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61 Q&A related to obesity

Hyperuricemia | Nephrology | 03-2012
Asymptomatic hyperuricemia can be found in as many as 1 in 10 adults but it isn t necessarily significant or indicative of pathology. It should, however, prompt a search for ...

Greenland liver | Nephrology | 10-2011
It may be a normal variant in the Inuit populations, just as slightly low normal white cell count is common in Mediterranean peoples, and slightly high white cell count is ...

Statins protect the liver | Nephrology | 09-2011
HMG co-enzyme reductase inhibitors the statins, in small studies have shown to be effective in reducing hepatic steatosis and retarding progressive fibrosis, in patients with non-alcoholic fatty liver disease NAFLD ...

Do 2nd-generation antipsychotics cause metabolic syndrome? | Clinical Pharmacology | 12-2010
This is a very germane question, as recent studies have suggested a link between therapy with medications such as olanzepine and elevated C-reactive protein CRP . Given that CRP as ...

No magic pill for flatulence | Gastroenterology | 10-2010
Flatulence is multifactorial and is often diet-related, with fibre, beer and carbohydrates among the leading culprits. Inactivity doesn t help, and perhaps middle-aged people give up on staying active with ...

Pain in the butt | Orthopedics | 09-2010
Coccygodynia or coccydynia refers to pain of or in the region of the tailbone or coccyx coccygalgia see an excellent review by Patel et al in Curr Rev Musculoskelet Med ...

Turn off the tube | Psychiatry | 03-2010
This has been a matter of concern for some time. It s estimated that kids watch an average of 3 hours of TV a day and up to 6 hours ...

Hyperuricemia with hypertension | Nephrology | 03-2010
Asymptomatic hyperuricemia is common and occurs in up to 10 of adults and often is a coincidental laboratory finding. When serum uric acid levels are significantly elevated, however, you should ...

Statins for fatty liver? | Other | 08-2009
Non-alcoholic fatty liver disease NAFLD is the most common cause of liver disease in the Western world and its incidence is increasing both in adults and children because of the ...

Catching them young in type II diabetes | Cardiology | 02-2009
Young patients with new onset diabetes have a low short-term clinical risk of developing vascular complications. Younger female patients of childbearing age particularly shouldn t be started on statins due ...

Platelet volume: a marker that’s hard to measure | Hematology | 01-2009
In general, it s believed that MPV is increased when there s increased platelet production or increased platelet turnover such as in chronic immune mediated thrombocytopenia or myeloproliferative disorders, as ...

How long can patient remain on cyproterone OC? | Ob/Gyn | 07-2008
Despite numerous reports in the media regarding the risk of VTE from cyproterone ethinyl estradiol vs other OCs, the literature is still difficult to interpret. As a result, this contraceptive ...

Incidental fatty liver finding: is it serious? | Gastroenterology | 05-2008
An incidental finding of a fatty liver on an ultrasound is important -- rather like other silent conditions like hyperlipidemia and hypertension. It can progress to steatohepatitis and cirrhosis in ...

When to consider uric acid-lowering therapy | Nephrology | 05-2008
Asymptomatic hyperuricemia is common and may occur in up to 10 of adults. It doesn't necessarily represent a disease state, however, and it's often a coincidental laboratory finding. When serum ...

Obesity raises white cell count | Hematology | 04-2008
Mild leukocytosis with neutrophilia is observed in obese individuals without any other causative associated conditions. As long as there's no evidence of infection and no other physical abnormalities, no further ...

Should we prescribe glucosamine? | Rheumatology | 04-2008
Not at all. Recent controlled clinical trials Clegg DO et al. NEJM 2006 354 8 795-808 as well as meta-analyses have shown no clear-cut benefit over placebo. In my clinical ...

Navigating the rosiglitazone controversy | Clinical Pharmacology | 04-2008
This is an excellent question. A recent meta-analysis Nissen SE, Wolski K. NEJM 2007 356 24 2457-71 suggested that rosiglitazone, a drug used to treat type 2 diabetes, was associated ...

Weight loss for kids with fatty liver | Pediatrics, Gastroenterology | 03-2008
Pediatric fatty liver is associated with obesity and is likely under-diagnosed. You may consider doing an ultrasound in all obese kids, adding fuel to the suggestion of treating their underlying ...

Is Hydroxycut safe? | Endocrinology | 07-2007
Hydroxycut is a weight loss aid containing ephedra alkaloids and caffeine, intended to work by curbing appetite and increasing metabolism. There are no randomized controlled trials investigating its effectiveness. A ...

Which patients really need diet pills? | Endocrinology | 06-2007
Overweight is defined as a body mass index BMI amp gt 27 kg m amp lt sup amp gt 2 amp lt sup amp gt . Obesity refers to a ...

Incidental fatty liver finding | Gastroenterology | 05-2007
Fatty liver, unfortunately, is fairly common and the incidence is bound to increase to epidemic proportions -- thanks to obesity, diabetes, hyperlipidemia, etc. The most important clinical implication is that ...

