Evaluating peripheral arterial occlusive disease.

abstract：:Reiter's syndrome is an often overlooked and misdiagnosed complex of symptoms. Patients may not present with the classic triad of symptoms, or they may forget to mention other pertinent manifestations. How can you make an accurate diagnosis? And what is an effective approach to management? Dr Kirchner reviews studies ...

journal_title：Postgraduate medicine

authors： Kirchner JT

更新日期：1995-03-01 00:00:00

abstract：:The goal of screening for colorectal cancer is to find early, asymptomatic cancers and adenomatous polyps that are 1 cm or more in diameter or that are villous or tubulovillous histologically. A study using fecal occult blood testing with rehydration and no sigmoidoscopy found that deaths from colorectal cancer can be...

journal_title：Postgraduate medicine

authors： Lush DT

更新日期：1994-07-01 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：:Solitary pulmonary nodules are usually identified on routine chest radiographs in asymptomatic patients. Most nodules have a benign cause, but bronchogenic carcinoma, metastases, and other malignant processes are important causes as well and must be excluded in differential diagnosis. Plain chest radiography, computed...

journal_title：Postgraduate medicine

authors： Dholakia S,Rappaport DC

更新日期：1996-02-01 00:00:00

abstract：:Urinary tract infection (UTI) is a common problem that is distressing for patients and costly for the healthcare system. UTIs commonly affect young, sexually active women; the elderly; and patients who have predisposing factors, such as catheterization. Recurrent infections are likely to occur in all these patients gr...

journal_title：Postgraduate medicine

authors： Colgan R,Hooton TM,Gupta K,Gomolin IH,Childs S,Gould M

更新日期：2000-12-01 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：:The term "brain failure" implies only dysfunction of a major organ system, not that an exact diagnosis has been made. Assessment and treatment of older patients with diminished cognitive ability can be challenging; however, the experience can also be extremely rewarding when a reversible condition is alleviated and th...

journal_title：Postgraduate medicine

authors： Paist SS 3rd,Martin JR

更新日期：1996-05-01 00:00:00

abstract：:Patients with protracted depression respond well to long-term maintenance antidepressant therapy. A precise diagnosis is a prerequisite to therapeutic decisions. Diagnosis may be missed and treatment inadequate if symptoms are attributed solely to aging or to life's circumstances. Proper dosage is determined by the pa...

journal_title：Postgraduate medicine

authors： Bacani-Oropilla T,Lippmann SB

更新日期：1989-02-01 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：:Beta-blockers (beta-blockers) have demonstrated their value across the cardiovascular disease spectrum. Beta-blockers effectively lower blood pressure in patients with hypertension and provide symptomatic or mortality benefits in patients with heart failure and in post-myocardial infarction patients. However, despite ...

journal_title：Postgraduate medicine

authors： Kountz DS

更新日期：2009-01-01 00:00:00

abstract：:A carefully taken history and thorough physical examination remain the most crucial aspects of diagnosing rheumatic disorders. Non-rheumatologic conditions also need to be kept in mind. Laboratory tests should be looked on as mostly supportive or confirmatory, because many of the tests are relatively nonspecific and m...

journal_title：Postgraduate medicine

authors： Yancey WB Jr,Williams RC Jr

更新日期：1991-02-01 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：:Cardiovascular disease (CVD) is the major cause of morbidity and mortality in patients with type 2 diabetes mellitus (T2DM). Recent major publications, such as the Action to Control Cardiovascular Risk in Diabetes trial, the Advance in Diabetes and Vascular Disease: Preterax and Diamicron MR Controlled Evaluation tria...

journal_title：Postgraduate medicine

authors： Chokrungvaranon N,Deer J,Reaven PD

更新日期：2011-11-01 00:00:00

abstract：:Some skin disorders are more common in blacks than in whites or are so rare in whites as to be almost peculiar to blacks. Pigmentary abnormalities, either dark or light spots, often occur in association with inflammatory skin diseases. Curvature of the hair follicle is thought to be at the root of two other painful co...

journal_title：Postgraduate medicine

authors： Kenney JA Jr

更新日期：1977-06-01 00:00:00

abstract：:Remittent isolated palsy of peripheral or of upper cranial nerves in patients with diabetes mellitus is well documented, but paralysis of a lower cranial nerve or an isolated branch of any cranial nerve has not been previously reported. In the case described, temporary paralysis of the left recurrent laryngeal nerve c...

journal_title：Postgraduate medicine

authors： Kabadi UM

更新日期：1988-09-15 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：:Acute intermittent porphyria is an unusual syndrome that may be very difficult to differentiate from acute intraabdominal processes. Diagnosis requires the documentation of increased urinary porphobilinogen. Failure to perform appropriate tests early in the attack may necessitate diagnostic laparotomy to rule out intr...

journal_title：Postgraduate medicine

authors： Holman JR,Green JB

更新日期：1989-10-01 00:00:00

abstract：OBJECTIVES:There is limited and contradictory information regarding the role of serum ischemia-modified albumin (IMA) in obstructive sleep apnea (OSA). In this study we examine the effects of OSA and obesity on IMA and interleukin-6 (IL-6), and detect whether IMA and IL-6 may be potential biomarkers in OSA. METHODS:Fi...

