Biomedical subjects

C W Froelich

Publications and source records attributed to C W Froelich.

4 recordsLinked to original sources

PubMed2001

Dermatology in primary care: Prevalence and patient disposition.

BACKGROUND: Cutaneous disease is commonly encountered in primary care. The frequency of patients presenting to primary care physicians with skin disease and their eventual disposition is not well studied. OBJECTIVE: The purpose of this study was to determine the prevalence of patients seen with skin disease in a primary care setting and the likelihood of their referral to a dermatologist. The impact the primary care provider had on the quality of skin care was also examined. METHODS: A retrospective chart review was performed of patients seen during a 2-year period at a general medicine clinic within the University of Miami and upon referral to a University of Miami dermatology office. Data were obtained on the prevalence of skin disease, dispositions of referral, diagnoses made, and procedures performed. RESULTS: During a 2-year period, 36.5% of patients who presented to their primary care physician had at least one skin problem. Of 208 patients with skin disease, in 58.7% (122/208) it was their chief complaint. A wide range of diagnoses were made by the primary care physician, with a limited number of diagnostic procedures performed. Of the 37.5% of patients referred to a dermatologist, 68% were referred on initial evaluation. Diagnoses made by the primary care physician were concordant with that made by the dermatologists 57% of the time. CONCLUSION: Patients frequently see their primary care physician for skin disease. A large percentage are referred to dermatologists, often for a biopsy of a suspect lesion, to confirm a suspected diagnosis, or to establish a diagnosis of lesions of unknown origin.

Adult↗

PubMed1999

Topical psoriasis therapy.

Psoriasis is a common dermatosis, affecting from 1 to 3 percent of the population. Until recently, the mainstays of topical therapy have been corticosteroids, tars, anthralins and keratolytics. Recently, however, vitamin D analogs, a new anthralin preparation and topical retinoids have expanded physicians' therapeutic armamentarium. These new topical therapies offer increased hope and convenience to the large patient population with psoriasis.

Administration, Cutaneous↗

PubMed1998

Soaps and detergents: understanding their composition and effect.

Soaps have been used for thousands of years as part of religious ceremonies and daily life. Derived from fatty acids or triglycerides (fats or oils) into their alkali derivatives through a process called saponification, soaps are important for healthcare professionals in preventing the spread of disease. Partly due to their alkaline nature, soaps are limited by their irritancy to the skin and their tendency to form insoluble and inactive salts when combined with either hard water or sea water. Therefore, soap alternatives or synthetic detergents have been developed. Detergents are classified into four groups: anionic, cationic, amphoteric, and non-ionic. These four groups are based on the hydrophilic qualities and surfactants they possess. Each group has characteristics that pertain to its main uses, irritancy, and toxicity. Understanding soaps and detergents may assist clinicians in making intelligent choices when using these agents on their patients as either skin cleansers or wound cleansers. Understanding the characteristics of soaps and detergents is especially important when dealing with at-risk patients such as the elderly.

Bacterial Infections↗

PubMed1998

Epidemiology of peripheral vascular disease: a predictor of systemic vascular disease.

It is estimated that peripheral vascular disease (PVD) affects 30 percent of the adult population, and two-thirds of all cases are asymptomatic. Detecting PVD can be relatively easy and inexpensive, and based either on subjectively supplied historical information (claudication) or upon physical examination findings [ankle-brachial index (ABI)]. The ABI may serve as a marker for increased risk for systemic vascular disease as an abnormally low ABI has been shown to be associated with systemic vascular disease. Epidemiology of and risk factors for PVD are in similar to coronary heart disease. PVD is uncommon until middle age and then increases dramatically. Prevalence of PVD is slightly higher in men than women, yet this tends to diminish with age. Cigarette smoking is probably the most important risk factor for PVD. Hypertension, hypercholesterolemia, and diabetes are also risk factors for the development of symptomatic PVD. Conversely, the presence of a high degree of physical activity and higher levels of HDL-cholesterol as well as a lower body mass index (BMI) are protective. Patients who have vascular disease in one organ system often exhibit evidence of vascular disease elsewhere. Presence of coronary artery disease among patients with symptomatic PVD is between two and four times higher than those without PVD, and PVD is also associated with cerebrovascular disease.

Adult↗