Abstract
Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks' duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a me...
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PMID: 22010767
PDF is available here.
Abstract
As the proportion of persons in the United States older than 65 years increases, the prevalence of dementia will increase as well. Risk factors for dementia include age, family history of dementia, apolipoprotein E4 genotype, cardiovascular comorbidities, chronic anticholinergic use,...
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PMID: 22010769
PDF is available here.
Abstract
Heart murmurs are common in healthy infants, children, and adolescents. Although most are not pathologic, a murmur may be the sole manifestation of serious heart disease. Historical elements that suggest pathology include family history of sudden cardiac death or congenital heart dis...
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PMID: 22010618
PDF is available here.
Abstract
Correct diagnosis is the key to managing facial pain of non-dental origin. Acute and chronic facial pain must be differentiated and it is widely accepted that chronic pain refers to pain of 3 months or greater duration. Differentiating the many causes of facial pain can be difficult for busy practiti...
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PMID: 21905353
PDF is available here.
Abstract
I reflect on my role as a respiratory nurse specialist caring for a patient newly diagnosed with chronic obstructive pulmonary disease (COPD). The aim of the article is to demonstrate the importance of specialist and holistic care for patients with COPD, as well as highlighting the need to carry out...
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PMID: 21905379
PDF is available here.
Abstract
The use of the latest classification of a PPA seems to be an interesting proposition to improve methods for identifying, testing and treatment of this complex clinical syndrome. On each stage of the diagnostic and therapeutic process, patient required individually adjusted neuropsychological cogniti...
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PMID: 21991849
PDF is available here.
Abstract
Constipation is traditionally defined as three or fewer bowel movements per week. Risk factors for constipation include female sex, older age, inactivity, low caloric intake, low-fiber diet, low income, low educational level, and taking a large number of medications. Chronic constipation is classifie...
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PMID: 21842777
PDF is available here.
Abstract
Current guidelines for preparticipation screening of competitive athletes in the US include a comprehensive history and physical examination. The objective of this study was to determine the incremental value of electrocardiography and echocardiography added to a screening program consisting of histo...
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PMID: 21605728
PDF is available here.
Abstract
The presentation of a woman in midlife can be an opportunity for both the woman and her doctor to consider a wide range of issues that may be impacting on quality of life or that present a risk to her future health.
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PMID: 21597542
PDF is available here.
Abstract
We examined the interrelationships among number of distinct traumatic event exposures, PTSD diagnosis, physical health, and substance use behavior using epidemiological data from the National Comorbidity Survey Replication (NCS-R; Kessler et al., 2004). Results provide some evidence that PTSD mediat...
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PMID: 21481478
PDF is available here.
Abstract
According to the literature, dermatoscopy can improve diagnostic accuracy for melanoma. However, a weak point of the studies in the literature is that most were carried out in a 'privileged' setting of dermatologists who are expert in dermato-oncology, and who work in departments specializing in scre...
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PMID: 21091756
PDF is available here.
Abstract
To evaluate the accuracy of gross visual assessment of myometrial invasion in endometrial carcinoma.
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PMID: 21534933
PDF is available here.
Abstract
Yusho is an incidence of food poisoning caused by rice bran oil in 1968. Its main causal agent is considered as 2,3,4,7,8-penta-chlorodibenzofuran (PeCDF). The patients have been suffered by the various symptoms, and their blood concentration of PeCDF is still higher than the general population.
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PMID: 21706885
PDF is available here.
Abstract
We present a 16-year-old adolescent boy with treatment-refractory eczema of 2 years' duration. Physical examination revealed a thin adolescent boy with widespread excoriations, but no eczematous or primary cutaneous lesions were identifiable. Lymph node examination revealed palpably enlarged nodes i...
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PMID: 21644488
PDF is available here.
Abstract
The purpose of this prospective cohort study was to determine if hamstring tightness was an increased risk in plantar fasciitis. It was thought that there is an increased risk of plantar fasciitis when hamstring tightness is present. A total of 105 patients (68 women, 37 men) were in...
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PMID: 21368068
PDF is available here.
Abstract
To determine whether older adults (aged ≥ 60) experience less improvement in disability and pain with nonsurgical treatment of lumbar disk herniation (LDH) than younger adults (
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PMID: 21391933
PDF is available here.
Abstract
We report a patient with a laryngeal perforation who was managed conservatively in a rural hospital without complications and review the literature pertinent to cases of this nature....
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PMID: 21435319
PDF is available here.
Abstract
Juvenile idiopathic arthritis (JIA) is a term that encompasses all forms of arthritis that begin before the age of 16 years old, persist for more than 6 weeks and are of unknown cause. The ILAR criteria for JIA classification are based on the number of joints involved. The aim of our study was to com...
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PMID: 21385557
PDF is available here.
Abstract
We examined the associations among physical activity, neurological disability, and cardiorespiratory fitness in two studies of individuals with multiple sclerosis (MS). Method - Study 1 included 25 women with relapsing-remitting MS (RRMS) who undertook an incremental exercise test for measuring...
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PMID: 21108624
PDF is available here.
Abstract
We present a case of a morbidly obese patient whose diagnosis of liposarcoma was delayed for over a year as his obesity hindered proper diagnosis and medical treatment....
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PMID: 21630613
PDF is available here.
Abstract
The NHS Health Check Programme presents the opportunity to reduce death and ill health caused by cardiovascular diseases (CVDs). Owing to the current restructuring of health care in the UK, financial resources will in future be limited. It is important to develop cost-effective ways of delivering thi...
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PMID: 21781435
PDF is available here.
