MKSAP: 37-year-old man with low libido and fatigue
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 37-year-old man is evaluated for a 2-year history of low libido, loss of morning erections, fatigue, and decreasing muscle mass. His medical history is otherwise unremarkable. He takes no medications.
On physical examination, vital signs are normal. BMI is 35. The remainder of the examination, including genital examination, is normal.
Laboratory studies:
Luteinizing hormone
10 mU/mL (10 U/L)
Prolactin
Normal
Morning testosterone (total)
148 ng/dL (5.1 nmol/L)
Confirmatory morning testosterone (total)
...
Source: Kevin, M.D. - Medical Weblog - June 10, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Endocrinology Source Type: blogs
An Interview with Orthopaedic Oncologist Dr. Vincent Ng
Dr. Vincent Ng is an orthopaedic oncologist with the University of Maryland Greenebaum Comprehensive Cancer Center and an Assistant Professor or Orthopaedics with the University of Maryland School of Medicine. Dr. Ng specializes in treating bone cancer and soft tissue sarcoma. Below he answers common questions about orthopaedic oncology.
What is an orthopaedic oncologist? How do they differ from surgical oncologists?
“An orthopaedic oncologist specializes in bone and soft tissue tumors. I treat any adult or pediatric patient with any bone or soft tissue tumor/lesion/mass, whether benign or malignant, whether it is...
Source: Life in a Medical Center - June 2, 2017 Category: Universities & Medical Training Authors: UMMC Tags: Cancer Doctors bone cancer oncology orthopedics Source Type: blogs
How Long Are You On the'Hook' For A Recurrence?
After cancer, we always wonder ' will it come back? ' Actually, we don ' t just wonder, we obsess over this. For a long time, we think every little owie is probably cancer. We can only get our life back on the rails when we learn to cope with this. But still then every so often we still freak ourselves out about something. And life goes on.But post cancer, every so often our doctors tell us something we don ' t like and we go back on that cancer roller coaster. Time goes on. Years start to roll by.... We assume we are good because its been a decade or two....Now I must ask the question ' how long are you on the ' hook ' fo...
Source: Caroline's Breast Cancer Blog - June 1, 2017 Category: Cancer & Oncology Tags: breast cancer cancer recurrence post cancer Source Type: blogs
Once Upon A Time, I Was A Healthy Person
I have many friends who, after cancer, get back to their old lives for the most part. I ' m not talking about that ' new normal ' bull, but just doing normal things like going back to work, taking part in all their family activities and all sorts of regular, every day life things.Me, I did not get to go back to my regular life after breast cancer. My body had other plans for me. It decided it was time to fall apart.After breast cancer, I got gall stones and had my gallbladder out six months after radiation ended. That winter I slipped on the ice, landed on my left hand and started all my lymphedema crap.The following fall ...
Source: Caroline's Breast Cancer Blog - May 31, 2017 Category: Cancer & Oncology Tags: ailments being healthy being me Source Type: blogs
Thyroid Testing — Is your doctor missing something?
Similar to the gas pedal in your car, the thyroid controls the “speed” of your metabolism. It fine-tunes the function of virtually every tissue in the body, from the lowly cells responsible for creating fingernails to the nerve cells in the brain that guide memory and thought.
Your thyroid hormone level has to be just right. Too high and you are anxious and lose weight despite eating like a horse. Too low and no matter how meticulous your diet or how many calories you cut back, you fail to lose weight or gain weight. Just right and your efforts are rewarded by natural weight loss when nutrition is managed properly. Thy...
Source: Wheat Belly Blog - May 30, 2017 Category: Cardiology Authors: Dr. Davis Tags: Thyroid disease Undoctored Wheat Belly Lifestyle energy fatigue healthcare insomnia Weight Loss Source Type: blogs
Is Moving On After Cancer A Myth?
I am approachingmy ten year anniversary of the ten year mark after my breast cancer diagnosis. Am I supposed to celebrate? I think so but I am not sure how much of a celebration it is. It doesn ' t mean I can say it is gone for good. It just means that in the ten years since I was diagnosed with breast cancer and I am still here.Now I do know that is a good thing. But am I supposed to celebrate? But I don ' t feel like celebrating. I am not sure that I should celebrate. I certainly won ' t be having a party.The last ten years have been a growing time for me emotionally (and for my waistline). I have had many new experience...
Source: Caroline's Breast Cancer Blog - May 29, 2017 Category: Cancer & Oncology Tags: living with cancer Source Type: blogs
Alzheimer's Health, Why You Should Get the Thyroid Checked by a Doctor
I wish I could shout this from the mountain top: when Alzheimer's or dementia present, get the thyroid checked.By Bob DeMarcoAlzheimer's Reading RoomAbout a year ago,I read an article on hypothyroidism and posted it to this blog. The article described the symptoms of hypothyroidism and how it is associated with an increased risk of Alzheimer's disease in women only.The symptoms of hypothyroidism include: forgetfulness, weight gain, depression, dry skin, and fatigue. Alzheimer's care and the thyroidAll of these symptoms were present in my mother. As a result, I asked our personal physician to check my mother's thyroid....
Source: Alzheimer's Reading Room, The - May 29, 2017 Category: Neurology Tags: alzheimer's care dementia care dementia help for caregivers family caregiving help alzheimer's help with dementia care memory care searches related to thyroid Source Type: blogs
DIY Thyroid
If the doctor refuses to perform a full thyroid assessment, it is typically due to ignorance or laziness, not to concern over your safety. If you encounter resistance, the answer is simple: DIY THYROID–do it yourself. Get a full thyroid assessment on your own without the doctor.
