Gastroesophageal reflux and asthma.

abstract：:Hoarseness indicates an abnormality at the level of the glottis. This symptom may result from either structural or physiologic disorders. The differential diagnosis is lengthy and includes both benign and malignant diseases. History taking and physical examination, particularly laryngeal visualization, provide key clu...

journal_title：Postgraduate medicine

authors： Dettelbach M,Eibling DE,Johnson JT

更新日期：1994-04-01 00:00:00

abstract：:Preview The number of cardiac drugs is growing every day, and their indications are changing as more is learned about each one. Choosing the appropriate drug for each patient is made difficult by these complexities, especially when a patient has already had a heart attack. The authors review the latest trials of the m...

journal_title：Postgraduate medicine

authors： Flaker GC,Singh VN

更新日期：1993-11-01 00:00:00

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

authors： Attarian HP

更新日期：2000-03-01 00:00:00

abstract：:Acquired immunodeficiency syndrome (AIDS) is a new and frightening epidemic. Epidemiology has clearly delineated the mechanisms of spread as sexual intercourse, transfer of blood, and vertical transfer from infected mother to newborn child. Although much remains to be answered about infection with the AIDS virus, pres...

journal_title：Postgraduate medicine

authors： Scutchfield FD,Benenson AS

更新日期：1989-03-01 00:00:00

abstract：:Febrile convulsions affect about 1 child in 30. Most of these children have a good outcome with no sequelae and do not require prophylactic medication. Differential diagnosis should include meningitis, epilepsy, hypoglycemia, and encephalopathies and other central nervous system disorders. Children with a high risk fo...

journal_title：Postgraduate medicine

authors： Leung AK,Robson WL

更新日期：1991-04-01 00:00:00

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

authors： O'Loughlin JM

更新日期：1987-07-01 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：:Fever of unknown origin (FUO) remains a challenging clinical problem despite recent advances in diagnostic tools and techniques. Because primary care physicians are often the first ones to encounter a case of FUO, it is important that they be familiar with the best strategy and steps for confronting this problem initi...

journal_title：Postgraduate medicine

authors： Amin K,Kauffman CA

更新日期：2003-09-01 00:00:00

abstract：:Currently, surveillance or risk-oriented follow-up of patients in the individual practice setting may be the most efficacious means of reducing the morbidity and mortality associated with selected types of cancer. Intervention into carcinogenesis or alteration of the natural history of cancer requires a clear understa...

journal_title：Postgraduate medicine

authors： Lamon JM

更新日期：1985-09-01 00:00:00

abstract：:Probably nothing in the field of medicine has changed as rapidly over the last decade as antiretroviral (ARV) therapy for HIV infection. New insights into pathogenesis, new tests for measuring virus levels in plasma, and availability of powerful new drugs have combined to transform the care of persons with HIV infecti...

journal_title：Postgraduate medicine

authors： Henry K,Stiffman M,Feldman J

更新日期：1997-10-01 00:00:00

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

authors： Lawrence DM,Stenger A

更新日期：1994-05-15 00:00:00

abstract：STUDY OBJECTIVES:To compare the safety and efficacy of U.S. Food and Drug Administration (FDA)-recommended doses of labetalol and nicardipine for hypertension (HTN) management in a subset of patients with renal dysfunction (RD). DESIGN:Randomized, open label, multicenter prospective clinical trial. SETTING:Thirteen U...

journal_title：Postgraduate medicine

authors： Varon J,Soto-Ruiz KM,Baumann BM,Borczuk P,Cannon CM,Chandra A,Cline DM,Diercks DB,Hiestand B,Hsu A,Jois-Bilowich P,Kaminski B,Levy P,Nowak RM,Schrock JW,Peacock WF

更新日期：2014-07-01 00:00:00

abstract：:Preview A patient limps into your office with ankle pain and a story about a popping sound he heard during a mad dash to the net on a tennis court. After evaluation, you diagnose complete rupture of the Achilles tendon. Do you apply a cast or refer him to an orthopedic surgeon? When are the higher risks and costs asso...

journal_title：Postgraduate medicine

authors： Fierro NL,Sallis RE

更新日期：1995-09-01 00:00:00

abstract：OBJECTIVES:Lorcaserin is a selective 5-HT2C (5-hydroxytryptamine 2C) receptor agonist indicated for weight management. Here, we assess the impact of lorcaserin on progression from prediabetes to type 2 diabetes (T2D) and on reversion from prediabetes to euglycemia. METHODS:This is a post hoc analysis of pooled data fr...

journal_title：Postgraduate medicine

authors： Nesto R,Fain R,Li Y,Shanahan W

更新日期：2016-05-01 00:00:00

abstract：:The cause, depth, and location of a laceration are major determining factors in its treatment. In all cases, the wound must be completely cleansed with irrigation under pressure and then examined radiographically if necessary and debrided. Successful repair depends on understanding and using the principles of wound he...

