Weighing risks in abdominal aortic aneurysm. Best repaired in an elective, not an emergency, procedure.

Abstract:

:Abdominal aortic aneurysms are believed to result from several factors, one probably being inflammation that leads to dilatation, plaque deposition, and degeneration of the arterial wall. Most of these aneurysms are asymptomatic, but abdominal or back pain, shock, and a pulsatile abdominal mass indicate rupture. Initial aneurysm size exceeding 5 cm (2 in.) in diameter and the presence of hypertension and COPD are important predictors of rupture. The overall operative mortality rate with elective repair of an abdominal aortic aneurysm has been reported to range from 0.9% to 5% at university medical centers, and it is only slightly higher at community hospitals. However, with a ruptured aneurysm and emergency repair, the mortality rate rises to about 75%. Several long-term studies using life-table methods have found that 5-year survival rates after aneurysm repair range from 49% to 84%. This rate is significantly better than the 5-year survival rate of patients who did not have an abdominal aortic aneurysm repaired. However, it is not as good as that of the normal age-matched population, probably because many patients with an aneurysm have concomitant coronary artery disease.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Gorski Y,Ricotta JJ

doi

10.3810/pgm.1999.08.651

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

69-70, 75-80

issue

2

eissn

0032-5481

issn

1941-9260

journal_volume

106

pub_type

杂志文章,评审
  • The 'sweet killer'. Can you recognize the symptoms of ethylene glycol poisoning?

    abstract::Ingested ethylene glycol is readily absorbed and metabolized into toxic metabolites that can cause CNS depression, cardiopulmonary failure, and renal failure. Thorough history taking, physical examination, and laboratory testing are essential for diagnosis. Careful differential diagnosis is important because symptoms ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.1999.10.1.734

    authors: de Chazal I,Houghton B,Frock J

    更新日期:1999-10-01 00:00:00

  • The management of acute hypertension in patients with renal dysfunction: labetalol or nicardipine?

    abstract:STUDY OBJECTIVES:To compare the safety and efficacy of U.S. Food and Drug Administration (FDA)-recommended doses of labetalol and nicardipine for hypertension (HTN) management in a subset of patients with renal dysfunction (RD). DESIGN:Randomized, open label, multicenter prospective clinical trial. SETTING:Thirteen U...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.3810/pgm.2014.07.2790

    authors: Varon J,Soto-Ruiz KM,Baumann BM,Borczuk P,Cannon CM,Chandra A,Cline DM,Diercks DB,Hiestand B,Hsu A,Jois-Bilowich P,Kaminski B,Levy P,Nowak RM,Schrock JW,Peacock WF

    更新日期:2014-07-01 00:00:00

  • Dermatologic emergencies.

    abstract::Preview Several dermatoses are potentially fatal, and the mortality rate for some is quite high; prompt recognition and treatment are essential. Dr Gannon's succinct discussions of pemphigus vulgaris, necrotizing fasciitis, toxic epidermal necrolysis, Stevens-Johnson syndrome, toxic shock syndrome, and urticaria and a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1994.11945875

    authors: Gannon T

    更新日期:1994-07-01 00:00:00

  • The Medical Bookshelf.

    abstract::Books received are listed as space permits, and those of particular interest to our readers are reviewed. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11699151

    authors: Scott D

    更新日期:1985-10-01 00:00:00

  • Coronary artery disease in Hispanic Americans. How does ethnic background affect risk factors and mortality rates?

    abstract::A concerted national effort has reduced cardiovascular mortality rates in the general US population. Unfortunately, not all ethnic groups have benefited equally from these improvements in our national health. The author presents insights into social and clinical factors that affect cardiovascular disease among Hispani...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1992.11701252

    authors: Caralis PV

    更新日期:1992-03-01 00:00:00

  • Problems+Solutions.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11698867

    authors: Spitzer AR,Berberian DA,Moe JH

    更新日期:1985-02-01 00:00:00

  • Cluster headache syndrome. Ways to abort or ward off attacks.

    abstract::Cluster headache is a syndrome of severe head and facial pain accompanied by autonomic abnormalities. Men are affected more frequently than women. Headaches occur daily during periods of susceptibility, which may be followed by periods of remission. The etiology of cluster headache is uncertain. Recent work suggests t...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1992.11701227

    authors: Marks DR,Rapoport AM

    更新日期:1992-02-15 00:00:00

  • Hyperbaric oxygen therapy. Promoting healing in difficult cases.

    abstract::Inhalation of pressurized 100% oxygen is a helpful adjunctive treatment for certain patients, because the increased oxygen carried by the blood to the tissue enhances new growth of microcirculation and, thus, healing. Patients with tissue breakdown after radiation therapy, refractory osteomyelitis, gas gangrene, soft-...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699267

    authors: Cohn GH

    更新日期:1986-02-01 00:00:00

  • Acute renal failure. 1. Classification, evaluation, and clinical consequences.

