ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Because eye injuries and diseases may potentially result in serious vision impairments, accurate diagnosis and treatment of ophthalmic conditions are imperative. A symptom common to eye impairments is conjunctivitis, or red eye, a commonly seen manifestation in an ambulatory pediatric population. Because conjunctivitis is caused by various etiologies, clinicians must derive a differential diagnosis. This article examines possible causes of conjunctivitis after the neonatal period in this population. Differential diagnosis is dependent on a complete history, distinct physical findings, and use of adjunct diagnostic tests. Treatment, which depends on a sound differential diagnosis, should be targeted according to the cause of the problem.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Helicobacter pylori (H. pylori)has been implicated as the causative agent for most gastric and duodenal ulcers. Many patients who present to their primary care provider with dyspeptic symptoms have heard of this “stomach bacteria” and ask if they should be tested and treated for the infection. Prior to diagnosing the presence of the organism, it is essential to determine whether it is likely to be responsible for patients' symptoms. Most patients with ulcer-like symptoms do not have peptic ulcer disease. Moreover, the background prevalence ofH. pylorimay be high, depending on the age, race, and socioeconomic status of the patient population. Thus, antibiotic treatment to eradicateH. pylorimay not provide symptom relief.H. pylorican currently be diagnosed by serology or by a number of techniques involving endoscopic biopsy. In the near future, urea breath testing will likely become the noninvasive method of choice for diagnosing and monitoring the success of treatment forH. pyloriin the primary care setting. This article discusses the current issues related to diagnosis and treatment ofH. pylorias they relate to the primary care provider and offers insight as to when specialty referrals should be considered.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Multiple sclerosis is the most common neurologic disease disabling young adults less than 40 years of age in the United States. It is a chronic inflammatory disease of the central nervous system myelin, often viewed as an autoimmune disorder. Due to the difficulty in establishing a diagnosis, several years may pass between first onset of symptoms and an accurate diagnosis. The etiology remains unclear, but current research leans toward an immunologic and viral pathogenesis.The three main goals of treatment are to delay progression of disease, manage chronic symptoms, and treat acute exacerbations. While no cure has been found, copolymer 1 and interferon beta are each generating excitement in possibly delaying progression of multiple sclerosis.As the disease causes a set of highly variable and complex consequences, patients often require care from a multi-disciplinary team of health care providers. Therefore, it is essential that primary care providers possess a basic understanding of the etiology, clinical features, prognosis, and treatment of multiple sclerosis.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The optimal clinical management of venous ulcers is not clear, but compression therapy is the mainstay of medical management. The Unna's boot is a popular and effective compression dressing for venous ulcers despite incomplete clinical endorsement and minimal research evidence supporting its advantages over other compression dressing modalities.This article reviews the most recent professional and research-based literature concerning the use of the Unna's boot for venous ulcer healing. It discusses issues of venous ulcer prevalence, risk factors, recurrence, financial impact, physiological and psychological complications, and treatment choices. An overview of venous ulcer etiology is provided, culminating in this disorder's clinical presentation. Relevant wound-healing theory is related and functional explanations are given of lower-limb arterial circulation assessment measures, compression therapy, and the Unna's boot. Clinical protocol guidelines and patient education are highlighted.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

There have been many recent developments in the diagnosis and therapy of chronic liver diseases. These include identification of new hepatitis viruses, such as hepatitis C and E. Specific therapies such as interferon alfa are now approved for treatment of chronic viral hepatitis B and C, with improvement in liver tests in up to 50% of patients while on treatment. New therapies, such as ursodeoxycholic acid, are currently being studied for cholestatic liver diseases such as primary biliary cirrhosis and primary sclerosing cholangitis. Liver transplantation has become established as a proven treatment for end-stage liver disease, with 1-year survival rates above 80% and good long-term results. A variety of new surgical and nonsurgical treatments are available for treatment of gallstones, such as laparoscopic cholecystectomy, gallstone dissolution, and lithotripsy. The advent of endoscopy in the biliary tract with endoscopic retrograde cholangiopancreatography has made minimally invasive therapy possible for many biliary disorders. This article will focus on new therapies in hepatobiliary disease and recommend when to refer patients for further management.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID