Clinical Challenge

Markedly elevated serum transaminase levels

Markedly elevated serum transaminase levels

An incidental finding in an asymptomatic woman is followed by rapid deterioration of her condition.

Avoiding hypoglycemia in a hospitalized patient with diabetes and increased physical activity

Avoiding hypoglycemia in a hospitalized patient with diabetes and increased physical activity

While undergoing physical therapy after a stroke, a patient with type 1 diabetes has a hypoglycemia-related stroke.

Achieving sustained weight loss in an obese patient

Achieving sustained weight loss in an obese patient

After steadily gaining weight for 10 years, an obese patient seeks help in achieving sustained, long-term weight loss.

Severe insulin resistance in a patient with type 2 diabetes

Severe insulin resistance in a patient with type 2 diabetes

Patients with type 2 diabetes and severe insulin resistance may require large doses of insulin to achieve glycemic control.

Painful red spot 
and fever in an infant

Painful red spot 
and fever in an infant

The child and her twin tested positive 
for influenza B infection one week earlier. The child's pulse, respirations, and blood pressure were within normal limits.

Diabetes management in the younger adult population

Diabetes management in the younger adult population

Patients aged 20 to 44 years who have diabetes have unique health concerns compared with older and younger patients with diabetes.

Probiotics in clinical practice

Probiotics in clinical practice

Probiotics may be beneficial for antibiotic-associated diarrhea, digestive symptoms, necrotizing enterocolitis, respiratory tract infections, and other health conditions.

Management of the healthy, post Roux-en-Y gastric bypass patient

Management of the healthy, post Roux-en-Y gastric bypass patient

A patient visits her primary care physician for a two-year follow-up after a Roux-en-Y gastric bypass surgery to check for complications.

Fever and tachycardia after a liver transplant

Fever and tachycardia after a liver transplant

A 29-year-old woman, 12 years post-liver transplant, presents with fever and tachycardia and had recently reported fatigue, weakness, and abdominal pain.

Management and treatment of peripheral neuropathy

Management and treatment of peripheral neuropathy

An older patient with type 2 diabetes expresses concern about potential peripheral neuropathy.

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