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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
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Dysrhythmias V: Evaluating Dysrhythmias01:30

Dysrhythmias V: Evaluating Dysrhythmias

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Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
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Assessing Body Temperature - Axilla01:14

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Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Nephrotic Syndrome II : Assessment and Medical Management01:26

Nephrotic Syndrome II : Assessment and Medical Management

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IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
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Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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Quantitative Autonomic Testing
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Persistent Night Sweats: Diagnostic Evaluation.

Carl Bryce1

  • 1Abrazo Family Medicine Residency, Phoenix, AZ, USA.

American Family Physician
|September 30, 2020
PubMed
Summary

Most patients experiencing night sweats in primary care lack serious underlying conditions. A systematic diagnostic approach, starting with basic tests, helps identify causes or confirm reassurance.

Area of Science:

  • Internal Medicine
  • Symptomatology

Background:

  • Night sweats are a common, yet often undiscussed, nonspecific symptom.
  • While serious causes like infections and malignancies exist, most primary care patients with night sweats do not have severe underlying disorders.

Purpose of the Study:

  • To outline a diagnostic strategy for evaluating persistent night sweats in primary care.
  • To differentiate between serious and benign causes of night sweats.

Main Methods:

  • Initial assessment includes history and physical examination.
  • Systematic, cost-conscious laboratory and imaging studies are recommended when diagnosis is not apparent.
  • Selective use of advanced imaging and biopsy if initial tests are inconclusive.

Main Results:

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  • Common causes include menopause, mood disorders, GERD, hyperthyroidism, and obesity.
  • Basic tests like CBC, TB testing, TSH, HIV, CRP, and chest X-ray are initial steps.
  • Normal results with no suspected disorders warrant reassurance and monitoring.

Conclusions:

  • Persistent night sweats in primary care often have benign causes.
  • A structured diagnostic approach guides appropriate investigation and management.
  • Night sweats alone do not signify an increased mortality risk.