CONSULTANT PEARLS

Apathy in Alzheimer disease is the loss of interest and motivation in daily activities not attributable to another cause or comorbidity, such as depression.

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Bob is a 46-year-old overweight man concerned about his risk of developing diabetes. The disease runs in his family, and Bob has already begun showing signs of prediabetes. He asks if there are any lifestyle changes he can make to help prevent the development of the disease.

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The role of PSA testing—screening as well as diagnostic—has gone through substantial evolution.

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Frank is a 43-year-old man with high blood pressure, high cholesterol, and a clinically normal BMI. At his last check-up, Frank asked you if he really needs to worry about his BP and cholesterol, since he is of normal weight.

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Drugs that are newly marketed are routinely tested for potential interaction with warfarin, and that list of agents continues to grow.

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The risks of unprocessed red meats can't be ameliorated by eating more fruits and vegetables.

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One afternoon, a 28-year-old man, Mr R, presented to the emergency department. He told the triage nurse that he had stomach pain and nausea and repeated the same complaints to Dr V when she came in to examine him.

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A 62-year-old man is admitted to the hospital for an acute exacerbation of COPD. What is the mortality rate within the next 2 years in patients presenting with this scenario?

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The combination of medication and improvements in diet is synergistic.

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Immunotherapy is underused in patients with asthma, partly because of concerns about cost and partly because of limited efficacy data.

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