Viral infections in the elderly. The challenges of managing herpes zoster, influenza, and RSV.


:Viral diseases are an important cause of morbidity and mortality in elderly patients, whether they live in the community or in long-term care facilities. Management of viral infections in older adults is complicated by factors that include the infrequency or absence of common signs and symptoms of infection and adverse drug reactions. In this article, Drs Bader and McKinsey discuss the clinical features and treatment of herpes zoster and the respiratory diseases caused by influenza and respiratory syncytial virus (RSV).


Postgrad Med


Postgraduate medicine


Bader MS,McKinsey DS




Has Abstract


2005-11-01 00:00:00


45-8, 51-4










  • Pain management in primary care: strategies to mitigate opioid misuse, abuse, and diversion.

    abstract::Pain is among the most common reasons patients seek medical attention, and the care of patients with pain is a significant problem in the United States. Acute pain (mild-to-moderate intensity) represents one of the most frequent complaints encountered by primary care physicians (PCPs) and accounts for nearly half of p...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: McCarberg BH

    更新日期:2011-03-01 00:00:00

  • Cluster headache syndrome. Ways to abort or ward off attacks.

    abstract::Cluster headache is a syndrome of severe head and facial pain accompanied by autonomic abnormalities. Men are affected more frequently than women. Headaches occur daily during periods of susceptibility, which may be followed by periods of remission. The etiology of cluster headache is uncertain. Recent work suggests t...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Marks DR,Rapoport AM

    更新日期:1992-02-15 00:00:00

  • Diabetes in pregnancy. No longer a barrier to successful outcome.

    abstract::There are three key goals in current management of the diabetic pregnancy. Normal diabetes control before conception and during the first trimester in an attempt to reduce the incidence of congenital abnormalities. This implies that all diabetic women of childbearing age should have counseling before pregnancy. Routin...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Hollander P,Maeder EC Jr

    更新日期:1985-02-01 00:00:00

  • Drug-induced jaundice. An uncommon but puzzling reaction.

    abstract::Drug-induced jaundice is relatively uncommon but can be a diagnostic puzzle. Because so many pharmaceutical classes and individual agents can produce jaundice, a thorough history of medications taken should be obtained from a patient presenting with jaundice. Jaundice usually resolves when the offending agent is disco...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Garabedian-Ruffalo SM,Ruffalo RL

    更新日期:1988-10-01 00:00:00

  • Skin signs of systemic disease. When the problem is more than skin-deep.

    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

    pub_type: 杂志文章,评审


    authors: Holmes CE,Massa MC

    更新日期:1994-12-01 00:00:00

  • Weight considerations in psychotropic drug prescribing and switching.

    abstract::Our review describes potential weight-altering effects of psychotropic medications (antipsychotics, antidepressants, anti-anxiety medications, mood stabilizers, sedative-hypnotics, medications for attention-deficit/hyperactivity disorder, and other psychotropic medications) and offers guidance on switching a medicatio...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Hasnain M,Vieweg WV

    更新日期:2013-09-01 00:00:00

  • Patient compliance to antibiotic regimens. A simple method of evaluation.

    abstract::Clinicians are often perplexed by patients with bacterial infection who are not responding to oral antibiotic therapy. Since most of the commonly used antibiotics are excreted in the urine, inhibitory activity of urine against susceptible organisms can be used as a measure of patient compliance. To assess the reliabil...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Kumar A,Nankervis GA

    更新日期:1979-03-01 00:00:00

  • Diagnosis and therapy of acute and chronic diarrhea.

    abstract::Many patients who present with acute or chronic diarrhea do not have an important organic disease. Most have functional diarrhea. The history, clinical examination, and initial laboratory studies should lead to a provisional diagnosis with respect to organic or functional origin and help define whether the disease aff...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Bruckstein AH

    更新日期:1989-12-01 00:00:00

  • Outpatient management of inflammatory bowel disease. Let's keep it as simple as possible.

    abstract::Inflammatory bowel disease is a conglomeration of disorders of unclear etiology and pathogenesis. Confirming the diagnosis of active disease may be difficult but is critical to judicious therapy. Sulfasalazine (Azulfidine) and its newer derivatives mesalamine (Asacol, Rowasa) and olsalazine sodium (Dipentum) are used ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Butt JH

    更新日期:1992-11-01 00:00:00

  • The solitary pulmonary nodule. An aggressive workup.

