Lippincott's primary care practice最新文献

{"title":"Patient education. HIV diagnostic testing.","authors":"B C Patterson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"4 1","pages":"115-6"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21855472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient education. Nutrition and HIV.","authors":"T M Cronin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"4 1","pages":"121-4"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21855478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young woman with recurrent yeast infections.","authors":"K L Becker, B J Walton-Moss","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"4 1","pages":"125-31"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21855481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiopharmaceuticals and their use in the current practice of nuclear medicine.","authors":"R M Fejka","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 6","pages":"531-45"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thyroid imaging.","authors":"M L Nusynowitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Four modalities are being used to image the thyroid gland: (1) scintigraphy (\"scanning\"), employing one of several currently available radiopharmaceuticals, (2) ultrasound (US), (3) computed tomography (CT, \"CAT\" scan), and (4) magnetic resonance imaging (MRI). The first method, scintigraphy, provides an image of the spatial distribution of thyroid functional attributes, the nature of which are dependent on the interaction between the particular radiopharmaceutical employed and the tissue in question, whereas the latter three modalities provide an image of the spatial distribution of structural attributes such as the varying degrees of echogenicity of the tissues examined or the differential tissue attenuation of an x-ray beam, which permits visualization of the structures. A fifth modality, fluorescent thyroid scanning, in which fluorescence of the iodide within the thyroid gland is induced by low-dose external radiation and which gives an image of iodine distribution, is generally unavailable and only rarely used. For most patients, the combination of careful history, skilled physical examination, tests of thyroid function (and serum thyroglobulin and calcitonin for cancer evaluation), fine needle aspiration biopsy, and scintigraphy provide the most cost-effective means of evaluating the thyroid gland and its diseases. Of the four modalities currently used to image the thyroid gland--scintigraphy, ultrasound, computerized tomography, and magnetic resonance imaging--only scintigraphy has the widest application. It is employed to determine gland size, locate thyroid tissue, evaluate nodules and masses, determine the cause of a painful tender gland, differentiate various forms of goiter, detect differentiated thyroid carcinoma and gland remnants, assess suppressibility or stimulatability of the gland, and identify nonfunctioning cancers. Ultrasonography, computed tomography, and magnetic resonance imaging are not useful in differentiating between benign and malignant nodules, and their sensitivity in detecting impalpable nodules is not clinically useful, because nodules less than 1 to 1.5 cm in diameter are only rarely clinically significant. These modalities have limited utility in the evaluation of the thyroid gland: they are useful in sizing known lesions and for the detection of cervical lymphadenopathy in thyroid cancer cases.</p>","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 6","pages":"546-55; quiz 556-8"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case studies in PET.","authors":"E H Norby","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In recent years primary care providers have been increasingly called on to broaden their management of patients, particularly in their role as gatekeepers to reduce healthcare costs. Obviously a wide spectrum of specialty involvement exists, ranging from the classic family practitioner managing all of the common diseases and referring challenging cases to specialists, to the internist with a background and interest geared toward handling more specialized neurologic, cardiac, or oncologic diseases. Whatever the case, primary care providers can have a great impact on diagnosis and management of illness by consulting with the radiologist about the use of the emerging technology of positron emission tomography (PET).</p>","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 6","pages":"574-7"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is a PET scan?","authors":"E Murphy,&nbsp;B A Galen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 6","pages":"578-80"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radioactive iodine administration for outpatients.","authors":"R M Fejka","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 6","pages":"581-4"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PET in clinical practice.","authors":"E H Norby,&nbsp;R Van Heertum,&nbsp;E Murphy,&nbsp;P Baldwin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Positron emission tomography (PET) is a nuclear medicine imaging tool that has expanded from its vital role in basic research into clinical medicine. This noninvasive diagnostic modality is used in cardiac perfusion and viability; in neurologic conditions such as epilepsy, dementia, and tumor; and in a wide range of common cancers to diagnose, stage, and monitor therapy. The importance of PET in clinical practice is growing rapidly, and the number of PET centers across the country is increasing. It is imperative, therefore, that physicians are familiar with PET, and know where this tool can be the most useful and cost-effective modality for patient management.</p>","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 6","pages":"559-73"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of mistaken hepatic lesion.","authors":"M Koch","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 6","pages":"585-9"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21731970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}