Biomedical subjects
Publications and source records attributed to J A Ferrante.
Descriptions of individual diseases, including impetigo, scarlet fever, and toxic shock syndrome, are presented in the context of the specific organisms that cause them. Pictures are used to show some of the diseases. Testing and treatment information for these diseases are included.
Periorbital cellulitis is a potentially lethal infection which must be rapidly distinguished from a host of self-limited illnesses. It is often associated with sepsis and requires intravenous antibiotics with broad initial coverage because of the wide variety of infecting organisms. A search must be made for an underlying source of the infection. Facial cellulitis is less frequently followed by major complications. It usually responds to oral antibiotics but also requires a careful search for the source of infection.
Decisions regarding residency training require repeated reevaluation of organization and curriculum. Developing an autonomous inpatient teaching service may become necessary in many community hospitals because of a new competitive environment. To predict the impact of this possible change in one community program, we performed a retrospective analysis of 2,735 admissions to a community hospital during a one-year period. Residents' cases were compared with those of practicing family physicians and general internists. If family practice residents in this hospital were limited to an autonomous service, their overall experience and management of patients would be comparable to practicing primary care physicians in the same community hospital. However, volume would be inadequate and exposure to certain types of problems and situations would be limited. In multivariable analysis age, payment status, total consultation rate, many diagnostic categories, and some specific diagnoses separate residents from practicing physicians. As a particular example, internists have a concentration of geriatric patients and patients with cardiovascular disease. In order to utilize this experience, family practice residents in this hospital cannot rely solely on an autonomous teaching service.
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