    abstract::The solitary pulmonary nodule observed on chest films should be pursued aggressively, usually by means of tissue study, since the clinical and roentgenographic characteristics of the nodule are often misleading and do not permit a reliable diagnosis. A decision to follow a patient without definitive tissue study shoul...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Meyer TJ

    更新日期:1983-03-01 00:00:00

  • Nonmelanoma skin cancer. Risks, treatment options, and tips on prevention.

    abstract::The incidence of nonmelanoma skin cancer is rapidly increasing. With early diagnosis and treatment, almost all basal cell and squamous cell carcinomas can be cured. Premalignant actinic keratoses are treated with cryosurgery; the CO2 laser is the treatment of choice for actinic cheilitis. Generally, nonmelanoma skin c...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Kibarian MA,Hruza GJ

    更新日期:1995-12-01 00:00:00

  • Bacterial or viral meningitis? Measuring lactate in CSF can help you know quickly.

    abstract::Measurement of cerebrospinal fluid (CSF) lactate is a useful test when properly applied to the appropriate clinical situation and can offer information other CSF parameters cannot provide. Except for Gram's stain of CSF, lactate level is the most important CSF parameter in the early differentiation of viral (aseptic) ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Bailey EM,Domenico P,Cunha BA

    更新日期:1990-10-01 00:00:00

  • Diagnosis and management of nasal congestion: the role of intranasal corticosteroids.

    abstract::Nasal congestion is considered the most bothersome of allergic rhinitis (AR) symptoms and can significantly impair ability to function at work, home, and school. Effective management of AR-related nasal congestion depends on accurate diagnosis and appropriate treatment. Many individuals with AR and AR-related congesti...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Benninger M

    更新日期:2009-01-01 00:00:00

  • Febrile convulsions. How dangerous are they?

    abstract::Febrile convulsions affect about 1 child in 30. Most of these children have a good outcome with no sequelae and do not require prophylactic medication. Differential diagnosis should include meningitis, epilepsy, hypoglycemia, and encephalopathies and other central nervous system disorders. Children with a high risk fo...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Leung AK,Robson WL

    更新日期:1991-04-01 00:00:00

  • Modulation of the gut microbiota: a focus on treatments for irritable bowel syndrome.

    abstract::Irritable bowel syndrome (IBS), which is characterized by recurrent abdominal pain and disordered bowel habits, is one of the most common functional bowel disorders. IBS is a substantial burden on both patient health-related quality of life and healthcare costs. Several pathophysiologic mechanisms have been postulated...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Harris LA,Baffy N

    更新日期:2017-11-01 00:00:00

  • Combination treatment with atorvastatin plus niacin provides effective control of complex dyslipidemias: a literature review.

    abstract::Patients with dyslipidemia receive a cardiovascular benefit from lowering low-density lipoprotein cholesterol (LDL-C). Atorvastatin is currently one of the most effective approved medications for lowering LDL-C, and has been shown to significantly reduce cardiovascular risk in many patient groups. However, even with s...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: McKenney JM

    更新日期:2012-01-01 00:00:00

  • HPV and cervical cancer: updates on an established relationship.

    abstract::Despite cervical cancer being considered a preventable disease, it still remains the second most common malignancy in women worldwide, with a higher incidence in underdeveloped countries. Human papillomavirus (HPV) is considered the causative agent of cervical cancer. The major mechanisms through which HPV contributes...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Subramanya D,Grivas PD

    更新日期:2008-11-01 00:00:00

  • The additive effects of smoking and hypertension. More reasons to help your patients kick the habit.

    abstract::Although the link between cigarette smoking and its cardiovascular effects is well established, the mechanisms through which smoking raises blood pressure remain to be clarified. Possible mechanisms include nicotine-induced peripheral and central sympathetic nervous system stimulation, persisting levels of nicotine in...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Kochar MS,Bindra RS

    更新日期:1996-11-01 00:00:00

  • Essential echocardiographic evaluation in patients with suspected pulmonary hypertension: an overview for the practicing physician.

    abstract::Prompt and accurate diagnosis of patients presenting with symptoms suggestive of pulmonary arterial hypertension (PAH) is of outmost importance as delays in identifying this clinical entity have detrimental effects on both morbidity and mortality. Initial noninvasive assessment of these patients has traditionally incl...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Vargas PE,Lopez-Candales A

    更新日期:2016-01-01 00:00:00

  • Measles in young adults. The case for vigorous pursuit of immunization.

    abstract::Although the incidence of measles has reached record low levels in the United States, measles continues to occur in young adults. No single public health measure can ensure immunity for young adults, as school immunization laws do for young children. Therefore, to eliminate measles in this age-group, clinicians must t...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Amler RW,Orenstein WA

