Abstract:
:Appropriate dosage of levothyroxine for the treatment of hypothyroidism is assessed by determining the serum thyroxine (T4) concentration in secondary and tertiary types. In primary hypothyroidism, the optimal thyroid replacement is that which induces a normal thyroid-stimulating hormone level and a normal TSH response to administration of thyrotropin-releasing hormone. Hypothyroidism often occurs in the management of hyperthyroidism. Serial serum TSH measurements help in the early detection of hypothyroidism, whereas serum triiodothyronine (T3) aids in prompt recognition of recurrence of hyperthyroidism.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Kabadi UMsubject
Has Abstractpub_date
1982-09-01 00:00:00pages
183-8issue
3eissn
0002-838Xissn
1532-0650journal_volume
26pub_type
杂志文章abstract::Family physicians should be familiar with the various drugs available for treating and preventing viral infections. Part II of this two-part article focuses on agents used to manage influenza and respiratory syncytial virus. Rimantadine and amantadine traditionally have been used to prevent and treat influenza type A ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-02-15 00:00:00
abstract::The acute and chronic effects of alcohol on bone, muscle and peripheral nerves are not well appreciated. Bone complications include traumatic fractures, osteoporosis and osteonecrosis. In muscle, a sustained bout of heavy drinking may cause rhabdomyolysis, while chronic alcohol abuse may produce proximal myopathy. In ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1986-11-01 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
abstract::Use of performance-enhancing supplements occurs at all levels of sports, from professional athletes to junior high school students. Although some supplements do enhance athletic performance, many have no proven benefits and have serious adverse effects. Anabolic steroids and ephedrine have life-threatening adverse eff...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2008-11-01 00:00:00
abstract::Joint and soft tissue injection of the ankle and foot region is a useful diagnostic and therapeutic tool for the family physician. This article reviews the injection procedure for the plantar fascia, ankle joint, tarsal tunnel, interdigital space, and first metatarsophalangeal joint. Indications for plantar fascia inj...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-10-01 00:00:00
abstract::Nitrous oxide analgesia is a safe alternative to parenteral narcotics for outpatient surgical procedures. This type of analgesia is effective, well tolerated by most age groups, easily administered, rapidly reversible and associated with a low incidence of serious side effects. Hypoxia can be prevented by using fail-s...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::A systematic approach to the interpretation of ambulatory electrocardiographic recordings facilitates analysis and improves accuracy. The method suggested includes a mnemonic and a standardized interpretation form. The mnemonic facilitates recall of key technical and patient-specific parameters involved in the prepara...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::Endometrial cancer is the fourth most common cancer in women, accounting for approximately 6,000 deaths per year in the United States. It is more common in women who are older, white, affluent obese and of low parity. Hypertension and diabetes mellitus are also predisposing factors. Because any condition that increase...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1999-06-01 00:00:00
abstract::Dissecting aneurysm is the most common acute disease of the aorta. Men are more likely than women to develop aortic dissection. One-third of the cases show neurologic manifestations, which may be a clue to early diagnosis. Cerebral, spinal cord and peripheral nerve ischemia can occur. In general, the treatment of choi...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1981-06-01 00:00:00
abstract::The peak expiratory flow rate (PEFR) may be measured in the office or at home with an inexpensive, hand-held meter. Measurement of the PEFR provides a rapid, objective means of diagnosing and monitoring asthma. Use of the peak flow meter permits early detection of deteriorating function, allowing timely institution of...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1986-12-01 00:00:00
abstract::Gait disorders in the elderly are common and in most cases cannot be treated medically or surgically. Therefore, treatment often relies on ambulatory devices such as canes, crutches, and walkers. Before selecting a device, the patient should be evaluated to define whether one or both upper extremities are required to ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-04-15 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::Because of the increasing popularity of recreational scuba diving, primary care physicians should be familiar with common diving injuries. One form of barotrauma, middle ear squeeze, is the most common diving injury. Other important diving injuries include inner ear barotrauma and pulmonary barotrauma. Arterial gas em...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-04-01 00:00:00
abstract::The birth of a child with any developmental disability is an occasion of marked trauma to parents. Early, honest and frank counseling is imperative, and the family physician can play a unique role in this counseling process. When the physician is not knowledgeable in a paretcular case, he or she should seek expert hel...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1977-05-01 00:00:00
