Coronary revascularization in multivessel disease. Which is better, stents or surgery?

abstract：:Recent effectiveness studies have shown that over a year and a half, 3 of 4 study patients either stopped or changed their antipsychotic medication. This finding highlights the fact that psychopharmacologic treatments do not remain stable over the course of treatment. Our own interpretation is that these findings emph...

journal_title：Postgraduate medicine

authors： Scheifler PL,Weiden PJ

更新日期：2006-09-01 00:00:00

abstract：:Acute compartment syndrome is a surgical emergency. A high index of suspicion is needed in cases of severe contusion, especially if patient complaints seem to outweigh physical findings. Acute surgical fasciotomy is an effective treatment and should be carried out expeditiously if compartment pressures are elevated ov...

journal_title：Postgraduate medicine

authors： Swain R,Ross D

更新日期：1999-03-01 00:00:00

abstract：:Part 1, which begins on page 64, discusses diagnosis of rheumatic disease by radiography. The most popular laboratory tests in rheumatic disease are nonspecific and include those based on the formation of autoantibodies. Rheumatoid factor assays actually are of little diagnostic help in rheumatoid arthritis, but antin...

journal_title：Postgraduate medicine

authors： Bluestone R

更新日期：1979-03-01 00:00:00

abstract：:The diagnostic survey of the infertile couple usually takes about three months. After semen analysis, the husband is referred for general and urologic examination. The wife is given a general physical and pelvic examination and returns during the next two months for ovulation studies. Tubal patency tests are also perf...

journal_title：Postgraduate medicine

authors： Cohen MR

更新日期：1977-10-01 00:00:00

abstract：:A general guideline to successful treatment of headache focuses on a diagnosis that satisfies both physician and patient. Thorough history taking, patient and family education, aggressive approaches, and careful follow-up help patients reach therapeutic goals. Successful long-term therapy for headache enables patients...

journal_title：Postgraduate medicine

authors： Jackson CM

更新日期：1998-11-01 00:00:00

abstract：:Lactose intolerance is a common condition that can cause nonspecific gastrointestinal symptoms. A reliable diagnosis cannot be made on the basis of the patient's history. The breath hydrogen test is simple, noninvasive, accurate, and inexpensive and is the diagnostic method of choice. In addition to traditional dietar...

journal_title：Postgraduate medicine

authors： Montes RG,Perman JA

更新日期：1991-06-01 00:00:00

abstract：:Evidence indicates that preventive healthcare in childhood reduces healthcare costs and enhances health. Physicians can assume a leadership role in promoting children's health by incorporating health promotion measures into their everyday practice, serving as resource persons or leaders in community and school efforts...

journal_title：Postgraduate medicine

authors： Fletcher DJ,Nelson JH,Nelson NE

更新日期：1987-04-01 00:00:00

abstract：:To our knowledge, this is the first reported case of primary Pseudomonas maltophilia pneumonia. Presenting symptoms were fever and chills of two days' duration and a density in the right upper lobe. Sputum culture showed normal flora, and multiple blood cultures were negative. Antibiotic therapy initially with penicil...

journal_title：Postgraduate medicine

authors： Sarkar TK,Gilardi G,Aguam AS,Josephson J,Leventhal GL

更新日期：1979-02-01 00:00:00

abstract：BACKGROUND:In October 2012, the American College of Rheumatology (ACR) published recommendations for chronic gout treatment goals and pharmacotherapy. OBJECTIVES:Identify potential gaps between real-world chronic gout treatment, ACR guideline recommendations, and physicians' perceived guideline adherence by evaluating...

journal_title：Postgraduate medicine

authors： Oderda GM,Shiozawa A,Walsh M,Hess K,Brixner DI,Feehan M,Akhras K

更新日期：2014-05-01 00:00:00

abstract：:Findings from 441 patient evaluations performed at the Taste and Smell Clinic of the Connecticut Chemosensory Clinical Research Center are presented. Taste and smell dysfunction was the chief complaint in all patients. The diagnostic approach included tests of taste and smell function; history taking; physical, neurol...

journal_title：Postgraduate medicine

authors： Goodspeed RB,Gent JF,Catalanotto FA

更新日期：1987-01-01 00:00:00

abstract：:Preview Few people can say they have never experienced some form of pressure-related changes while flying. Although uncommon on commercial flights, severe middle ear blocks do occur. Drawing from his experience treating military pilots, Dr Brown discusses the causes of barotrauma, steps that airline passengers can tak...

journal_title：Postgraduate medicine

authors： Brown TP

更新日期：1994-08-01 00:00:00

abstract：:Diagnostic paracentesis with ascitic fluid analysis is critical to the accurate diagnosis and management of ascites. Recent advances have improved the evaluation of ascitic fluid, among them the serum-ascites albumin difference for discriminating between ascites caused by liver disease and ascites due to malignancy. T...

journal_title：Postgraduate medicine

authors： Marshall JB

更新日期：1988-06-01 00:00:00

abstract：:When ascites is the presenting symptom and the underlying disease is not apparent, the physician must be aware of the various diseases that may be associated with the accumulation of serous fluid in the abdominal cavity and the various approaches that are available to aid in the differential diagnosis. ...

journal_title：Postgraduate medicine

authors： Wortzel EM,Rogers AI

更新日期：1977-05-01 00:00:00

abstract：:Knee and elbow injuries are seen frequently by the primary care physician and require prompt and careful treatment in order to prevent infection, preserve joint function, and avoid scarring. A thorough history and physical examination help to rule out more significant damage to the related joint, nerves, or tendons. I...

journal_title：Postgraduate medicine

authors： Stevenson TR,Smith DJ Jr

更新日期：1989-04-01 00:00:00

abstract：:Infective endocarditis refers to infection of the endocardium or heart valves by microbes, resulting in tissue destruction. Clinical presentation is quite variable, and a high level of suspicion is essential for recognition. Diagnosis is dependent on identification of the causative agent in blood cultures. Cultures th...

