Fever of unknown origin. A strategic approach to this diagnostic dilemma.

abstract：:Pelvic inflammatory disease (PID) is a common infection in women of reproductive age. PID is actually a spectrum of disease, beginning with cervicitis and progressing to endometritis and eventually salpingitis. Sequelae include ectopic pregnancy, infertility, chronic pelvic pain, hydrosalpinx, and tubo-ovarian abscess...

journal_title：Postgraduate medicine

authors： Ault KA,Faro S

更新日期：1993-02-01 00:00:00

abstract：:Preview New information emerges almost weekly about the relative importance of one factor or another in the development of coronary artery disease. Yet controversies continue over which factor deserves the most emphasis. Dr Elliott presents a broad and, at times, humorous look at research into cardiovascular risk fact...

journal_title：Postgraduate medicine

authors： Elliott WJ

更新日期：1994-09-01 00:00:00

abstract：:This article reviews the definition, mechanisms, epidemiology, and clinical sequelae of the metabolic syndrome and explores potential relationships between the metabolic syndrome, type 2 diabetes, and cardiovascular disease. Definitions for the metabolic syndrome proposed by the World Health Organization and the Natio...

journal_title：Postgraduate medicine

authors：

更新日期：2003-12-01 00:00:00

abstract：:The maximal exercise stress test continues to be an important diagnostic and prognostic tool in the primary care office setting. But are you getting the most accurate information possible? Drs Driggers and Marchant discuss several factors that are crucial to the test's validity--and thus to its usefulness in your clin...

journal_title：Postgraduate medicine

authors： Driggers DA,Marchant D

更新日期：1999-05-01 00:00:00

abstract：:Human sexuality is a lifelong process with biologic, psychosocial, and moral consequences. During adolescence, coping with sexual feelings and controlling sexual drive become urgent tasks that are made more difficult by today's society. Recent studies document a dramatic increase in the frequency of sexual activity am...

journal_title：Postgraduate medicine

authors： Shen JT

更新日期：1982-04-01 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：:A patient's history usually contains key information regarding the type of dizziness and the best way to direct diagnostic workup. In dizziness with a vestibular cause (benign positional vertigo, vestibular neuritis, Meniere's disease, migraine, vertebrobasilar insufficiency), patients often describe their world as sp...

journal_title：Postgraduate medicine

authors： Baloh RW

更新日期：1999-02-01 00:00:00

abstract：:In the fast-paced setting of primary care, it is difficult to detect psychiatric disorders, especially the more subtle disorders, such as minor depression and dysthymia. In cases of dysthymia, in particular, the patients themselves may not even have a sense that anything medically treatable is wrong; they feel as thou...

journal_title：Postgraduate medicine

authors： David AK

更新日期：2003-11-01 00:00:00

abstract：:Human growth and development are a continuum starting at conception. Prenatal growth can only be estimated at present but is an important consideration in an evaluation of a child's developmental status. Postnatal growth can be assessed for size attained (distance curve) or change over time (velocity curve). Velocity ...

journal_title：Postgraduate medicine

authors： Falkner F

更新日期：1977-12-01 00:00:00

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

authors： McKenney JM

更新日期：2012-01-01 00:00:00

abstract：:The use of opioids for patients with chronic noncancer pain has increased dramatically, and with increasing use there is increasing concern about the potential for abuse and addiction during long-term treatment. Clinicians should avoid viewing formal or subjective risk assessment as a means of classifying patients int...

journal_title：Postgraduate medicine

authors： Gordon A,Cone EJ,DePriest AZ,Axford-Gatley RA,Passik SD

更新日期：2014-09-01 00:00:00

abstract：:The complexity of coding in the auditory nerve makes it unlikely that a prosthesis for deaf persons can exactly duplicate the normal function of the ear. With recent advances, however, cochlear prostheses can perform some of the frequency-analysis functions of the normal ear. Cochlear prostheses are effective aids to ...

journal_title：Postgraduate medicine

authors： Farrar CL,Mangham CA Jr,Kuprenas SV

更新日期：1984-11-15 00:00:00

abstract：:Most changes that occur in the aging face are related to gravity working on skin that is becoming progressively thinner, drier, and less elastic. Exposure to sunlight hastens these changes, and protection from the sun is the only proved way to delay them. Dermabrasion, chemabrasion, and collagen implant (Zyderm) injec...

journal_title：Postgraduate medicine

authors： Larrabee WF Jr,Caro I

更新日期：1984-11-15 00:00:00

abstract：:What clinical circumstances call for aggressive treatment of jaundice in newborns? Is cessation of breast-feeding necessary to help bring down the high bilirubin concentration? When should phototherapy be started--and stopped? The authors address these and other questions in this thorough guide to differential diagnos...

journal_title：Postgraduate medicine

authors： Lasker MR,Holzman IR

更新日期：1996-03-01 00:00:00

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

authors： Leung AK,Robson WL

更新日期：1991-04-01 00:00:00

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

authors： Pirzada NA,Morgenlander JC

更新日期：1997-10-01 00:00:00

abstract：:Although a great deal of investigation has led to some novel approaches in treating primary sclerosing cholangitis (PSC) and primary biliary cirrhosis (PBC), no method has been proven to definitively alter the long-term outcome of either disease. In addition, many of the medical regimens reviewed in this article have ...