    abstract::Urinalysis and urine chemistries are most helpful in determining whether acute renal failure is due to a prerenal, renal, or postrenal cause. A plain film of the abdomen should be obtained, with ultrasound or computed tomography also being done if obstruction is suspected. When prerenal and postrenal causes have been ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1982.11716292

    authors: Harter HR,Martin KJ

    更新日期:1982-12-01 00:00:00

  • Key issues in nutrition. Supplementation through adulthood and old age.

    abstract::A varied and balanced diet is usually adequate to meet the energy, protein, vitamin, and mineral requirements of adults and the elderly. However, some high-risk groups may require supplementation or special dietary recommendations. Some examples are persons on a weight-loss diet, alcoholics, premenopausal women, women...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699819

    authors: Fahey PJ,Boltri JM,Monk JS

    更新日期:1987-05-01 00:00:00

  • A practical approach to dizziness. Questions to bring vertigo and other causes into focus.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Ruckenstein MJ

    更新日期:1995-03-01 00:00:00

  • Pulmonary embolism. Guide to diagnosis, treatment, and prevention.

    abstract::While more remains to be learned about the natural history of deep vein thrombosis and pulmonary embolism, better information is now available on which to base decisions about diagnosis and treatment. Several retrospective and prospective studies have placed the value of lung scanning, venography, and pulmonary angiog...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699336

    authors: Broaddus C,Matthay MA

    更新日期:1986-03-01 00:00:00

  • Sinusitis and its relationship to asthma. Can treating one airway disease ameliorate another?

    abstract::In a large percentage of patients with upper airway disease, asthma and sinusitis occur concomitantly. As many as 88% of patients with asthma exhibit the symptoms of rhinitis, and half of rhinitic patients have asthma. In this article, Dr Muller explores the interrelationship of sinusitis and asthma, including charact...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2000.10.1263

    authors: Muller BA

    更新日期:2000-10-01 00:00:00

  • Endocrinologic causes of peripheral neuropathy. Pins and needles in a stocking-and-glove pattern and other symptoms.

    abstract::In the Western world, diabetes is the biggest cause of peripheral neuropathy, usually distal symmetric polyneuropathy but some times another polyneuropathy or a focal neuropathy. In addition, hypothyroidism and acromegaly can cause carpal tunnel syndrome and other sensory complaints. A complete blood cell count, nerve...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1997.09.318

    authors: Perkins AT,Morgenlander JC

    更新日期:1997-09-01 00:00:00

  • Infectious diarrhea. Which culprit? What strategy?

    abstract::The patient with diarrhea is generally looking for prompt relief, not a prolonged diagnostic workup. In many cases effective treatment can be initiated after careful review of the clinical symptoms and of the patient's recent travel or other activities. Stool examination, sigmoidoscopy, or other studies may be necessa...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1983.11697871

    authors: Farmer RG

    更新日期:1983-06-01 00:00:00

  • Practical tips for office surgery. Commonsense advice from a plastic surgeon.

    abstract::Performing office surgery well is an art. You can accomplish this by being attentive to several factors. These include, but are not limited to, providing an office environment that is pleasant, restful, and happy; using proper lighting, instruments, and suture techniques; using gentle techniques for local infiltration...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1983.11698400

    authors: Clavin HD

    更新日期:1983-08-01 00:00:00

  • Pseudomonas folliculitis from a health club whirlpool.

    abstract::In public whirlpools, low disinfectant levels and inadequate monitoring are clearly a public health concern. Implementing guidelines published by the Centers for Disease Control seems to be the most reasonable approach to preventing dermatitis in persons who use these facilities. Physicians should be on the alert for ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11701042

    authors: Breitenbach RA

    更新日期:1991-09-01 00:00:00

  • Chronic hepatitis B. Hope for decreasing its impact.

    abstract::Although chronic hepatitis B is a relatively common disease that may have a serious outcome, the outlook is by no means uniformly poor. Alpha interferon therapy may be helpful in up to one third of patients who have hepatitis B e antigen in serum and elevated serum aminotransferase levels. New drugs that may have even...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Di Bisceglie AM

    更新日期:1995-07-01 00:00:00

  • Exercise-induced bronchospasm. Achieving control in asthmatic patients.

    abstract::Exercise-induced bronchospasm is a common complication of asthma. Aggressive treatment of this conditions permits patients to maintain full activity despite their illness. Since most asthmatic patients are healthy except for an intermittent respiratory problem, providing them the opportunity to exercise in all weather...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1992.11701232

    authors: Brook CJ

    更新日期:1992-02-15 00:00:00

  • Reversal agents in development for the new oral anticoagulants.

