Flexible sigmoidoscopy. Illuminating the pearls for passage.

abstract：:Preview Although the early symptoms of Parkinson's disease can be ameliorated, the illness is relentlessly progressive. Studies have therefore been conducted in hopes of finding therapy to delay its disabling course. In this article, Dr Ahlskog examines recent proposals and their application in cases of early and adva...

journal_title：Postgraduate medicine

authors： Ahlskog JE

更新日期：1994-05-01 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：OBJECTIVES:The majority of patients seeking medical care for chronic pain consult a primary care physician (PCP). Because systemic opioids are commonly prescribed to patients with chronic pain, PCPs are attempting to balance the competing priorities of providing adequate pain relief while reducing risks for opioid misu...

journal_title：Postgraduate medicine

authors： McDowell GC 2nd,Winchell J

更新日期：2018-05-01 00:00:00

abstract：:Recent increases in obesity, diabetes, and hypertension, along with the aging of the US population, are driving a dramatic rise in the prevalence of chronic kidney disease (CKD). Despite this increase, the majority of Americans with early-stage CKD remain unaware of their disease. Primary care physicians are at the fo...

journal_title：Postgraduate medicine

authors： Coritsidis GN,Linden E,Stern AS

更新日期：2011-09-01 00:00:00

abstract：:Treating rheumatoid arthritis can be very satisfying when patients participate fully in designing and implementing their therapeutic strategy. However, the strategy's success depends on early intervention and disease modification. Many patients do well when education, rest, diet, exercise, and drug therapy are incorpo...

journal_title：Postgraduate medicine

authors： Gremillion RB,van Vollenhoven RF

更新日期：1998-02-01 00:00:00

abstract：:Severe myocardial ischemia and infarction cause release of catecholamines, with exposure of injured myocardial cells to relatively high concentrations during the transitional period in which myocyte injury worsens. In experimental animals, the number of beta-adrenergic receptors increases markedly without any change i...

journal_title：Postgraduate medicine

authors： Willerson JT,Buja LM

更新日期：1988-02-29 00:00:00

abstract：:Management of the acutely poisoned patient should start with decontamination of the skin and irrigation of the eyes, if necessary, and assessment of cardiorespiratory status, neurologic status, and pupils and eye movement. If a definable toxic syndrome is present, the specific "antidote" should be given. If no such sy...

journal_title：Postgraduate medicine

authors： Saxena K,Kingston R

更新日期：1982-05-01 00:00:00

abstract：:Immunization of infants and children is the most effective strategy for decreasing the incidence of some infectious diseases. Most invasive disease due to Haemophilus influenzae type b occurs before age 5 years, and routine vaccination of infants for hepatitis B is currently recommended because selective immunization ...

journal_title：Postgraduate medicine

authors： Vetter RT,Johnson GM

更新日期：1995-11-01 00:00:00

abstract：:Contrary to long-standing mores, what goes on in the person's home is not always sacred. When family relationships break down and family members deal violently with various stresses and problems, intervention is in order. Certain changes in societal attitudes would help prevent the problem. Physicians-alone or working...

journal_title：Postgraduate medicine

authors： Pelton CL

更新日期：1982-11-01 00:00:00

abstract：:A carefully taken history and thorough physical examination are the first steps in establishing the cause of a neck mass. Location, size, consistency, and mobility of the mass provide clues and are useful for comparison during follow-up. Further studies are ordered on the basis of the impressions gathered from this ev...

journal_title：Postgraduate medicine

authors： Damion J,Hybels RL

更新日期：1987-05-01 00:00:00

abstract：:Pulmonary artery hypertension (PAH) refers to several subgroups of disease in which the mean pulmonary artery pressure (mPAP) is elevated to more than 25 mm Hg, pulmonary artery wedge pressure (PAWP) ≤ 15 mmHg, and an elevated pulmonary vascular resistance (PVR) > 3 Wood units as confirmed by right heart catheterizati...

journal_title：Postgraduate medicine

authors： Velayati A,Valerio MG,Shen M,Tariq S,Lanier GM,Aronow WS

更新日期：2016-06-01 00:00:00

abstract：:Preview The risks associated with diagnostic cardiac catheterization have declined through the years, but the question remains as to which patients should be referred for the procedure. In this article, Drs Walder and Schaller examine present guidelines for different types of heart disease and also review qualificatio...

journal_title：Postgraduate medicine

authors： Walder LA,Schaller FA

更新日期：1995-03-01 00:00:00

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. Initi...

journal_title：Postgraduate medicine

authors： Gorski Y,Ricotta JJ

更新日期：1999-08-01 00:00:00

abstract：:Allergy is responsible for many problems in the pediatric age-group. At times the most difficult job for the physician is to determine if the patient is indeed allergic and, if so, to what. Allergy skin testing remains the first choice for diagnostic study. Treatment consists of avoiding the offending allergen if poss...

journal_title：Postgraduate medicine

authors： Hein EW,Kishore R

更新日期：1984-05-01 00:00:00

abstract：:Treatment of asymptomatic diverticulosis is geared to the prevention of constipation, with vigilance for possible signs of complications. A bulky stool decreases colonic intraluminal pressures, probably lessening pain and the chance of development of new diverticula. Increased stool weight may be achieved by the addit...

journal_title：Postgraduate medicine

authors： Herrera AF

更新日期：1976-12-01 00:00:00

abstract：:Thymomas may be discovered during routine evaluation, through reported symptoms, or increasingly, during evaluation for myasthenia gravis. Histologic details of these tumors have little bearing on prognosis or evaluation of malignant potential. Malignancy is determined by evidence of invasion through the tumor capsule...

journal_title：Postgraduate medicine

authors： Cohen DJ

更新日期：1986-03-01 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：:Carotid endarterectomy for carotid artery stenosis is valuable for some patients, but not all. Results of clinical trials in symptomatic and asymptomatic patients provide guidance on use of this common vascular procedure. The authors of this article describe the controversies and concerns with the procedure and give t...

journal_title：Postgraduate medicine

authors： Ingall TJ,Dodick DW,Zimmerman RS

更新日期：2000-05-15 00:00:00

abstract：:The sexual addiction model enables physicians to understand the self-destructive behavior of patients whose actions may otherwise appear inexplicable. When a person is preoccupied with sex and continues to engage in compulsive sexual activity despite adverse consequences (eg, loss of marriage, job, health, freedom), h...

journal_title：Postgraduate medicine

authors： Schneider JP

更新日期：1991-11-01 00:00:00

abstract：:Treatment of congestive heart failure depends on the cause, precipitating factors, and symptoms of the disease in each patient. Dr Kahn outlines the use of the three main types of pharmacologic agents given for heart failure--diuretics, vasodilators, and digoxin. He describes a stepwise regimen, whereby agents are add...

journal_title：Postgraduate medicine

authors： Kahn JK

更新日期：1991-05-01 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：:Wound healing calls for little outside interference. All the physician need do is ensure that the wound is clean and debrided and decide whether closure by suture or by granulation tissue formation is indicated. Suture repair should be delayed if the wound is heavily contaminated. Use of skin tapes or of constant-pres...

journal_title：Postgraduate medicine

authors： Fernandez A,Finley JM

更新日期：1983-10-01 00:00:00

abstract：:Hemorrhoids are a common source of anorectal symptoms, which are determined by their size. A helpful measure in small hemorrhoids is a high-fiber diet; in moderate lesions, ligature therapy is effective. Surgery should be reserved for large hemorrhoids. Anal fissures, probably caused by trauma to the anal canal during...

journal_title：Postgraduate medicine

authors： Metcalf A

更新日期：1995-11-01 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：:Self-assessment case studies illustrating prudent selection of antimicrobial agents in septic shock following urinary catheterization, bacteremia and skin lesions in an immunocompromised patient, and endocarditis in a patient with a prosthetic heart valve. ...

journal_title：Postgraduate medicine

authors： Rahal JJ Jr,Simberkoff MS

更新日期：1978-03-01 00:00:00

abstract：OBJECTIVE:To identify attitudes and practices of endocrinologists (ENDOs), family practitioners (FPs), internists (IMs), primary care nurse practitioners (NPs), physician assistants (PAs), certified diabetes educators (CDEs), retail pharmacists (R-PHs), and hospital pharmacists (H-PHs) with respect to type 2 diabetes m...

journal_title：Postgraduate medicine

authors： Williamson C,Glauser TA,Burton BS,Schneider D,Dubois AM,Patel D

更新日期：2014-05-01 00:00:00

abstract：:Increasing evidence has contraindicated extended radical dissection of pancreatic adenocarcinoma (PC). With the recent improvement of perioperative management techniques and multimodal treatment strategy for PC, concomitant major vessel resection and reconstruction has thus been aggressively attempted in association w...

journal_title：Postgraduate medicine

authors： Tsuchikawa T,Hirano S,Nakamura T,Okamura K,Tamoto E,Shichinohe T

更新日期：2015-04-01 00:00:00

abstract：:It is often difficult to determine the true extent of a burn, but most small thermal burns can be easily evaluated and managed by primary care physicians. In this article, the authors review the characteristics of different types of burns, describe those that require treatment in a burn center, and discuss appropriate...

journal_title：Postgraduate medicine

authors： Clayton MC,Solem LD

更新日期：1995-05-01 00:00:00

abstract：:Dealing with the complex problem of pregnancy in adolescence may involve working with many people. If the physician approaches the patient with an attitude of acceptance and understanding, the adolescent girl may be helped to make realistic decisions concerning her pregnancy and to adjust in a healthy manner. If she d...

journal_title：Postgraduate medicine

authors： Cooper JC

更新日期：1978-12-01 00:00:00

abstract：:Preview Practical assessment of the functional and support factors affecting quality of life in older patients should be an integral part of medical management. This approach allows physicians to focus on remediable problems that compromise patients' daily functioning and may hinder them from living independently. In ...

journal_title：Postgraduate medicine

authors： Paist SS 3rd,Jafri A

更新日期：1996-05-01 00:00:00