Your search for obesity returned 1851 results

Your search for obesity returned 1851 results

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Xanthoma, tuberous (Tuberoeruptive xanthoma)

Are You Confident of the Diagnosis? What you should be alert for in the history The modifier tuberous refers to the nodular character of this type of xanthoma. Typically, they appear on the elbows, knees, and buttocks, and less commonly, in other areas. The tuberous xanthoma spectrum encompasses tuberoeruptive xanthomas and tuberous xanthomas. Tuberoeruptive xanthomas…

Dealing with teenagers who abuse steroids

Steroids are addictive and can cause cardiovascular and hepatic damage. Two experts tell what to do when you suspect an adolescent patient may be using them.
Obstetrics and Gynecology


Glomerulonephritis, Nephritis, Chronic nephritis 1. What every clinician should know Background Glomerular diseases can be divided into those that primarily involve the kidney and those that are secondary to systemic disease such as diabetes or hypertension. The former is known as primary glomerulopathy and accounts for 80% of glomerular disease. Glomerulonephritis (GN) is the inflammation…
Critical Care Medicine

Hyperchloremic acidosis

1. Description of the problem What every clinician needs to know Hyperchloremic acidosis is a common acid-base disturbance in critical illness, often mild ( standard base excess >-10 mEq/L). Definitions of hyperchloremic acidosis vary. The best are not based on chloride concentrations, but on the presence of metabolic acidosis plus the absence of significant concentrations…

Thrombotic thrombocytopenic purpura

I. What every physician needs to know. Thrombotic Thrombocytopenic Purpura (TTP) is a thrombotic microangiopathy (TMA) characterized by microangiopathic hemolytic anemia, thrombocytopenia, microvascular thrombi, and varying levels of organ damage. It can be a hereditary or acquired condition, secondary to mutations or antibody inhibitors to the protein ADAMTS13; a protease that cleaves von Willebrand factor…
Obstetrics and Gynecology


Uterine Leiomyomas, Uterine Myomas, Uterine Fibroids 1. What every clinician should know Fibroids are the most common neoplasm of the uterus, occurring in 70-80% of all women by age 50. The incidence is related to ethnicity (more common with African ancestry), family history, and fertility status. Very few fibroids are malignant. 2. Diagnosis and differential…
Hospital Medicine

Non-Invasive Mechanical Ventilation

I. Problem/Challenge. For inpatients with acute respiratory distress, there are alternatives to intubation in certain situations. Non-invasive positive pressure ventilation (NPPV) is a form of mechanical ventilation that does not require the placement of an endotrachial tube. It instead relies on close fitting nasal or face masks, delivering positive-pressure to improve gas exchange and reduce…

Traumatic brain injury in youth athletes

Accurate identification, assessment and evaluation of concussions will enable clinicians to determine when it is safe for young athletes to return to competition.
Hospital Medicine

Pulmonary embolism

I. What every physician needs to know. Pulmonary embolism and deep venous thrombosis are two manifestations of the same underlying disorder, venous thromboembolism (VTE). Venous thrombosis usually occurs as the result the combination of three potential causative factors (virchow’s triad), specifically venous endothelial damage (e.g., prior clot and recent surgical procedure), hypercoagulability (e.g., malignancy or…
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