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Low Back Pain
2007-11-26 15:56:00
Approximately 90 percent of adults experience back pain at some time in life, and 50 percent of persons in the working population have back pain every year. Evaluation of low back pain A comprehensive history and physical examination can identify the small percentage of patients with serious conditions such as infection, malignancy, rheumatologic diseases and neurologic disorders. ...
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Treatment of Migraine
2007-11-26 15:41:00
Nonpharmacologic therapy includes identification and avoidance of triggers for headaches, adequate sleep, and regular aerobic exercise. Biofeedback and stress reduction techniques may also be useful. Triggers or Risk Factors for Migraine Pharmacologic therapy for migraine is divided into acute and preventive therapies. Acute therapy is initiated at the onset of or during an attack to relieve headache ...
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Headaches Caused by Serious Underlying Disease
2007-11-22 19:05:00
Headaches Caused by Serious Underlying Disease Fewer than 1% of headaches are caused by serious underlying disease. A neuroimaging study is warranted when the history or physical suggest an underlying disease. Potential Causes of Headache Subarachnoid Hemorrhage. A headache occurs in 50% of patients with subarachnoid hemorrhage, often described as the worst headache they have ever had. The ...
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Headache
2007-11-22 18:38:00
Migraine affects 15% to 17% of women and 6% of men. During migraine attacks, the “migraine generator” of the brain stem site becomes activated, then the trigeminal nerve, which innervates the larger cerebral vessels, releases serotonin and vasoactive peptides. These substances cause inflammation of the dura mater and cranial blood vessels, resulting in the symptoms ...
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Bipolar Disorder. Treatment
2007-11-20 14:53:00
Lithium carbonate remains the mainstay of treatment in bipolar disorder, although sodium valproate is equally effective in acute mania. Carbamazepine is also efficacious. The response rate to lithium carbonate is 70 to 80 percent in acute mania, with beneficial effects appearing in 1 to 2 weeks. A prophylactic effect in prevention of recurrent mania, and, ...
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Differential Diagnosis
2007-11-20 14:38:00
Differential Diagnosis The differential diagnosis of mania includes ruling out activation by stimulant and sympathomimetic compounds as well as secondary mania induced by hyperthyroidism, AIDS, or neurologic disorders, such as Huntington’s or Wilson’s disease, or cerebrovascular accidents. This distinction may be difficult to make, because comorbidity with alcohol and substance abuse is common, either because ...
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Bipolar Disorder
2007-11-20 14:35:00
Bipolar disorder affects approximately 3 million persons in the United States. It is characterized by unpredictable swings in mood from mania (or hypomania) to depression. Some patients suffer only from recurrent attacks of mania, which in its pure form is associated with increased psychomotor activity, excessive social extroversion, decreased need for sleep, impulsivity and impairment ...
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Erectile Dysfunction
2007-10-24 18:17:00
Definition of Erectile Dysfunction (ED): “The inability to attain and/or maintain penile erection sufficient for satisfactory sexual performance” (NIH Consensus Development Panel on Impotence) Prevalence of ED -Approximately 5% of men at age 40, increasing to 15% - 25% by age 65 -Massachusetts Male Aging Study (community based survey of men 40-70 years) - 52% of all respondents reported ...
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Antibiotics. Ampicillin. Amoxicillin.
2007-10-24 16:53:00
Ampicillin is a drug that has a fairly broad spectrum. We typically use this for infections where H. flu or E. coli are likely pathogens. Obviously beta-lactamase production is somewhat limiting the utility of this drug in those cases but it still is a useful drug in many cases of infections like that. The problems ...
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Weight loss medications
2007-10-23 17:36:00
Weight loss medications  at Online Canada Pharmacy Liposafe - You may have already tried several fat reducing remedies and been disappointed with the results. Unfortunately, there aren’t any miracle pills out there that will magically reduce fat overnight. The good news is however, that there are certain diet products that do indeed work remarkably better than ...
More About: Weight Loss , Weight , Loss , Medications , Weigh

Obesity
2007-10-23 15:09:00
Obesity is defined as a body mass index (BMI) of 30 kg per m2 or more. Overweight is defined as a BMI of 25 to 29.9 kg per m2. About 35 percent of American adults (aged 20 years of age or older) are overweight. In addition, 14 percent of children between the ages of 6 ...
