Abstract:
:The classic chest radiograph, showing bilateral hilar and right paratracheal adenopathy, is found in half of sarcoidosis patients. Pulmonary infiltrates are a major cause of morbidity and mortality. Extrapulmonary disease may be found in the skin, eyes, liver and heart, and in the nervous, musculoskeletal and other systems. Despite myriad pathologic and biochemical abnormalities, the typical patient is asymptomatic. Most patients with symptomatic sarcoidosis benefit from steroid therapy; in some, however, the disease progresses inexorably.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Zelitch SR,Israel HLsubject
Has Abstractpub_date
1988-08-01 00:00:00pages
127-39issue
2eissn
0002-838Xissn
1532-0650journal_volume
38pub_type
杂志文章,评审abstract::A previous venous thromboembolism is the most important risk factor for predicting recurrence of the condition. Several studies have shown that routine testing for inherited thrombophilias is not helpful in predicting the risk of recurrence or altering treatment decisions, and therefore is not cost-effective. Updated ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2011-02-01 00:00:00
abstract::Myocardial perfusion imaging with thallium-201 has been used extensively for many years in the evaluation of ischemic heart disease. It is a valuable adjunct to exercise treadmill testing and is especially helpful in evaluating cardiac perfusion in patients who have abnormal resting electrocardiograms, who are unable ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1993-11-01 00:00:00
abstract::Coronary angioplasty is an accepted method of revascularization in selected patients with coronary artery disease. Immediately after a successful angioplasty, initial management concentrates on the detection and treatment of coronary artery spasm and acute vessel closure, should these complications occur. Once the pat...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1990-01-01 00:00:00
abstract::Acute renal failure occurs in 5 percent of hospitalized patients. Etiologically, this common condition can be categorized as prerenal, intrinsic or postrenal. Most patients have prerenal acute renal failure or acute tubular necrosis (a type of intrinsic acute renal failure that is usually caused by ischemia or toxins)...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
abstract::To complement the 2005 Annual Clinical Focus on medical genomics, AFP is publishing a series of short reviews on genetic syndromes. This series was designed to increase awareness of these diseases so that family physicians can recognize and diagnose children with these disorders and understand the kind of care they mi...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2005-12-01 00:00:00
abstract::Injuries to the head and neck are common in sports. Sideline physicians must be attentive and prepared with an organized approach to detect and manage these injuries. Because head and neck injuries often occur simultaneously, the sideline physician can combine the head and neck evaluations. When assessing a conscious ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2006-10-15 00:00:00
abstract::In many cases, the family physician will set the tone for rehabilitation of the stroke patient. It is imperative that the physician understand the recovery process, as well as the nature, benefits and limitations of rehabilitation. Since there are no precise predictors of individual outcome, no patient should be exclu...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1982-11-01 00:00:00
abstract::Infertility is generally defined as the inability to conceive after one year of unprotected, adequately timed intercourse. Causes of infertility include ovulatory dysfunction, tubal factors, peritoneal factors and uterine factors, as well as male factors that are the sole or contributing causes of infertility in up to...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-09-01 00:00:00
abstract::Orthostatic hypotension is defined as a decrease of at least 20 mm Hg in systolic blood pressure when an individual moves from a supine position to a standing position. Nonneurogenic causes of orthostatic hypotension are related to cardiac pump failure, reduced intravascular volume, venous pooling or a medication side...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-10-01 00:00:00
abstract::New recommendations for the classification and diagnosis of diabetes mellitus include the preferred use of the terms "type 1" and "type 2" instead of "IDDM" and "NIDDM" to designate the two major types of diabetes mellitus; simplification of the diagnostic criteria for diabetes mellitus to two abnormal fasting plasma ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1998-10-15 00:00:00
abstract::Colonic angiodysplasia is now recognized as a frequent cause of gastrointestinal bleeding in patients over age 55. These microvascular arteriovenous malformations may be as common a cause of colonic bleeding as diverticular disease. The lesions are not evident on barium studies. Even colonoscopy and selective colonic ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1985-09-01 00:00:00
abstract::Croup is a common illness responsible for up to 15 percent of emergency department visits due to respiratory disease in children in the United States. Croup symptoms usually start like an upper respiratory tract infection, with low-grade fever and coryza followed by a barking cough and various degrees of respiratory d...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2011-05-01 00:00:00
abstract::Down syndrome is caused by triplicate material of chromosome 21. The syndrome has a variable physical expression, but congenital cardiac defects, transient myelodysplasia of the newborn and duodenal atresia are highly specific for this chromosomal disorder. Routine health maintenance is important because infants and c...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1999-01-15 00:00:00
abstract::Traumatic spinal injuries are a major health problem. Any accident victim suspected of having a spinal injury must be immobilized immediately to prevent further damage to the spine. Management is directed toward achieving the most favorable environment for spinal cord recovery. This includes maintaining adequate oxyge...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-05-01 00:00:00
