The 'sweet killer'. Can you recognize the symptoms of ethylene glycol poisoning?

abstract：:The present staging methods for non-small-cell lung cancer provide little more than epidemiologic assessment of prognosis for grossly defined groups of patients. Except in extreme instances, physicians can tell patients very little about their prognosis or the need for supplemental therapy. More effective and less tox...

journal_title：Postgraduate medicine

authors： Landreneau RJ

更新日期：1990-01-01 00:00:00

abstract：:Transgenderism and gender dysphoria are becoming more prevalent diagnoses and the patient population is increasing. Primary care practitioners, endocrinologists, and mental health professionals are all part of the medical care team that treats these patients, but family and internal medicine physicians continue to del...

journal_title：Postgraduate medicine

authors： Wilczynski C,Emanuele MA

更新日期：2014-11-01 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

abstract：:Oxygen therapy is tremendously valuable for patients with chronic respiratory insufficiency. A physician's prescription is needed to obtain Medicare, Medicaid, or insurance-company reimbursement, and certain guidelines must be followed: Patients are selected if significant hypoxemia is present, appropriate pharmacolog...

journal_title：Postgraduate medicine

authors： Petty TL

更新日期：1988-11-01 00:00:00

abstract：:Preview Although heartburn is the most common symptom of gastroesophageal reflux, many patients with reflux have other, more obscure manifestations. Recognition of all potential signs and symptoms of reflux is important for expeditious management. This article focuses on these atypical presentations and discusses how ...

journal_title：Postgraduate medicine

authors： Barr LL

更新日期：1996-04-01 00:00:00

abstract：:Systolic hypertension, especially isolated systolic hypertension (ISH) is very common in older subjects aged ≥ 65 years and is a major risk factor for cardiovascular disease (CVD), strokes, heart failure (HF) and chronic kidney disease (CKD). It is also, directly and linearly related with these complications irrespect...

journal_title：Postgraduate medicine

authors： Chrysant SG

更新日期：2018-03-01 00:00:00

abstract：:Nitroglycerin and long-acting nitrates are the pharmacologic mainstays of antianginal therapy, both for acute attacks and for prophylaxis. Propranolol is often effective for prophylaxis in patients incompletely helped by nitrates. A holistic approach is stressed. Appropriate drug use will effect marked improvement in ...

journal_title：Postgraduate medicine

authors： Richtsmeier TE,Preston TA

更新日期：1977-11-01 00:00:00

abstract：OBJECTIVES:Multilevel noncontiguous thoracic and lumbar spinal tuberculosis (MNST) is a relatively rare entity. The objective of this retrospective study was to investigate whether a technique involving a one-stage posterior debridement and decompression, combined with an intervertebral fusion and posterior instrumenta...

journal_title：Postgraduate medicine

authors： Chen RS,Liao X,Xiong ML,Chen FR,Wang BW,Huang JM,Chen XL,Yin GH,Liu HY,Jin DD

更新日期：2019-01-01 00:00:00

abstract：:Stroke survivors can be plagued by numerous medical complications, including aspiration pneumonia, heart disease, depression, and venous thromboembolism. Given the impairment already caused by stroke itself, these patients require careful management by a comprehensive rehabilitation team. Dr Harvey discusses common st...

journal_title：Postgraduate medicine

authors： Harvey RL

更新日期：1998-08-01 00:00:00

abstract：:Dementia is one of the most devastating illnesses that affect the elderly. The progressive decline in memory, judgment, intellectual function, and adaptive ability places an immense burden on families, healthcare providers, and communities. Because advancing age is the leading risk factor for most types of dementia, t...

journal_title：Postgraduate medicine

authors： O'Brien ME

更新日期：1994-04-01 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：:Current therapeutic options make office management of the patient with uncomplicated left-sided ulcerative colitis or mild to moderate Crohn's disease quite feasible for the primary care physician. On the horizon are additional drugs that will enhance the physician's ability to treat patients with inflammatory bowel d...

journal_title：Postgraduate medicine

authors： Schuman BM

更新日期：1988-03-01 00:00:00

abstract：:Traveler's diarrhea affects a substantial number of travelers to high-risk areas of the world. The key to controlling this troublesome disease is prevention. The most important preventive measures depend on educating patients to consume only safe foods and pure water. Physicians cannot overemphasize the importance of ...

journal_title：Postgraduate medicine

authors： Strum WB

更新日期：1988-07-01 00:00:00

abstract：:Asthma continues to cause unacceptably high rates of disability and death, largely because the severity of disease is underestimated and patients are inadequately educated about their disease. When patients understand what happens during an asthma attack and its aftermath, they are more likely to notice important symp...

journal_title：Postgraduate medicine

authors： Rumbak MJ

更新日期：1991-09-01 00:00:00

abstract：:In scarcely more than 30 years, the People's Republic of China has progressed from limited health care available only to a privileged few to a countrywide system providing basic services to one fifth of the world's population. The author gives his impressions of the current situation, based on a recent visit. :There ...