journal_title：Postgraduate medicine

authors： Phillips LG,Heggers JP

更新日期：1988-06-01 00:00:00

abstract：:The evaluation of the bleeding patient starts with the integration of data from the history and physical examination. From this results either one probable explanation that can easily be substatniated by laboratory studies or, as more commonly occurs in practice, several possibilities that are reasonable and must be i...

journal_title：Postgraduate medicine

authors： Marengo-Rowe AJ,Leveson JE

更新日期：1977-07-01 00:00:00

abstract：:The elderly are predisposed to adverse drug reactions because of age-related physiologic changes, interaction of one drug with another, and interaction between a drug and a coexisting medical condition. Recognition of such adverse reactions is essential, because many are reversible and many are even preventable. Asses...

journal_title：Postgraduate medicine

authors： Harper CM,Newton PA,Walsh JR

更新日期：1989-08-01 00:00:00

abstract：:Preview There is considerable overlap in features and treatment of chronic obstructive pulmonary disease and asthma. Why, then, is it necessary to distinguish between the two? As the authors explain, the two diseases have different causes, risk factors, and clinical courses. Correct diagnosis, described in this articl...

journal_title：Postgraduate medicine

authors： Subramanian D,Guntupalli KK

更新日期：1994-06-01 00:00:00

abstract：:Chronic hepatitis B is a complex disease for which there are an increasing number of approved treatment options. Clinicians who strive to keep up to date on the diagnosis and treatment of hepatitis B will be in the best position to meet the challenge of managing patients with this serious infection. ...

journal_title：Postgraduate medicine

authors： Tsai N

更新日期：2006-07-01 00:00:00

abstract：:Asthma and chronic obstructive pulmonary disease (COPD) are disorders that affect millions of people in the United States and other countries in the world. Asthma is a chronic inflammatory disease of the airways that has cellular and molecular pathways. Affected patients have recurrent episodes of wheezing, dyspnea, c...

journal_title：Postgraduate medicine

authors： Berger WE,Cline DC

更新日期：2005-12-01 00:00:00

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

authors： McFarland KF,Baker C,Ferguson SD

更新日期：1987-11-01 00:00:00

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

authors： Ault KA,Faro S

更新日期：1993-02-01 00:00:00

abstract：:Treatment of immunologically mediated diseases has been hampered by the lack of therapeutic agents capable of selectively altering distinct areas of the immune network. Unfortunately, most immunomodulating drugs with such capability are not selective in their suppressive effects, often causing untoward reactions such ...

journal_title：Postgraduate medicine

authors： Katz P

更新日期：1983-10-01 00:00:00

abstract：:Despite cervical cancer being considered a preventable disease, it still remains the second most common malignancy in women worldwide, with a higher incidence in underdeveloped countries. Human papillomavirus (HPV) is considered the causative agent of cervical cancer. The major mechanisms through which HPV contributes...

journal_title：Postgraduate medicine

authors： Subramanya D,Grivas PD

更新日期：2008-11-01 00:00:00

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

authors： Pust RE,Campos-Outcalt D

更新日期：1985-04-01 00:00:00

abstract：:Pneumococcal disease, which includes pneumococcal pneumonia, meningitis, and bacteremia, is associated with substantial morbidity, mortality, and health care costs in adults. Advanced age, chronic lung or cardiovascular disease, immunosuppressive conditions, and smoking increase the risk for infection. Despite the ava...

journal_title：Postgraduate medicine

authors： Rehm SJ,Farley MM,File TM Jr,Hall WJ,Hopkins R,Levine OS,Nichol KL,Nuorti P,Zimmerman RK,Schaffner W

更新日期：2009-11-01 00:00:00

abstract：:Thrombosis results from the dynamic interaction of venous stasis, hypercoagulability, and endothelial injury. Protection against thrombosis may be lost if there is deficiency of any of the factors that mediate platelet deaggregation, block fibrin deposition, or initiate fibrinolysis. A thrombus lodged in the pulmonary...

journal_title：Postgraduate medicine

authors： Giudice JC,Komansky HJ,Gordon R

更新日期：1980-05-01 00:00:00

abstract：:Suicide is a major public health problem in the United States. Psychiatric disorders that feature or lead to suicidal ideation may be overlooked in the primary care setting because patients are reluctant to broach the subject. In this article, Dr Hamilton describes how physicians can open a dialogue with patients so t...

journal_title：Postgraduate medicine

authors： Hamilton NG

更新日期：2000-11-01 00:00:00

abstract：OBJECTIVE:This study aims to compare the effectiveness of insulin glargine 300 U/mL (Gla-300) with its accompanying patient support program with that of other basal insulin and available patient support programs in patients with type 2 diabetes (T2D) in a real-world setting in terms of achieving HEDIS (Healthcare Effec...

journal_title：Postgraduate medicine

authors： Oster G,Sullivan SD,Dalal MR,Kazemi MR,Rojeski M,Wysham CH,Sung J,Johnstone B,Cali AM,Wei LJ,Traylor L,Anhalt H,Hull M,Van Vleet J,Meneghini LF

更新日期：2016-11-01 00:00:00

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