate medicine

authors： Key GK

更新日期：1980-02-01 00:00:00

abstract：:Our review describes potential weight-altering effects of psychotropic medications (antipsychotics, antidepressants, anti-anxiety medications, mood stabilizers, sedative-hypnotics, medications for attention-deficit/hyperactivity disorder, and other psychotropic medications) and offers guidance on switching a medicatio...

journal_title：Postgraduate medicine

authors： Hasnain M,Vieweg WV

更新日期：2013-09-01 00:00:00

abstract：:While there is evidence for cardiac arrhythmias associated with macrolide and fluoroquinolone antibiotics, there is still debate among health care providers as to whether this risk of arrhythmia is overstated. A joint panel of the US Food and Drug Administration suggested that macrolide and fluoroquinolone labels need...

journal_title：Postgraduate medicine

authors： Cornett E,Novitch MB,Kaye AD,Pann CA,Bangalore HS,Allred G,Bral M,Jhita PK,Kaye AM

更新日期：2017-09-01 00:00:00

abstract：BACKGROUND:Chronic kidney disease is frequently present in patients with type 2 diabetes mellitus (T2DM). New therapeutic options in this patient subpopulation are needed. OBJECTIVES:Assess the effect of renal impairment on the pharmacokinetics (PK), efficacy, and safety of albiglutide in single- and multiple-dose stu...

journal_title：Postgraduate medicine

authors： Young MA,Wald JA,Matthews JE,Yang F,Reinhardt RR

更新日期：2014-05-01 00:00:00

abstract：:Electroconvulsive therapy is controversial and readily arouses the passions of both its supporters and detractors. In this article, Dr Schoen, an internist, discusses various aspects of this 50-year-old technique, including risks, contraindications, and physiologic effects. ...

journal_title：Postgraduate medicine

authors： Schoen RE

更新日期：1990-05-01 00:00:00

abstract：:Amyloidosis occurs in association with many diseases and can also be idiopathic. It is usually a systemic disease with variable presentations. The diagnosis should be suspected in patients with unexplained proteinuria, cardiomyopathy, congestive heart failure, peripheral neuropathy, carpal tunnel syndrome, macroglossi...

journal_title：Postgraduate medicine

authors： Vogelgesang SA,Klipple GL

更新日期：1994-10-01 00:00:00

abstract：:Preview How can physicians make appropriate treatment decisions in substance abusers who have serious medical illness, especially when patients may not offer the information needed? Drs Westreich and Rosenthal summarize common physical findings that suggest abuse of specific substances. Recognizing these signs allows ...

journal_title：Postgraduate medicine

authors： Westreich LM,Rosenthal RN

更新日期：1995-04-01 00:00:00

abstract：:In addition to prolonged glucocorticoid therapy (not discussed here), at least five other conditions cause Cushing's syndrome. They are excessive corticotropin secretion by the pituitary gland (which results in Cushing's disease), ectopic production of corticotropin by malignant nonpituitary tumors, benign adrenal ade...

journal_title：Postgraduate medicine

authors： Felicetta JV

更新日期：1989-12-01 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：: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：: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

authors： Ferguson BJ

更新日期：1997-05-01 00:00:00

abstract：:Preview No physician would treat hypertension without monitoring blood pressure, but some treat bronchial asthma without objectively measuring pulmonary function. This empirical approach is inappropriate, according to the authors, who discuss key measurements that should be taken to assess disease status, guide therap...

journal_title：Postgraduate medicine

authors： Weiss SM,Petty TL

更新日期：1995-06-01 00:00:00

abstract：BACKGROUND:The mechanism of action of dipeptidyl peptidase-4 inhibitors, such as saxagliptin, makes them suitable for combination therapy in type 2 diabetes mellitus (T2DM). Genetic, cultural, and environmental differences in individuals from different regions of the world may result in differences in treatment respons...

journal_title：Postgraduate medicine

authors： Karyekar C,Donovan M,Allen E,Fleming D,Ravichandran S,Chen R

更新日期：2011-07-01 00:00:00

abstract：:In developed countries, prevalence is increasing of malignancy-related secondary lymphedema, usually resulting from lymph node resection or irradiation. Untreated lymphedema usually increases over time, and the physical and psychological sequelae in even mild cases demand appropriate diagnosis and treatment. Patients ...

journal_title：Postgraduate medicine

authors： Tunkel RS,Lachmann E

更新日期：1998-10-01 00:00:00

abstract：:Human growth and development are a continuum starting at conception. Prenatal growth can only be estimated at present but is an important consideration in an evaluation of a child's developmental status. Postnatal growth can be assessed for size attained (distance curve) or change over time (velocity curve). Velocity ...

journal_title：Postgraduate medicine

authors： Falkner F

更新日期：1977-12-01 00:00:00

abstract：:Some skin disorders are more common in blacks than in whites or are so rare in whites as to be almost peculiar to blacks. Pigmentary abnormalities, either dark or light spots, often occur in association with inflammatory skin diseases. Curvature of the hair follicle is thought to be at the root of two other painful co...

journal_title：Postgraduate medicine

authors： Kenney JA Jr

更新日期：1977-06-01 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：: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

authors： Vacek JL,Baldwin T

更新日期：1989-09-15 00:00:00

abstract：:Preview The effects of waning ovarian function start before menstruation stops, and they can be medically important. What changes should women expect, and what preventive health measures can they take? When is oral contraceptive therapy appropriate? How can irregular bleeding and decreased vaginal lubrication best be ...

journal_title：Postgraduate medicine

authors： Bachmann AG

更新日期：1994-04-01 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：:The term "enteropathic arthritis" describes joint manifestations that occur in conjunction with gastrointestinal disease. Underlying causes include inflammatory bowel disease, reactive arthritis, iatrogenic disease. Whipple's disease, and other gastrointestinal diseases. A possible association between Reiter's syndrom...

journal_title：Postgraduate medicine

authors： Finch W

更新日期：1989-08-01 00:00:00

abstract：:Readers are invited to submit questions relating to problem cases. Inquiries will be answered by qualified consultants and replies forwarded by mail promptly. Selected problems and solutions are published every month in this section. ...

journal_title：Postgraduate medicine

authors：

更新日期：1973-01-01 00:00:00

abstract：BACKGROUND:Irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) are common functional bowel disorders. Patients with IBS-C or CIC often present with ≥ 1 comorbidity that coincides with either of these conditions. These comorbidities may make underappreciated contributions to the ...

journal_title：Postgraduate medicine

authors： Nellesen D,Chawla A,Oh DL,Weissman T,Lavins BJ,Murray CW

更新日期：2013-03-01 00:00:00

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

authors： Wooldridge WE

更新日期：1990-03-01 00:00:00

abstract：:Hypertension is a leading contributor to the burden of cardiovascular disease. The importance of lowering blood pressure (BP) to reduce the risk of cardiovascular events has been demonstrated in numerous clinical trials. Most patients require combination antihypertensive therapy utilizing agents from complementary dru...

journal_title：Postgraduate medicine

authors： Oparil S,Weber M

更新日期：2009-03-01 00:00:00

abstract：:Deep neck infection has ominous implications if not detected and treated in an early stage. The anatomic relationships of head and neck spaces encourage spread of infection. Immediate hospitalization and constant monitoring of the patient after diagnosis are mandatory. ...

journal_title：Postgraduate medicine

authors： Johnson JT,Tucker HM

更新日期：1976-06-01 00:00:00