journal_title：Postgraduate medicine

authors： Taylor RB

更新日期：1981-08-01 00:00:00

abstract：:Pruritus scroti is a common clinical disorder that is caused by various inflammatory disorders, infections, infestations, and neoplasms. Laboratory evaluation, including bacterial and fungal cultures, microscopic examination, skin biopsies, and measurement of blood glucose levels, is useful in establishing the diagnos...

journal_title：Postgraduate medicine

authors： Kantor GR

更新日期：1990-11-01 00:00:00

abstract：:In clinical practice, atrial fibrillation (AF) is the most commonly encountered arrhythmia. With the aging of the US population, the number of patients with AF that physicians encounter will increase. Atrial fibrillation management involves a combination of rate- and rhythm-control strategies with thromboprophylaxis, ...

journal_title：Postgraduate medicine

authors： Curtis AB

更新日期：2011-11-01 00:00:00

abstract：:High blood pressure is unquestionably a risk factor for premature morbidity and mortality, especially from coronary artery disease and stroke. Risk of clinical manifestations of coronary artery disease increases dramatically if other risk factors, such as a history of cigarette smoking, hypercholesterolemia, left vent...

journal_title：Postgraduate medicine

authors： Borhani NO

更新日期：1989-11-01 00:00:00

abstract：:Glaucoma is a group of diseases leading to characteristic cupping and damage of the optic nerve head associated with progressive visual loss. The exact mechanism of damage is unknown, but current research is pointing toward a multifactorial disease process, in which elevated intraocular pressure is just one of the fac...

journal_title：Postgraduate medicine

authors： Chaudhry I,Wong S

更新日期：1996-05-01 00:00:00

abstract：:Providing medical care for patients with mental disabilities may be challenging and financially unappealing because of the need for extra time and effort. Nonetheless, primary care physicians can meet the medical needs of these patients and benefit from working with a team approach that fosters open communication and ...

journal_title：Postgraduate medicine

authors： Councilman DL

更新日期：1999-11-01 00:00:00

abstract：:Anemia of chronic disease (ACD) is a prevalent condition commonly observed in patients with chronic infections, cancer, trauma, and inflammatory disorders. In this article, Dr Andrews examines new research findings that enhance the understanding of the pathophysiologic mechanisms of ACD. After a brief review of iron h...

journal_title：Postgraduate medicine

authors： Andrews NC

更新日期：2004-11-01 00:00:00

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

authors： Giudice JC,Komansky HJ,Gordon R

更新日期：1980-05-01 00:00:00

abstract：:The fact that the national death rate from carcinoma of the colon and rectum has remained static over the past two decades is strong incentive for future investigation of measures to allow detection in its early and more favorable stage. Although no significant improvements in surgical techniques have afforded improve...

journal_title：Postgraduate medicine

authors： Bland KI,Garrison RN,Knutson CO

更新日期：1979-09-01 00:00:00

abstract：:Oculoglandular syndrome and swelling of the parotid gland are unusual manifestations of cat-scratch disease. Although exposure to cats is considered an important part of the patient history, an actual cat scratch is not required to establish the diagnosis. Oral fluoroquinolones show promise in the treatment of the inf...

journal_title：Postgraduate medicine

authors： Tobin EH,McDaniel H

更新日期：1992-04-01 00:00:00

abstract：:Fear of the needle is a real issue with some patients and may be an obstacle to inducing anesthesia before minor surgical procedures are performed. Adults may express this fear verbally or, out of embarrassment, even avoid coming to the physician's office. Children may become intensely anxious and hysterical. In this ...

journal_title：Postgraduate medicine

authors： Holmes HS

更新日期：1991-02-15 00:00:00

abstract：:A 15-year-old boy who had sharp pains in the right side of the chest and was unable to breathe deeply was tentatively diagnosed as having congenital cystic disease of the lung on the basis of chest x-ray studies and bronchography. The diagnosis was confirmed after thoracotomy and right lower lobectomy, carried out bec...

journal_title：Postgraduate medicine

authors： Darrow GL

更新日期：1984-03-01 00:00:00

abstract：:Serum electrolyte levels by themselves may be difficult to interpret. For example, an abnormal serum potassium concentration cannot be understood without taking into account the patient's history, other serum electrolyte values, and possibly results of other laboratory tests. Knowledge of the principles of serum elect...

journal_title：Postgraduate medicine

authors： Kapsner CO,Tzamaloukas AH

更新日期：1991-12-01 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：:Gastroesophageal reflux is not synonymous with sliding hiatus hernia. It should be approached as a condition dependent on the intrinsic strength of the lower esophageal sphincter rather than on the presence of a hiatus hernia. The patient's account of symptoms is probably the most important means of diagnosis, but in ...

journal_title：Postgraduate medicine

authors： Cohen S

更新日期：1975-01-01 00:00:00

abstract：:Two cases of Listeria monocytogenes infection in patients receiving immunosuppressive treatment after kidney transplantation are described. In the first, the infection, which occurred soon after transplantation and was accompanied by signs of mild chronic rejection, was the immediate cause of death. The other case occ...

journal_title：Postgraduate medicine

authors： Holden FA,Kaczmer JE,Kinahan CC

更新日期：1980-12-01 00:00:00