ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Headaches are considered the most common type of pain; more than 40 million Americans seek treatment each year. A clear understanding of the types and possible causes of headache pain is essential to adequately assess and manage the patient with headaches. Headaches can be categorized as either primary or secondary to an underlying and usually treatable cause. Most headaches are primary; this includes migraine and variants, and cluster and tension-type headches. Before assuming a primary diagnosis, however, the clinician must rule out headaches secondary to an underlying cause so that further investigation, treatment, or referral may be inititated.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Osteoarthritis of the knee is a leading cause of chronic disablity in the United States. It is a heterogeneous condition that causes pathogenic changes that are presumably irreversible. In many cases, knee pain is often progresive and leads the patient to seek medical attention. Pharmacologic and nonmedicinal treatments are, in most cases, only modestly successful in relieving pain. Hyaluronic acid (HA) funtions as the backbone of the proteoglycan aggregates necessary for the functional integrity of articular cartilage of the knee. Two drugs made up of HA derivatives have recently become available for patients in whom simple analgesics and conservative nonpharmacologic therapy have failed. This article reviews the epidemiology, pathogenesis, diagnosis, and medical management of osteoarthritis of the knee, with an emphasis on the physiologic and pharmacologic mechanisms of HA. Health care providers may administer HA via intra-articular injection in primary care, rheumatologic or orthopedic settings, or they may refer their patients to specialists for consultation.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Approximately 1 to a million Americans suffer from Paget's disease of the bone. This chronic disease often results in pain, deformity, and mobility imairments, and can dramatically impair a patient's quality of life. The primary care provider plays a pivotal role in diagnosing and managing the patient with Paget's disease. This artile discusses Paget's disease diagnosis, management, pharmacologic therapy, referral, and follow-up.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Aseptic herpetic meningitis is a clinical syndrome characterized by fever, headaches, confusion, and a combination of meningeal signs. The spinal fluid findings consist of an increase in mononuclear cells (mononuclear pleocytosis), increased protein concentration, and normal glucose concentrations. Aseptic herpetic meningitis is thought to be caused by a viral infection, although the specific virus is usually not demonstrated. The condition is self-limited and requires no treatment.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID