What to do when you discover testicular cancer. Helping patients overcome fear and choose treatment.

abstract：:The use of opioids for patients with chronic noncancer pain has increased dramatically, and with increasing use there is increasing concern about the potential for abuse and addiction during long-term treatment. Clinicians should avoid viewing formal or subjective risk assessment as a means of classifying patients int...

journal_title：Postgraduate medicine

authors： Gordon A,Cone EJ,DePriest AZ,Axford-Gatley RA,Passik SD

更新日期：2014-09-01 00:00:00

abstract：:The best way to detect Cushing's syndrome is to measure urinary free cortisol and to conduct a 1-mg dexamethasone suppression test. The best way to distinguish among the varieties of Cushing's syndrome is to measure plasma adrenocorticotropic hormone (ACTH). Urinary 17-ketosteroid and plasma testosterone determination...

journal_title：Postgraduate medicine

authors： Burke MD

更新日期：1981-01-01 00:00:00

abstract：:Patients presenting with typical signs and symptoms of allergic rhinitis may respond to avoidance of allergens and to medications for symptomatic relief. Treatment may include antihistamines, decongestants, cromolyn sodium, and/or topical nasal steroids. Patients whose symptoms are refractory to these therapeutic meas...

journal_title：Postgraduate medicine

authors： Stafford CT

更新日期：1987-01-01 00:00:00

abstract：:Preview Severe metabolic complications of diabetes mellitus are a common cause of morbidity and death in both type I and type II disease. The distinctions between diabetic ketoacidosis and hyperosmolar nonketotic state are clearly defined, and accurate recognition is important for proper treatment. This article focuse...

journal_title：Postgraduate medicine

authors： Gonzalez-Campoy JM,Robertson RP

更新日期：1996-06-01 00:00:00

abstract：:The complexity of coding in the auditory nerve makes it unlikely that a prosthesis for deaf persons can exactly duplicate the normal function of the ear. With recent advances, however, cochlear prostheses can perform some of the frequency-analysis functions of the normal ear. Cochlear prostheses are effective aids to ...

journal_title：Postgraduate medicine

authors： Farrar CL,Mangham CA Jr,Kuprenas SV

更新日期：1984-11-15 00:00:00

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

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

更新日期：1975-04-01 00:00:00

abstract：:The prognosis for patients with obsessive-compulsive disorder has improved dramatically in recent years. Primary care physicians, who may be the first healthcare professionals to consult with these patients, can often provide appropriate treatment or therapeutic guidance. Psychiatric consultations and the implementati...

journal_title：Postgraduate medicine

authors： Khouzam HR

更新日期：1999-12-01 00:00:00

abstract：:Whether preparticipation sports examinations are necessary and what they should include are matters of debate, especially in the young because of the low yield of new medical diagnoses. The goal of the examining physician is to determine whether the athlete is mentally, developmentally, and physically capable of safel...

journal_title：Postgraduate medicine

authors： Bratton RL,Agerter DC

更新日期：1995-08-01 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：: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：:Gallstones are very common, but at least two thirds of detected stones are asymptomatic and a large number undoubtedly go undetected. The presence of symptoms or complications is the indication for surgery. It is important to accurately identify which symptoms are caused by gallstones, because removing the gallbladder...

journal_title：Postgraduate medicine

authors： Egbert AM

更新日期：1991-10-01 00:00:00

abstract：:Auscultation is the core of pediatric cardiovascular evaluation and should be performed according to a routine. The four heart sounds should be sought in order at their usual locations, with particular attention to the second sound because of its important diagnostic role in congenital cyanotic heart disease. The next...

journal_title：Postgraduate medicine

authors： Kulangara RJ,Strong WB,Miller MD

更新日期：1982-07-01 00:00:00

abstract：:Many patients with significant carotid artery stenosis are candidates for endarterectomy, a procedure now proved to reduce the incidence of future stroke and death. In this article, Drs Jaigobin and Perry describe an approach to patients with both symptomatic and asymptomatic carotid stenosis and review current indica...

journal_title：Postgraduate medicine

authors： Jaigobin CS,Perry JR

更新日期：1994-10-01 00:00:00

abstract：:Primary adrenal insufficiency due to tumor involvement is very rare. We herein report a case of adrenal insufficiency caused by cancer metastasis to a remaining single adrenal gland in a renal cell carcinoma patient who had undergone radical nephrectomy including removal of the right adrenal gland. The patient present...

journal_title：Postgraduate medicine

authors： Lee MW,Lee HJ

更新日期：2020-04-01 00:00:00

abstract：:A hepatitis B vaccine derived from the plasma of carriers of hepatitis B virus has recently become generally available in the United States. Its use is recommended in groups considered to be at high risk of hepatitis B because of their exposure to potentially infectious blood, saliva, or semen. Experience in more than...

