abstract：:The purpose of this foot and ankle update is to educate the reader on important foot and ankle topics including current controversies, physical examination, diagnostics, and management. Quick-view lists are used to give easy access to the most significant knowledge points for providing patient care for these entities....

journal_title：Primary care

authors： Saleh A,Sadeghpour R,Munyak J

更新日期：2013-06-01 00:00:00

abstract：:Heart failure (HF) often presents as dyspnea either with exertion and/or recumbency. Patients also experience dependent swelling and fatigue. Measurement of the left ventricular ejection fraction (LVEF) identifies HF patients who may respond to pharmacologic therapy and/or electrophysiologic device implantation. Angio...

journal_title：Primary care

authors： Nicklas JM,Bleske BE,Van Harrison R,Hogikyan RV,Kwok Y,Chavey WE

更新日期：2013-03-01 00:00:00

abstract：:An overview of pericarditis, cardiomyopathy, and acute myocarditis is presented. Clinical presentation, causes, physical signs, laboratory testing, and various imaging procedures are discussed. Established pharmacologic and mechanical therapies are reviewed. Short-term and long-term prognoses, when relevant, are discu...

journal_title：Primary care

authors： Shammas NW,Padaria RF,Coyne EP

更新日期：2013-03-01 00:00:00

abstract：:This article attempts to illustrate ways in which family physician practices are able to demonstrate high value, enhanced quality, and streamlined costs, essential components of practice sustainability. Specific examples are provided to assist practices to consider questions and information that allow for skillful eng...

journal_title：Primary care

authors： Katz BJ,Needham MR

更新日期：2012-12-01 00:00:00

abstract：:Physical therapy and manual medicine for low back pain encompass many different treatment modalities. There is a vast variety of techniques that physical therapists commonly use in the treatment of low back pain. Some of the therapies include, but are certainly not limited to, education, exercise, lumbar traction, man...

journal_title：Primary care

authors： Guild DG

更新日期：2012-09-01 00:00:00

abstract：:A significant portion of the adult population uses one or more medications on a regular basis to manage chronic conditions. As the number of medications that patients are prescribed increases, an increase in pharmacologic-related issues and complications may occur, such as polypharmacy, inappropriate prescribing, medi...

journal_title：Primary care

authors： DeSevo G,Klootwyk J

更新日期：2012-06-01 00:00:00

abstract：:This article discusses pregnancy and nutrition in 3 main timeframes, the prepregnancy nutritional health evaluation, nutrition during pregnancy, and nutrition during the puerperium, and also includes comments on nutrition and lactation. This article begins with a brief review of the risks of obesity (increased body ma...

journal_title：Primary care

authors： Harnisch JM,Harnisch PH,Harnisch DR Sr

更新日期：2012-03-01 00:00:00

abstract：:The 2009 influenza A (H1N1) pandemic provided a major test to the public health system in the United States and abroad. Although the virus was rapidly identified, it took longer than expected to bring an effective vaccine to market. During the interim the virus demonstrated a predilection for infecting younger persons...

journal_title：Primary care

authors： Kimmel SR

更新日期：2011-12-01 00:00:00

abstract：:Irritable bowel syndrome (IBS) is a common gastrointestinal disorder that leads to crampy pain, gassiness, bloating, and changes in bowel habits in the absence of any currently identifiable organic disorder. Patients with IBS may be classified by their predominant bowel habit: diarrhea-predominant, constipation-predom...

journal_title：Primary care

authors： Malone MA

更新日期：2011-09-01 00:00:00

abstract：:Palliative care begins with establishing goals of care based on estimated prognosis in end-stage renal disease (ESRD). Patients with ESRD are increasingly characterized by older age and multiple comorbid illnesses, and have a mortality rate 8 times higher than the general Medicare population. Dialysis patients are app...

journal_title：Primary care

authors： Werb R

更新日期：2011-06-01 00:00:00

abstract：:The high prevalence of stimulant abuse and its harmful consequences make the screening, diagnosis, and referral for treatment of persons with stimulant abuse a top concern for primary care providers. Having a working knowledge of use patterns, clinical symptomatology, end-organ effects, and advances in treatment of st...

journal_title：Primary care

authors： Ciccarone D

更新日期：2011-03-01 00:00:00

abstract：:The rational use of laboratory testing to investigate early, undifferentiated joint pain depends heavily on a detailed history and careful physical examination. Nevertheless, several diagnostic tests have some discriminatory function in the initial evaluation of soft tissues and joint complaints, given the correct cli...

journal_title：Primary care

authors： Waits JB

更新日期：2010-12-01 00:00:00

abstract：:Benign prostatic hyperplasia (BPH) is the most common benign adenoma in men, affecting nearly all of them. BPH represents a clinically significant cause of bladder outflow obstruction in up to 40% of men. The growing frequency of diagnosis is due to increasing life expectancy and a trend toward seeking medical advice ...

journal_title：Primary care

authors： Djavan B,Eckersberger E,Finkelstein J,Espinosa G,Sadri H,Brandner R,Shah O,Lepor H

