Charcot's disease in diabetic patients. Correct diagnosis can prevent progressive deformity.

abstract：:While a wide variety of thyroid function tests are currently available, all are sometimes abnormal in patients without thyroid disease. To interpret test results properly, the clinician needs to be aware of factors altering thyroid function tests. In every instance, the clinician needs to begin by asking whether the p...

journal_title：Postgraduate medicine

authors： de los Santos ET,Mazzaferri EL

更新日期：1989-04-01 00:00:00

abstract：:With prostate cancer being diagnosed and treated in more than 300,000 men each year, the pool of long-term survivors is dramatically increasing. Because these patients are usually elderly, they are often receiving follow-up care for unrelated problems in a primary care setting. This offers the physician an excellent o...

journal_title：Postgraduate medicine

authors： Freedman A,Hahn G,Love N

更新日期：1996-09-01 00:00:00

abstract：:Psychotic disorders usually develop by middle age, but initial onset can be later in life. Delusions, hallucinations, and other psychotic symptoms may accompany medical conditions, mood disorders, and Alzheimer's disease, thereby confusing the diagnosis. In this review, Dr Harris describes some of the more common psyc...

journal_title：Postgraduate medicine

authors： Harris MJ

更新日期：1997-12-01 00:00:00

abstract：:Cecal volvulus is a malrotational abnormality of the intestine that causes obstruction. Diagnosis is difficult and, if delayed, the results may be intestinal ischemia, perforation, sepsis, and even death. Cecal ischemia or gangrene cannot always be determined from physical and laboratory findings. Although not always ...

journal_title：Postgraduate medicine

authors： Weiss BD

更新日期：1982-08-01 00:00:00

abstract：:All lumps in the parotid region must be assumed to originate in the parotid gland. A mobile, superficial-appearing lesion cannot be assumed to be located just beneath the skin. Open incisional biopsy should never be used in approaching lumps in this region because of the danger of tumor seeding or damage to the facial...

journal_title：Postgraduate medicine

authors： Olsen KD

更新日期：1987-03-01 00:00:00

abstract：:Self-assessment case studies illustrating prudent selection of antimicrobial agents in septic shock following urinary catheterization, bacteremia and skin lesions in an immunocompromised patient, and endocarditis in a patient with a prosthetic heart valve. ...

journal_title：Postgraduate medicine

authors： Rahal JJ Jr,Simberkoff MS

更新日期：1978-03-01 00:00:00

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：:In addition to sinus and dental abnormalities and stress, several different neurologic conditions can cause facial pain. These include various neuroalgias (trigeminal, vagoglosso-pharyngeal, cranial), carotodynia, and optic neuritis. Pain characteristics and results of specific neurologic tests establish the diagnosis...

journal_title：Postgraduate medicine

authors： Mandel S

更新日期：1990-01-01 00:00:00

abstract：:Chronic pain is considered one of the most prevalent causes of costly and disabling medical conditions. This review will define chronic pain and its categories and then will summarize the effectiveness and side effects associated with the use of various antidepressants, including the tricyclics, the selective serotoni...

journal_title：Postgraduate medicine

authors： Khouzam HR

更新日期：2016-01-01 00:00:00

abstract：:Carotid endarterectomy for carotid artery stenosis is valuable for some patients, but not all. Results of clinical trials in symptomatic and asymptomatic patients provide guidance on use of this common vascular procedure. The authors of this article describe the controversies and concerns with the procedure and give t...

journal_title：Postgraduate medicine

authors： Ingall TJ,Dodick DW,Zimmerman RS

更新日期：2000-05-15 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：:Inhalation of pressurized 100% oxygen is a helpful adjunctive treatment for certain patients, because the increased oxygen carried by the blood to the tissue enhances new growth of microcirculation and, thus, healing. Patients with tissue breakdown after radiation therapy, refractory osteomyelitis, gas gangrene, soft-...

journal_title：Postgraduate medicine

authors： Cohn GH

更新日期：1986-02-01 00:00:00

abstract：:Amyloidosis occurs in association with many diseases and can also be idiopathic. It is usually a systemic disease with variable presentations. The diagnosis should be suspected in patients with unexplained proteinuria, cardiomyopathy, congestive heart failure, peripheral neuropathy, carpal tunnel syndrome, macroglossi...

journal_title：Postgraduate medicine

authors： Vogelgesang SA,Klipple GL

更新日期：1994-10-01 00:00:00

abstract：:Primary care physicians have an important role in diagnosing and treating eye disorders--including dacryocystitis, blepharitis, and conjunctivitis--and in determining when ophthalmologic referral is needed. Fundus examination for diagnosis of glaucoma and diabetic eye complications should be a part of the routine exam...

journal_title：Postgraduate medicine

authors： Weinstock FJ,Weinstock MB

更新日期：1996-04-01 00:00:00

abstract：:Treatment of primary breast cancer with excision of the tumor plus radiation is now an accepted alternative to mastectomy in women who desire breast preservation and have a suitable clinical presentation. Tumor size and location should be carefully considered before applying treatment with this method, the primary con...