abstract::Jellyfish stings are usually mild except those caused by species in the South Pacific. The box jellyfish can produce a severe cardiorespiratory insult. The sting of the Portuguese man-of-war is more potent than that of the common jellyfish. The Indo-Pacific area is the source of the most venomous bony fish. Many injur...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1989-08-01 00:00:00
abstract::Ischemic heart disease is one of the most common disorders managed by family physicians. Stratifying patients according to risk is important early in the course of the disease to identify patients who require invasive (percutaneous or surgical) treatment. Physical examination, clinical history, noninvasive tests and a...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1999-12-01 00:00:00
abstract::Excessive sweating from the palms and soles, known as palmoplantar hyperhidrosis, affects both children and adults. Diagnosis of this potentially embarrassing and socially disabling condition is based on the patient's history and visible signs of sweating. The condition usually is idiopathic. Treatment remains a chall...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2004-03-01 00:00:00
abstract::Kawasaki disease is an acute vasculitis of childhood that predominantly affects the coronary arteries. The etiology of Kawasaki disease remains unknown, although an infectious agent is strongly suspected based on clinical and epidemiologic features. A genetic predisposition is also likely, based on varying incidences ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2006-10-01 00:00:00
abstract::Necrotizing sialometaplasia is a benign inflammatory disease of salivary gland origin. Because of its clinical and histologic resemblance to squamous cell carcinoma, this disease must be recognized. The cause is unknown, but it may be related to oral trauma, tobacco use or inadequate blood supply. The lesion heals spo...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1983-02-01 00:00:00
abstract::Although rare, invasive amebiasis should be considered in the differential diagnosis of rectal disease suggesting carcinoma. In the case reported, rectal ameboma was responsible for the patient's rectal pain, hematochezia and weight loss. ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-02-01 00:00:00
abstract::The practicality of the office spirometer as an effective, inexpensive diagnostic device is well established. It can be used in a matter of seconds by minimally trained office personnel. Two basic parameters can be quickly and accurately measured: forced vital capacity (FVC), a test of volume indicative of restrictive...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
abstract::Use of a diaphragm plus spermicide provides effective protection against pregnancy in motivated women and decreases the risk for some sexually transmitted diseases. Potential risks of this contraceptive method include the development of urinary tract infections and the possible teratogenic effects of nonoxynol-9, the ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1989-05-01 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::Atrial fibrillation is a supraventricular arrhythmia that adversely affects cardiac function and increases the risk of stroke. It is the most common arrhythmia and a major source of morbidity and mortality; its prevalence increases with age. Pulse rate is sensitive, but not specific, for diagnosis, and suspected atria...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2016-09-15 00:00:00
abstract::Although early management of children with hearing loss is extremely important, diagnosis is often delayed because the development of hearing-impaired children parallels that of normal infants until the age of nine months. A high-risk registry aids in recognition of hearing-impaired children, but fails to identify tho...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1980-03-01 00:00:00
abstract::Endometriosis is a progressive disease affecting 5 to 10 percent of women. It can cause dyspareunia, dysmenorrhea, low back pain and infertility. A definitive diagnosis can be made only by means of laparoscopy. Medical treatment designed to interfere with ovulation generally provides effective pain relief, but the rec...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1999-10-15 00:00:00
abstract::If current trends continue, U.S. health insurance costs will consume the average household's annual income by 2025. As health care becomes unaffordable for most people in the United States, it will be necessary to implement innovative models to move the system in a more equitable and sustainable direction. ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2005-11-15 00:00:00
abstract::Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of the patient. Treatment is evolving...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-08-01 00:00:00
abstract::Peritonsillar abscess remains the most common deep infection of the head and neck. The condition occurs primarily in young adults, most often during November to December and April to May, coinciding with the highest incidence of streptococcal pharyngitis and exudative tonsillitis. A peritonsillar abscess is a polymicr...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-15 00:00:00
abstract::Hematuria, symptomatic and incidental, that involves more than three red blood cells per high-power field on two of three properly collected urinalysis specimens warrants some type of imaging to evaluate the upper tracts. Traditionally, excretory urography or the intravenous pyelogram has been the mainstay of the hema...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2008-08-01 00:00:00