更新日期：2010-09-01 00:00:00

abstract：:This article discusses alternative therapies for secondary prevention and treatment of major cardiac disorders: congestive heart failure, hypertension, dyslipidemias, and peripheral vascular disease. The role of various therapies (eg, herbal and botanic preparations, supplements, mind/body interventions, other alterna...

journal_title：Primary care

authors： Pratt C

更新日期：2010-06-01 00:00:00

abstract：:Biofeedback is a clinical modality in which technology or instrumentation is used to allow a patient to gain awareness of, and control over, physiologic processes. Successful treatment employing biofeedback can be beneficial for several stress-related and pain conditions, as well as other forms of somatic disturbance....

journal_title：Primary care

authors： Glick RM,Greco CM

更新日期：2010-03-01 00:00:00

abstract：:Finding cancer at its earliest, most treatable stage gives patients the greatest chance of survival. For a number of cancers, screening tests allow for early detection and treatment, and thereby, reduce cancer-related mortality. However, many cancers are discovered by symptomatic presentation rather than screening. Th...

journal_title：Primary care

authors： Salzman BE,Lamb K,Olszewski RF,Tully A,Studdiford J

更新日期：2009-12-01 00:00:00

abstract：:Early in the 21st century, control of cancer is considered a major public health issue. Research advances are rapidly unraveling molecular genetic changes, which are the basis of human cancer. These advances are changing the way primary care providers will practice in the future. New genetic screening tools, early det...

journal_title：Primary care

authors： Eyre HJ

更新日期：2009-12-01 00:00:00

abstract：:Cancer is among the most preventable and the most curable of the major chronic life-threatening diseases. As the cancer burden grows, it is evident that new approaches must be developed to more effectively manage the disease. Given their unique role, primary care physicians and health workers are critically important ...

journal_title：Primary care

authors： Grey N,Garces A

更新日期：2009-09-01 00:00:00

abstract：:Although many complementary therapies are promoted for the treatment of obesity, few are truly therapeutic. Evidence suggests that food containing diacylglycerol oil, acupuncture, and hypnosis are the only evidence-based complementary therapies for the treatment of obesity, and, at best, these should be used as adjuva...

journal_title：Primary care

authors： Steyer TE,Ables A

更新日期：2009-06-01 00:00:00

abstract：:Primary dysmenorrhea is commonly a straightforward diagnosis that can be made accurately with an attentive history. In young women who have classic symptoms and no specific indication, a pelvic examination is often unnecessary in the initial evaluation. The opportunity for primary care practitioners to support women i...

journal_title：Primary care

authors： Morrow C,Naumburg EH

更新日期：2009-03-01 00:00:00

abstract：:Public awareness of the benefits of a healthy transition through menopausal and postmenopausal stages offers women a new perspective on aging and empowers them to take greater responsibility for their own health and well-being. Primary care physicians are a chief influence on information regarding health behaviors, ri...

journal_title：Primary care

authors： Weismiller DG

更新日期：2009-03-01 00:00:00

abstract：:Cardiovascular disease is the most prevalent health challenge to the global health care industry. The goal of prevention is compression of morbidity and enhancement of quality of life through modification of lifestyle and environmental risk factors. Treatment of established cardiovascular disease is expensive and inef...

journal_title：Primary care

authors： Sidani M,Ziegler C

更新日期：2008-12-01 00:00:00

abstract：:Health and safety concerns have dramatically increased the consumption of bottled water in developed countries, including the United States. The economic and environmental impact of the many different bottled water products on the market is considerable, and the role and impact of bottled water for routine use is uncl...

journal_title：Primary care

authors： Napier GL,Kodner CM

更新日期：2008-12-01 00:00:00

abstract：:This article summarizes the current understanding of infant crying and sleeping problems, together with the implications of this understanding for services and research, with a focus on the first months of infancy. ...

journal_title：Primary care

authors： St James-Roberts I

更新日期：2008-09-01 00:00:00

abstract：:Kidney stones affect more than 5% of adults in the United States, and the prevalence is rising. The fundamental cause for all stones is supersaturation of urine with respect to the stone components; factors affecting solubility include urine volume, pH, and total solute excretion. Calcium stones are the most common in...

journal_title：Primary care

authors： Worcester EM,Coe FL

更新日期：2008-06-01 00:00:00

abstract：:Atopic dermatitis is a complex, chronic inflammatory skin disease. Affected individuals, particularly those with moderate to severe disease, often suffer from significant morbidity, such as sleep loss, skin infections, and school or work disruption. Treatment for these patients can be especially challenging. Restoring...

journal_title：Primary care

authors： Ong PY,Boguniewicz M

更新日期：2008-03-01 00:00:00

abstract：:Continuous subcutaneous insulin infusion has provided patients who have diabetes with a system for achieving treatment targets with a lower incidence of severe hypoglycemia. Patients prefer the flexibility, convenience, and physiologic glycemic control of continuous subcutaneous insulin infusion. Future insulin pumps ...

