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Your search for alzheimer disease returned 226 results

Your search for alzheimer disease returned 226 results

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Radical prostatectomy – Procedures

Radical prostatectomy Yanhong Liu, M.D., Ph.D.; William R. Kimball, M.D., Ph.D.; Yandong Jiang M.D., Ph.D. What the Anesthesiologist Should Know before the Operative Procedure Different from simple prostatectomy, which is done mainly for the treatment of prostate enlargement (benign prostatic hyperplasia), radical prostatectomy is the treatment of choice for localized prostate cancer. As the fourth…
Hospital Medicine

Parkinson's disease and parkinsonism

Parkinson’s disease and Parkinsonism I. What every physician needs to know. Idiopathic Parkinson’s disease is a progressive neurologic disorder characterized by motor dysfunction including rest tremor, bradykinesia, postural instability and rigidity of movement. Symptoms can progress to include speech and swallowing problems, and in some cases, dementia or psychosis. While the exact mechanism remains unknown,…
Hospital Medicine

Drug-induced lupus

Drug-induced lupus I. What every physician needs to know. Drug-induced lupus (DIL) is an under-recognized disorder. It results from medications that induce production of autoantibodies and a lupus-like syndrome that can be systemic, cutaneous, or vasculitic in nature. Symptoms may include fatigue, fever, joint pains, arthritis, rash, muscle aches, and serositis. Diagnosis of DIL requires…

Hormone therapy is making a comeback

Menopausal women searching for relief of hot flushes don’t have to forgo estrogen, say experts. The hormone might even prevent CHD and diabetes. When do the benefits of hormone therapy for menopausal women outweigh the risks? An updated position statement from the North American Menopause Society (NAMS) suggests that estrogen therapy (ET) or the combination…

An independent widow’s puzzling hallucinations

The elderly woman saw people who would not respond to her, but she had no dementia or psychiatric conditions. Mrs. T was an 87-year-old widow whose sons were worried that she might be suffering from hallucinations. Concerned, too, about their mother’s gradually increasing frailty, they had recently moved her to an apartment building for senior…

Down Syndrome

Are You Confident of the Diagnosis? Dr John Langdon Down first described Down syndrome in Britain in 1866. Almost a century later, Jérôme Lejeune in 1959 discovered the role of either a partial or complete third copy of chromosome 21 in this condition. This extra genetic material results from trisomy 21 (most common) chromosomal translocation…

Vitamin B12 Deficiency

At a Glance Diagnosis of vitamin B12 (cobalamin) deficiency is relatively straightforward in long-lasting deficiency, which manifests itself with marked anemia, macrocytosis (mean corpuscular volume [MCV] > 100 fL with ovalocytosis, possibly in conjunction with thrombocytopenia and neutropenia > pancytopenia) neutrophil hypersegmentation (at least 5% of neutrophils with 5 lobes or at least 1% with…
Hospital Infection Control

Animals Visiting Healthcare Facilities

Animals Visiting Healthcare Facilities What are the key concepts related to Animals Visiting Healthcare Facilities?  Animals may be present in healthcare (AHC) for multiple reasons and their presence has increased in acute care hospitals and ambulatory medical settings. According to the Humane Society of the United States, pet ownership is common in the United States with 65%…
Hospital Medicine

Hypogonadism and Testosterone Treatment

Are You Sure the Patient Has Hypogonadism? Male hypogonadism is a clinical syndrome resulting from inadequate testosterone and/or sperm production from the testis. The presence and severity of the clinical manifestations of hypogonadism depend on the degree, duration, and timing of onset. A careful history, medication review, physical examination, and laboratory evaluation are essential to…
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