journal_title：Postgraduate medicine

authors： Nunley DL,Perlman PE

更新日期：1993-04-01 00:00:00

abstract：:Chronic kidney disease (CKD) is a frequent complication of type 2 diabetes mellitus (T2DM) and is associated with poor clinical outcomes, including an increased risk of all-cause and cardiovascular mortality, as well as adverse economic and social effects. Slowing the development and progression of CKD remains an unme...

journal_title：Postgraduate medicine

authors： Davidson JA

更新日期：2019-05-01 00:00:00

abstract：:Hypertension in diabetic patients must be treated aggressively if patients are to benefit from reduced risk of morbidity and mortality. Diabetes itself must be diagnosed promptly, particularly in at-risk patients, so appropriate lifestyle modifications can be made at the earliest opportunity. Although this may reduce ...

journal_title：Postgraduate medicine

authors： Sowers JR,Williams M,Epstein M,Bakris G

更新日期：2000-04-01 00:00:00

abstract：:Sjögren's syndrome is a chronic, systemic, autoimmune inflammatory disorder characterized by lymphocytic infiltration of exocrine glands, most notably the salivary and lacrimal glands. It results in loss of functional epithelium, diminished exocrine function, and gradual onset of dryness of the eyes, mouth, and other ...

journal_title：Postgraduate medicine

authors： Derk CT,Vivino FB

更新日期：2004-09-01 00:00:00

abstract：:The practitioner plays an important role in providing guidance for exercise. Physical activity is one component of a life-style aimed at enhancing the health of the individual. When entered into with appropriate understanding and with reasonable expectations and goals, exercise can also be a major source of enjoyment....

journal_title：Postgraduate medicine

authors： Smith LK

更新日期：1988-01-01 00:00:00

abstract：:Lyme disease can be difficult to recognize because not all patients have erythema migrans or other classic symptoms. Therefore, laboratory testing has become an important aid to clinical diagnosis. But the story doesn't end there-serologic testing presents another set of problems and concerns. Drs. Still and Ryan expl...

journal_title：Postgraduate medicine

authors： Still MM,Ryan ME

更新日期：1997-07-01 00:00:00

abstract：:Syndromes of delusional misidentification consist of disordered familiarity and have been reported in diverse diagnoses, including Parkinson's disease. Although the most common delusional misidentification is Capgras syndrome, in which the sufferer believes a familiar person has been replaced by an identical imposter,...

journal_title：Postgraduate medicine

authors： Hermanowicz N

更新日期：2018-03-01 00:00:00

abstract：:Solid organ transplantation is now the standard of care for end-stage organ failure, and primary care physicians are frequently involved in the follow-up care of transplant recipients. New-onset diabetes mellitus after solid organ transplantation (NODAT) has emerged as an increasingly important determinant of outcomes...

journal_title：Postgraduate medicine

authors： Reynolds LR,Tannock LR

更新日期：2008-07-01 00:00:00

abstract：:Most patients with community-acquired pneumonia are treated as outpatients, and choice of therapy is usually empirical because the etiologic agent is unknown. Therapy should include coverage for both typical and atypical organisms. In geographic areas with highly resistant S pneumoniae, one of the newer fluoroquinolon...

journal_title：Postgraduate medicine

authors： Farber MO

更新日期：1999-04-01 00:00:00

abstract：:The cutaneous manifestations of systemic diseases are diverse. In some cases, they are the first signs of an underlying disorder, such as Cowden's disease, dermatomyositis, and Lyme disease. Sister Mary Joseph's nodule (metastatic involvement of the umbilicus) is an ominous sign of internal malignant disease. Drug-ind...

journal_title：Postgraduate medicine

authors： Holmes CE,Massa MC

更新日期：1994-12-01 00:00:00

abstract：:Common dislocations that can usually be managed in the office include anterior dislocations of the shoulder, posterior dislocations of the elbow and joints of the fingers and toes, and lateral dislocations of the patella. A systematic approach based on an understanding of the mechanism of injury, roentgenographic docu...

journal_title：Postgraduate medicine

authors： Huffer JM

更新日期：1977-11-01 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：:Primary care physicians play a pivotal role in the early identification of patients with COPD. Early diagnosis, along with aggressive intervention, is the only way that the increasing morbidity and mortality of COPD can be reversed. Any patient with a history of smoking should undergo evaluation for the possibility of...

journal_title：Postgraduate medicine

authors： Doherty DE

更新日期：2002-06-01 00:00:00

abstract：:Anemia is one of the consistent findings with inflammation. Whether the anemia is helpful or harmful in the general context of the illness is unclear. It may be recognized by demonstration of iron-deficient erythropoiesis due to an internal block in iron supply. Only when its severity is disproportionate to the severi...

journal_title：Postgraduate medicine

authors： Finch CA

更新日期：1978-10-01 00:00:00

abstract：:Evaluation of the suicidal patient involves careful consideration of risk factors, including attention to subtle clues from the history, and mental status examination. The most urgent decision for the physician to make is whether or not to insist on hospitalization. If the need for inpatient care is uncertain, a "no s...

journal_title：Postgraduate medicine

authors： Smith CW Jr,Bope ET

更新日期：1986-06-01 00:00:00

abstract：:Preview Although the early symptoms of Parkinson's disease can be ameliorated, the illness is relentlessly progressive. Studies have therefore been conducted in hopes of finding therapy to delay its disabling course. In this article, Dr Ahlskog examines recent proposals and their application in cases of early and adva...

journal_title：Postgraduate medicine

authors： Ahlskog JE

更新日期：1994-05-01 00:00:00