Acute pancreatitis: diagnosis and management.

Abstract:

:Acute pancreatitis is a clinical syndrome characterized by midepigastric pain, nausea and vomiting. Numerous etiologies have been linked with this entity, principally alcoholism and biliary disease. Once the clinical suspicion of pancreatitis is confirmed, supportive therapy with intravenous hydration and close observation is effective in the vast majority of patients. Lack of improvement may indicate the need to search for a local complication such as pseudocyst or abscess. Fine-needle aspiration of suspected infected collections should be performed under computed tomographic guidance. Surgical intervention may be required if infection is confirmed. Evidence of the systemic complications of pancreatitis mandates intensive care monitoring.

journal_name

Am Fam Physician

authors

Gupta PK,al-Kawas FH

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

435-43

issue

2

eissn

0002-838X

issn

1532-0650

journal_volume

52

pub_type

杂志文章,评审
  • Health Literacy in Primary Care Practice.

    abstract::Health literacy includes a set of skills needed to make appropriate health decisions and successfully navigate the health care system. These skills include reading, writing, numeracy, communication, and, increasingly, the use of electronic technology. National data indicate that more than one-third of U.S. adults have...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Hersh L,Salzman B,Snyderman D

    更新日期:2015-07-15 00:00:00

  • Early detection and treatment of skin cancer.

    abstract::The incidence of skin cancer is increasing by epidemic proportions. Basal cell cancer remains the most common skin neoplasm, and simple excision is generally curative. Squamous cell cancers may be preceded by actinic keratoses-premalignant lesions that are treated with cryotherapy, excision, curettage or topical 5-flu...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Jerant AF,Johnson JT,Sheridan CD,Caffrey TJ

    更新日期:2000-07-15 00:00:00

  • Sarcoidosis.

    abstract::Sarcoidosis is a systemic granulomatous disease of unknown cause affecting young and middle-aged adults. Patients commonly present with bilateral hilar lymphadenopathy, pulmonary infiltrates, and ocular and skin lesions. The heart, liver,spleen, salivary glands, muscles,bones, kidneys, and central nervous system also ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Wu JJ,Schiff KR

    更新日期:2004-07-15 00:00:00

  • Urine drug screening: a valuable office procedure.

    abstract::Urine drug screening can enhance workplace safety, monitor medication compliance, and detect drug abuse. Ordering and interpreting these tests requires an understanding of testing modalities, detection times for specific drugs, and common explanations for false-positive and false-negative results. Employment screening...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Standridge JB,Adams SM,Zotos AP

    更新日期:2010-03-01 00:00:00

  • Outpatient management of schizophrenia.

    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:

    authors: Martin RL

    更新日期:1991-03-01 00:00:00

  • Basic upper extremity orthotics.

    abstract::Improved hand function after injury or disease is achieved by increasing joint mobility, muscle strength and coordination, while reducing edema and pain. Static and dynamic orthoses assist in correcting deformities, provide strengthening activities and maintain a functional hand position. Many orthotic appliances are ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Delisa JA,Greenberg S

    更新日期:1981-08-01 00:00:00

  • How to help your patients stop smoking.

    abstract::Family physicians can effectively help their patients stop smoking by using brief intervention and simple office organizational procedures. Intervention involves asking all patients about smoking, advising smokers to stop, assisting with self-help materials, establishing a date for quitting, possibly prescribing nicot...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Husten CG,Manley MW

    更新日期:1990-10-01 00:00:00

  • Management of chronic tendon injuries.

    abstract::Chronic tendon injuries present unique management challenges. The assumption that these injuries result from ongoing inflammation has caused physicians to rely on treatments demonstrated to be ineffective in the long term. Nonsteroidal anti-inflammatory drugs should be limited in the treatment of these injuries. Corti...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Childress MA,Beutler A

    更新日期:2013-04-01 00:00:00

  • The mattress sutures: vertical, horizontal, and corner stitch.

