Abstract:
:Tricyclic antidepressants have anticholinergic, adrenolytic and quinidine-like activity. These actions result in a variety of cardiac and blood pressure effects. Tricyclic antidepressants can reverse the antihypertensive effect of guanethidine and clonidine. Orthostatic hypotension may be increased with diuretics and hydralazine. Myocardial depression may occur with lidocaine, phenytoin or propranolol. Dangerous additive effects may result from concomitant use of a tricyclic antidepressant and either quinidine or procainamide.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Thornton WEsubject
Has Abstractpub_date
1979-07-01 00:00:00pages
97-9issue
1eissn
0002-838Xissn
1532-0650journal_volume
20pub_type
杂志文章abstract::Many patients require sedation during diagnostic or therapeutic procedures. Ideally, procedural sedation minimizes the patient's awareness and discomfort while maintaining the patient's safety. Appropriate monitoring by trained personnel is the key to successful procedural sedation. These techniques should be used onl...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2005-01-01 00:00:00
abstract::Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with men. Methamphetamine use produce...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2007-10-15 00:00:00
abstract::Allergic rhinitis commonly manifests for the first time in childhood or adolescence with seasonal or perennial sneezing, rhinorrhea, nasal congestion, and pruritus of the nose, eyes and throat. The nasal mucosa are pale blue and boggy, with a clear discharge. Patients should be instructed to avoid breathing tobacco sm...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1995-03-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2018-12-15 00:00:00
abstract::Manic episodes are characterized by the triad of unstable mood, pressured speech and increased motor activity. This type of episode is often due to bipolar disorder. Benzodiazepines and antipsychotic agents are generally used in the acute emergency management of mania. Lithium, carbamazepine or a valproate preparation...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 00:00:00
abstract::Life-threatening dermatologic conditions include Rocky Mountain spotted fever; necrotizing fasciitis; toxic epidermal necrolysis; and Stevens-Johnson syndrome. Rocky Mountain spotted fever is the most common rickettsial disease in the United States, with an overall mortality rate of 5 to 10 percent. Classic symptoms i...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2010-10-01 00:00:00
abstract::Chlamydial cervicitis has the potential for serious gynecologic complications, including pelvic inflammatory disease, infertility and ectopic pregnancy. In the pregnant patient, this infection is associated with premature rupture of membranes and increased fetal morbidity and mortality. In addition, infants infected b...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-06-01 00:00:00
abstract::Synovial osteochondromatosis is a benign disorder in which cartilaginous loose bodies develop about the large joints, usually the knee. It is caused by synovial metaplasia of unknown etiology. Symptoms are due either to mechanical problems caused by the loose bodies or to the degenerative arthritis that usually follow...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1987-02-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-10-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1977-11-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1975-02-01 00:00:00
abstract::A throat culture is necessary for accurate diagnosis of group A beta-hemolytic streptococcal tonsillopharyngitis. The use of penicillin therapy in every patient with sore throat results in overtreatment of 85 percent of children and 95 percent of adults presenting to family physicians with the complaint of sore throat...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Poisoning is a common cause of morbidity and mortality in the United States, with several million episodes reported annually. Acute medication poisonings account for nearly one half of all poisonings reported in the United States and should be considered in persons with an acute change in mental status. The initial ap...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2010-02-01 00:00:00
abstract::Preterm birth is a major cause of infant morbidity and mortality. Although studies have been complicated by problems of definition and methodology, certain strategies have the potential to reduce both the incidence and the impact of preterm birth. These strategies include accurate assessment of gestational age, educat...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1992-08-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2000-08-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2018-06-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1988-10-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2014-09-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2018-09-15 00:00:00
abstract::Caring for the problem drinker in the perioperative period is a challenging task. If alcohol abuse is suspected, a careful assessment is indicated before surgery is performed. Both the CAGE and SMAST questionnaires are good screening tools for alcoholism. Preoperative evaluation of alcohol-dependent patients should in...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2001-09-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2005-03-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::Appendicitis is one of the most common causes of acute abdominal pain in adults and children, with a lifetime risk of 8.6% in males and 6.7% in females. It is the most common nonobstetric surgical emergency during pregnancy. Findings from the history, physical examination, and laboratory studies aid in the diagnosis o...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2018-07-01 00:00:00
abstract::Portal hypertension is a frequent consequence of liver disease, especially alcoholic cirrhosis. Unabated elevations in portal pressure may presage an esophageal variceal hemorrhage. Propranolol or isosorbide therapy is effective in the prophylaxis of variceal bleeding. In patients with acute variceal hemorrhage, endos...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-04-01 00:00:00
abstract::Hydrofluoric acid is widely used in both industrial and household settings. The acid may cause insidious burns that can be very destructive. If the burns are not treated appropriately, the continued action of the free fluoride ion leads to liquefaction necrosis of the affected soft tissues, bony erosion and, ultimatel...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00