journal_title：Postgraduate medicine

authors： Kutcher WL

更新日期：1983-05-01 00:00:00

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

authors： Marks DR,Rapoport AM

更新日期：1992-02-15 00:00:00

abstract：:Self-monitoring of blood glucose (SMBG) levels provides important information regarding glycemic control for patients with diabetes, and is recommended by European and American diabetes organizations as an essential adjunct to periodic glycated hemoglobin (HbA1c) level monitoring. The benefits of SMBG in improving gly...

journal_title：Postgraduate medicine

authors： Blevins T

更新日期：2013-05-01 00:00:00

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

authors： Love N

更新日期：1990-12-01 00:00:00

abstract：:Hypertension increases the risk of reinfarction and sudden death in post-myocardial infarction (MI) patients. The same s true of coexisting left ventricular hypertrophy. Fortunately, these two risk factors may be modified by pharmacotherapy. In this article, Dr Boden describes the complementary use of beta blockers an...

journal_title：Postgraduate medicine

authors： Boden WE

更新日期：1992-09-01 00:00:00

abstract：:Diagnostic paracentesis with ascitic fluid analysis is critical to the accurate diagnosis and management of ascites. Recent advances have improved the evaluation of ascitic fluid, among them the serum-ascites albumin difference for discriminating between ascites caused by liver disease and ascites due to malignancy. T...

journal_title：Postgraduate medicine

authors： Marshall JB

更新日期：1988-06-01 00:00:00

abstract：:Preview In most patients with stable angina pectoris, symptoms can be controlled successfully with drug therapy. Revascularization procedures should be reserved for those at high risk for cardiac events and those who do not respond to optimal therapy with any of the three classes of antianginal agents. In this article...

journal_title：Postgraduate medicine

authors： Thadani U,Chohan A

更新日期：1995-12-01 00:00:00

abstract：:In view of all the controversy surrounding travelers' diarrhea, how should patients be counseled regarding its prevention and treatment? First, all patients should be instructed on the importance of eating and drinking only safe food and water and on methods of dietary manipulation and oral rehydration therapy. The tr...

journal_title：Postgraduate medicine

authors： Lange WR,Kreider S

更新日期：1985-03-01 00:00:00

abstract：:Asthma and chronic obstructive pulmonary disease (COPD) are disorders that affect millions of people in the United States and other countries in the world. Asthma is a chronic inflammatory disease of the airways that has cellular and molecular pathways. Affected patients have recurrent episodes of wheezing, dyspnea, c...

journal_title：Postgraduate medicine

authors： Berger WE,Cline DC

更新日期：2005-12-01 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：:Nephrolithiasis is caused by several biochemical mechanisms, identification of which allows specific therapy that may prevent recurrences. In patients with their first kidney stone, careful evaluation is needed to identify those at highest risk for recurrence. Extensive evaluation of this subgroup should lead to prope...

journal_title：Postgraduate medicine

authors： Trivedi BK

更新日期：1996-12-01 00:00:00

abstract：:Identification of the cause and subsequent specific therapy are indicated for those prolonged or relapsing fevers that follow abdominal surgery. On rare occasions, these fevers can be attributed to potentially life-threatening occult infections, including maxillary sinusitis, acute cholecystitis, antibiotic-related ps...

journal_title：Postgraduate medicine

authors： Gleckman RA,Roth RM

更新日期：1986-02-01 00:00:00

abstract：:Syncope is a common complaint that is frequently evaluated without identifying a precipitating cause. Gelastic (laughter-induced) syncope is an uncommon and poorly understood condition. We describe 3 patients who experienced loss of consciousness during vigorous laughter. Each patient had an extensive medical evaluati...

journal_title：Postgraduate medicine

authors： Thiagarajah PH,Finkielstein D,Granato JE

更新日期：2010-11-01 00:00:00

abstract：OBJECTIVE:There is a need to identify safe and effective opioid-sparing multimodal alternative treatment strategies and approaches, including topical analgesics, for opioid-experienced chronic pain patients to mitigate the risk of addiction, misuse, and abuse of opioids. METHODS:This subset analysis from a prospective...

journal_title：Postgraduate medicine

authors： Gudin JA,Brennan MJ,Harris ED,Hurwitz PL,Dietze DT,Strader JD

更新日期：2018-01-01 00:00:00

abstract：:Although cardiopulmonary resuscitation (CPR) has been practiced for over a century, further study into methods for reviving victims of cardiac arrest is obviously needed. We now know that standard external CPR has numerous drawbacks, and modifications must be tested in a careful, randomized fashion. Three alternatives...

journal_title：Postgraduate medicine

authors： Rosenthal RE

更新日期：1987-02-15 00:00:00

abstract：:Arthritis complicating the common viral infections--mumps, coxsackievirus, and adenovirus--can be enigmatic. Mumps arthritis is often difficult to identify, especially when parotitis is mild, because the arthritic syndrome generally follows complete clearing of salivary adenitis by one to two weeks. Migratory polyarth...

journal_title：Postgraduate medicine

authors： Bayer AS

更新日期：1980-07-01 00:00:00