    abstract::The interrupted vertical and horizontal mattress suture techniques are two of the most commonly used skin closure methods. These mattress sutures promote wound edge eversion and less prominent scarring. Vertical and horizontal mattress sutures allow for skin edges to be closed under tension when wound edges have to be...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Zuber TJ

    更新日期:2002-12-15 00:00:00

  • Endoscopic papillotomy.

    abstract::Despite an 80 to 90 percent success rate in removing common bile duct stones, this technique has yet to receive universal acceptance in the United States. Originally developed for retained or newly formed common bile duct stones in patients with previous cholecystectomy, the procedure is now also used to remove common...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Kozarek RA,Sanowski RA

    更新日期:1981-03-01 00:00:00

  • Culture and antigen detection tests for streptococcal tonsillopharyngitis.

    abstract::A throat culture is necessary for accurate diagnosis of group A beta-hemolytic streptococcal tonsillopharyngitis. The use of penicillin therapy in every patient with sore throat results in overtreatment of 85 percent of children and 95 percent of adults presenting to family physicians with the complaint of sore throat...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Pichichero ME

    更新日期:1992-01-01 00:00:00

  • Induction of labor.

    abstract::Labor is induced if pregnancy must be completed before the onset of spontaneous labor, usually for reasons of maternal illness, fetal distress or, most commonly, prolonged pregnancy. Although various mechanical methods are available for labor induction, pharmacologic methods are more commonly used. Oxytocin is the sta...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Reilly KE

    更新日期:1994-05-01 00:00:00

  • Diagnosis and management of acute bronchitis.

    abstract::Acute bronchitis is one of the top 10 conditions for which patients seek medical care. Physicians show considerable variability in describing the signs and symptoms necessary to its diagnosis. Because acute bronchitis most often has a viral cause, symptomatic treatment with protussives, antitussives, or bronchodilator...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Knutson D,Braun C

    更新日期:2002-05-15 00:00:00

  • Marine envenomations and aquatic dermatology.

    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:

    authors: Soppe GG

    更新日期:1989-08-01 00:00:00

  • Recurrent venous thromboembolism.

    abstract::A previous venous thromboembolism is the most important risk factor for predicting recurrence of the condition. Several studies have shown that routine testing for inherited thrombophilias is not helpful in predicting the risk of recurrence or altering treatment decisions, and therefore is not cost-effective. Updated ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Galioto NJ,Danley DL,Van Maanen RJ

    更新日期:2011-02-01 00:00:00

  • Chlamydial cervicitis: complications and new treatment options.

    abstract::Chlamydial cervicitis has the potential for serious gynecologic complications, including pelvic inflammatory disease, infertility and ectopic pregnancy. In the pregnant patient, this infection is associated with premature rupture of membranes and increased fetal morbidity and mortality. In addition, infants infected b...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Majeroni BA

    更新日期:1994-06-01 00:00:00

  • Vaginal birth after cesarean delivery.

    abstract::The safety of vaginal birth after cesarean (VBAC) delivery has been documented. Fetal and neonatal morbidity is not increased, and the mortality rate is less than one in 2,000 deliveries. Maternal morbidity and mortality rates for VBAC delivery are significantly lower than those for repeat cesarean section. Family phy...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Haq CL

    更新日期:1988-06-01 00:00:00

  • Surgical options in the management of groin hernias.

    abstract::Inguinal and femoral hernias are the most common conditions for which primary care physicians refer patients for surgical management. Hernias usually present as swelling accompanied by pain or a dragging sensation in the groin. Most hernias can be diagnosed based on the history and clinical examination, but ultrasonog...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Bax T,Sheppard BC,Crass RA

    更新日期:1999-01-01 00:00:00

  • FPIN's Clinical Inquiries. Aspirin use in children for fever or viral syndromes.

    abstract::Aspirin should not be used to treat acute febrile viral illness in children. (Strength of Recommendation [SOR]: C, based on case-control studies). Although no causal link has been proven, data from case-control and historic cohort studies demonstrate an association between aspirin use and Reye syndrome. The risk of Re...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Beutler AI,Chesnut GT,Mattingly JC,Jamieson B

