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J L Pfenninger

Publications and source records attributed to J L Pfenninger.

26 records · Page 2Linked to original sources

Injections of joints and soft tissue: Part II. Guidelines for specific joints.

Sterile technique is recommended for corticosteroid injection of joints and soft tissue. For joint aspiration, a slightly larger needle than that used for injection may be of benefit. Corticosteroid injection is followed by pain relief if the appropriate structure is treated. This article describes the technique used for aspiration and injection of specific structures, including the joints of the fingers and toes, wrist, elbow, shoulder, hip and knee.

Adrenal Cortex Hormones↗

Androscopy: a technique for examining men for condyloma.

Genital human papilloma virus (HPV) infections manifest themselves as condylomas. Certain HPV virus types have been documented to cause cervical cancer and have been implicated in vulvar, vaginal, and some anorectal cancers. Cervical cancer, then, is a sexually transmitted disease. Men who carry the virus must be identified and treated if the spread of the disease is to be controlled. Gross visual inspection is inadequate since the viruses with the most oncogenic potential (HPV types 16 and 18) are generally flat and small. Androscopy uses acetic acid staining and magnification to identify the lesions when present. Patient education regarding the potential spread and carcinogenicity of these lesions completes the procedure.

Acetates↗

Preparation for vasectomy.

The physician has a moral and legal responsibility to ensure that the patient understands any procedures to be performed. This is especially important when the procedure is totally elective and the sexual psyche is involved. Patient selection and counseling are the two main components of preparation for vasectomy. The family physician is particularly well prepared for this process because of his long-term knowledge of the patient's health and emotional well-being.

Counseling↗

Complications of vasectomy.

The most common complications of vasectomy are ecchymosis and sperm granuloma. A sperm granuloma may increase the chance of spontaneous recanalization. Orchitis and epididymitis generally respond best to treatment with anti-inflammatory drugs and antibiotics. Although antibodies frequently develop against different portions of the sperm, long-term studies have not shown any adverse effects of these antibodies.

Adult↗

Teaching family-centered perinatal care in family medicine, Part I.

Pregnancy, childbirth, postpartum, and infant care are a continuum in the family life cycle for which the family physician is especially qualified to provide primary, comprehensive care. The purpose of this paper is to document and share the controversies, wisdom, and knowledge about caring for women and their families before, during, and after pregnancy. Family physicians can be leaders in developing an appropriate perinatal care system for the community. The level of care the family physician chooses to provide is discretionary. However, the family physician should be invested in ensuring that all families receive the greatest benefit from pregnancy, birth, and the newborn experience. Interest in perinatal care in family medicine is increasing, as reflected by the growing numbers participating in the Society of Teachers of Family Medicine Working Group on Family-Centered Perinatal Care. The authors of this article, who are active in this working group, hope that this information is useful in designing a balanced curriculum and delivery system for perinatal care in family medicine training programs.

Curriculum↗