journal_title：Postgraduate medicine

authors： Fennerty MB

更新日期：1993-11-01 00:00:00

abstract：OBJECTIVE:To evaluate the pharmacokinetics of lisdexamfetamine dimesylate (LDX), a long-acting prodrug stimulant, and mixed amphetamine salts extended-release (MAS XR), alone or with omeprazole, a proton pump inhibitor (PPI). METHODS:This open-label, randomized, 4-period crossover study enrolled healthy adults (18-45 ...

journal_title：Postgraduate medicine

authors： Haffey MB,Buckwalter M,Zhang P,Homolka R,Martin P,Lasseter KC,Ermer JC

更新日期：2009-09-01 00:00:00

abstract：:Sinusitis may present as an indolent infection, without the classic symptoms and signs commonly expected, and will probably be missed in children who have only cough and persistent rhinorrhea unless this diagnosis is kept in mind. Plain radiography is the most commonly used diagnostic procedure for sinusitis, but comp...

journal_title：Postgraduate medicine

authors： Herrera AM,deShazo RD

更新日期：1990-04-01 00:00:00

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

authors： Amler RW,Orenstein WA

更新日期：1985-01-01 00:00:00

abstract：PURPOSE:To evaluate patient access, provider productivity, and patient satisfaction during a 24-month redesign process of an academic medical center, which requires balance between clinical and educational missions. METHODS:A series of activities were conducted to optimize primary care across 17 attending physicians, ...

journal_title：Postgraduate medicine

authors： Egede LE,Walker RJ,Nagavally S,Thakkar M,O'Sullivan M,Stulac Motzel W

更新日期：2020-09-01 00:00:00

abstract：:By being aware of which patients are at high risk for ingestion or insertion of foreign bodies, physicians can be on the lookout for objects in the gastrointestinal tract and ready to institute initial care. Esophageal foreign bodies and other objects that increase the chance of perforation or obstruction may require ...

journal_title：Postgraduate medicine

authors： Clarkston WK

更新日期：1992-10-01 00:00:00

abstract：:The concurrent use of opioids, benzodiazepines (BZDs), and/or alcohol poses a formidable challenge for clinicians who manage chronic pain. While the escalating use of opioid analgesics for the treatment of chronic pain and the concomitant rise in opioid-related abuse and misuse are widely recognized trends, the contri...

journal_title：Postgraduate medicine

authors： Gudin JA,Mogali S,Jones JD,Comer SD

更新日期：2013-07-01 00:00:00

abstract：:Established postsplenectomy sepsis syndrome, although infrequent, may carry a mortality rate of over 90%. Pneumococcus (Streptococcus pneumoniae) has been the infective organism in more than 50% of published cases. Certain groups, such as infants, patients with hematologic malignancy, and those with compromised humora...

journal_title：Postgraduate medicine

authors： Brigden ML

更新日期：1985-06-01 00:00:00

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

authors： Bruckstein AH

更新日期：1989-12-01 00:00:00

abstract：:Prolonged diarrhea in an adult is a serious problem; in an infant it is life threatening. Conventional therapy for intractable diarrhea of infancy, which involves use of clear liquids and gradual reintroduction of cow's milk or formula, works in most situations. However, for some infants this type of management exacer...

journal_title：Postgraduate medicine

authors： Lebenthal E,Rossi TM

更新日期：1983-08-01 00:00:00

abstract：:Preview The number of cardiac drugs is growing every day, and their indications are changing as more is learned about each one. Choosing the appropriate drug for each patient is made difficult by these complexities, especially when a patient has already had a heart attack. The authors review the latest trials of the m...

journal_title：Postgraduate medicine

authors： Flaker GC,Singh VN

更新日期：1993-11-01 00:00:00

abstract：:Primary care physicians have an important role in diagnosing and treating eye disorders--including dacryocystitis, blepharitis, and conjunctivitis--and in determining when ophthalmologic referral is needed. Fundus examination for diagnosis of glaucoma and diabetic eye complications should be a part of the routine exam...

journal_title：Postgraduate medicine

authors： Weinstock FJ,Weinstock MB

更新日期：1996-04-01 00:00:00

abstract：:The Food and Drug Administration's approval of the excimer laser in 1995 heralded the age of laser refractive surgery in the United States. Since then, other advances in refractive surgery have spurred great public interest in and enthusiasm for these procedures. In this article, the authors review the major types of ...

journal_title：Postgraduate medicine

authors： Chaudhry IM,Conti ER,Steinert RF

更新日期：1999-09-01 00:00:00

abstract：:Preview In most patients with stable angina pectoris, symptoms can be controlled successfully with drug therapy. Revascularization procedures should be reserved for those at high risk for cardiac events and those who do not respond to optimal therapy with any of the three classes of antianginal agents. In this article...

journal_title：Postgraduate medicine

authors： Thadani U,Chohan A

更新日期：1995-12-01 00:00:00