journal
MENU ▼
Read by QxMD icon Read
search

Medical Clinics of North America

journal
https://www.readbyqxmd.com/read/30342618/otolaryngology-for-the-internist
#1
EDITORIAL
C Matthew Stewart
No abstract text is available yet for this article.
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342617/reflections
#2
EDITORIAL
Bimal H Ashar
No abstract text is available yet for this article.
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342616/sinuses-and-common-rhinologic-conditions
#3
REVIEW
Nyall R London, Murugappan Ramanathan
Some of the most common rhinologic disorders that may present to the primary care provider include disorders of hemostasis, such as epistaxis, or sinonasal inflammatory disorders, such as allergic rhinitis and acute or chronic rhinosinusitis. This article is written with the intent to review these common rhinologic conditions for primary care providers and to summarize symptoms, diagnostic testing, differential diagnosis, and management/treatment approaches.
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342615/otolaryngology-for-the-internist-hearing-loss
#4
REVIEW
Carrie L Nieman, Nicholas S Reed, Frank R Lin
Hearing loss is the third most common chronic condition but can be secondary to a range of conditions encountered in primary care. This article reviews the presentation, evaluation, differential diagnosis, and associated treatments for both acute and chronic causes of hearing loss. As the most common cause of hearing loss, this article provides an overview of age-related hearing loss, its consequences, and pragmatic treatment approaches, including over-the-counter hearing technology.
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342614/facial-nerve-paralysis
#5
REVIEW
James A Owusu, C Matthew Stewart, Kofi Boahene
Patients afflicted with facial paralysis suffer significant physical and psychosocial effects that can lead to depression and social isolation. Timely diagnosis and initiation of appropriate therapy are keys to achieving good outcomes in the management of facial paralysis. Eye protection is of paramount importance to prevent vision loss in patients with impaired eye closure. Patients should be assessed for signs of depression and treated appropriately.
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342613/speech-language-pathology-rehabilitation
#6
REVIEW
Kristine Pietsch, Tiffany Lyon, Vaninder K Dhillon
The speech language pathologist has a vital management role in patients with voice and swallow concerns, as well as stroke patients and patients with fluency problems. This article summarizes the variety of speech and swallow rehabilitation that adult patients may require or seek. The case examples allow the reader to base the clinical decision-making process within the context of a patient presentation and elucidate the role of speech and language pathology services for the primary care provider in order to refer patients with symptoms and concerns to the right provider early in their medical care...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342612/urgent-infections-of-the-head-and-neck
#7
REVIEW
Marika D Russell, Matthew S Russell
Infections of the head and neck are common and appropriately managed by primary care providers in most cases. However, some infections are associated with significant morbidity and require urgent recognition and management by specialty services. These include deep neck space infections originating in the oral cavity, pharynx, and salivary glands, as well as complicated otologic and sinonasal infection. This article provides a review of these conditions, including the pathophysiology, presenting features, and initial management strategy...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342611/head-and-neck-manifestations-of-systemic-disease
#8
REVIEW
Annie E Moroco, Johnathan D McGinn
Systemic diseases commonly managed by the Internist may have presentations within the head and neck. Awareness of these manifestations, sometimes as the presenting signs or symptoms of systemic disease, may aid the Internist in diagnosis and management. The Otolaryngologist may be helpful in assisting in the evaluation of these patients and in some cases providing targeted symptomatic therapy. Some systemic processes can generate emergent airway events, and early engagement of the otolaryngologist is of value...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342610/tinnitus
#9
REVIEW
Divya A Chari, Charles J Limb
Objective and subjective tinnitus can often be differentiated based on comprehensive history, physical examination, and audiogram. Examples of objective tinnitus include vascular abnormalities, palatal myoclonus, patulous eustachian tube, and stapedial/tensor tympani muscle spasm. Subjective tinnitus is usually associated with hearing loss. Rarely, tinnitus is the result of an underlying condition. In these cases, imaging and additional testing may be indicated. Classification of the type, quality, and intensity of tinnitus is helpful in the work-up and treatment of tinnitus...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342609/chronic-ear-disease
#10
REVIEW
Susan D Emmett, John Kokesh, David Kaylie
Chronic ear disease is composed of a spectrum of otologic disorders intrinsically tied to Eustachian tube dysfunction. Presentation can range from asymptomatic findings on physical examination to critically ill patients with intracranial complications. Internists represent the first line in diagnosis of these conditions, making awareness of the common signs and symptoms essential. With surgical management often required, partnership between internal medicine and otolaryngology is fundamental in the management of patients with chronic ear disease...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342608/adult-head-and-neck-health-care-needs-for-individuals-with-complex-chronic-conditions-of-childhood
#11
REVIEW
Sara Mixter, Rosalyn W Stewart
