ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

ABSTRACTThe abdomen, as the largest cavity in the body, holds both fixed as well as relatively mobile organs, which when either diseased, traumatized, malfunctioning, or infected may present a wide and diverse range of signs and symptoms. Clues to the origin of abdominal pain can be well‐localized or referred and quite obtuse.This article reviews the surface anatomy of the abdomen, the ??ypes of abdominal pain, approach ?? the patient with abdominal pain, ??nd history‐taking and physical examination. Adjunctive studies, ??hich might help to reduce the differential diagnosis, are mentioned.The goal of this article is to help the reader formulate an accurate ??iagnosis in a timely manner via a complete but also well‐focused physical examination; attention is ??paid to a comprehensive differential diagnosis to include common and not so common causes of ??cute abdominal pain. Intra‐abdominal sources of abdominal pain include: peritonitis, bowel obstruc?? ??on, and vascular disorders. Extra?? ?? abdominal sources of abdominal ??in include the thorax, pelvis, and the abdominal wall. Some metabolic and neurogenic sources of ??bdominal pain are examined. Life?? ??threatening causes of abdominal pain include ectopic pregnancy, acute myocardial infarction, abdominal aortic aneurysm, splenic ??pture, and obstructed bowel. Discussion of these entities concen??ates on the initial presentation of ??he patient, typical progression of ??symptoms, and appropriate initial ??reatment as well as referral. The ??ocess of ruling out emergent ab?? ?? dominal pain is also examined.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

ABSTRACTResearchers have increasingly demonstrated that 15% to 30% of all women have been sexually abused as children. Information on the emotional, behavioral, and cognitive sequelae of this abuse has been available. Most recently, a literature on the somatic and medical sequelae has developed. This article reviews this literature and discusses its implications for primary care providers. Survivors are likely to suffer from insomnia, gastrointestinal problems, obesity, chronic pain, headache, and somatization, and they are frequent utilizers of primary care services. Specific suggestions about history taking, physical examination, and referrals are given to ensure that survivors receive care that is sensitive, supportive, and competent. The article also discusses the dynamics of abuse and how they relate to the ongoing relationship between the primary care provider and the survivor of sexual abuse.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

ABSTRACTLichen sclerosus of the vulvar is an often misdiagnosed and chronic gynecologic disease.Women of any age can be affected, but it is most common in the perimenopausal and postmenopausal years. The treatment for lichen sclerosus is limited with no cure. The current treatment is a lifelong procedure and may not prevent the progression of the disease. The primary treatment for lichen sclerosus is testosterone ointment, which may cause unwanted side effects. Complications arising from vulvar lichen sclerosus include loss of vulvar structure and fusing of labia which causes covering of the clitoris. Vulvar lichen sclerosus may also cause painful intercourse and defecation. Due to ??he intense pruritus, excoriation ??f the area occurs. This informa????on can help the clinician to de??ect the disease early and start reatment before serious complications begin. Diagnostic and treatment information is provided in this article to help the clinician understand the nature of this disease.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

&NA;This is the 25th in a series of articles based on chapters excerpted from theClinician's Handbook of Preventive Services,part of the Put Prevention Into Practice Program from the U.S. Public Health Service. This month's article, which contains updated recommendations, is taken from a draft of the second edition of theClinician's Handbook. The draft is awaiting final approval from the U.S. Department of Health and Human Services.

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

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID