Acute allergic contact dermatitis. How to manage severe cases.

abstract：:Septic shock is a multisystem disorder that represents the host's response to microbial invasion in its most fulminant form. One of the critical defects is a widespread inability to use available substrate for energy production. Endogenous mediators, particularly the cytokines, appear to play an essential role in this...

journal_title：Postgraduate medicine

authors： DePriest JL

更新日期：1989-09-01 00:00:00

abstract：:Fungal infections usually have characteristics that make them easily identifiable. In most cases, clinical diagnosis can be readily confirmed by examining the lesions under Wood's light or by placing infected material in potassium hydroxide solution and examining the preparation microscopically. Dermatophytes can be r...

journal_title：Postgraduate medicine

authors： Millikan LE

更新日期：1976-07-01 00:00:00

abstract：:The primary care physician can often delineate the cause of chest pain in a patient under 21 years of age after a thoughtful, careful, and thorough history and physical examination. Occasionally, an ECG and a chest x-ray film may be helpful. Noncardiac causes for the chest pain should be explored, and if found, the ch...

journal_title：Postgraduate medicine

authors： Diehl AM

更新日期：1983-06-01 00:00:00

abstract：:A study was undertaken to determine whether the platelet estimate included in the routine CBC is being utilized as a guide to ordering quantitative platelet counts. Requisition slips and results were reviewed for a one-month period. The data showed that platelet estimates were not being used properly. In fact, much of...

journal_title：Postgraduate medicine

authors： Weinstein JS,Foster JD,Stinson LE

更新日期：1980-08-01 00:00:00

abstract：:Fluoroquinolone-resistant variants of pandemic clones Spain(23F)-1, Spain(6B)-2, Spain(9V)-3, and Spain(14)-5 have been seen in various regions of the United States and the world, leading to the speculation that fluoroquinolone resistance among US Streptococcus pneumoniae may increase because of clonal spread. Using l...

journal_title：Postgraduate medicine

authors： Davies TA,Yee YC,Goldschmidt R,Sahm DF,Evangelista AT

更新日期：2008-09-01 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：:Aspirin-induced hypersensitivity affects a substantial number of people, including 20% or more of asthmatic patients. A dramatic flare of symptoms occurs after indigestion of aspirin or a nonsteroidal anti-inflammatory drug, and symptoms can persist even after the agent is discontinued. Fortunately, aspirin desensitiz...

journal_title：Postgraduate medicine

authors： Manning ME,Stevenson DD

更新日期：1991-10-01 00:00:00

abstract：:Seven bried case reports representing variations of atrial flutter point up important considerations bearing on diagnosis: situations predisposing individuals to atrial flutter with 1:1 atrioventricular conduction, the need for special care in placing ECG leads for continuous monitoring, the use of carotid sinus massa...

journal_title：Postgraduate medicine

authors： Glasser SP,Martinez-Lopez JI

更新日期：1977-08-01 00:00:00

abstract：:Many controversies, only a few of which have been discussed here, are now raging in the field of resuscitation. Much is expected to change in the next five to ten years. The American Heart Association is now considering changes for its new advanced cardiac life support course, which should be ready this year. The cour...

journal_title：Postgraduate medicine

authors： Hankins DG

更新日期：1986-05-15 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：:In most cases, patients presenting with "the worst headache ever" are found to have a benign condition, notably migraine, toxic vascular headache, or exertion-induced headache. However, ominous causes first must be excluded by appropriate investigation, such as computed tomographic or magnetic resonance imaging scans ...

journal_title：Postgraduate medicine

authors： Edmeads J

更新日期：1989-07-01 00:00:00

abstract：BACKGROUND:This study aimed to determine if there is an association between lipid levels, serum albumin, and C-reactive protein (CRP) levels in patients on dialysis. METHODS:Lipid profiles, albumin, and CRP levels were collected after a 12-hour fast from patients with end-stage renal disease (N = 105) who were on chro...

journal_title：Postgraduate medicine

authors： Bowden RG,Wilson RL

更新日期：2010-05-01 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：:Reiter's syndrome is an often overlooked and misdiagnosed complex of symptoms. Patients may not present with the classic triad of symptoms, or they may forget to mention other pertinent manifestations. How can you make an accurate diagnosis? And what is an effective approach to management? Dr Kirchner reviews studies ...