abstract::Labor is induced if pregnancy must be completed before the onset of spontaneous labor, usually for reasons of maternal illness, fetal distress or, most commonly, prolonged pregnancy. Although various mechanical methods are available for labor induction, pharmacologic methods are more commonly used. Oxytocin is the sta...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-05-01 00:00:00
abstract::Hidradenitis suppurativa is a chronic folliculitis affecting intertriginous areas. Onset generally occurs in young adulthood to middle adulthood (18 to 39 years of age). Females and blacks are more than twice as likely to be affected. Additional risk factors include family history, smoking, and obesity. Hidradenitis s...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2019-11-01 00:00:00
abstract::The hallmark of agoraphobia is the spontaneous panic attack, a reaction of extreme fearfulness and impending doom with cardiorespiratory symptoms. The end result can be a patient who is housebound. The basic therapeutic principle is confrontation with the avoided object or activity. Controlled clinical experiments dem...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1981-01-01 00:00:00
abstract::Thyroid function tests, radioiodine uptake and scintiscanning, and antithyroid antibody titers are the main laboratory tests useful in the management of goiter. Scintiscanning and ultrasonography aid in differentiating a functioning adenoma from a "cold" solid nodule--a crucial distinction since the incidence of cance...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1983-11-01 00:00:00
abstract::Self-care is becoming increasingly popular among health care consumers. The availability of over-the-counter medications makes it possible for consumers to treat numerous ailments without the supervision of a health care professional. Many of the medications now available without a prescription were previously classif...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 00:00:00
abstract::Multiple sclerosis, an idiopathic inflammatory disease of the central nervous system, is characterized pathologically by demyelination and subsequent axonal degeneration. The disease commonly presents in young adults and affects twice as many women as men. Common presenting symptoms include numbness, weakness, visual ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2004-11-15 00:00:00
abstract::After the safety and the tolerable dosage range of a new drug have been determined, it must be evaluated for efficacy and safety in patients having the condition for which the new drug is intended. The nature of certain drugs or diseases of of the patient population desired may suggest a family physician as the best d...
journal_title:American family physician
pub_type: 临床试验,杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract::Adnexal masses can have gynecologic or nongynecologic etiologies, ranging from normal luteal cysts to ovarian cancer to bowel abscesses. Women who report abdominal or pelvic pain, increased abdominal size or bloating, difficulty eating, or rapid satiety that occurs more than 12 times per month in less than a year shou...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2016-04-15 00:00:00
abstract::Despite an 80 to 90 percent success rate in removing common bile duct stones, this technique has yet to receive universal acceptance in the United States. Originally developed for retained or newly formed common bile duct stones in patients with previous cholecystectomy, the procedure is now also used to remove common...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1981-03-01 00:00:00
abstract::Parkinson's disease is a common neurodegenerative disorder that can cause significant disability and decreased quality of life. The cardinal physical signs of the disease are distal resting tremor, rigidity, bradykinesia, and asymmetric onset. Levodopa is the primary treatment for Parkinson's disease; however, its lon...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2006-12-15 00:00:00
abstract::Streptomycin is still the treatment of choice for tularemia and plague, and is effective in a few other diseases. Neomycin is used primarily as a topical agent. The other aminoglycoside antibiotics are indicated in serious infections caused by the gram-negative enterobacteria and, except for kanamycin, are also effect...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract::Clinically significant gastroesophageal reflux occurs in one in 500 infants. Symptoms resolve in 60 to 80 percent of infants by 18 months of age. Thickened formula and position changes are often recommended. Medication and surgical intervention may be needed in refractory cases. ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract::Eating disorders are life-threatening conditions that are challenging to address; however, the primary care setting provides an important opportunity for critical medical and psychosocial intervention. The recently published Diagnostic and Statistical Manual of Mental Disorders, 5th ed., includes updated diagnostic cr...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2015-01-01 00:00:00
abstract::Adult immunization rates have fallen short of national goals partly because of misconceptions about the safety and benefits of current vaccines. The danger of these misconceptions is magnified during pregnancy, when concerned physicians are hesitant to administer vaccines and patients are reluctant to accept them. Rou...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2003-07-15 00:00:00
abstract::Natural supplements are widely used in the United States and, while claims of their therapeutic effects abound, medical research does not always support their effectiveness. St. John's wort acts as a weak selective serotonin reuptake inhibitor with fewer side effects. S-Adenosylmethionine (SAMe) has enough of an antid...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2000-09-01 00:00:00
abstract::Rosacea is a common, but often overlooked, skin condition of uncertain etiology that can lead to significant facial disfigurement, ocular complications, and severe emotional distress. The progression of rosacea is variable; however, typical stages include: (1) facial flushing, (2) erythema and/or edema and ocular symp...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2002-08-01 00:00:00