    abstract::The new oral anticoagulants have many advantages over vitamin K antagonists, but they are still associated with a troublesome incidence of major bleeding. Additionally, the absence of a reversal agent for the new oral anticoagulants is a barrier to their more widespread use. Currently, there are 3 potential reversal a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2014.11.2829

    authors: Costin J,Ansell J,Laulicht B,Bakhru S,Steiner S

    更新日期:2014-11-01 00:00:00

  • Pain management in primary care: strategies to mitigate opioid misuse, abuse, and diversion.

    abstract::Pain is among the most common reasons patients seek medical attention, and the care of patients with pain is a significant problem in the United States. Acute pain (mild-to-moderate intensity) represents one of the most frequent complaints encountered by primary care physicians (PCPs) and accounts for nearly half of p...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2011.03.2270

    authors: McCarberg BH

    更新日期:2011-03-01 00:00:00

  • Chemosensory dysfunction. Clinical evaluation results from a taste and smell clinic.

    abstract::Findings from 441 patient evaluations performed at the Taste and Smell Clinic of the Connecticut Chemosensory Clinical Research Center are presented. Taste and smell dysfunction was the chief complaint in all patients. The diagnostic approach included tests of taste and smell function; history taking; physical, neurol...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699680

    authors: Goodspeed RB,Gent JF,Catalanotto FA

    更新日期:1987-01-01 00:00:00

  • Rheumatoid arthritis. Targeted interventions can minimize joint destruction.

    abstract::Rheumatoid arthritis can cause joint erosion and deformity, pain, stiffness, and decreased function and range of motion. Early diagnosis is crucial to prevent permanent joint damage. In this article, Drs Williams and Fye discuss articular and extra-articular manifestations of rheumatoid arthritis as well as the evolvi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2003.11.1525

    authors: Williams EA,Fye KH

    更新日期:2003-11-01 00:00:00

  • Genetic causes and workup of male and female infertility. 3. Details of the clinical evaluation.

    abstract::In the evaluation of male and female infertility the history, family history, physical examination, and endocrine and gonadal functional evaluations are the most informative measures. The cause of the infertility is never found in some 17.5% of couples and in almost one fourth of males. In over one third of cases male...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715204

    authors: Opitz JM,Shapiro SS,Uehling DT

    更新日期:1979-07-01 00:00:00

  • Emergent signs of cancer. Recognizing them early in the office or ER.

    abstract::Primary care physicians have a crucial role in recognition of potentially emergent conditions in patients with known or suspected cancer. This task presents a significant challenge because the initial manifestations of these conditions are usually nonspecific. In most cases, therapy is far more effective when diagnosi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11704773

    authors: Love N

    更新日期:1990-12-01 00:00:00

  • Gram-negative bacteremia. Two cases in adults with chronic otitis media.

    abstract::Chronic otitis media was the cause of septicemia in two hospitalized men. The organisms involved, K pneumoniae and B fragilis, are not usually associated with primary infections of the middle ear and would not have been traced to this site had proper cultures not been performed. In adults, the true incidence of bacter...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:

    authors: Mowjood MM,Arroyo JC

    更新日期:1979-09-01 00:00:00

  • Effects of omeprazole on the pharmacokinetic profiles of lisdexamfetamine dimesylate and extended-release mixed amphetamine salts in adults.

    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

    pub_type: 杂志文章,随机对照试验

    doi:10.3810/pgm.2009.09.2048

    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

  • Management of new-onset diabetes mellitus after transplantation.

    abstract::Solid organ transplantation is now the standard of care for end-stage organ failure, and primary care physicians are frequently involved in the follow-up care of transplant recipients. New-onset diabetes mellitus after solid organ transplantation (NODAT) has emerged as an increasingly important determinant of outcomes...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2008.07.1792

    authors: Reynolds LR,Tannock LR

    更新日期:2008-07-01 00:00:00

  • Sports injuries. Practical diagnostic and management concerns for primary care physicians.

    abstract::Both recreational and elite athletes often sustain musculoskeletal injuries. Common problems--muscle cramps, burners (or stingers), and ankle and shoulder injuries--can be managed effectively with certain basic techniques. Initial measures are particularly important in facilitating the injured athlete's rapid return t...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:

    authors: Sellers RG

    更新日期:1992-08-03 00:00:00

  • Cancer of the colon and rectum. A review.

    abstract::Colonic cancer remains a major cause of death because diagnosis is usually delayed. Improved methods for earlier detection will maximize the patient's chances for survival. At present, surgery offers the greatest possibility of cure, but even in those instances where less than definitive resection is possible, there i...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1975.11714014

    authors: Wallack MK,Rosato FE,Brown AS,Rosato EF

    更新日期:1975-04-01 00:00:00