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Your search for obesity returned 1595 results

Your search for obesity returned 1595 results

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Critical Care Medicine

Low Cardiac output

1. Description of the problem What every clinician needs to know There is no consensus on the absolute definition of a “low cardiac output state.” It is a syndrome evidenced by a low cardiac output or cardiac index (cardiac index <2.4L/min/m2) with evidence of organ dysfunction—for example, a high lactate or urine output <0.5 ml/kg/hour.…
Critical Care Medicine

Respiratory Failure in Pregnancy (ARDS [acute respiratory distress syndrome] during pregnancy; ALI [acute lung injury] during pregnancy; Ventilatory failure during pregnancy; Severe pneumonia during pregnancy; pulmonary embolus [PE] during pregnancy; Amniotic fluid embolus)

Respiratory Failure during Pregnancy Synonyms ARDS (acute respiratory distress syndrome) during pregnancy ALI (acute lung injury) during pregnancy Ventilatory failure during pregnancy Severe pneumonia during pregnancy Pulmonary embolus (PE) during pregnancy Amniotic fluid embolus Related Conditions Status asthmaticus during pregnancy Mechanical ventilation during pregnancy 1. Description of the problem What every clinician needs to know…
Dermatology

Acne vulgaris, Acne conglobata & Acne fulminans

Are You Confident of the Diagnosis? Acne is an exceptionally common disorder in adolescents, affecting up to 85% of 12-24–year olds. In fact, most patients can accurately diagnose themselves. The presence of inflammatory papules and pustules along with comedones, involving the face, chest, shoulders and back, are hallmarks of acne vulgaris. Nodules and nodulocystic lesions…
Gastroenterology Hepatology

Chronic pancreatitis

How can I be sure that the patient has chronic pancreatitis? There are a number of clinical presentations of chronic pancreatitis. The disease usually is initially considered based on imaging findings or on symptoms. Abdominal pain is usually the earliest, most frequent, and most characteristic symptom. In many patients, the pain is often episodic early…
Anesthesiology

Cesarean Delivery, Spinal, Epidural or Combined Spinal-Epidural (CSE) Anesthesia

What the Anesthesiologist Should Know before the Operative Procedure Whether a neuraxial technique is the appropriate anesthetic choice for cesarean delivery will depend on the urgency of the procedure based on fetal or maternal issues, the presence of any significant maternal comorbidities or instability, and on occasion, whether a functioning labor epidural is already in…
Critical Care Medicine

Shock; circulatory failure

1. Description of the problem What every clinician needs to know Shock is a clinical syndrome where a primary circulatory problem causes impaired oxygen delivery to organs and peripheral tissues. Without rapid identification, restoration of oxygen delivery and treatment aimed at the underlying cause, a process of progressive multi-organ dysfunction and sequential organ failure will…
Anesthesiology

ORIF of ankle fracture

What the Anesthesiologist Should Know before the Operative Procedure The anesthesiologist should know the patient’s medical conditions (including additional injuries for patients who have a high-energy mechanism of injury) as well as the surgical plan. 1. What is the urgency of the surgery? What is the risk of delay in order to obtain additional preoperative…
Pulmonary Medicine

Paraneoplastic Syndromes Associated with Lung Cancer (ectopic Cushing’s syndrome, SIADH, hypercalcemia of malignancy,Lambert-Eaton myasthenic syndrome (LEMS), paraneoplastic limbic encephalitis, paraneoplastic cerebellar degeneration, paraneoplastic opsoclonus-myoclonus, dermatomyositis)

What every physician needs to know: Lung cancer symptoms usually arise from the direct effects of tumor on the lungs or contiguous structures by compression, obstruction, or invasion of other organs. However, another important form of clinical presentation is paraneoplastic syndromes. Paraneoplastic syndromes are defined as symptoms and signs distant to the primary tumor site…
Gastroenterology Hepatology

Endoscopic diagnosis and therapy of biliary diseases

General description of procedure, equipment, and endoscopic technique Endoscopic retrograde cholangiopancreatography (ERCP) has assisted in the care of patients with pancreaticobiliary diseases for almost four decades. This technique involves passing a specially designed endoscope into the second portion of the duodenum. There, its side-viewing optics allow for identification of the major duodenal papilla. Through its…
Cardiology

Managing the Patient with a Ventricular Assist Device

General description of procedure, equipment, technique Traditional management of heart failure (HF) includes medical therapy, implantable cardiac defibrillators (ICDs), and biventricular pacemakers. Despite such advances, HF continues to carry high morbidity and mortality. Five-year mortality for all patients with HF is estimated to be 50%. For those who have progressed to end-stage HF, the 1-year…
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