Abstract
Skin diseases are underestimated and overlooked by most clinicians despite being common in clinical practice. Many patients are hospitalized with co-existing dermatological conditions which may not be detected and managed by the attending physicians. The objective of this study was to determine the b...
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PMID: 21492436
PDF is available here.
Abstract
Fibromyalgia (FM) is a complex syndrome that affects many aspects of the patient's life and it is very difficult to evaluate in clinical practice. A recent study has developed the Combined Index of Severity of Fibromyalgia (ICAF), an instrument that evaluates diverse aspects of FM and offers five ind...
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PMID: 21649886
PDF is available here.
Abstract
General practitioners (GPs) deal with the multiple health needs of older patients. During patient encounters GPs are often only able to manage a limited number of problems and tend to focus on single diseases resulting in fragmented and overloaded care. A systematic approach that considers multiple h...
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PMID: 21575329
PDF is available here.
Abstract
I trauma center from March 2008 to September 2008. After Institutional Review Board approval, all evaluable blunt trauma patients older than 15 years were evaluated by a senior resident or attending surgeon for TL spine deformity, tenderness to palpation, and neurologic deficits. Patients were follo...
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PMID: 20489662
PDF is available here.
Abstract
Somatic disorders occur more often in psychiatric patients than in the general population; some disorders are undiagnosed at the moment of referral. According to current guidelines, patients admitted to a psychiatric clinic should receive somatic screening. This recommendation, however, does not appl...
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PMID: 21506076
PDF is available here.
Abstract
Because of its high thickness, nodular melanoma often bears a poor prognosis. Thus, an earlier diagnosis of this type of lesion while it is still thin would be an important step in secondary prevention. The principal aim of the present study was to better define the initial clinical features of nodul...
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PMID: 21528661
PDF is available here.
Abstract
We also present a systematic approach to evaluating individuals exposed to oil spills....
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PMID: 21618948
PDF is available here.
Abstract
Painful shoulder is a common painful condition among patients. Apart from acute traumatic lesions such as fractures, dislocations, contusions, sprains and ruptured tendons, 85 to 90% of painful shoulders are due to adhesive capsulitis, acute or chronic calcific tendinitis, bursitis, bicipital tendini...
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PMID: 21240157
PDF is available here.
Abstract
Chronic pelvic pain is often difficult to diagnose and treat properly. Physicians called on to treat this problem may not be able to give a specific diagnosis. The aim of this study was to see whether the physical presence of anterior vaginal wall tenderness could help narrow down and elucidate diagn...
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PMID: 21902934
PDF is available here.
Abstract
Vestibulodynia is a chronic type of vulvar pain that affects at least 16% of women in the United States. The condition is often misdiagnosed or not diagnosed at all due to a lack of knowledge among health care professionals. Delayed diagnosis puts a woman at risk for sexual dysfunction, decreased qua...
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PMID: 21542444
PDF is available here.
Abstract
Rehabilitation of an athlete after an injury takes a team approach for a successful return to competition. The five steps of rehabilitation are discussed, including diagnosis, control of inflammation, promote healing, increase fitness, and control abuse. Return to activity can occur...
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PMID: 21736075
PDF is available here.
Abstract
There is an increasing awareness about the risk of thromboembolic disease caused by combination oral contraceptives. This study assesses routines associated with prescription of an oral contraceptive, with an emphasis on venous thromboembolic disease.
A questionnaire requesting information about med...
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PMID: 21139658
PDF is available here.
Abstract
This article provides suggestions for skill development for substance abuse (SA) treatment agencies and providers for implementing Treatment Improvement Protocol number 25: Substance Abuse Treatment and Domestic Violence. Methods for detecting, screening, intervening, and referring victims and perpe...
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PMID: 20971338
PDF is available here.
Abstract
In the process of crewmember evaluation and certification for long-duration orbital missions, the International Space Station (ISS) Multilateral Space Medicine Board (MSMB) encounters a surprisingly wide spectrum of clinical problems. Some of these conditions are identified within the ISS Medical St...
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PMID: 21197858
PDF is available here.
Abstract
We summarize clinical presentation according to existing studies, focus on diagnosis and introduce to contemporary treatment of this disease....
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PMID: 21171466
PDF is available here.
Abstract
We review clinical aspects of diagnosis and management of AS in adults, with attention to the natural history before and after valve replacement, assessment of suspected and established AS, and recommended management in general and in difficult clinical scenarios. We conclude with a series of 10 cas...
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PMID: 21057260
PDF is available here.
Abstract
Visually estimated amount of blood loss may influence decision making in the prehospital setting. The purpose of this study was to determine the ability and accuracy of paramedics and emergency physicians to visually estimate a volume of external blood loss and the influence of different vital signs...
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PMID: 20130487
PDF is available here.
Abstract
We hypothesized that accidental humerus fractures in pediatric patients under the age of 4 years can be accurately distinguished from child abuse using a combination of history, physical exam findings, radiographic findings, and age. We searched our institutions Suspected Child Abuse and Neglect and...
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PMID: 20606597
PDF is available here.
Abstract
To investigate whether medical students' performance on a family medicine clerkship objective structured clinical exam (OSCE) differed when the standardized patient (SP) had a disability versus when the SP did not have a disability.
SPs with spinal cord injury (SP-SCI), SPs with intellectual disabil...
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PMID: 20881817
PDF is available here.
Abstract
These results suggest student and SP genders interact to affect OSCE scores at stations that require examination of the chest. Further investigations are warranted to ensure that the OSCE is an equal experience for all students....
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PMID: 20881825
PDF is available here.