journal_title：Postgraduate medicine

authors： Lichter AS

更新日期：1986-06-01 00:00:00

abstract：:Preview An elevated serum calcium level requires thorough investigation. Is hyperparathyroidism at the root of the abnormality? Malignant disease? Vitamin toxicity? In this article, Dr Kaye discusses clinical evaluation of hypercalcemia and outlines pharmacologic therapy, surgical intervention, and other treatment opt...

journal_title：Postgraduate medicine

authors： Kaye TB

更新日期：1995-01-01 00:00:00

abstract：:Viral diseases are an important cause of morbidity and mortality in elderly patients, whether they live in the community or in long-term care facilities. Management of viral infections in older adults is complicated by factors that include the infrequency or absence of common signs and symptoms of infection and advers...

journal_title：Postgraduate medicine

authors： Bader MS,McKinsey DS

更新日期：2005-11-01 00:00:00

abstract：:The use of opioids for patients with chronic noncancer pain has increased dramatically, and with increasing use there is increasing concern about the potential for abuse and addiction during long-term treatment. Clinicians should avoid viewing formal or subjective risk assessment as a means of classifying patients int...

journal_title：Postgraduate medicine

authors： Gordon A,Cone EJ,DePriest AZ,Axford-Gatley RA,Passik SD

更新日期：2014-09-01 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：: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：:Women predominate at all ages among patients diagnosed as having primary fibromyalgia. Of 100 patients reviewed, the average age at onset of fibromyalgia was 46. Of 65 patients in whom menopause occurred before diagnosis of fibromyalgia, the average age at menopause was 42, and most of these women had menopause relate...

journal_title：Postgraduate medicine

authors： Waxman J,Zatzkis SM

更新日期：1986-09-15 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：:The patient with jaundice may be accurately diagnosed through clinical history, physical findings, and noninvasive laboratory and radiologic examinations available in most community hospitals. Ultrasonography is usually the procedure of choice in initial evaluation, but if acute cholecystitis is suspected, hepatobilia...

journal_title：Postgraduate medicine

authors： Marin GA

更新日期：1987-01-01 00:00:00

abstract：OBJECTIVES:We aimed to determine the prevalence of chronic diseases and unhealthy lifestyle behaviors of Turkish doctors as compared with the general population and the frequency of compliance with preventive clinical practices among doctors. METHODS:This was an observational, prospective cohort study that enrolled gr...

journal_title：Postgraduate medicine

authors： Unal S,Tanriover MD,Ascioglu S,Demirkazik A,Ertenli I,Eskioglu E,Guler K,Kiraz S,Ozbakkaloglu M,Ozer B,Tukek T,Akyar S,Erdem Y

更新日期：2017-04-01 00:00:00

abstract：:Autonomic neural impulses that accompany discharges during a seizure can cause a variety of cardiac manifestations, including cardiac arrhythmias, sudden death, anginal chest pain, neurogenic pulmonary edema, and symptoms of pheochromocytoma. Either generalized or focal seizures may generate such signs and symptoms. A...

journal_title：Postgraduate medicine

authors： Kothari SS

更新日期：1990-11-01 00:00:00

abstract：:Therapy for osteomyelitis requires a multidisciplinary approach. A precise microbiologic diagnosis and adequate debridement of necrotic tissue are essential. Acute hematogenous osteomyelitis usually responds to antimicrobial therapy. The presence of an abscess or a metaphyseal cavity in hematogenous osteomyelitis and ...

journal_title：Postgraduate medicine

authors： Bamberger DM

更新日期：1993-10-01 00:00:00

abstract：:Gastric volvulus is torsion of the stomach, which can compromise the gastric orifices and result in either acute or chronic and intermittent symptoms. We believe that gastric volvulus, especially when partial or intermittent, may be more common than has been previously thought. The condition should be suspected in any...

journal_title：Postgraduate medicine

authors： Llaneza PP,Salt WB 2nd

更新日期：1986-10-01 00:00:00

abstract：:Nonalcoholic fatty liver disease (NAFLD) is quickly emerging as a global epidemic in parallel with the rise in obesity and the Metabolic Syndrome. NAFLD, once seen simply as a passive consequence of the Metabolic Syndrome (MetS), has been found to interact with other features of MetS to exacerbate insulin resistance, ...

journal_title：Postgraduate medicine

authors： Jensen T,Wieland A,Cree-Green M,Nadeau K,Sullivan S

更新日期：2019-01-01 00:00:00

abstract：:The tools and methods of epidemiology, particularly the clinical trial, help guide the clinical practice of medicine. Dr Gorelick reviews the results of major clinical trials for prevention of transient cerebral ischemia and atherothrombotic stroke and assesses the effect of these findings on treatment. ...

journal_title：Postgraduate medicine

authors： Gorelick PB

更新日期：1989-12-01 00:00:00

abstract：:Nitroglycerin and long-acting nitrates are the pharmacologic mainstays of antianginal therapy, both for acute attacks and for prophylaxis. Propranolol is often effective for prophylaxis in patients incompletely helped by nitrates. A holistic approach is stressed. Appropriate drug use will effect marked improvement in ...

journal_title：Postgraduate medicine

authors： Richtsmeier TE,Preston TA

更新日期：1977-11-01 00:00:00