End-of-life care in advanced dementia.

abstract：:The goal of screening for colorectal cancer is to find early, asymptomatic cancers and adenomatous polyps that are 1 cm or more in diameter or that are villous or tubulovillous histologically. A study using fecal occult blood testing with rehydration and no sigmoidoscopy found that deaths from colorectal cancer can be...

journal_title：Postgraduate medicine

authors： Lush DT

更新日期：1994-07-01 00:00:00

abstract：:Simple screening tests are available to detect abnormalities in the plasma coagulation system and platelet function. Prothrombin time reflects the integrity of the extrinsic system, while activated partial thromboplastin time indicates whether the intrinsic system is intact. Thrombin clotting time is a measure of the ...

journal_title：Postgraduate medicine

authors： Horwitz CA

更新日期：1981-03-01 00:00:00

abstract：:In most cases, the cause of facial paralysis can be determined on the basis of the clinical evaluation, and expensive diagnostic tests can be avoided. Because Bell's palsy is not always the cause, physicians need to be able to identify critical findings on history and physical examination that indicate an alternative ...

journal_title：Postgraduate medicine

authors： Ruckenstein MJ

更新日期：1998-06-01 00:00:00

abstract：:Fear of the needle is a real issue with some patients and may be an obstacle to inducing anesthesia before minor surgical procedures are performed. Adults may express this fear verbally or, out of embarrassment, even avoid coming to the physician's office. Children may become intensely anxious and hysterical. In this ...

journal_title：Postgraduate medicine

authors： Holmes HS

更新日期：1991-02-15 00:00:00

abstract：:With increased survival of increasing numbers of cancer patients as a result of therapy, the consequences, early and late, of the therapies must be realized. It is the treating physician's duty to preserve as much reproductive potential as possible for patients, consistent with adequate care. With radiotherapy this me...

journal_title：Postgraduate medicine

authors： Maguire LC

更新日期：1979-05-01 00:00:00

abstract：:Chronic kidney disease (CKD) is a frequent complication of type 2 diabetes mellitus (T2DM) and is associated with poor clinical outcomes, including an increased risk of all-cause and cardiovascular mortality, as well as adverse economic and social effects. Slowing the development and progression of CKD remains an unme...

journal_title：Postgraduate medicine

authors： Davidson JA

更新日期：2019-05-01 00:00:00

abstract：:The first step in evaluation of a presumed seizure is to determine whether the event was indeed a seizure and which diagnostic studies are needed. The second step is to correctly diagnose the seizure on the basis of the medical history and findings from the physical, neurologic, and laboratory evaluation. The third st...

journal_title：Postgraduate medicine

authors： Prego-Lopez M,Devinsky O

更新日期：2002-01-01 00:00:00

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

authors： Finch CA

更新日期：1978-10-01 00:00:00

abstract：:Exercise-induced asthma can appear as one of many forms of airway hyperreactivity or as a unique clinical entity. Simple spirometry confirms the suspected clinical diagnosis in most instances, although more sensitive measurements of airway obstruction may be required. In general, the asthmatic need not restrict physic...

journal_title：Postgraduate medicine

authors： Gerhard H,Schachter EN

更新日期：1980-03-01 00:00:00

abstract：:As efforts to improve screening for colon cancer have increased, so has the importance of routine flexible sigmoidoscopy. However, the procedure is still underused, and about half of primary care physicians who recommend it refer their patients to other physicians. Increased use of this valuable screening tool is an i...

journal_title：Postgraduate medicine

authors： Davis PW,Stanfield CB

更新日期：1999-06-01 00:00:00

abstract：:Overuse syndrome and peripheral nerve entrapment syndromes arise in work situations in which the body is stressed beyond its limits by cumulative, repetitive trauma. These syndromes arise in some nonwork situations as well. When such an injury occurs, prompt diagnosis, treatment, and retraining aid in returning the em...

journal_title：Postgraduate medicine

authors： Mandel S

更新日期：1987-11-01 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：:A varied and balanced diet is usually adequate to meet the energy, protein, vitamin, and mineral requirements of adults and the elderly. However, some high-risk groups may require supplementation or special dietary recommendations. Some examples are persons on a weight-loss diet, alcoholics, premenopausal women, women...

journal_title：Postgraduate medicine

authors： Fahey PJ,Boltri JM,Monk JS

更新日期：1987-05-01 00:00:00

abstract：:Coronary artery disease (CAD) remains the major cardiovascular health issue in contemporary clinical practice. Treatment options for multivessel CAD include medical therapy, percutaneous coronary intervention (PCI), and coronary artery bypass grafting (CABG). Here, the authors review the most recent data that compare ...

