Legg-Calvé-Perthes disease.

Abstract:

:Legg-Calvé-Perthes disease affects children, mostly boys, in the age range of 3 to 12 years. Severity and duration are quite variable. Catterall's classification of disease according to degree of femoral head involvement is of real prognostic value. Other factors of prognostic importance are loss of motion, metaphyseal cysts, subluxation and extrusion, and involvement of the epiphyseal plate, all of which are associated with poor results. Patients with Catterall group I involvement require no specific treatment as long as motion is normal. For patients under 6 years of age with group II involvement, specific efforts to contain the femoral head do not appear to bb indicated. In all other patients, maximum effort should be made to achieve containment of the femoral head and maintain full range of motion. Surgery has been used for reconstruction and as an alternative method of containment.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Kamhi E

doi

10.1080/00325481.1976.11714449

subject

Has Abstract

pub_date

1976-10-01 00:00:00

pages

125-30

issue

4

eissn

0032-5481

issn

1941-9260

journal_volume

60

pub_type

杂志文章
  • Psychiatry: unresolved grief. Clinical considerations.

    abstract::Unresolved grief refers either to the absence or to the prolongation of normal grief. It is identified by (1) painful response to recall of the deceased, (2) realization of not having accepted the loss or of not being able to grieve, and (3) unaccountable depression, emergence of medical symptoms on the anniversary of...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11714374

    authors: DeVaul RA,Zisook S

    更新日期:1976-05-01 00:00:00

  • Varicose veins. Their symptoms, complications, and management.

    abstract::Varicose veins are a common problem that still presents a major challenge to the physician and the patient. Complete surgical removal of the malfunctioning veins has proved to be the most effective management for significant varicosities, although several nonsurgical methods are available for mild cases or those not s...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715178

    authors: Lofgren KA

    更新日期:1979-06-01 00:00:00

  • Nephrolithiasis: how it happens and what to do about it.

    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

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1996.12.127

    authors: Trivedi BK

    更新日期:1996-12-01 00:00:00

  • Hematuria. When is it cause for alarm?

    abstract::The urine of less than 3% of healthy persons shows more than three red cells per high-power field, which is about the limit of sensitivity of test strips for occult blood. Even minimal hematuria may herald serious problems and must be investigated. Common causes include infection, urethritis, and urethrotrigonitis (25...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699979

    authors: Brown DC

    更新日期:1987-09-15 00:00:00

  • Differential diagnosis of jaundice. Hepatocellular versus obstructive disease.

    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

    pub_type: 杂志文章

    doi:

    authors: Marin GA

    更新日期:1987-01-01 00:00:00

  • Telephone 'emergencies'. How to respond appropriately and effectively.

    abstract::While the appropriateness of giving medical advice on the telephone could be debated, this discussion is based on the assumption that few physicians can avoid providing this service to their patients. In fact, most physicians must respond often to telephone requests for advice. A large portion of these "emergency" cal...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699699

    authors: Davidhizar RE,Wehlage DF

    更新日期:1987-02-01 00:00:00

  • Coughing up a stone. What to do about broncholithiasis.

    abstract::Broncholithiasis, a disease that is probably much more common than has been reported, is most often associated with pulmonary infections, for example, tuberculosis and histoplasmosis. Stones originate from calcified peribronchial lymph nodes that erode into the tracheobronchial tree, but lithoptysis occurs infrequentl...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1988.11700166

    authors: Haines JD Jr

    更新日期:1988-02-15 00:00:00

  • Bacterial or viral meningitis? Measuring lactate in CSF can help you know quickly.

    abstract::Measurement of cerebrospinal fluid (CSF) lactate is a useful test when properly applied to the appropriate clinical situation and can offer information other CSF parameters cannot provide. Except for Gram's stain of CSF, lactate level is the most important CSF parameter in the early differentiation of viral (aseptic) ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1990.11716403

    authors: Bailey EM,Domenico P,Cunha BA

    更新日期:1990-10-01 00:00:00

  • Thyroid screening.

    abstract::Preview The ultrasensitive third-generation assay for thyrotropin (TSH) is now the "gold standard" for measuring thyroid activity. Who should be screened with it, and what further studies should be done if results are abnormal? Which patients with subclinical disease should receive treatment? Drs Brody and Reichard di...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1995.11946028

    authors: Brody MB,Reichard RA

    更新日期:1995-08-01 00:00:00

  • Diet and diabetes.

    abstract::Present evidence suggests that the most important nutritional factor bearing on the risk of development of diabetes mellitus is an excessive caloric intake. Other evidence suggests that both dietary prevention of diabetes and mitigation of hyperglycemia by dietary means can prevent morbidity and mortality from the mic...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11712096

    authors: West KM

    更新日期:1976-09-01 00:00:00

  • Newer antihypertensive agents.

    abstract::Captopril (Capoten) and minoxidil (Loniten) have recently become generally available for treatment of hypertension, and calcium channel blockers, although not yet officially approved for this indication, clearly have potential as antihypertensive agents. Captopril, the only available inhibitor of angiotensin-convertin...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1983.11698326

    authors: Kaplan NM

    更新日期:1983-01-01 00:00:00

  • Penile lesions: a generalist's guide.

    abstract::Penile lesions are a discomfiting affliction demanding skillful diagnosis and management by the primary care physician. This article discusses and illustrates 14 common types, delineating characteristics, course, and treatment. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1981.11715853

    authors: Witherington R

    更新日期:1981-09-01 00:00:00

  • Helping patients who say they cannot sleep. Practical ways to evaluate and treat insomnia.

