Primary Care Reports articles from January 2002

Primary Care Reports archives from January 2002

Management of Common Knee Complaints and Injuries: Part II.
January 7, 2002... Editor's Note--Primary care physicians (PCPs) are often confronted with knee pain or discomfort as a primary patient complaint. Knee pathology may range from acute traumatic injuries to chronic degenerative conditions and may occur at all ages...

Physician CME questions.(continuing medical education questions)
January 7, 2002... 1. Patellar tendonitis is common in jumping sports and is most successfully treated initially with: a. cortisone injection. b. casting. c. hinged-knee brace. d. surgical excision of the inflamed portion of the tendon. e....

Lack of health insurance and decline in overall health in late middle age.
January 7, 2002... Source: Baker DW, et al. N Engl J Med. 2001;345:1106-1112. IT IS INTUITIVE THAT UNINSURED AMERICANS would use fewer healthcare services. Whether insurance status is related to overall health in late middle age is little studied. As many as...

Long-term weight loss with sibutramine.
January 7, 2002... Source: Wirth A, Krause J. JAMA. 2001;286:1331-1339. THE BURGEONING EPIDEMIC OF OBESITY and its consequences shows no signs of diminution. Currently available pharmacotherapy tools have enjoyed only modest use in the clinical setting....

Prediction of all-cause and cardiovascular mortality in elderly people from one low serum thyrotropin result.
January 7, 2002... Source: Parle JV, et al. Lancet. 2001; 358:861-865. SUBCLINICAL HYPERTHYROIDISM (SCH) is defined as a subnormal TSH level accompanied by normal levels of T4 and T3; as is implied in the name designation, persons must also be free of...

Prevalence of hereditary hemochromatosis in late-onset type 1 diabetes mellitus.
January 7, 2002... Source: Ellervik C, et al. Lancet. 2001;358:1405-1409. IT COMES AS A SURPRISE TO MANY CLINICIANS that hemochromatosis (HCRM) is literally one of the most common genetic disorders in persons of northern European descent; in America, it has a...

Hormone replacement therapy and dry eye syndrome.
January 7, 2002... Source: Schaumberg DA, et al. JAMA. 2001;286:2114-2119. DRY EYE SYNDROME (DES), ALSO known as keratoconjunctivitis sicca, can cause substantial debilitation due to adverse symptoms of dryness and irritation, as well as the morbidity of...

Association between Myeloperoxidase levels and risk of coronary artery disease.
January 7, 2002... Source: Zhang R, et al. JAMA. 2001; 286:2136-2142. THE ASSOCIATION BETWEEN INFLAMMATORY markers and the presence of atherosclerosis suggests that C-reactive protein, adhesion molecules, and other cytokines are potentially etiologically...

Management of acute exacerbations of COPD.(chronic obstructive pulmonary disease)
January 21, 2002... Editor's Note--In the past 3 years, several important new guidelines on the management of chronic obstructive pulmonary disease (COPD) have appeared in the literature. The Veterans Health Administration/Department of Defense (VHA/DOD) published...

Physician CME questions.(continuing medical education questions)
January 21, 2002... 3. Acute exacerbations of COPD are characterized by: a. increasing dyspnea. b. increasing sputum production. c. increasing sputum purulence. d. All of the above 4. The differential diagnosis of acute exacerbations of COPD ...