Shattering the myths about male infertility. Treatment of male factors may be more successful and cost-effective than you think.

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：:Although fairly common, syncope is a frightening symptom that can signal a serious underlying disease. The varying causes present a diagnostic challenge to the examining physician, who needs to assess whether referral for more specialized or invasive study is appropriate. The authors review common cases of syncope and...

journal_title：Postgraduate medicine

authors： Hopson JR,Kienzle MG

更新日期：1992-04-01 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：:Objectives: The commonest types of peripheral neuropathy in the context of Coeliac Disease (CD) and gluten sensitivity (GS) are length-dependent symmetrical sensorimotor neuropathies and sensory ganglionopathies. In patients with such neuropathy, (gluten neuropathy), peripheral neuropathic pain is prevalent suggesting...

journal_title：Postgraduate medicine

authors： Zis P,Sarrigiannis PG,Rao DG,Sanders DS,Hadjivassiliou M

更新日期：2019-09-01 00:00:00

abstract：:Cataracts are the most common treatable form of reduced vision in older adults. Although the incidence of cataracts is high after age 65, careful history taking and clinical examination are essential to establish the diagnosis. Cataract surgery is medically indicated when the view to the retina is obscured or lens-ind...

journal_title：Postgraduate medicine

authors： Trudo EW,Stark WJ

更新日期：1998-05-01 00:00:00

abstract：:Even healthy persons may experience some form of altitude illness when they hike or ski in high mountains. Therefore, it is imperative that those with compromised cardiac or pulmonary function take extra precautions by allowing time for ascent, by recognizing and accepting their limitations, and by descending promptly...

journal_title：Postgraduate medicine

authors： Houston CS

更新日期：1990-07-01 00:00:00

abstract：:Readers are invited to submit questions relating to problem cases. Inquiries will be answered by qualified consultants and replies forwarded by mail promptly. Selected problems and solutions are published every month in this section. ...

journal_title：Postgraduate medicine

authors： Spitzer AR,Berberian DA,Moe JH

更新日期：1985-02-01 00:00:00

abstract：:Over the past decade, despite the controversies surrounding prostate cancer screening, significant refinements have improved its application. PSA screening, although it has been questioned, appears to confer a mortality benefit and remains the most effective way to identify the possible presence of prostate cancer. Me...

journal_title：Postgraduate medicine

authors： French WW,Wallen EM

更新日期：2020-12-01 00:00:00

abstract：:Chronic hepatitis B is a complex disease for which there are an increasing number of approved treatment options. Clinicians who strive to keep up to date on the diagnosis and treatment of hepatitis B will be in the best position to meet the challenge of managing patients with this serious infection. ...

journal_title：Postgraduate medicine

authors： Tsai N

更新日期：2006-07-01 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：:Neonatal circumcision continues to be a controversial subject. The American Academy of Pediatrics has revised its earlier policy, stating that newborn circumcision has potential benefits as well as risks and emphasizing the need to explain these issues to parents considering the procedure so that an informed decision ...

journal_title：Postgraduate medicine

authors： Robson WL,Leung AK

更新日期：1992-05-01 00:00:00

abstract：:Stenosis in the right common iliac artery of a 61-year-old man was manifested as pain in the right leg and foot and cyanosis of the second and third toes. Dilatation of the lesion was performed using a Grüntzig catheter; arteriography and measurement of femoral artery pressure confirmed a successful result. The patien...

journal_title：Postgraduate medicine

authors： Mathis JM,Goncharenko V,Zelenik ME

更新日期：1980-09-01 00:00:00

abstract：:An exploratory subgroup analysis of a prospective, randomized, double-blind, forced-titration study comparing the efficacy and safety of once-daily olmesartan medoxomil (OM) and losartan potassium (LOS) in patients with stage 1 or stage 2 hypertension is reported. After a 3- to 4-week placebo run-in period, eligible p...

journal_title：Postgraduate medicine

authors： Flack JM,Graff A,Li W,Chavanu KJ

更新日期：2012-05-01 00:00:00

abstract：OBJECTIVE:To evaluate the efficacy and safety of colesevelam in Hispanic subjects with primary hyperlipidemia and prediabetes. MATERIALS AND METHODS:A 16-week, randomized, double-blind, placebo-controlled, multinational study evaluating colesevelam in participants with primary hyperlipidemia (low-density lipoprotein c...

journal_title：Postgraduate medicine

authors： Rosenstock J,Hernandez-Triana E,Handelsman Y,Misir S,Jones MR

更新日期：2012-07-01 00:00:00

abstract：:Common variable immunodeficiency (CVID) is readily considered in patients presenting with recurrent sino-pulmonary infections, however this disease has a broad range of clinical manifestations and diagnosis can be delayed by several years. We present the case of a 44-year-old postpartum female who presented with nause...

journal_title：Postgraduate medicine

authors： Arays R,Goyal S,Jordan KM

更新日期：2016-08-01 00:00:00

abstract：:The role of reflux in the development of esophagitis, stricture, and Barrett's esophagus is well recognized. However, reflux is not an infrequent cause of atypical chest pain, chronic pulmonary disorders, and pharyngeal and laryngeal changes. Increased insight into the pathogenesis of reflux and the relationship betwe...

journal_title：Postgraduate medicine

authors： Barr LL

更新日期：1996-04-01 00:00:00

abstract：:Chronic stable angina (CSA) impairs patient quality of life, is associated with increased patient mortality, and is a prominent symptom of coronary artery disease (CAD), the latter being prevalent worldwide in patients. Currently, therapeutic options for patients with CSA include β-blockers, calcium channel blockers, ...

