Passing Out — Full Text

What do we when a patient comes to us saying they โ€œpassed out,โ€ usually sometime recently.  Today they look perfectly well, act completely normally.  We perform a good physical exam, focusing on the heart and the neurologic system (for the brain), but if theyโ€™re fine today, everything is invariably normal. Our diagnosis will be madeContinue reading “Passing Out — Full Text”


Defined as sensation of heart pounding or fluttering, oftentimes rapidly but not necessarily ………………..Causes **  Anxiety (including Panic Attack)  —  most common cause **  Heart Arrhythmia (abnormal rhythm) Not Serious  —  Common Serious  —  Uncommon See link for explanations **  Medical Conditions  (uncommon causes) Hyperthyroidism Anemia Pheochromocytoma Low Blood Glucose (only if on insulin orContinue reading “Palpitations”


A rare form of “pre-cancer” of the bone marrow, interfering with its ability to produce blood cells.ย  Sometimes it produces defective cells, sometimes it just doesn’t produce enough.ย  This can leave a patient at risk of infection, cause Anemia, or bruising; the danger is if it turns into Leukemia.ย  Myelodysplasia is almost always a diseaseContinue reading “Myelodysplasia”


Tinnitus is pronounced โ€œTIN-ih-tuss,โ€ not โ€œtin-EYE-tisโ€ since thereโ€™s no โ€œ-itisโ€ on the end, which would mean inflammation or infection.  It means โ€œringing in the earsโ€ (from Latin), but can be any type of noise or clicking; itโ€™s a symptom, not a disease.  It amuses me no end when I hear a patient has sought careContinue reading “Tinnitus”

Chronic Pelvic Pain

Chronic Pelvic Pain (CPP) is defined (somewhat arbitrarily) as pain in a womanโ€™s pelvic area for at least 3-6 months, that isnโ€™t cyclical.ย  The latter means that it isnโ€™t clearly related to menstrual periods; it may come and go, but not in a regular pattern.ย  CPP is a diagnosis of exclusion, meaning that no otherContinue reading “Chronic Pelvic Pain”

Musculoskeletal Pain — Full Text

This topic discusses pain in one arm or leg.  It could be from an injury, or start on its own.  Here we donโ€™t describe specific body parts (knee, forearm, etc.), but rather illustrate how we can identify the body structure involved (e.g. bone, tendon, etc.), wherever it might be.  For generalized pain all over, seeContinue reading “Musculoskeletal Pain — Full Text”

Antinuclear Antibodies (ANA)

Antinuclear Antibodies are abnormal antibodies made by the body. They actually may not do anything to us. But the test for them can be very useful in diagnosing a number of rheumatological diseases. such as Systemic Lupus Erythematosus (SLE, Lupus), Sjรธgren’s Syndrome, Scleroderma, and Mixed Connective Tissue Disease (mixed symptoms of all the above). ItContinue reading “Antinuclear Antibodies (ANA)”

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