Internal Medicine

Download Evidence-Based Approaches to Common Primary Care Dilemmas by W. Fred Miser MD, John McConaghy MD PDF

By W. Fred Miser MD, John McConaghy MD

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Read or Download Evidence-Based Approaches to Common Primary Care Dilemmas Part II, An Issue of Primary Care Clinics in Office Practice (The Clinics: Internal Medicine) PDF

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Additional info for Evidence-Based Approaches to Common Primary Care Dilemmas Part II, An Issue of Primary Care Clinics in Office Practice (The Clinics: Internal Medicine)

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54] American Diabetes Association. Immunization and the prevention of influenza and pneumococcal disease in people with diabetes. Diabetes Care 2003;26(Suppl 1):S126–8. [55] Gaba MK, Gaba S, Clark LT. Cardiovascular disease in patients with diabetes: clinical considerations. J Assoc Acad Minor Phys 1999;10(1):15–22. [56] American Diabetes Association. Management of dyslipidemia in adults with diabetes. Diabetes Care 2003;26(Suppl 1):S83–6. [57] American Diabetes Association. Treatment of hypertension in adults with diabetes.

Mostov, DO Department of Family Medicine, The Ohio State University, OSU Family Practice at Worthington, 445 East Dublin Granville Road, Worthington, OH 43085, USA Infections of the upper respiratory tract are among the most common conditions seen in primary care [1]. The upper respiratory tract consists of the oropharynx, nares, and nasopharynx, which are lined by stratified squamous epithelium; and the sinuses, larynx, and trachea, areas generally lined by columnar, goblet, and gland cells. There are normal flora occupying the former, and the evaluation of infections is complicated by the presence of colonizing species, which may have no role in infection.

The paranasal sinuses are ordinarily sterile. With infection, the most common microorganisms isolated from maxillary sinuses are S pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. Clinical features and diagnostic strategies Sinusitis has been defined as acute when symptom duration is of less than 4 weeks, and chronic when symptoms persist for more than 12 weeks [45]. Complications are potentially quite serious because of the anatomical relationship of the sinuses to the eyes and brain.

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