A 29-year-old woman is seen in follow-up for evaluation of abnormal thyroid laboratory results. She is currently 26 weeks pregnant. She was originally evaluated 1 week ago for concerns about lack of weight gain during pregnancy, palpitations, anxiety, and insomnia. After a physical exam and considering lab results, what is the most likely diagnosis?
29 Sep 2020
Internists have to sort through the symptoms of gluten sensitivity to confirm a diagnosis. Excluding celiac disease and wheat allergy is essential, as is managing the patient's expectations and lifestyle.
1 Sep 2014
Compared to other NSAIDs, celecoxib and meloxicam were associated with a lower risk of bleeding or cardiovascular events among Korean patients who had a myocardial infarction (MI).
28 Jul 2020
A 28-year-old woman is evaluated during a follow-up visit for elevated blood pressure measurements during pregnancy. She is at 12 weeks' gestation of her first pregnancy. She feels well, and the pregnancy has been otherwise uncomplicated. Following a physical exam and lab studies, what is the most likely cause of this patient's elevated blood pressure?
19 May 2020
A 57-year-old woman is hospitalized with a 1-month history of diminished concentration, memory, and judgment, with recent mental status fluctuations and gait disorder. Medical history is remarkable for hypertension. After a physical exam, lab studies, and brain MRI, what is the most likely diagnosis?
12 May 2020
Unlike acute cases of pancreatitis, chronic cases present with varying degrees and types of pain, and without other clinical indicators such as calcification or damage to pancreatic ducts. It's best to refer to a gastroenterologist early to clarify the diagnosis, so the internist can better manage the patient.
1 Jan 2014
Researchers reviewed four randomized controlled trials of 7,953 patients that compared the effects of dual versus triple therapy on bleeding, mortality, and ischemic events after percutaneous coronary intervention (PCI).
17 Mar 2020
Increasing awareness of the harmful effects of under- and overnutrition can in turn increase nutritional assessments in primary care.
1 Apr 2015
Studies show limited evidence for vitamin D Lower pay drives doctors to cut hours Successful strategies found for refusing antidepressant requests
2 Mar 2010
Task Force advises against vitamin D, calcium for primary prevention of fractures in postmenopausal women
The U.S. Preventive Services Task Force recommended against taking daily supplementation of 400 IU or less of vitamin D3 and 1,000 mg or less of calcium for the primary prevention of fractures in community-dwelling postmenopausal women.
26 Feb 2013