Problems+Solutions.

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_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Spitzer AR,Berberian DA,Moe JH

doi

10.1080/00325481.1985.11698867

subject

Has Abstract

pub_date

1985-02-01 00:00:00

pages

31-2

issue

2

eissn

0032-5481

issn

1941-9260

journal_volume

77

pub_type

杂志文章
  • Managing the patient with Parkinson's disease.

    abstract::When patients have a clear understanding of the etiology and pathophysiology of Parkinson's disease, management is easier for the physician and the patient is better able to cope with the disease. Patients also should be made aware of the proper use of antihistamines and anticholinergics that control tremor, as well a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1980.11715531

    authors: Riley TL,Massey EW

    更新日期:1980-09-01 00:00:00

  • Health care provider management of patients with type 2 diabetes mellitus: analysis of trends in attitudes and practices.

    abstract:OBJECTIVE:To identify attitudes and practices of endocrinologists (ENDOs), family practitioners (FPs), internists (IMs), primary care nurse practitioners (NPs), physician assistants (PAs), certified diabetes educators (CDEs), retail pharmacists (R-PHs), and hospital pharmacists (H-PHs) with respect to type 2 diabetes m...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2014.05.2764

    authors: Williamson C,Glauser TA,Burton BS,Schneider D,Dubois AM,Patel D

    更新日期:2014-05-01 00:00:00

  • Tailoring therapy to a stroke patient's potential.

    abstract::Stroke survivors can be plagued by numerous medical complications, including aspiration pneumonia, heart disease, depression, and venous thromboembolism. Given the impairment already caused by stroke itself, these patients require careful management by a comprehensive rehabilitation team. Dr Harvey discusses common st...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1998.08.552

    authors: Harvey RL

    更新日期:1998-08-01 00:00:00

  • Treatment of osteoporosis. What is the role of calcium?

    abstract::On the basis of currently available information, the following recommendations can be made for treating osteoporosis. Women with no contraindications should maintain a total calcium intake of 1,000 mg daily before menopause and 1,500 mg daily after menopause. Calcium supplementation should be considered adjunct treatm...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11704612

    authors: Trachtenbarg DE

    更新日期:1990-03-01 00:00:00

  • Ankylosing spondylitis.

    abstract::Preview Back pain can be a symptom of any number of problems, most commonly mechanical, or structural, in nature. Among the nonmechanical causes is ankylosing spondylitis, an inflammatory disease that involves the spine and sometimes other joints and extra-articular organs. Dr Escalante explains how to differentiate t...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1993.11945685

    authors: Escalante A

    更新日期:1993-07-01 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

  • Resurgence of rheumatic fever in the United States. The changing picture of a preventable illness.

    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

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1992.11701445

    authors: Ayoub EM

    更新日期:1992-09-01 00:00:00

  • High-carbohydrate, high-fiber diet. Is it practical and effective in treating hyperlipidemia?

    abstract::More than one half of middle-aged Americans have undesirably high serum lipid levels. Diets high in fiber and carbohydrate and low in fat reduce serum lipid levels two to four times more than the widely recognized American Heart Association diet. High intake of soluble fiber is especially effective for lowering serum ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699970

    authors: Anderson JW,Gustafson NJ

    更新日期:1987-09-15 00:00:00

  • Common eyelid and orbital problems.

    abstract::Several pathologic processes can disturb the complex structures of the eyelids and orbital tissues and the muscles that enable their proper function. Some disorders, such as entropion and ectropion, are usually acquired in later years from laxity of supporting structures. Blepharoptosis has a range of causes, from agi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11699225

    authors: Lissner GS

    更新日期:1985-12-01 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

    doi:10.1080/00325481.1993.11701690

    authors: Newmark K,Nugent P

    更新日期:1993-05-01 00:00:00

  • Demystifying hypoglycemia. When is it real and how can you tell?

    abstract::Contrary to popular belief, hypoglycemia is an infrequently encountered condition and its presence is questionable until confirmed by appropriate tests. In ambulatory patients, blood glucose levels obtained during intake of a normal diet are more reliable than those obtained during a glucose tolerance test. If the blo...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11700028

    authors: McFarland KF,Baker C,Ferguson SD

    更新日期:1987-11-01 00:00:00

  • Concomitant major vessel resection in pancreatic adenocarcinoma.

    abstract::Increasing evidence has contraindicated extended radical dissection of pancreatic adenocarcinoma (PC). With the recent improvement of perioperative management techniques and multimodal treatment strategy for PC, concomitant major vessel resection and reconstruction has thus been aggressively attempted in association w...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.2015.1032180

    authors: Tsuchikawa T,Hirano S,Nakamura T,Okamura K,Tamoto E,Shichinohe T

    更新日期:2015-04-01 00:00:00

  • Use of the esophageal obturator airway; with a report of an unusual complication.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1980.11715374

    authors: Key GK

    更新日期:1980-02-01 00:00:00

  • Frostbite. Methods to minimize tissue loss.

    abstract::If frostbite is to be treated successfully, direct and indirect effects of injury must be understood. Rapid rewarming helps to preserve tissue by limiting the amount of direct cellular injury. Selective management of blisters helps protect the subdermal plexus, and application of Aloe vera cream (eg, Dermaide Aloe Cre...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11704769

    authors: McCauley RL,Heggers JP,Robson MC

    更新日期:1990-12-01 00:00:00

  • Symposium. ENT for nonspecialists. The patient has a lump in the neck.

