Archive for the ‘internal medicine’ Category

Chest Pain

Chest Pain Overview   If you are having severe pain, crushing, squeezing, or pressure in your chest that lasts more than a few minutes, or if the pain moves into your neck, left shoulder, arm, or jaw, go immediately to a hospital emergency department. Do not drive yourself. Call 911 for emergency transport.Chest pain is [...]

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Bleeding esophageal varices

Definition    Return to top Bleeding esophageal varices occur when veins in the walls of the lower part of the esophagus and sometimes the upper part of the stomach are wider than normal (dilated). Causes    Return to top Bleeding varices are a life-threatening complication of increased blood pressure in the portal vein caused by liver disease [...]

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Lung cancer

Lung cancer is the leading cause of cancer deaths in the United States, among both men and women. It claims more lives each year than colon, prostate, lymph and breast cancers combined. Yet most lung cancer deaths could be prevented. That’s because smoking accounts for nearly 90 percent of lung cancer cases. Your risk of [...]

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Signs and symptoms of pancreatitis may vary depending on which type you experience. Acute pancreatitis signs and symptoms include: Upper abdominal pain Abdominal pain that radiates to your back Abdominal pain that feels worse after eating Abdominal pain that’s somewhat relieved by leaning forward or curling into a ball Nausea Vomiting Tenderness when touching the [...]

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Hyperosmolar Hyperglycaemic Non-Ketotic Coma (HONK)

his extreme metabolic derangement occurs through a combination of intercurrent illness, dehydration and an inability to take normal diabetic therapy due to the effect of illness. It is a potentially life-threatening emergency. HONK is characterised by severe hyperglycaemia with marked serum hyperosmolarity, without evidence of significant ketosis. Hyperglycaemia causes an osmotic diuresis with hyperosmolarity leading [...]

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Treatment of anticholinergic-induced ileus with neostigmine?

A 33-year-old man with a history of recreational benztropine abuse presented to the emergency department with confusion, abdominal pain, and distention. An abdominal radiograph revealed gross fecal loading. He was initially treated with intravenous fluids and opiate analgesia. Subsequently, a diagnosis of anticholinergic poisoning was made, based on tachycardia, delirium, dry mucosa, and reduced bowel [...]

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