Abstract:
:Suicide attempts by drug overdose are a growing health care problem, now reaching epidemic proportions. The patient who attempts suicide is typically a young, single adult female with interpersonal conflicts who takes an overdose of a prescribed drug, frequently a benzodiazepine. Patients who have recently been separated or divorced and those who are alcoholic, depressed or previously suicidal are also at risk. The family physician is in the best position to prevent suicide.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Bouknight RRsubject
Has Abstractpub_date
1986-04-01 00:00:00pages
137-42issue
4eissn
0002-838Xissn
1532-0650journal_volume
33pub_type
杂志文章abstract::Proteinuria is a common laboratory finding in children. It can be identified as either a transient or a persistent finding and can represent a benign condition or a serious disease. A rapid but qualitative assessment of proteinuria can be made using dipstick or sulfosalicylic acid methods. More precise quantitation is...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1998-10-01 00:00:00
abstract::Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in postmenopausal women. Pregnancy is the onl...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2020-05-01 00:00:00
abstract::Prompt diagnosis of problems in the first trimester of pregnancy is facilitated by ultrasound scanning and quantitative serum human chorionic gonadotropin and progesterone testing. When used appropriately, these tests can determine whether a patient has a normal early pregnancy, a miscarriage, a missed abortion, an ec...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1991-11-01 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::Historically, osteopathic physicians have made an important contribution to the primary care workforce. More than one half of osteopathic physicians are primary care physicians, and most of these are family physicians. However, the proportion of osteopathic students choosing family medicine, like that of their allopat...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2005-08-15 00:00:00
abstract::Tremor, an involuntary, rhythmic, oscillatory movement of a body part, is the most common movement disorder encountered in clinical practice. Rest tremors occur in a body part that is relaxed and completely supported against gravity. Action tremors occur with voluntary contraction of a muscle and can be further subdiv...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2011-03-15 00:00:00
abstract::Hypertension is the most common chronic condition treated by family physicians. Elevated blood pressure is associated with an increased risk of heart failure, myocardial infarction, cerebrovascular disease, and death. Treatment of hypertension reduces the risk of these events. Several lifestyle modifications are assoc...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2015-02-01 00:00:00
abstract::Cirrhosis is a diffuse process characterized by fibrosis and the conversion of normal liver architecture into structurally abnormal nodules. The modified Child-Pugh score, which ranks the severity of cirrhosis based on signs and liver function test results, has been shown to predict survival. Strategies have been esta...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2001-11-15 00:00:00
abstract::The incidence of work-related repetitive motion disorders has increased rapidly during the past 20 years. While it appears that psychosocial factors have contributed largely to the increasing incidence of these disorders, ergonomic factors and other medical conditions also play a role. The most common single diagnosti...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-03-01 00:00:00
abstract::New beta lactams and the quinolone class of antibiotics represent major improvements in the therapy of moderate to severe infections. These newer antibiotics have an extended spectrum of antimicrobial activity, excellent pharmacokinetic properties and low toxicity. The beta lactams include carbapenems, represented by ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1988-10-01 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::For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness Criteria for chronic neck pain. Ima...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2010-10-15 00:00:00
abstract::Careful examination of the neonate at delivery can detect anomalies, birth injuries, and disorders that may compromise successful adaptation to extrauterine life. A newborn with one anatomic malformation should be evaluated for associated anomalies. If a newborn is found to have an abdominal wall defect, management in...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2002-01-15 00:00:00
abstract::An estimated 15% of children in the United States have at least one developmental delay, yet less than one-fifth of those children receive early intervention services before three years of age. Many barriers exist to implementing initial screening and referral, but screening tools can be easily incorporated into the w...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2017-07-01 00:00:00
abstract::As effective antipsychotic pharmacotherapy has become available, patients with schizophrenia are increasingly managed in an outpatient setting by primary care physicians. Pharmacotherapy is generally effective in treating "positive," or psychotic, symptoms and lessening the risks of relapse, but ineffective in improvi...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract::The diagnosis of sleep apnea should be considered when a patient complains of snoring and excessive daytime somnolence. Middle-aged obese men are at particular risk, although apnea can occur in women and the elderly, as well as in persons who are not obese. An overnight polysomnographic sleep study can reveal the degr...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-02-01 00:00:00
abstract::Vitamin D deficiency among hospitalized patients may be more widespread than realized. Vague musculoskeletal complaints in these chronically ill patients may be attributed to multiple underlying disease processes rather than a deficiency in vitamin D. However, the failure to diagnose an underlying deficiency places th...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2005-01-15 00:00:00
abstract::Systemic causes of leg edema include idiopathic cyclic edema, heart failure, cirrhosis, nephrosis and other hypoproteinemic states. Lymphedema may be primary, or secondary to neoplasm, lymphangitis, retroperitoneal fibrosis and, rarely (in the U.S.), filariasis. Thrombophlebitis and chronic venous insufficiency are no...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1977-01-01 00:00:00
abstract::Wide complex tachycardias are cardiac rhythm disorders with three or more consecutive beats, rates exceeding 100 beats per minute and a QRS duration of 120 msec (0.12 second) or greater. The width of the QRS complex should be verified in a number of leads, since the QRS complex often appears mistakenly narrower (i.e.,...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with eccentric exercise. Iliotibial ba...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2018-04-15 00:00:00
abstract::Delirium is common in hospitalized older patients and may be a symptom of a medical emergency, such as hypoxia or hypoglycemia. It is characterized by an acute change in cognition and attention, although the symptoms may be subtle and usually fluctuate throughout the day. This heterogeneous syndrome requires prompt re...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2008-12-01 00:00:00
abstract::Benign pulmonary neoplasms are relatively uncommon. The symptoms vary, depending on the location of the tumor. Specific diagnosis can be a time-consuming process and requires an orderly plan. Polytomography or computed tomographic scan, bronchoscopy, percutaneous biopsy or thoracotomy may be required. Tissue diagnosis...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-01-01 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::The rapidity with which heparin anticoagulation is achieved is essential to a positive clinical outcome in patients with deep venous thrombosis or pulmonary embolus. However, adequate anticoagulation is frequently not achieved, either as a result of dosing regimens that do not take heparin kinetics into account or bec...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-12-01 00:00:00
abstract::Cystic masses of the neck may represent thyroid, parathyroid, thyroglossal duct or branchial cleft cysts. Analysis of the cyst fluid may establish the etiology. Elevated levels of parathyroid hormone can be found in parathyroid cysts without concomitant hyperparathyroidism. A high concentration of cholesterol without ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 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::Atrial fibrillation is associated with potentially life-threatening strokes. Anticoagulation with warfarin or aspirin reduces the risk of embolic events in patients with chronic atrial fibrillation and mitral valve stenosis or other underlying heart disease. In patients with acute onset of atrial fibrillation, anticoa...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1992-06-01 00:00:00
abstract::More women, men and children receive medical care each month in the offices of primary care physicians than any other professional setting. There is an urgent need for health policies that encourage further innovation and implementation ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2001-09-15 00:00:00
abstract::Tay-Sachs disease is a fatal genetic disease affecting Jewish infants of eastern European ancestry. While the disease may go unrecognized until nearly one year of age, death occurs by age three or four. Community screening programs have been organized to detect carriers of this autosomal recessive trait. Prenatal diag...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1976-04-01 00:00:00
abstract::Acute diarrhea in adults is a common problem encountered by family physicians. The most common etiology is viral gastroenteritis, a self-limited disease. Increases in travel, comorbidities, and foodborne illness lead to more bacteria-related cases of acute diarrhea. A history and physical examination evaluating for ri...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2014-02-01 00:00:00