journal_title：Postgraduate medicine

authors： Kirchner JT

更新日期：1995-03-01 00:00:00

abstract：:This article on microcytic anemia is the first of several on laboratory investigation of anemia. Microcytic anemia, characterized by a mean corpuscular volume of less than 80 cu mu, is usually due to iron deficiency or chronic disease but may signify thalassemia minor. Exact identification of the cause is important, s...

journal_title：Postgraduate medicine

authors： Ward PC

更新日期：1979-01-01 00:00:00

abstract：BACKGROUND:Asian Americans exhibit a high prevalence of chronic hepatitis B (CHB) compared with the general population in the United States. However, there are specific barriers to appropriate health care in the Asian American population, and CHB awareness is low. The aim of this study was to examine CHB awareness amon...

journal_title：Postgraduate medicine

authors： Upadhyaya N,Chang R,Davis C,Conti MC,Salinas-Garcia D,Tang H

更新日期：2010-09-01 00:00:00

abstract：:Common variable immunodeficiency (CVID) is readily considered in patients presenting with recurrent sino-pulmonary infections, however this disease has a broad range of clinical manifestations and diagnosis can be delayed by several years. We present the case of a 44-year-old postpartum female who presented with nause...

journal_title：Postgraduate medicine

authors： Arays R,Goyal S,Jordan KM

更新日期：2016-08-01 00:00:00

abstract：:Patient Notes are indexed alphabetically and by subject. The number immediately following the title is the number of the Patient Note, and the number in parentheses is the date of publication. This index includes all 82 Patient Notes published so far, from February 1, 1988, through this issue. ...

journal_title：Postgraduate medicine

authors：

更新日期：1993-01-01 00:00:00

abstract：:Two cases of Listeria monocytogenes infection in patients receiving immunosuppressive treatment after kidney transplantation are described. In the first, the infection, which occurred soon after transplantation and was accompanied by signs of mild chronic rejection, was the immediate cause of death. The other case occ...

journal_title：Postgraduate medicine

authors： Holden FA,Kaczmer JE,Kinahan CC

更新日期：1980-12-01 00:00:00

abstract：:Many patients with significant carotid artery stenosis are candidates for endarterectomy, a procedure now proved to reduce the incidence of future stroke and death. In this article, Drs Jaigobin and Perry describe an approach to patients with both symptomatic and asymptomatic carotid stenosis and review current indica...

journal_title：Postgraduate medicine

authors： Jaigobin CS,Perry JR

更新日期：1994-10-01 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：: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：:Aspiration results from abnormal structure or from dysfunction during the oral, pharyngeal, or esophageal stage of deglutition. Chemically induced inflammation of the lungs and obstruction of the airways may ensue. Feeding and swallowing problems may occur at any age, but they are particularly prevalent in the elderly...

journal_title：Postgraduate medicine

authors： Khawaja IT,Buffa SD,Brandstetter RD

更新日期：1992-07-01 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：:The Editor welcomes readers' comments, and selected letters are published each month. Letters must be signed and should be sent to Editor's Mail at the address shown. The journal reserves the right to condense letters if necessary for space. ...

journal_title：Postgraduate medicine

authors： Butler T,Cunha BA

更新日期：1982-03-01 00:00:00

abstract：:Preview New information emerges almost weekly about the relative importance of one factor or another in the development of coronary artery disease. Yet controversies continue over which factor deserves the most emphasis. Dr Elliott presents a broad and, at times, humorous look at research into cardiovascular risk fact...

journal_title：Postgraduate medicine

authors： Elliott WJ

更新日期：1994-09-01 00:00:00

abstract：:In some families, predisposition to cancer is caused by a germline mutation in a single gene, which produces an autosomal dominant pattern of cancer transmission. Several hereditary cancer syndromes have been identified and for many of them, genetic testing is clinically available. Determining which patients are at ri...

journal_title：Postgraduate medicine

authors： Elsas LJ 2nd,Trepanier A

更新日期：2000-04-01 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：: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：:To aid in making care of HIV-infected patients part of your office routine, Dr Coodley presents here a checklist that combines the various clinical aspects of initial management. Covering the steps from the history to plans for follow-up, this article should allay anxiety and promote confidence in your entire staff by...

journal_title：Postgraduate medicine

authors： Coodley GO

更新日期：1993-03-01 00:00:00