abstract：:The major obstacle to a recommendation for screening adults for NIDDM is the conflicting evidence that early detection and treatment reduce future complications. Because obesity is a risk factor for NIDDM, and hypertension in conjunction with NIDDM leads to early atherosclerosis, treatment is indicated for both hypert...

journal_title：Primary care

authors： Trilling JS

更新日期：1988-06-01 00:00:00

abstract：:EGD, using 1986 models of either the fiberoptic gastroscope or the videoscope, is a safe and accurate procedure that can be performed by any physician trained in the technique of endoscope passage. It may be performed at large medical centers or small rural hospitals, outpatient clinics, or even private offices. Patie...

journal_title：Primary care

authors： Coleman WH

更新日期：1988-03-01 00:00:00

abstract：:Fecal occult blood testing, proctosigmoidoscopy, and digital rectal examination have been recommended as screening tests for colorectal cancer in asymptomatic people. This article evaluates the advisability of recommendations by applying accepted principles of screening to the case of colorectal cancer. ...

journal_title：Primary care

authors： Realini JP

更新日期：1988-03-01 00:00:00

abstract：:Depression is the most frequent psychiatric complication of serious medical illness, occurring in up to 20 per cent of cases. Criteria for its diagnosis and guidelines for its treatment are presented. ...

journal_title：Primary care

authors： Petty F

更新日期：1987-12-01 00:00:00

abstract：:Somatoform disorders are characterized by physical complaints which have no organic basis and are commonly seen by both generalists and specialists. A case report and clinical descriptions of the major somatoform disorders are presented and recommendations for clinical management made. ...

journal_title：Primary care

authors： Black DW

更新日期：1987-12-01 00:00:00

abstract：:The environment contains a huge array of allergens, primarily proteins or glycoproteins, to which the atopic individual may become sensitized. In situations of high exposure and highly reactive substances, even nonatopic individuals may develop allergic antibodies. The individual's response depends on the underlying i...

journal_title：Primary care

authors： Weber RW

更新日期：1987-09-01 00:00:00

abstract：:Urticaria and angioedema are common medical problems. This article presents a classification and review of the diverse etiologic factors that can trigger these problems. A practical approach to differential diagnosis and various therapeutic modalities are also explained. ...

journal_title：Primary care

authors： Fineman SM

更新日期：1987-09-01 00:00:00

abstract：:Routine preventive health examinations for adolescents should be conducted annually, and screening tests are an important part of such periodic evaluations. This article outlines the recommended screening tests for all teenagers, and defines the additional screening tests necessary for high risk youth. Annual health s...

journal_title：Primary care

authors： Long TJ

更新日期：1987-03-01 00:00:00

abstract：:Musculoskeletal and connective tissue disorders are commonly encountered in primary care practice. These disorders include varieties of bursitis, tendinitis, myositis, arthritis, and related conditions. A certain group of these disorders lend themselves to diagnosis by needle aspiration or to treatment by injections. ...

journal_title：Primary care

authors： Leversee JH

更新日期：1986-09-01 00:00:00

abstract：:In this article, two cases are presented that illustrate that the principles underlying medical practice and religious scruples are often the same. The author argues, therefore, that better understanding of religious traditions that inform patients' views might diminish seeming conflicts in the provision of medical ca...

journal_title：Primary care

authors： Lebacqz K

更新日期：1986-06-01 00:00:00

abstract：:This article is intended as an overview of emergencies that could and often do present to the physician's office, especially when a hospital emergency department may not be nearby. It is not intended as an in-depth view of every problem but should be considered as a presentation of essential management in the emergenc...

journal_title：Primary care

authors： Runge JW,Schafermeyer RW

更新日期：1986-03-01 00:00:00

abstract：:Classification of patients with prostatic complaints into one of the categories of bacterial or nonbacterial prostatitis or prostatodynia (see Table 3) enables a physician to give rational advice to men with confusing symptoms. By examining the prostatic fluid of patients with prostatic symptoms, a physician may easil...

journal_title：Primary care

authors： Shortliffe LM

更新日期：1985-12-01 00:00:00

abstract：:A computerized database will serve a practice well if physicians and staff make their expectations and needs explicit, establish clear database specifications, and use those specifications as the basis for selecting appropriate data management software and computer hardware. Any computerized database management system...

journal_title：Primary care

authors： Bobula JA

更新日期：1985-09-01 00:00:00

abstract：:Pulmonary rehabilitation does have a place in the medical management of COPD. It is the responsibility of the primary care practitioner to be sufficiently informed to make intelligent choices among programs for optimum benefit to the patient. Beyond bronchodilators and small volume nebulizers is the concept of pulmona...

