Evaluation of Suspected Diabetes Insipidus
Evaluation of Suspected Diabetes Insipidus David M. Slovik When a patient presents with polyuria and polydipsia, the primary care physician needs to keep in mind the possibility of diabetes insipidus…
Evaluation of Galactorrhea and Hyperprolactinemia
Evaluation of Galactorrhea and Hyperprolactinemia David M. Slovik Discharge of milk or colostrum from the breast in the absence of nursing is referred to as galactorrhea. When it is accompanied…
Evaluation of Gynecomastia
Evaluation of Gynecomastia David M. Slovik Gynecomastia is a benign proliferation of the glandular tissue of the male breast. It is to be distinguished from pseudogynecomastia with fat deposition but…
Evaluation of Hirsutism
Evaluation of Hirsutism David M. Slovik Hirsutism is the development in women of excessive androgendependent terminal body hair in a male pattern. It is present in 5% to 10% of…
Evaluation of Hypoglycemia
Evaluation of Hypoglycemia David M. Slovik “Hypoglycemia” is a term commonly used by patients to describe nonspecific symptoms they attribute to having a “low blood sugar” (e.g., irritability, fatigue, sweats,…
Approach to the Patient with Hypercalcemia
Approach to the Patient with Hypercalcemia David M. Slovik The advent of automated laboratory screening has led to an increased recognition of asymptomatic persons with hypercalcemia, with an estimated annual…
Evaluation of Thyroid Nodules
Evaluation of Thyroid Nodules David M. Slovik Thyroid nodules are extremely common, both clinically and on imaging studies of the neck. A palpable thyroid nodule can be detected in 4%…
Screening for Thyroid Cancer
Screening for Thyroid Cancer Cancer of the thyroid is a relatively rare disease with a low mortality rate. It accounts for 1% of all new malignant disease and only 0.2%…
Screening for Type 2 Diabetes Mellitus
Screening for Type 2 Diabetes Mellitus Diabetes mellitus, a major cardiovascular risk factor as well as an important cause of chronic kidney disease, proliferative retinopathy, and neuropathy, is becoming a…
Complications of Cancer: Oncologic Emergencies and Paraneoplastic Syndromes
Complications of Cancer: Oncologic Emergencies and Paraneoplastic Syndromes Jeffrey W. Clark There are a variety of complications that can arise from cancers. These vary in how urgently intervention is needed….