Among the mistakes made by conventional doctors:
Not recognizing common symptoms of thyroid disease
Not understanding that as much as 35% of the population have varying degrees of hypothyroidism (low thyroid hormone levels)
Thinking that iodine intake is adequate
Regarding TSH as the only test required to assess thyroid while ignoring, for ...
Source: Wheat Belly Blog - May 28, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle at home labs direct to consumer diy health diy healthcare Dr. William Davis hypothyroid iodine reverse t3 t4 thyroid antibodies TSH Source Type: blogs
DIY Thyroid
Doctors very commonly refuse to fully explore thyroid status, even if you have clear-cut symptoms of thyroid dysfunction/hypothyroidism such as inappropriately cold hands and feet, fatigue, and unexplained weight gain. They declare, for instance, that your TSH of 3.8 MIU/L is just fine, even though you know that this level of hypothyroidism is sufficient to block weight loss and add substantially to cardiovascular risk.
Or, also commonly, your doctor has prescribed levothyroxine and refuses to assess your free T3 and reverse T3 status to explore other facets of hypothyroidism.
Doctors are trapped in an old thyroid paradig...
Source: Wheat Belly Blog - May 21, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle bowel flora diy health fingerstick fish oil free t3 gluten grains hashimoto's hypothyroid iodine lab tests microbiome omega-3 t4 vitamin D Source Type: blogs
A culprit of thyroid diseases
A research team has clarified the molecular mechanism of the thyroid and surrounding vascular system in the most typical form of hyperthyroidism. Published in the EMBO Molecular Medicine journal, these results provide a potential therapeutic target with regard to thyroid diseases.
Related Posts:Focus on for new Rx class for inflamed disorders discovered5 fast facts about norovirusSeveral with nonceliac wheat sensitivity have autoimmune…Just how proteins evolved the capacity for motion within…Brand new frontiers of fecal microbiota hair transplantThe post A culprit of thyroid diseases appeared first on My Irri...
Source: My Irritable Bowel Syndrome Story - May 18, 2017 Category: Gastroenterology Authors: Ken Tags: IBS News Source Type: blogs
Detecting and Treating Weight Loss in Seniors
Conclusion
While many people may believe that losing body mass is a natural part of the aging process, it can be a rather serious issue. Dealing with weight loss in the elderly in a timely manner is crucial. Otherwise, weight loss can lead to other health issues or even death.
Do you or someone you know have experience dealing with unintentional weight loss? Let us know in the comments section. (Source: Shield My Senior)
Source: Shield My Senior - May 17, 2017 Category: Geriatrics Authors: Vin Tags: Senior Safety Source Type: blogs
Detecting and Treating Weight Loss in Seniors
Conclusion
While many people may believe that losing body mass is a natural part of the aging process, it can be a rather serious issue. Dealing with weight loss in the elderly in a timely manner is crucial. Otherwise, weight loss can lead to other health issues or even death.
Do you or someone you know have experience dealing with unintentional weight loss? Let us know in the comments section. (Source: Shield My Senior)
Source: Shield My Senior - May 17, 2017 Category: Geriatrics Authors: Stevie Compango Tags: Senior Safety Source Type: blogs
Ucem osce scenario 2017.1
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
After years of preparation, extensive reading, sleepless nights, marriage breakdowns and caffeine – your week of being show ponies has arrived as the F.UCEM examinations are upon us. Giving hope to those who pray to the Utopian FSM we have managed to locate and leak one of the OSCE examination questions for the upcoming exams – hope it helps.
UCEM OSCE SCENARIO
You are the ED Consultant in charge of a tertiary hospital ED
You are approached by the red team night regi...
Source: Life in the Fast Lane - May 4, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Utopian Medicine F.UCEM OSCE Source Type: blogs
Maternal Mental Health Matters
MAY 3, 2017 IS WORLD MATERNAL MENTAL HEALTH AWARENESS DAY
#maternalMHmatters
Today is World Maternal Mental Health Awareness Day, and we’re helping to bring attention to an important health issue and available treatment options.
Worldwide, as many as one in five women experience some type of perinatal mood and anxiety disorder (PMAD). PMADs include postpartum depression, postpartum anxiety, postpartum obsessive compulsive disorder and others.
“There is still this myth that pregnancy is blissful and if you don’t enjoy pregnancy and having your baby, there’s something wrong with you,” says Patricia Widra, MD, assis...
Source: Life in a Medical Center - May 3, 2017 Category: Universities & Medical Training Authors: UMMC Tags: Women's Health anxiety disorder maternal mental health mood disorder patricia widra PMAD Source Type: blogs
Fertility: 12 things you didn ’t know (and 1 to never ask)
By Katrina Mark, MD
1. Fertility naturally declines as we age
That alone doesn’t mean you should start to worry. The general advice I give a woman is if she has been trying to become pregnant for a full year with no luck, she might consider a fertility evaluation. For a woman over age 35, she might consider it after six months. If a woman is younger and has irregular periods, it’s likely she isn’t regularly ovulating, so she might want to be evaluated sooner.
2. Sometimes there’s a reason for infertility – and sometimes, there’s not
There are some things we know cause infertility. About 20 percent of the time,...
Source: Life in a Medical Center - May 2, 2017 Category: Universities & Medical Training Authors: UMMC Tags: Health Tips Women's Health fertility Katrina Mark obgyn UMMC Source Type: blogs
