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Endocrinology

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Recognising and treating fibromyalgia

In this podcast Anisur Rahman, professor of rheumatology at University College London, joins us to discuss diagnosis and management of the condition.  
SoundCloud
over 3 years ago
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6

Carcinogenesis and the Incidence of Thyroid Cancer in the US

Statistics indicate that thyroid cancer has the fastest growing incidence in the US. Is this a result of more intensive surveillance and improved diagnostics, or is the increase real?  
medscape.com
almost 2 years ago
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0
10

Hypothyroidism and Non-Alcoholic Fatty Liver Disease

Is there an association between thyroid dysfunction and non-alcoholic fatty liver disease? A new study investigates the possible connection.  
medscape.com
about 2 years ago
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0
9

Diagnosis and Management of Hypothyroidism in the Elderly

The diagnosis and treatment of subclinical hypothyroidism in elderly individuals may require special considerations. What is the best way to proceed with these patients?  
medscape.com
about 2 years ago
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8

Air Pollution and Risk of Gestational Diabetes Mellitus

Does exposure to air pollution during pregnancy increase the risk of gestational diabetes?  
medscape.com
about 2 years ago
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5

HRQoL After Radiofrequency Ablation of Thyroid Nodules

Is radiofrequency ablation an effective treatment option for benign thyroid nodules? How does it impact health-related quality of life?  
medscape.com
about 2 years ago
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0
5

HbA1c Screening for Gestational Diabetes in Women With PCOS

A new study assesses the diagnostic accuracy of HbA1c as a screening test for gestational diabetes in pregnant women with polycystic ovary syndrome. Is it a viable option?  
medscape.com
about 2 years ago
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4

An abnormality at the hepatic flexure

A 92 year old woman presented to the emergency department after collapsing at home. She recalled standing from her chair, feeling lightheaded, and then collapsing. She had felt generally weak for more than a year, with weight loss of 56 lb (25.2 kg) but no change in bowel habit, dysphagia, or gastrointestinal bleeding. Her medical history included hypertension, hypothyroidism, and anaemia (which was currently being investigated by her general practitioner). Among other drugs, she was taking lisinopril, bendroflumethiazide, and levothyroxine. Her son had died at 60 years of age from large bowel obstruction and perforation secondary to colon cancer.  
feeds.bmj.com
over 2 years ago
Www.bmj
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10

Stage III pancreatic cancer and the role of irreversible electroporation

About a third of patients with pancreatic cancer present with locally advanced disease that is not amenable to resection. Because these patients have localized disease, conventional ablative therapies (thermal ablation and cryoablation) have the potential to be beneficial, but their use is inherently limited in the pancreas. These limitations could be overcome by irreversible electroporation—a novel, non-thermal ablative method that is gaining popularity for the treatment of many soft tissue tumors, including those of the pancreas. This review summarizes the status of this technique in the treatment of locally advanced pancreatic cancer. Most of the evidence on efficacy and safety is based on non-randomized prospective series, which show that irreversible electroporation may improve overall survival and pain control in locally advanced pancreatic cancer. As experience with this procedure increases, randomized controlled trials are needed to document its efficacy in locally advanced pancreatic cancer more precisely.  
feeds.bmj.com
over 2 years ago
Www.bmj
0
6

Airway obstruction after the development of Hashimoto’s thyroiditis

A 67 year old white woman presented to her family doctor in January 2013 with a small asymptomatic thyroid swelling. Her serum thyroid stimulating hormone (TSH) concentration was high (37 mIU/L; reference range 0.5-4.5) and serum free thyroxine was low (5.4 pmol/L; 10-21), consistent with a hypothyroid state. However, she had no clinical features of hypothyroidism. Ultrasonography of the neck showed diffuse hypoechoic enlargement of the thyroid gland, with no retrosternal extension. Her serum anti-thyroid peroxidase (anti-TPO) value was also high (>600 kU/L; <35 kU/L). These features were suggestive of autoimmune (Hashimoto’s) thyroiditis. She was advised to take thyroxine tablets (100 µg) daily, and after two months her neck swelling reduced in size and her serum TSH concentration normalised (1.2 mU/L).  
feeds.bmj.com
over 2 years ago
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12

Dr Jason Fung on the impact of diet on obesity and type 2 diabetes mellitus

Stream Dr Jason Fung on the impact of diet on obesity and type 2 diabetes mellitus by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 2 years ago
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3

Effective ovarian cancer treatment is underused, US study finds

Six years after the US National Cancer Institute issued a special clinical announcement encouraging the use of intraperitoneal and intravenous chemotherapy for ovarian cancer, less than half of eligible women were being treated with it, a new study has found.1  
feeds.bmj.com
about 2 years ago
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13

Diabetic Nephropathy: Biomarkers for Risk Assessment

A new study examines the potential of microRNAs as a predictive tool for the progression of diabetic nephropathy.  
medscape.com
about 2 years ago
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5

Contralateral Aldosterone Suppression in Aldosteronism

Find out more about the diagnostic significance of contralateral aldosterone suppression for the subtype diagnosis in primary aldosteronism.  
medscape.com
almost 2 years ago
Www.bmj
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6

Lifestyle changes or metformin reduce type 2 diabetes risk in women with gestational diabetes, US study shows

Women with gestational diabetes have an increased risk of type 2 diabetes for years after giving birth, but intensive lifestyle changes or metformin therapy reduce this risk by more than a third, a US study has found.  
feeds.bmj.com
over 2 years ago