journal_title：Postgraduate medicine

authors： Dogan D,Ocal N,Aydogan M,Tasci C,Arslan Y,Tapan S,Yetkin S,Bilgic H

更新日期：2016-08-01 00:00:00

abstract：:Although Charcot's disease and its association with diabetes have been described many times in the literature, it is still often misdiagnosed and incorrectly treated as osteomyelitis, arthritis, or gout. The best safeguard is a high index of suspicion. A warm, swollen foot in a diabetic patient with long-standing neur...

journal_title：Postgraduate medicine

authors： Giurini JM,Chrzan JS,Gibbons GW,Habershaw GM

更新日期：1991-03-01 00:00:00

abstract：:Preview Back pain can be a symptom of any number of problems, most commonly mechanical, or structural, in nature. Among the nonmechanical causes is ankylosing spondylitis, an inflammatory disease that involves the spine and sometimes other joints and extra-articular organs. Dr Escalante explains how to differentiate t...

journal_title：Postgraduate medicine

authors： Escalante A

更新日期：1993-07-01 00:00:00

abstract：OBJECTIVE:Among a random sample of emergency department (ED) patients, we sought to determine the extent to which reported risk for human immunodeficiency virus (HIV) is related to ever having been tested for HIV. METHODS:A random sample of patients (aged 18-64 years) from an adult, urban, northeastern United States, ...

journal_title：Postgraduate medicine

authors： Merchant RC,Freelove SM,Langan TJ 4th,Clark MA,Mayer KH,Seage GR 3rd,DeGruttola VG

更新日期：2010-01-01 00:00:00

abstract：:Difficult or painful coitus is a symptom, not a pathologic entity. It may be caused by a congenital anomaly, an organic lesion, or a functional disorder of the vulva or vagina, or it may be psychic in origin. Although its cause can usually be determined relatively easily, a conditioned reflex created by a preexisting ...

journal_title：Postgraduate medicine

authors： Huffman JW

更新日期：1983-02-01 00:00:00

abstract：:A young man with exertional dyspnea, maculopapular skin lesions, and generalized lymphadenopathy was found to have a posterior mediastinal density on a chest roentgenogram. Sarcoidosis was diagnosed on the basis of lymph node and skin biopsy findings, and corticosteroid therapy was started. After six months of treatme...

journal_title：Postgraduate medicine

authors： Kutty CP,Varkey B

更新日期：1982-01-01 00:00:00

abstract：:Optimum therapy with psychopharmacologic agents in geriatric patients requires an appreciation of the elderly's increased predisposition to emotional disorders and their unique sensitivity to adverse drug-drug interactions. Although nonpharmacologic approaches should be considered, adjunctive use of psychoactive medic...

journal_title：Postgraduate medicine

authors： Cadieux RJ

更新日期：1993-03-01 00:00:00

abstract：:As sex, drugs, and rock 'n' roll have given way to STDs, HIV, and AIDS, adolescent sex has become an increasingly high-risk behavior. Dr Kay strongly believes that primary care physicians can have a prominent role in educating teens and their parents about the consequences of premature sexual activity and in promoting...

journal_title：Postgraduate medicine

authors： Kay LE

更新日期：1995-06-01 00:00:00

abstract：:Hepatitis C virus (HCV) is responsible for most cases of non-A non-B hepatitis and is primarily spread by a parenteral route, although familial, sexual, and maternal transmission may occur rarely. Second-generation assays and the polymerase chain reaction facilitate detection of HCV infection. The association between ...

journal_title：Postgraduate medicine

authors： Dana F,Becherer PR,Bacon BR

更新日期：1994-05-01 00:00:00

abstract：:Management of patients with diabetes mellitus and chronic kidney disease (CKD) is a challenging task because multiple factors in each condition may impact the other. Glycemic control offers significant benefits in the prevention of diabetic kidney disease (DKD), but other associated morbidities are also important to a...

journal_title：Postgraduate medicine

authors： Ahmed Z,Simon B,Choudhury D

更新日期：2009-05-01 00:00:00

abstract：:The Editor welcomes readers' comments, and selected letters are published each month. Letters must be signed and should be sent to Editor's Mail at the address shown. The journal reserves the right to condense letters if necessary for space. ...

journal_title：Postgraduate medicine

authors： Butler T,Cunha BA

更新日期：1982-03-01 00:00:00

abstract：:Patient Notes are indexed alphabetically and by subject. The number immediately following the title is the number of the Patient Note, and the number in parentheses is the date of publication. This index includes all 82 Patient Notes published so far, from February 1, 1988, through this issue. ...

journal_title：Postgraduate medicine

authors：

更新日期：1993-01-01 00:00:00

abstract：:In a series of 123 children with disorders of defecation, constipation was the main problem in 89 and fecal incontinence in 34. All but three of the latter also had constipation. The principal physical findings were abdominal protuberance with palpable stool in the bowel and the presence of a fecal mass in the rectal ...

journal_title：Postgraduate medicine

authors： Liebman WM

更新日期：1979-08-01 00:00:00