Managing drug-induced metabolic syndrome | Endocrinology | 01-2007
Individuals with metabolic syndrome caused by novel antipsychotics should be treated as any other patient with metabolic syndrome. Place the emphasis on weight reduction and management of risk factors, such ...

Does obesity guarantee snoring? | Respirology | 12-2006
The answer to both questions is, not all, but most. Of normal adults, 45 snore at least occasionally and 25 are habitual snorers. Problem snoring is more frequent in males ...

Pickwickian syndrome: what's in a name? | Endocrinology | 11-2006
Pickwickian syndrome is a combination of obesity, somnolence and a plethoric face. It's usually seen in patients with sleep apnea. This syndrome was named after the amp quot fat and ...

What's the best pediatric workup for PE? | Respirology | 10-2006
Pulmonary embolism is rare in children. It occurs mainly in individuals who have predisposing underlying entities, such as indwelling central venous lines, cancer, oral contraceptive use, obesity, trauma, strong family ...

To treat or not to treat: a question of lifespan | Nephrology | 01-2006
In epidemiologic studies, it's been estimated that the lifespan decreases by 10-20 years without treatment of hypertension, diabetes and obesity amp amp 151 the common risk factors for atherosclerosis. In ...

Help for hirsutism | Dermatology | 11-2005
The association between polycystic ovary syndrome and hyperandrogenic signs like hirsutism, male pattern hair loss and acne is well known. Less commonly recognized is the fact that PCOS can be ...

What's the best LMWH dosing for the obese? | Hematology | 10-2005
There've been considerable discussions and arguments about the dosing of LMWH in very obese patients. The ratio of total body weight to plasma volume is higher in these people than ...

Child with diabetes: type 1 or 2? | Endocrinology | 07-2005
In most cases, the presentation is clear. Type 2 diabetes is generally associated with obesity and elevated blood sugars that are fairly well tolerated. The patient responds to oral agents. ...

What does C-reactive protein predict? | Cardiology | 09-2004
C-reactive protein CRP was first described in the 1950s and has now become popularized by cardiologist Paul Ridker, whose expertise is in arterial inflammation. This protein, an indicator of low-level ...

Elevated GGT quandary | Gastroenterology | 09-2004
GGT is such a sensitive enzyme that slight elevations can be seen after a large drink or two. But I think that any persistent elevation is clinically significant. A fatty ...

Can US screen for renal cancer? | Imaging | 08-2004
I believe the answer to your query is in the second portion of your question. Renal cell carcinoma RCC is diagnosed in more than 30,000 North Americans each year, leading ...

Dietary advice after gall bladder surgery | Gastroemterology | 07-2004
I'm not aware of any specific food recommendations after gall bladder removal. Basically, these people should be able to eat whatever agrees with them. You may, however, consider certain dietary ...

How long to anticoagulate after hip surgery | Hematology | 04-2004
The risk of venous thromboembolism VTE after hip fracture surgery or hip arthroplasty is relatively high, even if the patient is given postoperative anticoagulation. It persists for up to three ...

Diagnostic workup of acanthosis nigricans | Cardiology | 02-2004
Acanthosis nigricans is a velvety thickening and hyperpigmentation grey-brown of the skin. It's commonly seen on the skin folds of the neck, groin, axillae and antecubital areas, and may cause ...

High-protein diets and insulin sensitivity | Endocrinology | 01-2004
Weight loss in general leads to higher insulin sensitivity. People on low-carbohydrate diets higher fat and protein , however, tend to lose more weight than those on low-fat diets higher ...

Follow-up for fatty liver US findings | Gastroenterology | 01-2004
A fatty liver seen on US might be an incidental finding or could signify steatohepatitis, which can lead to cirrhosis. Obesity, diabetes, hyperlipidemia and alcohol use are some of the ...

Follow-up for fatty liver US findings | Imaging | 01-2004
With the rapid progress in medical imaging technology, many conditions are being discovered incidentally on routine scans or imaging performed for other reasons. Fatty liver, or hepatic steatosis, is a ...

Why does gastric stapling work? | Gastroenterology | 07-2003
I think that the gastric stapling procedure is merely a mechanical solution to obesity. Reducing the volume of the stomach simply leads to early satiety. I don't know of any ...

Screening for sleep apnea in relatives | Respirology | 06-2003
There are two types of sleep apnea -- obstructive and central -- and often there may be a mixture of both. We haven't identified specific genes yet that influence the ...

Fatty liver: is it alcohol or obesity? | Gastroenterology | 04-2003
At histology, you can't tell whether the steatohepatitis is due to alcohol or NASH -- they're identical. This makes a good history and other factors, such as obesity or diabetes, ...

Smoker's cough: what to look for | Respirology | 11-2002
The first step is a directed history and physical, looking for possible causes of hypersensitivity pneumonitis, such as humidifier lung and bird fancier's disease other diseases, such as obesity, history ...