journal_title：Postgraduate medicine

authors： Almeda FQ,Snell RJ

更新日期：2005-12-01 00:00:00

abstract：:Drug-induced illness is common in any clinical practice. The consequences of failure or delay in diagnosis--persistent or recurring illness, unnecessary diagnostic evaluation, inappropriate treatment, and future jeopardy from the drug--can be avoided by early recognition. Using descriptions of cases from his practice,...

journal_title：Postgraduate medicine

authors： Savett LA

更新日期：1980-01-01 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：:Surgical intervention is usually indicated in reflux esophagitis when medical therapy fails to control symptoms. Since most patients with peptic esophagitis also have a sliding hiatal hernia, early procedures focused on hernia repair. Weakness of the lower esophageal sphincter is now known to be the pathogenetic mecha...

journal_title：Postgraduate medicine

authors： Woodward ER

更新日期：1977-02-01 00:00:00

abstract：:Many new, minimally invasive interventional radiology procedures are now viable alternatives to traditional invasive therapy. The radiology procedures can often be performed in the outpatient setting, and although expensive technology may be required, the overall cost to the patient may be lower in the long run. Endov...

journal_title：Postgraduate medicine

authors： Montgomery ML,Sullivan JP

更新日期：2001-06-01 00:00:00

abstract：:Captopril (Capoten) and minoxidil (Loniten) have recently become generally available for treatment of hypertension, and calcium channel blockers, although not yet officially approved for this indication, clearly have potential as antihypertensive agents. Captopril, the only available inhibitor of angiotensin-convertin...

journal_title：Postgraduate medicine

authors： Kaplan NM

更新日期：1983-01-01 00:00:00

abstract：:Elderly patients should be evaluated closely before surgery. Problems commonly found in these patients (ie, hypertension, diabetes, and cardiac and pulmonary disease) should be sought with special care and treated before surgery is undertaken. Also, wound healing may be compromised, drug clearance and metabolism impai...

journal_title：Postgraduate medicine

authors： Nolan TE

更新日期：1992-02-01 00:00:00

abstract：OBJECTIVE:To evaluate the proportion and the long-term prognostic significance of heart failure (HF) in sarcoidosis patients. METHODS:Data extracted from a large Israeli healthcare provider's database were used to study sarcoidosis patients and matched non-sarcoidosis controls since 2000 to 2016. The proportion of HF ...

journal_title：Postgraduate medicine

authors： Etinger R,Comaneshter D,Amital H,Cohen AD,Tiosano S

更新日期：2020-11-01 00:00:00

abstract：:Traveler's diarrhea affects a substantial number of travelers to high-risk areas of the world. The key to controlling this troublesome disease is prevention. The most important preventive measures depend on educating patients to consume only safe foods and pure water. Physicians cannot overemphasize the importance of ...

journal_title：Postgraduate medicine

authors： Strum WB

更新日期：1988-07-01 00:00:00

abstract：:Patients with chronic pelvic pain are challenging, from both diagnostic and therapeutic viewpoints. At the pain clinic at the Medical College of Georgia School of Medicine, Augusta, we have discovered over the past 3 years that psychiatric disease is probably underrecognized in these patients and that physicians are o...

journal_title：Postgraduate medicine

authors： Nolan TE,Elkins TE

更新日期：1993-12-01 00:00:00

abstract：:Primary adrenal insufficiency due to tumor involvement is very rare. We herein report a case of adrenal insufficiency caused by cancer metastasis to a remaining single adrenal gland in a renal cell carcinoma patient who had undergone radical nephrectomy including removal of the right adrenal gland. The patient present...

journal_title：Postgraduate medicine

authors： Lee MW,Lee HJ

更新日期：2020-04-01 00:00:00

abstract：:Although fairly common, syncope is a frightening symptom that can signal a serious underlying disease. The varying causes present a diagnostic challenge to the examining physician, who needs to assess whether referral for more specialized or invasive study is appropriate. The authors review common cases of syncope and...

journal_title：Postgraduate medicine

authors： Hopson JR,Kienzle MG

更新日期：1992-04-01 00:00:00

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

authors： Annis ER,Nace BJ

更新日期：1994-10-01 00:00:00

abstract：:Early recognition and treatment of immunologically mediated diseases of the lung are vital to prevent irreparable damage. Extrinsic allergic alveolitis and allergic bronchopulmonary aspergillosis are often confused but should not be difficult to distinguish. The former is nonatopic and is marked by chills, fever, ches...

journal_title：Postgraduate medicine

authors： Slavin RG

更新日期：1976-04-01 00:00:00

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

authors： Wilson SE,Williams RA,Robinson G

更新日期：1990-09-01 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：: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