journal_title：Primary care

authors： White RD

更新日期：2007-12-01 00:00:00

abstract：:Mental health and primary care delivery systems have evolved to operate differently. For example, attention to multiple medical issues, health maintenance, and structured diagnostic procedures are standard elements of primary care rarely incorporated into mental health care. A multidisciplinary treatment approach, gro...

journal_title：Primary care

authors： Thielke S,Vannoy S,Unützer J

更新日期：2007-09-01 00:00:00

abstract：:Attention-deficit-hyperactivity disorder (ADHD) is a commonly occurring, heritable neurobehavioral disorder distributed worldwide that does not typically resolve after childhood. The significant impact of ADHD on an individual's family, relationships, educational performance, and performance at work is now well establ...

journal_title：Primary care

authors： Katragadda S,Schubiner H

更新日期：2007-06-01 00:00:00

abstract：:With Internet access available to all, patients are increasingly gaining access to medical information, and then looking to their primary care physician for interpretation. Physicians encounter an "information jungle"--there were 682,121 articles recorded in PubMed in 2005. If clinicians read two articles per day, in ...

journal_title：Primary care

authors： Miser WF

更新日期：2006-12-01 00:00:00

abstract：:The diagnosis for an acute monarthritis may still be elusive, even after an extensive initial evaluation. For example, what should be done for a patient who has a paucity of extra-articular findings on physical examination and an inflammatory synovial fluid with negative Gram's stain, cultures, and crystals? Conservat...

journal_title：Primary care

authors： Maury EE,Flores RH

更新日期：2006-09-01 00:00:00

abstract：:STI are among the most common pathological conditions affecting sexually active adolescents. Both screening of asymptomatic adolescents and a thoughtful, thorough approach to the evaluation of symptoms are critical measures in STI identification and control. ...

journal_title：Primary care

authors： Holland-Hall C

更新日期：2006-06-01 00:00:00

abstract：:Diagnostic testing for CAD is aided by the calculation of the pretest probability using either the Diamond-Forrester score or the Morise score. Patients who have a low risk of CAD should not undergo testing. Exercise ECG testing should be reserved for patients who have pretest probabilities lower than 20%, because a n...

journal_title：Primary care

authors： Anthony D

更新日期：2005-12-01 00:00:00

abstract：:Heart failure is a clinical syndrome that results in diminished tissue perfusion and volume overload. Because of increasing population age and improved survival after myocardial infarction, the prevalence of heart failure is likely to increase dramatically. Primary care physicians are in an ideal position to care for ...

journal_title：Primary care

authors： Wilbur J,James P

更新日期：2005-12-01 00:00:00

abstract：:Shared decision making respects patient autonomy and allows patients to select how much they wish to become involved in various health care decisions. Advance care planning allows a person to document preferences that can become operative at a later time when the person has lost decision-making capacity. Structured me...

journal_title：Primary care

authors： Brody H

更新日期：2005-09-01 00:00:00

abstract：:Central sleep apnea (CSA) is characterized by the periodic occurrence of apnea caused by loss of ventilatory motor output. CSA is often discussed as a minor variant of obstructive sleep apnea.However, this view obscures the critical contribution of CSA as an important manifestation of breathing instability in a variet...

journal_title：Primary care

authors： Badr MS

更新日期：2005-06-01 00:00:00

abstract：:Pediatric sleep disorders represent a heterogeneous collection of disturbances that require varied intervention strategies. The diagnosis of some sleep disorders (eg, OSAS, narcolepsy, PLMD) require PSG, whereas others can be diagnosed during an office visit with a thorough medical,psychiatric, and sleep history. Slee...

journal_title：Primary care

authors： Capp PK,Pearl PL,Lewin D

更新日期：2005-06-01 00:00:00

abstract：:This article deals with common injuries to the elbow. Elbow anatomy is reviewed. Diagnosis and treatment of pronator syndrome,lateral epicondylitis (tennis elbow), radial tunnel syndrome, posterior interosseous nerve syndrome, medial epicondylitis (golfer's elbow), ulnar collateral ligament injury, cubital tunnel synd...

journal_title：Primary care

authors： Sellards R,Kuebrich C

更新日期：2005-03-01 00:00:00

abstract：:In summary, it is important for physicians dealing with neck pain in an athletic population to understand the differences between serious and mild cervical injuries. This is best facilitated by a thorough understanding of the signs and symptoms of serious cervical injury, familiarity with the basic anatomy of the neck...

journal_title：Primary care

authors： Dorshimer GW,Kelly M

更新日期：2005-03-01 00:00:00

abstract：:Shoulder problems are extremely common reasons for visiting a primary care physician. To make a correct diagnosis, an appropriate physical examination must be performed. This article describes a systematic approach to the physical examination, correlating the various maneuvers and tests with the anatomy and pathology ...

journal_title：Primary care

authors： McShane JM,Graveley MJ,Hopper BD

更新日期：2004-12-01 00:00:00