Abstract:
:A herpes zoster infection in patients with lymphoma has been associated with subsequent metastatic disease involving the spinal cord and vertebrae of the affected dermatome segment. This correlation can be used in planning radiation therapy to avert neurologic complications secondary to spinal cord involvement.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Andrus MS,Cigtay OSsubject
Has Abstractpub_date
1980-08-01 00:00:00pages
117-8issue
2eissn
0002-838Xissn
1532-0650journal_volume
22pub_type
杂志文章abstract::Many patients expect to undergo screening tests for cancer. In evaluating screening procedures, physicians must take into account the known effects of lead time, length and screening biases, all of which can result in an overestimation of the benefits of screening. The gold standard by which a screening test is evalua...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2001-02-01 00:00:00
abstract::The incidence of pleural mesothelioma will probably increase into the next century. A complete occupational history should include an inquiry about asbestos exposure, especially in patients with chest pain or dyspnea. The latency period between exposure and mesothelioma is as long as 50 years. In some patients, early ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1989-03-01 00:00:00
abstract::Recognition of the allergic individual is facilitated by an awareness of certain characteristic actions and various facial lesions which may be clues to other allergic problems. A gaping expression, clearing of the throat and rubbing or mashing of the eyes and nose may indicate significant rhinitis. Dark circles and b...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1977-07-01 00:00:00
abstract::Bordetella pertussis is a highly contagious bacterium known to cause pertussis (whooping cough) and is transmitted via airborne droplets. Although childhood vaccination has dramatically reduced reported pertussis cases, the incidence of the disease has increased over the past 20 years, most notably in previously immun...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2006-08-01 00:00:00
abstract::House calls can still serve many functions in the overall care of the patient. By improving the relationship between physician and patient, providing the physician with important information that can only be gained from a home visit and allowing the physician to remain active in the care of the homebound patient, hous...
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::Strenuous exercise may cause menstrual abnormalities, including amenorrhea. The hypoestrogenemia that accompanies amenorrhea has been associated with a low bone mineral content and an increased incidence of stress fractures. With the resumption of menses, which usually occurs soon after female athletes decrease the in...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1989-02-01 00:00:00
abstract::AIDS dementia complex is a major source of disability for many AIDS patients. Less commonly, the spinal cord or peripheral nerves are affected by HIV infection. Physicians working with AIDS patients must differentiate these manifestations from those caused by the infectious, neoplastic and vascular complications. ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1987-12-01 00:00:00
abstract::All major health organizations recommend breastfeeding as the optimal source of infant nutrition, with exclusive breastfeeding recommended for the first six months of life. After six months, complementary foods may be introduced. Most organizations recommend breastfeeding for at least one year, and the World Health Or...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2018-09-15 00:00:00
abstract::"White coat" or "office" hypertension is often defined as the transient rise or elevation of blood pressure that occurs in the medical setting. Patients with these elevated readings have normal ambulatory pressures as determined by individual home blood pressure measurements or continuous 24-hour blood pressure monito...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1995-07-01 00:00:00
abstract::The principal means of evaluating perimenopausal bleeding is endometrial biopsy performed in the office. With the rising incidence of endometrial cancer, an accurate diagnosis is imperative. Outpatient endometrial biopsy is well accepted by patients, provides ample tissue for histologic examination and has good diagno...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1986-02-01 00:00:00
abstract::The physician is increasingly asked to play a role in relocating elderly patients to special housing. The goal is to find the housing that is best suited to the patient's needs. Important factors to be considered are building design, sponsorship, financing and nonshelter services. Proper housing, with appropriate supp...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract::Ginger (Zingiber officinale) is one of the more commonly used herbal supplements. Although often consumed for culinary purposes, it is taken by many patients to treat a variety of conditions. Ginger has been shown to be effective for pregnancy-induced and postoperative nausea and vomiting. There is less evidence to su...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2007-06-01 00:00:00
abstract::Self-induced injury of one or more of the extremities may represent a distinct variety of Munchausen syndrome. The nature of the injury may be infectious, dermatologic or orthopedic. The mechanism may be secondary gain or another unconscious motivation that causes a craving for attention. In many cases, the underlying...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1988-06-01 00:00:00
