RESUMO
In the first year of practice two family physicians recorded 8,795 new problems. The problems were ranked in order of decreasing frequency and compared to the results of the Virginia study. The results support the concept that a curriculum for family practice residency training based on results of the Virginia study is a valuable concept. The study also sheds light on the patterns of disease in a new practive as well as suggesting applications for the use of the disease index in practice management.
Assuntos
Medicina de Família e Comunidade/tendências , Morbidade , Medicina de Família e Comunidade/normas , Feminino , Humanos , Masculino , Reino Unido , Virginia , WisconsinAssuntos
Asma , Currículo , Auditoria Médica , Atenção Primária à Saúde , Adolescente , Adulto , Fatores Etários , Idoso , Asma/diagnóstico , Asma/terapia , Criança , Pré-Escolar , Educação Médica , Feminino , Humanos , Lactente , Internato e Residência , Masculino , Pessoa de Meia-Idade , VirginiaRESUMO
A study of the natural presentation, course, and treatment of low back pain in the primary care setting was undertaken. One hundred and forty-four charts listing low back pain as a problem were reviewed at a family practice center for a period of one year. A profile of the patient evaluated by the primary care physician emerged, revealing a high incidence of associated weight problems (70 percent), psychologic problems (33 percent), and hypertension (19 percent). The rate of actual or suspected disc disease (1.4 percent) was much lower than that reported in series from referral centers. This study of low back pain in the primary care setting illustrates the usefulness of outpatient study in defining a problem category, recognizing disease as a symptom complex, suggesting modalities of treatment, and designing a curriculum for the primary care physician.
Assuntos
Dor nas Costas/diagnóstico , Atenção Primária à Saúde , Adolescente , Adulto , Idoso , Analgésicos/uso terapêutico , Dor nas Costas/psicologia , Dor nas Costas/terapia , Doença Crônica , Feminino , Humanos , Hipertensão/complicações , Masculino , Pessoa de Meia-Idade , Relaxantes Musculares Centrais/uso terapêutico , Obesidade/complicações , Estudos Retrospectivos , Problemas SociaisRESUMO
A series of 36 patients with surgically proved primary hyperparathyroidism is reported. From this group a clinical profile consisting of obesity, anxiety, and/or depression in a mildly hypertensive, middleaged female was derived. Women constituted 92 percent of the patients. The serum calcium was confirmed again as the single most valuable test in the evaluation of this disorder.
