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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

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Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

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Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
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Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
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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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Related Experiment Video

Updated: Jan 7, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

Published on: September 20, 2018

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Clinical Manifestations.

Genna M Mashinchi1, Taylor F Levine2, Emily Post2

  • 1Cleveland Clinic, Las Vegas, NV, USA.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 25, 2025
PubMed
Summary
This summary is machine-generated.

The Trail Making Test B (TMTB) best predicts functional decline in Hispanic Latinos and Non-Hispanic Whites. TMTB

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Area of Science:

  • Neuroscience
  • Gerontology
  • Cognitive Psychology

Background:

  • Alzheimer's disease and related dementias (ADRD) are progressive, impacting functional independence.
  • Neuropsychological evaluations are resource-limited, necessitating sensitive early detection tools.
  • Women and Hispanic Latinos (HL) exhibit higher ADRD risk compared to men and non-Hispanic Whites (NHW).

Purpose of the Study:

  • To examine ethnic and sex differences in predicting functional decline using neuropsychological measures.
  • To identify cognitive tests sensitive to early functional decline in diverse aging populations.

Main Methods:

  • Hierarchical linear models analyzed data from 1,292 cognitively normal or mildly impaired participants (NHW and HL).
  • Baseline neuropsychological tests included Trail Making Test B (TMTB), animal fluency, and verbal learning recall.
  • Functional decline was measured by the CDR-Sum of Boxes (CDR-SB) over 18-24 months.

Main Results:

  • In NHW, TMTB, animal fluency, and verbal learning predicted functional decline; sex moderated TMTB's effect.
  • In HL, only TMTB predicted functional decline, with sex significantly moderating the relationship.
  • TMTB predicted greater functional decline in NHW men and HL men; HL women showed preserved function regardless of TMTB performance.

Conclusions:

  • TMTB effectively predicts functional decline in NHW and HL, with a stronger association in men.
  • Findings highlight TMTB's clinical utility for screening functional decline in diverse aging groups.
  • Differential prediction by sex suggests a need for sex-specific cognitive assessments in women.