Does OC + migraine raise stroke risk? | Neurology | 05-2002
For patients with migraine, the relationship between the use of OCs and the potential for stroke is complex. It's probably safe to use a low-dose OC less than 50 mcg ...

SWOLLEN FEET AND CHF | Cardiology | 10-2001
Diuretic therapy is the obvious choice in treating right-sided CHF. But since leg edema is extremely common, we need to make sure that we've got the right diagnosis for what's ...

POLYCYSTIC KIDNEYS AND STREP: WHAT'S THE LINK? | Urology | 03-2001
First, I suspect the polycystic kidneys are red herrings. It's unusual for polycystic kidneys to have an impact on health until middle age. We're faced with a young woman with ...

THROMBOEMBOLIC DISEASE: IS WARFARIN THE ANSWER? | Hematology | 02-2001
Several uncontrolled studies do show a significant reduction in the symptomatic thromboembolic complication rate -- compared to those who don't receive anticoagulant therapy -- if warfarin is started shortly after ...

FAT LIVER = NASH | Gastroenterology | 01-2001
NASH refers to nonalcoholic steatohepatitis. Essentially, the liver biopsy shows fatty infiltration and inflammatory changes much as you might see with alcoholic hepatitis, but without a history, the two conditions ...

STILL HYPERTENSIVE ON 5 DRUGS: WHAT NOW? | Cardiology | 09-2000
This patient clearly has drug-resistant hypertension, which is defined as persistent hypertension despite four good doses of medications. She should be referred to an expert on hypertension to investigate secondary ...

FOLLOW-UP FOR FATTY LIVER US FINDING | Imaging | 08-2000
Hepatic steatosis, or fatty liver, is a very common incidental benign finding on ultrasound US that typically requires no follow-up or change in patient management, apart from perhaps counselling on ...

WHAT ABOUT WEIGHT-LOSS PILLS? | Endocrinology | 09-1999
At this point in time, we're very limited in the choice of antiobesity agents available to us. Orlistat Xenical has recently been approved for use in Canada. It's a lipase ...

ANY RELIEF WHEN THEY'RE RUBBED RAW? | Dermatology | 07-1999
In its early stages, the condition can be controlled by making sure that patients avoid friction, pressure and restriction of movement, and don't wear tight clothing. Advise them not to ...

FATTY LIVER ON U/S | Gastroenterology | 01-1999
More often than not, evidence of a fatty liver on an ultrasound is an incidental finding. Also, sometimes these patients can have minimal liver function test abnormalities. On the other ...

DO CHUBBY INFANTS NEED TO DIET? | Pediatrics | 06-1998
Because of their rapid growth and neurological development, infants have unique nutritional requirements. Generally, 2 milk is not recommended until children are two years of age. If this baby is ...

BP IS NORMAL, BUT NOT ECHOCARDIOGRAM | Cardiology | 08-1997
Go back to the clinical problem that prompted the ordering of the echocardiogram. Although diastolic dysfunction and increased left ventricular mass occur with hypertension, there are also other causes, including ...

EXERCISE: HOW MUCH, HOW HARD, HOW LONG? | Rheumatology | 08-1997
It's clear that aerobic activity is cardiovascular-protective and also helps promote weight reduction. There is also plenty of data about its benefits in lowering blood pressure. The questions now are ...

DIABETES SCREENS IN PREGNANCY? | Endocrinology | 07-1997
Yes. Classic risk factors obesity, family history of diabetes, etc. only identify about 50 of women with the disease. The best time to screen is between 24 and 28 weeks, ...

DIABETES SCREENS IN PREGNANCY? | Obstetrics Gynecology | 07-1997
Yes. Classic risk factors obesity, family history of diabetes, etc. only identify about 50 of women with the disease. The best time to screen is between 24 and 28 weeks, ...

THE NEW DIET PILLS: WHEN AND HOW TO USE | Cardiology | 03-1997
Obesity is extremely difficult to treat. Before drug therapy, overall successes were only 5 to 10 long term. We all know that obesity -- especially visceral obesity -- is an ...

POLYCYSTIC OVARY DISEASE ANSWERS PUZZLE | Obstetrics Gynecology | 07-1994
I presume you are using the clomiphene citrate in patients with anovulation and obesity, i.e. to induce ovulation. These patients usually have polycyctic ovary disease PCO up to one-third of ...

LOW HDL: AN INSIDIOUS RISK FACTOR | Cardiology | 05-1994
I presume this healthy 35-year-old individual is free of all vascular disease and is a nonsmoker without hypertension and has a normal blood sugar level. He does have a mild ...

FATTY BODY = FATTY LIVER? | Cardiology | 01-1994
Like yourself, I find this a difficult issue. In my clinical practice, I have measured many mild liver function abnormalities in totally asymptomatic individuals. I spend quite a bit of ...



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