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Biomedical subjects

E S Medley

Publications and source records attributed to E S Medley.

12 recordsLinked to original sources
PubMed1984

Peptic ulcer disease.

Patients with peptic ulcer disease are commonly seen by family physicians. The incidence of duodenal ulcer seems to be declining in the United States. Avoidance of inciting factors and the use of antacids and cimetidine are indicated in the treatment of duodenal ulcers. New histamine H2 receptor antagonists and site-specific mucosal barrier agents are now available. Gastric ulcer differs from duodenal ulcer in many ways, and gastric carcinoma must be considered in the differential diagnosis. Other important entities include Zollinger-Ellison syndrome, "stress" ulceration, and peptic ulcer disease in children.

Adult↗
PubMed1982

Antibiotic prescribing in a family medicine residency program.

A total of 227 ambulatory patients who received prescriptions for antibiotics in a family practice residency program was studied. The common infections treated were urinary tract infections, upper respiratory tract infections, impetigo, nonspecific vaginitis, and bronchitis. Cultures obtained in 21.1 percent of the patients were usually considered to be appropriate. Urinary tract infections were usually treated with co-trimoxazole or other drugs containing sulfonamides; upper respiratory tract infections with amoxicillin, ampicillin, or penicillin; impetigo with penicillin; nonspecific vaginitis with vaginal creams; and bronchitis with ampicillin or erythromycin. Most prescriptions (86 percent) were written generically at an approximate savings of $2 per prescription. A review panel audited the prescribing practices and often (32.2 percent) disagreed among themselves, yet they did determine 65.4 percent of the prescriptions to be appropriate. The rate of appropriate antibiotic prescribing practices among the residents was found to decrease as the level of supervision decreased (P less than 0.01).

Adult↗
PubMed1980

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PubMed1979

Fracture management by family physicians and guidelines for referral.

Family physicians are now receiving more formal training in orthopedics, preparing them to deal with common orthopedic problems. Core curriculum objectives for orthopedics are being developed in family practice programs. Family physicians should have guidelines as to which fractures and dislocations they themselves can manage and which fractures should be managed by orthopedists. General guidelines for consultation and referral are presented, and the management of specific common fractures in adults and children is outlined. Many fractures can be cared for by the family physician with appropriate consultation and advice from the orthopedist.

Adult↗
PubMed1978

A family practice residency inpatient service: a review of 631 admissions.

This study reports a review of 631 admissions by family practice residents and staff over a 12-month period to an autonomous family practice service in a large US Army medical center. The diagnoses, number and types of consultations requested, types of patients cared for by residents in various levels of taining, and other pertinent data are reviewed. The study indicates that an inpatient family practice service can be very successful in terms of physician and patient satisfaction.

Family Practice↗
PubMed1978

Peptic ulcer disease in children: report of a case and a problem-oriented review.

The family physician who sees many children with vague abdominal pain must include peptic ulcer disease in the differential diagnosis. A case report is presented and the characteristics of primary and secondary ulcers in children are reviewed with respect to symptoms, signs, diagnosis, and treatment. Ulcers in children may be primary or secondary (stress) ulcers. Clinical and radiographic diagnosis is difficult. Medical therapy suffices in most cases, but there is a high recurrence rate in adolescence and adulthood. Peptic ulcer disease in children is a diagnostic dilemma, but the family physician may be in an excellent position to make the diagnosis since he/she is often the first physician to see the patient and is aware of altered family dynamics, which may play a role in this disease.

Child↗