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Hepatosplenomegaly, pancytopenia, coagulopathy: Big words about a feverish infant
Your patient is a 2-month-old boy of Native American and Puerto Rican descent undergoing evaluation of fever, hepatomegaly, and pancytopenia of uncertain cause.
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What you should know about living donor liver transplantation
If a patient tells you he or she is considering being a living donor, keep an open mind. This is the patient's decision, and physicians should not influence it with their personal opinions.
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How to guide patients away from fad diets and toward healthy eating
Low-carb, low-fat, and low-calorie diets permeate the popular media,but which diet your patients choose is not as important as the need for them to follow a nutritional plan that results in weight loss.
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Gastroesophageal reflux disease
A 28-year-old man presents with a history of indigestion and heartburn that has occurred several times a week for the past 2 years. He also complains of a 1-month history of a nonproductive cough, particularly at night. He has smoked 1 pack of cigarettes a day for the last 10 years, and he drinks a 6-pack of beer on weekends. He takes ibuprofen twice daily for a burning sensation in his throat.
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