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Geographic Tongue

A 45-year-old female patient presented to our clinic with a painless, erythematous lesion on her tongue. Medical history was negative, with absence of any allergies or habits. The patient recalled that she had a similar lesion on her tongue 6 months earlier, which resolved spontaneously. Clinical examination of the dorsal surface of the tongue revealed […]

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Nutritional Nightmare: Hypoparathyroidism Secondary to Celiac Disease

A 33-year-old woman with history of diverticulitis status post hemicolectomy and idiopathic hypoparathyroidism presented with tetany and facial twitching for 3 months. She was transferred to a tertiary medical center for refractory tetany. She presented to her physician earlier in the week for diffuse muscle cramps and facial twitching. On review of her medical record, […]

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Recognition and Prevention of Nosocomial Malnutrition: A Review and A Call to Action!

Nosocomial malnutrition in hospitalized adults is a morbid, costly, and potentially preventable and treatable problem. Although recognized as contributing to many serious complications of hospitalization, malnutrition is often missed when present on admission and rarely diagnosed if it occurs during hospital stay. Many routine clinical practices such as holding nutrition for testing or failing to […]

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cartoon of wheat in red x over stomach

Delay in Diagnosis of Celiac Disease in Patients Without Gastrointestinal Complaints

The purpose of our study is to investigate the delay in diagnosis of patients with biopsy-proven celiac disease in those who present with gastrointestinal complaints vs nongastrointestinal complaints at our tertiary care center. Celiac disease is an autoimmune disorder that affects approximately 1% of the population worldwide. Celiac disease can have variable clinical presentations; it […]

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Elevated High-Density Lipoprotein Cholesterol Is Associated with Hyponatremia in Hypertensive Patients

  Recently, the Systolic Blood Pressure Intervention Trial (SPRINT) showed that intensive lowering of systolic blood pressure is beneficial, but is associated with more adverse events. Hyponatremia was notably more frequent in the intensive treatment group. Investigating its risk factors is crucial for preventing this complication. Our objective in this study was to identify risk […]

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