Millions of adults in the United States are currently living with what is termed chronic childhood conditions-childhood-onset conditions, about which adult providers often receive minimal training-and another half million youths with special health care needs enter adulthood each year and will undergo transition from pediatric to adult care. Here, the authors review the important otolaryngologic manifestations of several of these chronic childhood conditions, including autism spectrum disorder, cerebral palsy, and Down syndrome, as well as the primary care providers' role in caring for transitioning tracheostomy-dependent patients...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342607/the-aging-face
#12
REVIEW
Anil R Shah, Paige M Kennedy
The aging face is a popular topic in modern medicine. To understand and treat unwanted signs of aging, it is imperative to understand the biological and physical causes and contributing factors to facial aging, preventative measures to avoid advanced facial aging, and current treatment options. Changes to the human face are progressive with time; however, there are many methods, both surgical and nonsurgical, to reduce the stigmata of aging and provide patients with the appearance they desire. The process of aging is discussed in this article, as well as the multiple treatment options, both surgical and nonsurgical...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342606/update-on-management-of-hoarseness
#13
REVIEW
Sandra Stinnett, Monika Chmielewska, Lee M Akst
Dysphonia is altered voice quality, pitch, loudness, or vocal effort that impairs communication or decreases voice-related quality of life. Hoarseness is vocal roughness and a possible manifestation of dysphonia. This article uses the broader term dysphonia because it reflects of a wide range of voice complaints, with or without vocal roughness. Dysphonia is often caused by benign conditions but may also be the sentinel symptom of a serious or progressive condition requiring immediate diagnosis and management...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342605/head-and-neck-masses
#14
REVIEW
Kenneth Yan, Nishant Agrawal, Zhen Gooi
Head and neck cancers comprise 4% of the cancer burden in the United States each year. Many types of head and neck cancers present as an asymptomatic, nontender neck mass or nonspecific symptoms, such as hoarseness, sore throat, and pain. Head and neck cancers are frequently diagnosed incidentally by the primary care physician or dentist. This review summarizes the epidemiology, clinical manifestations, diagnosis, and treatment of several common head and neck cancers in order to provide an increased awareness for the internist to facilitate early detection of these diseases...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30342604/dizziness-and-the-otolaryngology-point-of-view
#15
REVIEW
Sharmeen Sorathia, Yuri Agrawal, Michael C Schubert
Dizziness can be due to pathology from multiple physiologic systems, the most common being vestibular. Dizziness may be categorized as vertigo, disequilibrium, lightheadedness, or oscillopsia. Vertigo is an illusion of motion often caused by asymmetrical vestibular input to the brainstem. To evaluate vertigo, it is essential to include the symptom's quality, timing, frequency, trigger, influence from positional changes, and other associations from the history. Oculomotor, otologic, balance testing, positional testing, and nystagmus testing are equally important components of the examination...
November 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30126587/an-overview-of-antimicrobial-stewardship-programs-imperatives-interventions-and-innovations
#16
EDITORIAL
Cheston B Cunha
No abstract text is available yet for this article.
September 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30126586/make-antibiotics-great-again
#17
EDITORIAL
Bimal H Ashar
No abstract text is available yet for this article.
September 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30126585/metrics-of-antimicrobial-stewardship-programs
#18
REVIEW
Amy L Brotherton
Appropriate metrics are needed to measure the quality, clinical, and financial impacts of antimicrobial stewardship programs. Metrics are typically categorized into antibiotic use measures, process measures, quality measures, costs, and clinical outcome measures. Traditionally, antimicrobial stewardship metrics have focused on antibiotic use, antibiotic costs, and process measures. With health care reform, practice should shift to focusing on clinical impact of stewardship programs over financial impact. This article reviews the various antimicrobial stewardship metrics that have been described in the literature, evidence to support these metrics, controversies surrounding metrics, and areas in which future research is necessary...
September 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30126584/role-of-technology-in-antimicrobial-stewardship
#19
REVIEW
Derek N Bremmer, Tamara L Trienski, Thomas L Walsh, Matthew A Moffa
Because of the increasing plague of antimicrobial resistance and antibiotic misuse, antimicrobial stewardship programs (ASPs) are now a mandatory entity in all US hospitals. ASPs can use technological advances, such as the electronic medical record and clinical decision support systems, to impact a larger patient population with more efficiency. Additionally, through the use of mobile applications and social media, ASPs can highlight and propagate educational information regarding antimicrobial utilization to patients and providers in a widespread and timely manner...
September 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/30126583/antibiotic-stewardship-program-perspective-oral-antibiotic-therapy-for-common-infectious-diseases
#20
REVIEW
Cheston B Cunha
Traditionally, initial antibiotic therapy was administered intravenously (IV). Over the past 3 decades, there has been increased understanding, appreciation, and application of pharmacokinetic (PK) and pharmacodynamic (PD) principles in antibiotic therapy. The utilization of PK/PD parameters as applied to antimicrobial therapy has led to optimizing dosage regimens as well as increased awareness and experience with oral versus antibiotic therapy. When an oral antibiotic, given at the same dose as its IV formulation, results in the same serum/tissue levels, then oral antibiotics should be used whenever possible...
September 2018: Medical Clinics of North America
journal
journal
25580
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"