19-year-old thin female presents to your office for excessive urination and thirst she has been experiencing for the past couple of months. You check a fasting blood sugar in the office and find it is 235mg/dL. You are concerned that …
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Politicians are known to be secretive regarding their social histories. Often—as was the case with former South Carolina governor and future U.S. representative Mark Sanford—this relates to the sexual history. For New Jersey governor Chris Christie, it was his diet …
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Polk HC Jr (1966) and Cornell CM et al (1959) reported the incidence of gallbladder cancer (GBC) to range from 12–62% when porcelain gallbladder (PGB) is seen. The standard for treatment of porcelain gallbladder is prophylactic cholecystectomy. In the past …
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Two newsworthy events took place at the American Urological Association’s national conference in San Diego last week: one that affects the screening that men routinely undergo and the other that gives women an additional reason to exercise.   Prostate Cancer …
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Guidelines for termination of IHCA are generally very vague. It is typically a subjective decision by a physician to terminate efforts. Recently, a very large study was published in the Lancet in October 2012 evaluating this very topic.   What …
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42-year-old female presents to the clinic for fatigue and paresthesias of her lower extremities. She has noticed that she has had an abnormal gait. These problems all occurred within the past few days. She has no other medical problems or …
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It’s important during your Internal Medicine Board Review to understand the concept of pathophysiology, risk factors, and management of the Human Immunodeficiency Virus (HIV). HIV could go the way of smallpox and polio and be eliminated or eradicated in the …
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Patients who have been diagnosed with depression know that they are not alone. In fact, far from it. The leading cause of disability for patients between the ages of 15-44, depression affects nearly 15 million American adults. But here’s the …
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To most people, the acronym AAA stands for the association that helps replace a flat tire or fill your car with gas when the tank goes empty. For doctors, it spells danger: a potentially lethal localized ballooning of the largest …
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If you are reading this, then congratulations. You have finished, or are about to finish, internal medicine residency.   To get to this point, you have successfully passed the MCAT, USMLE Step 1, USMLE Step 2 CK, USMLE Step 2 …
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