    更新日期:1985-01-01 00:00:00

  • Evidence-based therapy for type 2 diabetes. The best and worst of times.

    abstract::Type 2 diabetes, which is increasing in prevalence, is a multifaceted disease that presents a challenge to the primary care physician. In this article, Drs Flemmer and Vinik review the significant findings of several important clinical trials and present a method of comprehensive staged management to improve the quali...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Flemmer MC,Vinik AI

    更新日期:2000-05-01 00:00:00

  • Bulimia nervosa. Uncovering a secret disorder.

    abstract::Bulimia nervosa is a common eating disorder among women. Sociocultural and interpersonal pressures are thought to be highly influential in the development of the syndrome. An association with depression has also been suggested. Recognizing bulimia nervosa is usually difficult, because patients are hesitant to reveal t...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Fitzgerald BA,Wright JH,Atala KD

    更新日期:1988-08-01 00:00:00

  • Peripheral neuropathy in patients with chronic renal failure. A treatable source of discomfort and disability.

    abstract::Uremic polyneuropathy occurs in about half of patients undergoing dialysis and is characterized by axonal degeneration with secondary segmental demyelination. Hemodialysis or peritoneal dialysis halts the progress of polyneuropathy but usually does not bring improvement. However, improvement invariably occurs with suc...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Pirzada NA,Morgenlander JC

    更新日期:1997-10-01 00:00:00

  • Managing highly insulin-resistant diabetes mellitus: weight loss approaches and medical management.

    abstract::The prevalence of obesity and diabetes is epidemic. Severe insulin resistance (defined as the need for > or = 200 units of insulin per day to achieve glycemic control) is commonly seen with obesity and can complicate diabetes management. The management of patients with diabetes who have severe insulin resistance is di...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Brown A,Desai M,Taneja D,Tannock LR

    更新日期:2010-01-01 00:00:00

  • Pulmonary thromboembolism. 1. Current concepts in pathogenesis and diagnosis.

    abstract::Thrombosis results from the dynamic interaction of venous stasis, hypercoagulability, and endothelial injury. Protection against thrombosis may be lost if there is deficiency of any of the factors that mediate platelet deaggregation, block fibrin deposition, or initiate fibrinolysis. A thrombus lodged in the pulmonary...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Giudice JC,Komansky HJ,Gordon R

    更新日期:1980-05-01 00:00:00

  • Occlusive peripheral arterial disease. Guidelines for office management.

    abstract::Occlusive peripheral arterial disease is rather easy to diagnose because of its characteristic symptoms and the ease with which the extremities and their circulation can be examined. Elevation and dependency tests give a rough but reliable estimate of the degree of ischemia, and if more objective data are desired, the...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Spittell JA Jr

    更新日期:1982-02-01 00:00:00

  • Cutaneous clues to systemic disease.

    abstract::Scleroderma, psoriasis, lichen planus, and other skin disorders may signal a more serious internal disease. Physicians who recognize such clues can initiate early treatment while disease is in its early stages. The authors of this article describe several of the more common dermatologic conditions linked to systemic d...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Kirsner RS,Federman DG

    更新日期:1997-06-01 00:00:00

  • Dose selection and dosing interval determination for LTRA use in asthma.

    abstract::The dose and dosing interval for leukotriene receptor antagonists montelukast and zafirlukast in adult asthmatic patients were determined by bronchoprovocation with exercise or leukotriene D4 inhalation. Subsequent dose-ranging studies confirmed that once-daily ingestion of a 10-mg dose of montelukast was effective an...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章


    authors: Hendeles L

    更新日期:2000-09-15 00:00:00

  • Beta-adrenergic mechanisms during severe myocardial ischemia and evolving infarction.

    abstract::Severe myocardial ischemia and infarction cause release of catecholamines, with exposure of injured myocardial cells to relatively high concentrations during the transitional period in which myocyte injury worsens. In experimental animals, the number of beta-adrenergic receptors increases markedly without any change i...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Willerson JT,Buja LM

    更新日期:1988-02-29 00:00:00

  • Is electroconvulsive therapy safe?

    abstract::Electroconvulsive therapy is controversial and readily arouses the passions of both its supporters and detractors. In this article, Dr Schoen, an internist, discusses various aspects of this 50-year-old technique, including risks, contraindications, and physiologic effects. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审


    authors: Schoen RE

    更新日期:1990-05-01 00:00:00