When treating an adult female patient with the chief complaint of alopecia,
the clinician should pay particular attention to the pattern of hair loss.
Selecting appropriate lab tests when evaluating persons with symptoms suggesting a rheumatic condition often requires a bit of detective work.
I. Management of hypertension: What every physician needs to know Hypertension is THE disease. It is present for all to consider and deal with regardless of the specialty. However, it is the quintessential internist’s dilemma. To date, the proposed surgical remedies for hypertension have only had paltry results and serve such a small fraction of…
Diabetes Information Center
It is critical for us to remember that children are not little adults. Pediatric-onset diabetes is different from adult-onset diabetes due to its distinct epidemiology, pathophysiology, developmental considerations, and response to therapy.
Management of hypokalemia in the hospital I. Problem/Condition. Hypokalemia is the most common electrolyte problem encountered by hospitalists, occurring in about 20% of patients sometime during their hospitalization. II. Diagnostic Approach A. What is the differential diagnosis for this problem? There are over 20 clinical etiologies of hypokalemia. It is useful to think about etiologies…
What every physician needs to know: Millions of people travel to high altitude every year for recreation, exploration, and work. Ascent to high altitude is associated with physiological changes that may manifest as altitude-related illness. Altitude-related illnesses range from acute mountain sickness, which is common and usually mild, to life-threatening high-altitude pulmonary edema and high-altitude…
I. Inflammation and Coronary Artery Disease: What every physician needs to know. C-Reactive protein, inflammation, and cardiovascular disease Traditional cardiovascular risk factors have been the bedrock for estimation of individual risk and selective use of prevention therapies. Age Hypertension Smoking Hyperlipidemia Diabetes Although incorporating lifestyle measures, such as healthy eating habits and regular exercise, are…
I. Cardiorenal Syndrome: What every physician needs to know. The term cardiorenal syndrome (CRS) refers to a condition in which either renal impairment occurs as a result of cardiac dysfunction, or heart structure and function are negatively affected by renal disorders. The damage/dysfunction can be produced in either the heart or the kidney by an…
How can I be sure that the patient has esophageal tumors? Squamous cell carcinoma and adenocarcinoma comprise over 90% of esophageal tumors. Rarely, leiomyoma, melanoma, sarcoma, small cell carcinoma, or lymphoma may arise in the esophagus. Causes and patterns of incidence are different in these subtypes. Overall, the incidence of esophageal cancer is increasing. Although…
Cardiovascular Disease Information Center
Detecting previously undiagnosed, asymptomatic AF may help to prevent future thromboembolic events and the onset of symptoms, and may reduce AF-related morbidity and hospitalizations.