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

abstract：:Minor burns are common but require early and appropriate care to avoid infection and scarring. Damage can be arrested by immersing the burn in cold water as soon as possible. The goals of care are then to remove dead tissue and protect viable tissue during healing. Very superficial burns require only application of an...

journal_title：Postgraduate medicine

authors： Phillips LG,Robson MC,Heggers JP

更新日期：1989-01-01 00:00:00

abstract：:Most patients with community-acquired pneumonia are treated as outpatients, and choice of therapy is usually empirical because the etiologic agent is unknown. Therapy should include coverage for both typical and atypical organisms. In geographic areas with highly resistant S pneumoniae, one of the newer fluoroquinolon...

journal_title：Postgraduate medicine

authors： Farber MO

更新日期：1999-04-01 00:00:00

abstract：:Patients taking immunosuppressive drugs are susceptible to various forms of infection, including dermatologic disease. Recently, atypical manifestations of scabies have been reported in such patients. In the case reported here, a 26-year-old woman who had had a renal transplant and was taking immunosuppressive drugs h...

journal_title：Postgraduate medicine

authors： Wolf R,Wolf D,Viskoper RJ,Sandbank M

更新日期：1985-07-01 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：: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：:Suprapubic bladder puncture was performed 185 times in 126 girls in a private pediatric practice. Cultures of urine obtained by aspiration confirmed symptoms as indicative of urinary tract infection in 59% of instances and confirmed positive cultures of urine obtained by voiding in 57% of instances. Since suprapubic b...

journal_title：Postgraduate medicine

authors： Simon G

更新日期：1982-07-01 00:00:00

abstract：:Motor fluctuations and dyskinesia often develop in patients with Parkinson's disease after 3 to 5 years of levodopa therapy. Dosage adjustments, addition of a second medication to the drug regimen, and dietary modifications may help maximize response to symptomatic therapy. Given the dramatic variability of symptoms a...

journal_title：Postgraduate medicine

authors： Silverstein PM

更新日期：1996-01-01 00:00:00

abstract：:Preview Manifestations of thyroid dysfunction may be totally misleading in severely ill and elderly patients, often confounding clinical diagnosis. To prevent undue morbidity and mortality in these patients, appropriate selection and accurate interpretation of thyroid function tests are crucial. In this article, Dr Is...

journal_title：Postgraduate medicine

authors： Isley WL

更新日期：1993-09-01 00:00:00

abstract：:Preview Few people can say they have never experienced some form of pressure-related changes while flying. Although uncommon on commercial flights, severe middle ear blocks do occur. Drawing from his experience treating military pilots, Dr Brown discusses the causes of barotrauma, steps that airline passengers can tak...

journal_title：Postgraduate medicine

authors： Brown TP

更新日期：1994-08-01 00:00:00

abstract：:The prevalence of chronic kidney disease (CKD) has increased markedly over past decades due to the aging of the worldwide population. Despite the progress in the prevention and treatment, the cardiovascular (CV) morbidity and mortality remain high among patients with CKD. Although CKD is a progressive and irreversible...

journal_title：Postgraduate medicine

authors： Bazyluk A,Malyszko J,Zbroch E

更新日期：2018-06-01 00:00:00

abstract：:Performing office surgery well is an art. You can accomplish this by being attentive to several factors. These include, but are not limited to, providing an office environment that is pleasant, restful, and happy; using proper lighting, instruments, and suture techniques; using gentle techniques for local infiltration...

journal_title：Postgraduate medicine

authors： Clavin HD

更新日期：1983-08-01 00:00:00

abstract：:Inflammatory bowel disease is a conglomeration of disorders of unclear etiology and pathogenesis. Confirming the diagnosis of active disease may be difficult but is critical to judicious therapy. Sulfasalazine (Azulfidine) and its newer derivatives mesalamine (Asacol, Rowasa) and olsalazine sodium (Dipentum) are used ...

journal_title：Postgraduate medicine

authors： Butt JH

更新日期：1992-11-01 00:00:00

abstract：:Hair analysis has important uses in screening for metal intoxication and exposure to environmental pollutants, as well as applications in forensic medicine. In addition, hair analysis has been hailed as the new "in" tool for diagnosis of nutritional deficiencies and chronic diseases, but data to support these applicat...

