April 01, 2009 Archives - Clinical Advisor

Print Issue: April 01, 2009

Fatigue and dizziness in an iron-deficient patient

I am treating a 44-year-old Filipina who has iron deficiency anemia. Her RBC count, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, and mean corpuscular volume are low and her hematocrit/hemoglobin is borderline low. Her ferritin rose from 2 to 3 ng/mL after two months of ferrous sulfate t.i.d. and vitamin C 500 mg daily. A…

Traumatic Brain Injury

Does this Patient with Traumatic Brain Injury (TBI) have Hypopituitarism? The question for the endocrinologist when presented with a patient with traumatic brain injury (TBI) is whether the TBI has resulted in hypopituitarism, and if so, whether treating the hypopituitarism will ameliorate the patient’s condition. The patient may present in the acute or chronic phase…

When to treat high LDL with high HDL

What is the best therapeutic approach for asymptomatic patients with zero to two cardiac risk factors, elevated LDL (>130-160 mg/dL), and high HDL (>60 mg/dL)? At what LDL would you treat the hyperlipidemia despite the high HDL?—David Y. Kawashiri, MD, Beverly Hills, Calif.  This is the question cardiologists are hearing more and more often: When…

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