    abstract::When a patient presents with a hard, painless lump in the neck, one should assume that it is a cancer and that it is metastatic from a primary lesion located above the clavicle. A careful physical examination with the appropriate instruments most often will determine the site of the primary lesion. Laryngograms or lat...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1975.11714054

    authors: Devine KD

    更新日期:1975-05-01 00:00:00

  • Legg-Calvé-Perthes disease.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11714449

    authors: Kamhi E

    更新日期:1976-10-01 00:00:00

  • Anemia of chronic disease.

    abstract::Anemia is one of the consistent findings with inflammation. Whether the anemia is helpful or harmful in the general context of the illness is unclear. It may be recognized by demonstration of iron-deficient erythropoiesis due to an internal block in iron supply. Only when its severity is disproportionate to the severi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1978.11714951

    authors: Finch CA

    更新日期:1978-10-01 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

  • Trekking at high altitudes. How safe is it for your patients?

    abstract::Even healthy persons may experience some form of altitude illness when they hike or ski in high mountains. Therefore, it is imperative that those with compromised cardiac or pulmonary function take extra precautions by allowing time for ascent, by recognizing and accepting their limitations, and by descending promptly...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11716360

    authors: Houston CS

    更新日期:1990-07-01 00:00:00

  • Effect of early weight loss on type 2 diabetes mellitus after 2 years of gastric banding.

    abstract:OBJECTIVE:Laparoscopic adjustable gastric banding (LAGB) is an established bariatric surgical procedure that produces meaningful weight loss and improvements in patients with type 2 diabetes mellitus (T2DM) and a body mass index (BMI) ≥ 30 kg/m2. This study examined the effect of LAGB on T2DM status in severely obese p...

    journal_title:Postgraduate medicine

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.3810/pgm.2012.11.2590

    authors: Edelman S,Bhoyrul S,Billy H,Cornell C,Okerson T

    更新日期:2012-11-01 00:00:00

  • Drug use in renal failure.

    abstract::The spectrum of interaction between drugs and the kidney is broad. Most drugs are excreted at least partially by the kidney, and renal function affects drug bioavailability, volume of drug distribution, and drug metabolism and rate of drug elimination. Drug therapy not only is potentially hazardous in patients with re...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1978.11714978

    authors: Henrich WL,Anderson RJ

    更新日期:1978-11-01 00:00:00

  • Managing the patient with peripheral neuropathy.

    abstract::Peripheral neuropathy may be a minor, even unrecognized, clinical problem, or it may be severe and virtually disabling. As in any chronic disorder, the physician's role is to look for treatable disease and to teach patients about the symptoms and natural history of the dysfunction as well as methods for coping with i...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1980.11715562

    authors: Riley TL,Massey EW

    更新日期:1980-10-01 00:00:00

  • Sexual aspects of headache. How sexual function relates to headaches and their causes and treatment.

    abstract::Since the sexual revolution of the 1960s, medical complications of sexual activity and sexual side effects related to use of medications have become a significant part of healthcare practice. Specifically, there has been an expanding interest in the treatment of headaches and their relationship to sexual function. Mos...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2001.01.824

    authors: Goldstein J

    更新日期:2001-01-01 00:00:00

  • Myasthenia gravis: pathogenesis, diagnosis, and therapy.

    abstract::Myasthenia gravis most commonly affects the ocular muscles. Abnormal fatigability of the involved muscle groups is the most remarkable feature of the physical examination. Recent studies have demonstrated that a thymus-derived antibody plays a role in the pathogenesis of myasthenia gravis, which is now thought to be a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715218

    authors: Winkler LH,Winkler GF

    更新日期:1979-08-01 00:00:00

  • Sitcom syncope: a case series and literature review of gelastic (laughter-induced) syncope.

    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

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2010.11.2231

    authors: Thiagarajah PH,Finkielstein D,Granato JE

    更新日期:2010-11-01 00:00:00

  • Fever following abdominal surgery. Unusual infectious causes.

    abstract::Identification of the cause and subsequent specific therapy are indicated for those prolonged or relapsing fevers that follow abdominal surgery. On rare occasions, these fevers can be attributed to potentially life-threatening occult infections, including maxillary sinusitis, acute cholecystitis, antibiotic-related ps...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699288

    authors: Gleckman RA,Roth RM

    更新日期:1986-02-01 00:00:00

  • 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

  • Emergent signs of cancer. Recognizing them early in the office or ER.

    abstract::Primary care physicians have a crucial role in recognition of potentially emergent conditions in patients with known or suspected cancer. This task presents a significant challenge because the initial manifestations of these conditions are usually nonspecific. In most cases, therapy is far more effective when diagnosi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11704773

    authors: Love N

    更新日期:1990-12-01 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

  • Wound healing. Helping a natural process.

    abstract::Wound healing calls for little outside interference. All the physician need do is ensure that the wound is clean and debrided and decide whether closure by suture or by granulation tissue formation is indicated. Suture repair should be delayed if the wound is heavily contaminated. Use of skin tapes or of constant-pres...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1983.11698475

    authors: Fernandez A,Finley JM

    更新日期:1983-10-01 00:00:00