journal_title：Primary care

authors： Harris PL

更新日期：1985-06-01 00:00:00

abstract：:The recently completed NHLBI sponsored multicenter double-blind Coronary Heart Disease Prevention Trial has provided the long sought-after proof that hyperlipidemia is a major CAD risk factor and that the incidence of CHD and its complications can be favorable modified by control of hyperlipidemia with appropriate die...

journal_title：Primary care

authors： Kuo PT

更新日期：1985-03-01 00:00:00

abstract：:A problem-oriented algorithm is used to categorize skin eruptions in children into 10 morphologic groups, eliminating much of the difficulty and confusion of antiquated terms. This approach results in rapid differential diagnosis of common skin rashes in children. ...

journal_title：Primary care

authors： Weston WL

更新日期：1984-09-01 00:00:00

abstract：:The most common conditions of gastroenteritis in children and avoidance of errors in their management are emphasized in this article. ...

journal_title：Primary care

authors： Paisley J

更新日期：1984-09-01 00:00:00

abstract：:The nature and treatment of the three major types of juvenile rheumatoid arthritis--systemic, polyarticular, and pauciarticular--are presented. ...

journal_title：Primary care

authors： Alepa FP

更新日期：1984-06-01 00:00:00

abstract：:Eighty per cent of severe sports-related central nervous system trauma occurs as a result of collision sports, chiefly American football and rugby union football, followed by wrestling and gymnastics. Although serious head injury is uncommon, episodes of concussion are frequent; repeated concussion should be grounds f...

journal_title：Primary care

authors： Bruce DA,Schut L,Sutton LN

更新日期：1984-03-01 00:00:00

abstract：:The medical emergency of diabetic ketoacidosis is a particular problem for children with insulin-dependent diabetes because it is frequently associated with their initial presentation. Subsequent episodes can be prevented with proper use of personal glucose monitoring. The pathophysiology and diagnosis of diabetic ket...

journal_title：Primary care

authors： Schwenk WF 2nd,Haymond MW

更新日期：1983-12-01 00:00:00

abstract：:We have reviewed the current uses of ultrasound in obstetrics. The referring physician must have a clear understanding of the limitations and potential of obstetric ultrasound. The reason for requesting a particular examination should be conveyed to the ultrasonographer. Accurate dating of a particular pregnancy requi...

journal_title：Primary care

authors： Hill LM,Breckle R

更新日期：1983-06-01 00:00:00

abstract：:Medical management may be beneficial for certain types of cataracts, depending on the visual needs of the patient and concomitant ocular or systemic conditions. Surgical intervention and postoperative visual rehabilitation with the use of glasses or contact lenses has a high success rate, although the patient should b...

journal_title：Primary care

authors： Kolder HE

更新日期：1982-12-01 00:00:00

abstract：:Various forms of vegetarian diets are discussed and evaluated for their nutritional adequacy. Health, philosophical, religious, ecological, and economic concerns are suggested as possible reasons for these alternate dietary lifestyles. Nutrients of specific concern ot the vegetarian are highlighted and suggestions giv...

journal_title：Primary care

authors： Krey SH

更新日期：1982-09-01 00:00:00

abstract：:Dysfunction of the eustachian tube is the underlying problem in all types of otitis media. Systemic antibiotics and careful follow-up are the treatment of choice for acute suppurative otitis media, whereas topical antibiotics with saline irrigation are used in patients with a chronic condition. Myringotomy and tube in...

journal_title：Primary care

authors： Chui R

更新日期：1982-06-01 00:00:00

abstract：:Prevention of infection in the elderly is far preferable to treatment of the disease, and can be promoted through precautionary measures when undertaking invasive procedures in older patients as well as through the administration of available vaccines. Difficulties in diagnosing bacterial pneumonia, influenza, tubercu...

journal_title：Primary care

authors： Beam TR Jr

更新日期：1982-03-01 00:00:00

abstract：:Coronary arteriography is indicated in patients with acute myocardial infarction with complications such as ventricular septal rupture or papillary muscle rupture; when the ischemic pain recurs; or after acute myocardial infarction without major complications when information about the coronary anatomy is needed to es...

journal_title：Primary care

authors： King SB 3rd

更新日期：1981-09-01 00:00:00

abstract：:The various forms and manifestations of drug-induced liver disease depend on the operation and interaction of several potential factors. First, there is metabolism by the hepatic microsomal mixed-function oxidase (MFO) enzyme system, the most important component of which is cytochrome P-450. The microsomal membranes a...