journal_title：Postgraduate medicine

authors： Fletcher DJ

更新日期：1982-11-01 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：:Vasculitis encompasses a wide variety of diseases. Because diagnosis may be difficult, a careful evaluation is essential, including a detailed patient history, thorough physical examination, and appropriate laboratory studies. Diagnosis is based on clinicopathologic features that permit identification of the condition...

journal_title：Postgraduate medicine

authors： Semble EL,Chmelewski WL,Pisko EJ

更新日期：1991-07-01 00:00:00

abstract：:Use of "designer drugs" has created a new dilemma for physicians. Generally, it is possible to recognize symptoms and signs of intoxication that fit a specific class of substances, such as amphetamine-like effects for the phenylethylamines and opioid effects for the fentanyl analogues. Designer compounds have crossed ...

journal_title：Postgraduate medicine

authors： Evanko D

更新日期：1991-05-01 00:00:00

abstract：OBJECTIVES:This study aimed to investigate the prevalence and associated factors of inter-arm blood pressure difference (IAD) in Chinese community hypertensive population. METHODS:The cross-sectional study included 7788 hypertensive patients (3673 male and 4115 female, aged 62.3 ± 13.6 years) in Guangdong, China. IAD ...

journal_title：Postgraduate medicine

authors： Yu Y,Liu L,Lo K,Tang S,Feng Y

更新日期：2020-10-29 00:00:00

abstract：:Gastroesophageal reflux is not synonymous with sliding hiatus hernia. It should be approached as a condition dependent on the intrinsic strength of the lower esophageal sphincter rather than on the presence of a hiatus hernia. The patient's account of symptoms is probably the most important means of diagnosis, but in ...

journal_title：Postgraduate medicine

authors： Cohen S

更新日期：1975-01-01 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：:Prolonged diarrhea in an adult is a serious problem; in an infant it is life threatening. Conventional therapy for intractable diarrhea of infancy, which involves use of clear liquids and gradual reintroduction of cow's milk or formula, works in most situations. However, for some infants this type of management exacer...

journal_title：Postgraduate medicine

authors： Lebenthal E,Rossi TM

更新日期：1983-08-01 00:00:00

abstract：:Preview Early diagnosis of sickle cell disease enables physicians to initiate prompt treatment and provide appropriate education and counseling for patients and their families. In this article, Dr Burdick reviews the management of major complications of the disorder, discusses the psychosocial impact, and examines the...

journal_title：Postgraduate medicine

authors： Burdick E

更新日期：1994-12-01 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：: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：:Narcotic maintenance may be needed to relieve chronic pain in ambulatory patients who fail to respond to other pain therapies. Oral, long-acting narcotics are preferred, and nonnarcotic pain therapies can be administered simultaneously to reduce the narcotic dosage. To legally undertake narcotic maintenance, the physi...

journal_title：Postgraduate medicine

authors： Tennant FS J,Uelmen GF

更新日期：1983-01-01 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：:Established postsplenectomy sepsis syndrome, although infrequent, may carry a mortality rate of over 90%. Pneumococcus (Streptococcus pneumoniae) has been the infective organism in more than 50% of published cases. Certain groups, such as infants, patients with hematologic malignancy, and those with compromised humora...

journal_title：Postgraduate medicine

authors： Brigden ML

更新日期：1985-06-01 00:00:00

abstract：:The many types of pigmentation disorders may present in diverse forms and distributions and have various causes. They can be inherited (eg, vitiligo, familial periorbital hyperpigmentation), acquired (eg, postinflammatory pityriasis alba, idiopathic guttate hypomelanosis, Becker's nevus, melasma), infectious (eg, tine...

journal_title：Postgraduate medicine

authors： Hacker SM

更新日期：1996-06-01 00:00:00

abstract：:Nearly 1 in 5 Americans will struggle with major depression in their lives; some will have recurring bouts. Recent psychiatric research has given new attention to the prevalence of cognitive deficits in major depression and the impact such deficits have on remission and overall life functioning. When depression is par...

journal_title：Postgraduate medicine

authors： Mattingly G,Anderson RH,Mattingly SG,Anderson EQ

更新日期：2016-09-01 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：:Pregnancy is an important risk factor for venous thrombosis, and venous thromboembolism is a leading cause of preventable death in pregnancy. Diagnosis of venous thromboembolism is complicated in that the symptoms of dyspnea and lower extremity edema are relatively common complaints of pregnant patients. Physicians sh...

journal_title：Postgraduate medicine

authors： Sellman JS,Holman RL

更新日期：2000-09-15 00:00:00