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Sexual Dysfunction (Part 4)
2007-10-22 15:18:00
Medical Factors in Evaluation The Urological evaluation Vascular - Nocturnal penile tumescence/postage stamp test Nervous Hormonal - Testosterone/FSH/LH/Thyroid Women Physical examination - Muscle spasm/pain/ Menopausal issues - Hormone assessment/Testosterone levels Treatment Approach Joint and individual meetings Family and sexual history Sharing the ideas — the point of “collaboration” Integrating Approach Behavioral/psychodynamic/cognitive Creating a safe climate Providing a model for discussion Being a resource for information Suggesting books Specific assignments — ...
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Sexual Dysfunction (Part 3)
2007-10-22 15:08:00
Evaluation of Sexual Dysfunctions Need to assess Intrapsychic Interpersonal Medical/organic At our licensed canadian pharmacy You can order viagra online Asking about Sex We have had no models for talking about it No training - medical schools and residencies still ignore it Mixed messages on the media — open, explicit shame - censored Cross generational awkwardness Often the sexual interaction provides enormous information about the couples dynamics and vulnerabilities. Power ...
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Sexual Dysfunction (Part 2)
2007-10-22 15:01:00
Women 5% of women do not have orgasms under any circumstances 40% of women do not have orgasm with intercourse Increased awareness that intercourse may provide insufficient stimulation for orgasm SSRIs may inhibit orgasm and sexual desire (80%) Using Bupropion (Wellbutrin) may counteract SSRI Desire phase problems [30- 50% of couples] The most prevalent Not amenable to the directed approach No unified hypothesis about ...
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Sexual Dysfunction
2007-10-22 15:01:00
Sex Therapy Mixed messages in the culture Apparent openness in the media Few models for adult to adult discussion about sexual issues Current of prohibition and sex negative values persist Sex education in the school under siege Medical schools provide very little The Sexual Dysfunctions Large numbers (Recent survey indicates 40%) People often believe that they are the only failures Enter a conspiracy of silence Almost ...
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GENERALIZED ANXIETY DISORDER
2007-10-19 18:15:00
The DSM-IV identifies the principle characteristic of generalized anxiety disorder as excessive anxiety and worry, usually, over a period of greater than 6 months. The concerns are considered to be far out of proportion to reality. The anxiety is accompanied by at least three of the following symptoms: restlessness, easy fatiguability, difficulty concentrating, muscle tension, ...
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Insomnia.
2007-10-17 15:43:00
Insomnia is the perception by patients that their sleep is inadequate or abnormal. Insomnia may affect as many as 69% of adult primary care patients. The incidence of sleep problems increases with age. Younger persons are apt to have trouble falling asleep, whereas older persons tend to have prolonged awakenings during the night. Causes of insomnia Situational ...
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Depression. Clinical Aspects of Depression
2007-10-15 17:31:00
Women are at least twice as often get depressed as men, and even women when women are equal, which will not be in my lifetime, they will still have more depression than men. The four somatic symptoms could be any of the above, and I think that some of these everybody is going to be ...
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IMPOTENCY AND MALE INFERTILITY (Part 2)
2007-10-12 17:12:00
Then we would rule out other problems of the lower urinary tract which can give rise to the same symptoms as BPH and some relevant tests, if necessary. This is the voiding diary we just talked about and this is the symptom score. These are mainly in the form of seven questions which the patient ...
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IMPOTENCY AND MALE INFERTILITY
2007-10-12 17:06:00
As a person becomes older, they are over 60 years of age, more than half of the people would have some evidence of benign prostatic enlargement, whether histologically or clinically. When you reach the age of 85 years, almost 90% of people in this country would have benign prostatic enlargement, again, histologically. You can even ...
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Erectile Dysfunction (Part 3)
2007-10-11 19:39:00
Physical examination. Signs of hypogonadism, such as gynecomastia or the loss of axillary and pubic hair, should be noted. The size and consistency of the testes should be noted. The penis should be examined for fibrosis and plaques indicative of Peyronie’s disease. The bulbocavernosus and cremasteric reflexes should be assessed. The bulbocavernosus reflex is elicited by ...
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Erectile Dysfunction (Part 2)
2007-10-11 19:19:00
Erectile dysfunction is defined as the persistent inability to achieve or maintain penile erection sufficient for sexual intercourse. Between the ages of 40 and 70 years, the probability of complete erectile dysfunction triples from 5.1 percent to 15 percent. Physiology of erection Penile erection is mediated by the parasympathetic nervous system, which when stimulated causes arterial dilation ...
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Erectile dysfunction(Impotence)
2007-10-09 18:17:00
Erectile dysfunction (Impotence) is a sexual frustration as a result of which the man cannot reach and-or support  a sexual member, sufficient for fulfilment of the sexual certificate. The impotence is not connected directly with ability to eaculation. There are many reasons of an impotence, for example a diabetes. Some reasons of an impotence are irreversible.  ...
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