abstract::Use of complementary and alternative medicine has increased over the past decade. A variety of studies have suggested that this use is greater in persons with symptoms or diagnoses of anxiety and depression. Data support the effectiveness of some popular herbal remedies and dietary supplements; in some of these produc...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2007-08-15 00:00:00
abstract::Down syndrome (trisomy 21) is the most commonly recognized genetic cause of mental retardation. The risk of trisomy 21 is directly related to maternal age. All forms of prenatal testing for Down syndrome must be voluntary. A nondirective approach should be used when presenting patients with options for prenatal screen...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2000-08-15 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::The head and neck contain a number of spaces that can be invaded by organisms of the mouth or by spread of cervical osteomyelitis. Infection in these spaces may progress from superficial infection to cellulitis to the formation of an abscess requiring immediate drainage. Spread of infection between spaces depends on a...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1991-09-01 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
abstract::Atrial fibrillation, a common cardiac arrhythmia, is now recognized as a powerful risk factor for stroke. Previously, atrial fibrillation was thought to predispose persons to stroke only in the presence of rheumatic heart disease with mitral stenosis. The significant impact of nonvalvular atrial fibrillation on stroke...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-12-01 00:00:00
abstract::Ganglioneuroblastoma, although a rare neoplasm, is one of the most common causes of posterior mediastinal masses in children. This tumor occurs in children from one to 10 years of age. With intrathoracic involvement, the tumor may remain asymptomatic until it is large. The case reported illustrates a typical presentat...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1992-03-01 00:00:00
abstract::More than 30% of U.S. adults report having experienced low back pain within the preceding three months. Although most low back pain is nonspecific and self-limiting, a subset of patients develop chronic low back pain, defined as persistent symptoms for longer than three months. Low back pain is categorized as nonspeci...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2015-05-15 00:00:00
abstract::Anemia in children is commonly encountered by the family physician. Multiple causes exist, but with a thorough history, a physical examination and limited laboratory evaluation a specific diagnosis can usually be established. The use of the mean corpuscular volume to classify the anemia as microcytic, normocytic or ma...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2001-10-15 00:00:00
abstract::Children six months to four years of age are at greatest risk for aspiration of foreign bodies. A history of coughing after contact with small objects is the most important clue. The clinical presentation varies from paroxysms of choking and coughing to chronic cough or wheezing. Chest radiographs are normal in up to ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1979-09-01 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::Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The most common medical cause is gastroenteritis, and the most common surgical cause is ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::Recent innovations in medical technology have changed newborn screening programs in the United States. The widespread use of tandem mass spectrometry is helping to identify more inborn errors of metabolism. Primary care physicians often are the first to be contacted by state and reference laboratories when neonatal sc...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2006-06-01 00:00:00
abstract::Neuroleptic malignant syndrome may occur in patients taking neuroleptics and other psychotropic drugs. The syndrome is characterized by hyperthermia, muscular rigidity, altered consciousness and autonomic instability. Cerebrospinal fluid examination is normal. Treatment includes intensive supportive measures and the u...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1988-02-01 00:00:00
abstract::Healing by primary intention is a threefold process, consisting of an initial phase in which red and white blood cells bind the wound; epithelialization and fibroplasia, and a maturation phase involving collagen synthesis. The appearance of the wound reflects its maturation. Skillful wound management is based on biolo...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-10-01 00:00:00
abstract::Disorders of puberty can profoundly impact physical and psychosocial well-being. Precocious puberty is pubertal onset before eight years of age in girls and before nine years of age in boys. Patients with early isolated pubertal changes, prepubertal linear growth, and no worrisome neurologic symptoms typically have a ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2017-11-01 00:00:00
abstract::Nearly 40 percent of Americans complain about insomnia. Such complaints are even more common among the elderly, possibly because sleep efficiency decreases with age. As a result, the use of hypnotics in this age group is high--sometimes too high. Hypnotics can be addictive, and many have a low therapeutic index. The b...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-08-01 00:00:00