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Mixing herbal and 
prescription meds

Patients often consider supplements and herbs harmless, but combining them with other drugs can have devastating consequences.
Gastroenterology Hepatology

Acute liver failure

How can I be sure that the patient has acute liver failure? In patients with acute liver disease, the combination of encephalopathy and laboratory evidence of a coagulopathy is the basis for the diagnosis of acute liver failure. The diagnosis must be made within 26 weeks of the first symptoms of the liver disease and…
Dermatology

Tuberous Sclerosis Complex (Bourneville Disease, Bourneville Phakomatosis)

Are You Confident of the Diagnosis? What you should be alert for in the history Tuberous sclerosis complex (TSC) is an autosomal dominant genetic condition characterized by hypomelanotic macules (Figure 1), hamartomas, and intellectual disability in 50% of those affected, as well as infantile spasms and/or seizure disorder in approximately 80% of affected individuals. Figure…
Pulmonary Medicine

Surgery in Lung Cancer Management and Preoperative Evaluation for Lung Resection

What every physician needs to know: Worldwide, lung cancer is the leading contributor to new cancer cases, with over a million new cases or about 13 percent of all new cancer cases. Lung cancer is also the leading cause of cancer-related deaths worldwide, with over 900,000 deaths or about 18 percent of all cancer-related deaths.…
Dermatology

Eyelid Dermatitis (xeroderma of the eyelids, eczema of the eyelids, atopic dermatitis, allergic contact dermatitis, irritant contact dermatitis, seborrheic dermatitis of the eyelids)

Are You Confident of the Diagnosis? Eyelid dermatitis is an umbrella term describing a group of inflammatory skin disorders that localize to the eyelids and resemble eczema. There are many causes of eyelid dermatitis, hence it is a vexing problem for patients and can represent a diagnostic and therapeutic dilemma. Knowledge of the common causes…
Hematology

Acute lymphoblastic leukemia

Acute lymphoblastic leukemia What every physician needs to know: Acute lymphoblastic leukemia (ALL) is a neoplasm involving precursor lymphoblasts committed to either the B-cell or T-cell lineage. ALL is primarily a disease of children, with about 75% of cases occurring in patients under 6 years of age. The incidence of ALL is about 2 per…
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