journal_title：Primary care

authors： Holzbach RT

更新日期：1981-06-01 00:00:00

abstract：:The ankle is the site of frequent athletic injuries, the most significant of which include Achilles' rupture, peroneal tendon dislocation, and lateral ligamentous rupture. Evaluation techniques and treatment methods stressing an early but graduated return to function are discussed for the major soft tissue injuries of...

journal_title：Primary care

authors： Stover CN

更新日期：1980-06-01 00:00:00

abstract：:Major concerns about physical injury, emotional stress, poor adult leadership, and interference with junior high school football programs contribute to the Junior League Football controversy. In the final analysis, benefits of participation in these football programs are shown to far outweigh the risks. ...

journal_title：Primary care

authors： Godshall RW

更新日期：1980-06-01 00:00:00

abstract：:Fingertip injuries and lacerations of the hand are often dismissed as inconsequential, although this attitude can lead to more serious problems. Appropriate and timely treatment of these injuries prevents loss of function, preserves digital sensibility, and lessens the need for reconstructive surgery. ...

journal_title：Primary care

authors： Massengill JB

更新日期：1980-06-01 00:00:00

abstract：:Language disorder is often mistaken for confusion, psychosis, or memory loss, and thorough evaluation may require much time. A simple beside examination can often separate aphasic syndromes, and the anatomic location of the lesion can be inferred. Speech therapy, although not entirely satisfactory, is helpful in most ...

journal_title：Primary care

authors： Palmer EP

更新日期：1979-12-01 00:00:00

abstract：:There have been important expansions in knowledge about alcohol recently. In this chapter a number of advances pertinent to the family practitioner are summarized. However, technology is not our focus. We are talking first about troubled people. The applications of research may help such people in practice. However, o...

journal_title：Primary care

authors： Hertzman M

更新日期：1979-06-01 00:00:00

abstract：:Acute pyogenic infections of the skin, caused by hemolytic streptococci and S. aureus, account for the vast majority of bacterial infections of the skin seen in ambulatory practice. In preschool children the principal manifestation is pyoderma, which is usually caused by Group A Streptococcus. In this age group pyoder...

journal_title：Primary care

authors： Causey WA

更新日期：1979-03-01 00:00:00

abstract：:Most disease states giving rise to pulmonary symptoms represent a composite of physiologic changes involving ventilation and perfusion. The major initial physiologic abnormality is identified for a number of problems commonly encountered. ...

journal_title：Primary care

authors： Wyman AC,Glassman LM

更新日期：1978-09-01 00:00:00

abstract：:Care of the patient with tracheostomy is not difficult if care is taken to define clearly the needs of the particular patient. An awareness of the goals of care, daily maintenance, and possible complications is necessary to successful management. ...

journal_title：Primary care

authors： Furiel AE,Putnam JS

更新日期：1978-09-01 00:00:00

abstract：:The groin, the lowest portion of the abdominal wall near the junction with the thigh, is the site of a disproportionately large amount of dermatologic disease. Because of its close proximity to the genitalia it is the site of numerous sexually transmitted disorders. Maceration of the skin, which can occur quite readil...

journal_title：Primary care

authors： Robins DN

更新日期：1978-06-01 00:00:00

abstract：:SLE is an illness of unknown cause(s) affecting multiple organ systems, whose diagnosis depends upon a high index of suspicion and knowledge of its clinical manifestations. The American Rheumatism Association criteria may be used as a guide to help direct one's clinical and laboratory approaches. Survivorship appears ...

journal_title：Primary care

authors： Feldman S,Kaplan D

更新日期：1978-03-01 00:00:00

abstract：:Pregnancy in the diabetic is no longer the universal tragedy for mother and child that it once was but avoidable fetal loss wil continue to occur unless gestational diabetes is detected, and unless meticulous control and monitoring of the insulin dependent diabetic is maintained. As Kinch has so succinctly stated "car...

journal_title：Primary care

authors： Hazlett BE,Kenshole AB

更新日期：1977-12-01 00:00:00

abstract：:Paralysis agitans may be mimicked by other disease processes and drugs which disturb the structural or functional integrity of the dopaminergic nigrostriatal system. In another group of patients, isolated symptoms or signs such as tremor or increased muscle tone are considered out of the context of the total clinical ...

journal_title：Primary care

authors： Baxter DW

更新日期：1977-09-01 00:00:00

abstract：:Psychiatric problems constitute one of the prime reasons for failure in levodopa therapy in Parkinson's disease. While a variety of symptoms may be seen, the levodopa itself does not produce a defined set of psychiatric symptoms. The single most important factor determining the psychiatric response to levodopa therapy...

journal_title：Primary care

authors： Lloyd KG

更新日期：1977-09-01 00:00:00