More and more doctors and their patients are successfully utilizing telemedicine, which keeps office visits to minimum.
PERPLEXING CONGENITAL HYPOTHYROIDISM INCIDENT IN A NEWBORN: A Case Study From Pediatric ESAP™ A nine-month-old female infant has congenital hypothyroidism that was initially detected through the state newborn program. On day one of life, her total T4 concentration (on blood spot analysis) was 5.0 μg/dL (
Endocrine Self-Assessment Program: Explanation for a Decreased Libido
A36-year-old man presents for evaluation of fatigue and decreased libido. Over the past six months, he has noted a progressive decline in his energy level, as well as in sexual function. He has few, if any, morning erections and is unable to sustain an erection to have intercourse. He has also noted a decreased frequency...
A TODDLER’S SUDDEN ILLNESS: A Case Study from Pediatric ESAP
A two-year-old boy is admitted to the hospital for spitting up and poor feeding. He was reportedly healthy until the week of this hospital admission, although his slow growth and lack of weight gain have been a consistent problem for which no definite diagnosis has been given. He was born after a full-term pregnancy to...
HYPERTENSION MYSTERY: A Case Study From ESAP™ A45-year-old woman presents with a nine-year history of hypertension. Her current antihypertensive medications include amlodipine, 10 mg daily; lisinopril, 20 mg daily; and KCl, 20 mEq twice daily. Her serum sodium concentration is 143 mEq/L, and her serum potassium concentration is 3.5 mEq/L. She has no family history...
A51-year-old man has had combined hyperlipidemia for years without cardiovascular complications. He has been treated with a variety of lipid-lowering agents, but is not taking any medication now. His mother also has a mixed dyslipidemia, wiThelevations of both triglycerides and LDL cholesterol, and had a stroke at age 71 years. His maternal uncle has combined...
Pre-implantation genetic diagnosis gains traction for gender selection
A 5-year-old girl presents to your office with a history of breast buds and vaginal bleeding. Laboratory studies done by her pediatrician show an elevated estradiol concentration with LH and FSH levels below the detection limit of the assays. Her medical history is notable for several long bone fractures associated with minimal trauma. Radiographs from...
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