    abstract::Why do some people spend most of the night tossing and turning while others drop off as quickly as a cat in the sun? There are many possible explanations for problems with falling and staying asleep and, sometimes, patients actually get a lot more sleep than they think they do. Each type of insomnia has its own set of...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2000.03.935

    authors: Attarian HP

    更新日期:2000-03-01 00:00:00

  • Update on traveler's diarrhea.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1988.11700344

    authors: Strum WB

    更新日期:1988-07-01 00:00:00

  • Cecal volvulus: A diagnostic and therapeutic challenge.

    abstract::Cecal volvulus is a malrotational abnormality of the intestine that causes obstruction. Diagnosis is difficult and, if delayed, the results may be intestinal ischemia, perforation, sepsis, and even death. Cecal ischemia or gangrene cannot always be determined from physical and laboratory findings. Although not always ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1982.11716164

    authors: Weiss BD

    更新日期:1982-08-01 00:00:00

  • Cutaneous signs of internal malignancy. A pictorial essay.

    abstract::The skin is a window of internal malignancies and other diseases. The cutaneous signs of internal malignancy can be divided into four major groups: (1) hypersensitivity or toxic reactions, (2) infections, (3) metabolic disorders, and (4) tumors. A diagnosis of the many signs of systemic malignancy is made by inspectio...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699299

    authors: Bergfeld WF

    更新日期:1986-02-15 00:00:00

  • Pharmacologic therapy for bronchial asthma.

    abstract::Many drugs with which to treat reversible obstructive airway disease are available. Beta-adrenergic aerosols are the first line of defense; these are followed, when necessary, by either timed-release theophylline or oral beta-adrenergics. Often, a combination of these drugs must be used to achieve effective relief of ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699911

    authors: O'Loughlin JM

    更新日期:1987-07-01 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

  • Beta-adrenergic mechanisms during severe myocardial ischemia and evolving infarction.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Willerson JT,Buja LM

    更新日期:1988-02-29 00:00:00

  • Pain severity and healthcare resource utilization in patients with osteoarthritis in the United States.

    abstract:OBJECTIVE:To evaluate healthcare resource utilization (HCRU) by osteoarthritis (OA) pain severity. METHODS:Cross-sectional surveys of US physicians and their patients were conducted between February and May 2017. Using the Numeric Rating Scale, patients were classified by self-reported pain intensity in the last week ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2020.1841988

    authors: Nalamachu S,Robinson RL,Viktrup L,Cappelleri JC,Bushmakin AG,Tive L,Mellor J,Hatchell N,Jackson J

    更新日期:2021-01-01 00:00:00

  • Caring for adults with mental disabilities. Problems tend to be complex among this growing population.

    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

    pub_type: 杂志文章

    doi:10.3810/pgm.1999.11.776

    authors: Councilman DL

    更新日期:1999-11-01 00:00:00

  • New findings in treatment of colon cancer.

    abstract::Patients with colon cancer involving regional lymph nodes (stage C disease) have a 5-year survival rate of only 30% to 40%, and the majority die of recurrent disease. Recent trials have shown increased survival rates with postoperative use of fluorouracil plus levamisole. The authors discuss these findings and the imp...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1990.11716390

    authors: Treat J,Joseph RR

    更新日期:1990-10-01 00:00:00

  • High-density lipoprotein cholesterol. Recommendations for routine testing and treatment.

    abstract::Evidence from epidemiologic, lipid intervention, and coronary angiographic studies demonstrates the importance of high-density lipoprotein cholesterol (HDL-C) in coronary artery disease (CAD) risk. Data from these studies strongly support the measurement of HDL-C in all patients screened for CAD. Patients with low lev...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1990.11704654

    authors: Lavie CJ,O'Keefe JH,Blonde L,Gau GT

    更新日期:1990-05-15 00:00:00

  • Emergency management of cocaine intoxication. Counteracting the effects of today's 'favorite drug'.

    abstract::The toxic effects of cocaine are becoming more widely recognized as the popularity of the drug increases. Although overdose is usually fatal, treatment is available for users who experience agitation, seizure, arrhythmias, severe hypertension, or other side effects. Hospital admission is often necessary to allow monit...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1992.11701173

    authors: Lobl JK,Carbone LD

    更新日期:1992-01-01 00:00:00

  • How to recognize the signs of sexual addiction. Asking the right questions may uncover serious problems.

    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

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11701111

    authors: Schneider JP

    更新日期:1991-11-01 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 emerging new arthritis drugs. A clinician's opinion.

    abstract::In the face of deficiencies in our present system of introducing new drugs, clinicians must be committed to monitoring patients carefully. They must not be caught up in the hyperbole and excitement of the latest new drug, but instead should allow the crucible of time to teach them and the rest of the medical community...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1983.11697799

    authors: Roth SH

    更新日期:1983-03-01 00:00:00

  • Osteoblast as a target of anti-osteoporotic treatment.

    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

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.2017.1362312

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

    更新日期:2017-11-01 00:00:00

  • Common eye disorders: six patients to treat, pitfalls to avoid.

    abstract::Primary care physicians have an important role in diagnosing and treating eye disorders--including dacryocystitis, blepharitis, and conjunctivitis--and in determining when ophthalmologic referral is needed. Fundus examination for diagnosis of glaucoma and diabetic eye complications should be a part of the routine exam...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:

    authors: Weinstock FJ,Weinstock MB

    更新日期:1996-04-01 00:00:00

  • How does leukemia invade the central nervous system?

    abstract::Prolongation of survival of children with acute leukemia by systemic therapy has brought a marded increase in incidence of CNS leukemia. In mice inoculated with leukemia cells, CNS i nfiltrates are rare unless life is prolonged by chemotherapy. Available evidence seems to indicate that leukemic cells in the CNS in mos...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11716526

    authors: Pochedly C

    更新日期:1976-01-01 00:00:00