    更新日期:2009-12-15 00:00:00

  • Upper extremity bursitis.

    abstract::Upper extremity bursae are injured through a number of processes, including overuse, hemorrhage, crystal deposition, autoimmune diseases and infection. These injuries may be disabling and can pose significant diagnostic and therapeutic challenges for the clinician. Treatment of the most common forms is directed at pai...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Salzman KL,Lillegard WA,Butcher JD

    更新日期:1997-11-01 00:00:00

  • Posterior mediastinal masses in children: ganglioneuroblastoma.

    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:

    authors: Rivitz SM,Deluca SA

    更新日期:1992-03-01 00:00:00

  • Management of falls in older persons: a prescription for prevention.

    abstract::Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. An individualized risk asse...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Moncada LV

    更新日期:2011-12-01 00:00:00

  • Essentials of skin laceration repair.

    abstract::Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner) sutures. Although suturing is t...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Forsch RT

    更新日期:2008-10-15 00:00:00

  • Senile dementia of the Binswanger's type.

    abstract::Senile dementia of the Binswanger's type is a term used to describe a dementia syndrome characterized by onset in the sixth or seventh decade of life, subcortical neurologic deficits, psychiatric disorders and evidence of hypertension or systemic vascular disease. The status of senile dementia of the Binswanger's type...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Olsen CG,Clasen ME

    更新日期:1998-12-01 00:00:00

  • Current concepts of digit replantation.

    abstract::Amputated or devascularized digits should be appropriately cooled as quickly as possible. The injured extremity is dressed, splinted and elevated. Careful selection of patients for replantation has yielded satisfying results to both patients and surgeons. Replantation is indicated for a thumb or multiple-digit amputat...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Moore JR,Weiland AJ

    更新日期:1981-07-01 00:00:00

  • Diagnosis of stridor in children.

    abstract::Stridor is a sign of upper airway obstruction. In children, laryngomalacia is the most common cause of chronic stridor, while croup is the most common cause of acute stridor. Generally, an inspiratory stridor suggests airway obstruction above the glottis while an expiratory stridor is indicative of obstruction in the ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Leung AK,Cho H

    更新日期:1999-11-15 00:00:00

  • Neonatal septicemia due to Pseudomonas aeruginosa.

    abstract::Group B streptococci and Escherichia coli are the most frequently isolated etiologic agents in neonatal septicemia. Neonatal infection that is caused by Pseudomonas aeruginosa is usually late in onset, nosocomial in origin and epidemic in pattern. However, P. aeruginosa must be considered in all neonatal infections, r...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Barton LL,Lustig RH,Fong CT,Walentik CA

    更新日期:1986-03-01 00:00:00

  • Management of genital herpes.

    abstract::Genital herpes affects over 30 million persons in the United States. Genital herpes has three distinct presenting syndromes, depending on the patient's immune status with regard to the herpes simplex virus. Current diagnostic strategy relies on clinical findings and the selective use of viral culture. Acyclovir is the...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Clark JL,Tatum NO,Noble SL

    更新日期:1995-01-01 00:00:00

  • Differentiating inflammatory breast cancer from acute mastitis.

    abstract::Inflammatory breast cancer is a devastating disease with an extremely high rate of morbidity and mortality. Differentiating this disease from acute mastitis may be difficult on initial diagnosis. The expeditious diagnosis and treatment of inflammatory breast cancer has important ramifications for the patient's prognos...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Dahlbeck SW,Donnelly JF,Theriault RL

    更新日期:1995-09-01 00:00:00

  • Constipation in childhood.

    abstract::Most commonly, constipation in the infant is functional, with increased tone of colonic smooth muscle. Hirschsprung's disease is the best known of the infrequent organic causes. Treatment includes reassurance of parents, use of sugars, fluids and bulk and care of fissures. Voluntary stool withholding occurs in older c...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Olney L

    更新日期:1976-03-01 00:00:00