journal_title：Postgraduate medicine

authors： Kloner RA,Hines ME,Geunes-Boyer S

更新日期：2013-11-01 00:00:00

abstract：:Prompt, thorough evaluation is needed when patients present with symptoms of renal colic, acute urinary retention, prostatitis, pyelonephritis, and other urologic emergencies. Primary care physicians have an important role in initial workup and treatment. Once the diagnosis is determined, urologic consultation may be ...

journal_title：Postgraduate medicine

authors： Samm BJ,Dmochowski RR

更新日期：1996-10-01 00:00:00

abstract：:Overactive bladder is a prevalent condition with bothersome symptoms that greatly impact health-related quality of life. Despite a multitude of treatment options, many patients go untreated or undertreated. This article addresses the contemporary management of overactive bladder, including behavioral and lifestyle mod...

journal_title：Postgraduate medicine

authors： Smith AL,Wein AJ

更新日期：2012-01-01 00:00:00

abstract：:Osteoblasts are mesenchymal cells that play a key role in maintaining bone homeostasis; they are responsible for the production of extracellular matrix proteins, regulation of matrix mineralization, control of bone remodeling and regulate osteoclast differentiation. Osteoblasts have an essential role in the pathogenes...

journal_title：Postgraduate medicine

authors： Corrado A,Sanpaolo ER,Di Bello S,Cantatore FP

更新日期：2017-11-01 00:00:00

abstract：:Many new, minimally invasive interventional radiology procedures are now viable alternatives to traditional invasive therapy. The radiology procedures can often be performed in the outpatient setting, and although expensive technology may be required, the overall cost to the patient may be lower in the long run. Endov...

journal_title：Postgraduate medicine

authors： Montgomery ML,Sullivan JP

更新日期：2001-06-01 00:00:00

abstract：:Because new drugs continue to be developed, physicians treating patients with type 2 diabetes have a wide range of agents from which to choose. The newest class, the thiazolidinediones (TZDs), should be a mainstay of treatment for most patients with type 2 diabetes, because these agents reduce insulin resistance as we...

journal_title：Postgraduate medicine

authors： Bell DS

更新日期：2003-05-01 00:00:00

abstract：:Head trauma in the elderly is a major source of morbidity and mortality in this population. Prevention of the primary injury is ideal and requires that the primary care physician understands the neurosensory changes of aging. Failing prevention, rapid diagnosis and efficient management of the traumatized patient are o...

journal_title：Postgraduate medicine

authors： Lehman LB

更新日期：1988-05-15 00:00:00

abstract：:If frostbite is to be treated successfully, direct and indirect effects of injury must be understood. Rapid rewarming helps to preserve tissue by limiting the amount of direct cellular injury. Selective management of blisters helps protect the subdermal plexus, and application of Aloe vera cream (eg, Dermaide Aloe Cre...

journal_title：Postgraduate medicine

authors： McCauley RL,Heggers JP,Robson MC

更新日期：1990-12-01 00:00:00

abstract：:Patients "lucky" enough to have a nondisabling transient ischemic attack as a warning sign of impending stroke deserve the best possible prophylactic treatment in an attempt to avert that catastrophe. Dr Edmeads provides a step-by-step discussion of diagnostic studies and therapeutic regimens that help avoid stroke in...

journal_title：Postgraduate medicine

authors： Edmeads J

更新日期：1992-08-01 00:00:00

abstract：:Contrary to popular belief, hypoglycemia is an infrequently encountered condition and its presence is questionable until confirmed by appropriate tests. In ambulatory patients, blood glucose levels obtained during intake of a normal diet are more reliable than those obtained during a glucose tolerance test. If the blo...

journal_title：Postgraduate medicine

authors： McFarland KF,Baker C,Ferguson SD

更新日期：1987-11-01 00:00:00

abstract：:Evaluation of a patient presenting with dizziness begins with and largely depends on the patient's history. The diagnosis often can be accurately determined in a primary care setting when a stepwise algorithmic approach is used. The first step is getting a detailed account of precisely what the patient means by "dizzi...

journal_title：Postgraduate medicine

authors： Ruckenstein MJ

更新日期：1995-03-01 00:00:00

abstract：:A high index of suspicion and careful application of diagnostic methods are essential for accurate diagnosis of parasitic bowel diseases. The varied clinical spectrum of giardiasis, amebiasis, and strongyloidiasis emphasizes the need to consider these pathogens when patients present with gastrointestinal complaints. G...

journal_title：Postgraduate medicine

authors： Burns TW

更新日期：1982-05-01 00:00:00

abstract：:Primary aldosteronism is a potentially curable cause of hypertension; it occurs in about 1% of hypertensive patients. In the case reported here, persistent hypokalemia developed in a 72-year-old man who had been treated for 13 years for essential hypertension. Investigation revealed elevated aldosterone level and redu...

journal_title：Postgraduate medicine

authors： Burke M,Papo J,Stavorovsky M,Almog C

更新日期：1984-08-01 00:00:00

abstract：:Proper treatment of non-insulin-dependent (type II) diabetes presents the physician with a number of choices. Diet and exercise should be tried first in many patients; if this regimen is unsuccessful, treatment with either insulin or a first- or second-generation sulfonylurea must be considered. Theoretically, second-...

journal_title：Postgraduate medicine

authors： Nelson RL

更新日期：1987-05-01 00:00:00