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Full-Text Articles in Medicine and Health Sciences
Role Of Non-Group A Streptococci In Acute Pharyngitis, Jeffrey Tiemstra, R L. Miranda
Role Of Non-Group A Streptococci In Acute Pharyngitis, Jeffrey Tiemstra, R L. Miranda
Jeffrey Tiemstra, MD, FAAFP
BACKGROUND: The role of non-group A streptococci (non-GAS) as pathogens of acute pharyngitis is controversial. Data are limited and conflicting on whether these bacteria are true pathogens of pharyngitis and whether treatment is indicated in all cases or just select cases. However, non-GAS are well-documented as being pathogens of other diseases, including neonatal sepsis, pneumonia, endocarditis, and urinary tract infections. If non-GAS are pathogens of acute pharyngitis, treatment may speed recovery as well as prevent complications. The objective of this study was to determine whether, in cases of pharyngitis in which non-GAS is identified on culture, the clinical signs and …
Evaluation Of Scrotal Masses, Jeffrey D. Tiemstra Md, S Kapoor
Evaluation Of Scrotal Masses, Jeffrey D. Tiemstra Md, S Kapoor
Jeffrey Tiemstra, MD, FAAFP
Scrotal masses can represent a wide range of medical issues, from benign congenital conditions to life-threatening malignancies and acute surgical emergencies. Having a clear understanding of scrotal anatomy allows the examiner to accurately identify most lesions. Benign lesions such as hydroceles and varicoceles are often found incidentally by the patient or physician on routine examination. Epididymitis is bacterial in origin, readily diagnosed on physical examination, and treated with antibiotics. Indirect inguinal hernias usually are palpable separate from the normal scrotal contents and are a surgical emergency if strangulation is suspected based on symptoms of abdominal pain, tenderness, and nonreducibility. Testicular …
Fixing Family Medicine Residency Training, Jeffrey D. Tiemstra Md
Fixing Family Medicine Residency Training, Jeffrey D. Tiemstra Md
Jeffrey Tiemstra, MD, FAAFP
No abstract provided.
Factors Affecting The Circumcision Decision, Jeffrey D. Tiemstra Md
Factors Affecting The Circumcision Decision, Jeffrey D. Tiemstra Md
Jeffrey Tiemstra, MD, FAAFP
BACKGROUND: Studies from more than 10 years ago have shown that most parents choose circumcision for their infant sons for nonmedical reasons. Since then a wealth of data has accumulated on the relative risks and benefits of the procedure, although the medical community remains divided on the appropriateness of the procedure. Whether the ongoing research effort and medical debate have had an effect on parental decision making is unknown.
METHODS: A survey of parents of 55 male infants was conducted to determine when the parents made their decision regarding circumcision, whether discussions with providers affected their decisions, and what the …