How does the consumption of excess sugar affect a type 2 diabetic?

Consumption of excess sugar in people with type 2 diabetes causes higher blood sugars. Poorly controlled diabetes can lead to many problems, including eye damage with loss of vision, painful and poorly function nerves and an increased risk of cardiovascular disease. In addition, excess sugar causes fatty liver disease, which can lead to liver failure and higher risk of liver cancer.

Content restricted. Requires subscription

What can I do to protect myself from tuberculosis?

In developing countries with high rates of tuberculosis, a vaccine against the disease often is given at birth. The vaccine is not used routinely in the United States and most European countries because the risk of transmission in these countries is low. People with a positive skin test for TB (PPD) who have never received medication to prevent TB from becoming active should consider taking a course of an anti-TB drug to prevent disease activation.

Content restricted. Requires subscription

What stretching exercises can I do for trigger finger?

There are a number of stretching exercises that may be recommended for trigger finger. Some commonly recommended exercises include:

 

• Finger flexion – Using the opposite hand, grasp the affected finger at its base (near where the finger attaches to the hand). Flex the joints near the tip and in the middle of the finger without moving the rest of the finger. Then extend the affected finger back to where it started. Repeat 5 times.

• Finger extension – Start with the palms flat on a surface in front of you. Pick up the affected finger with the other hand and gently pull it up, away from the flat surface, slowly extending the finger. Hold that position for 10 seconds and relax. Repeat twice more.

 

• Resistance exercise – Bring the tips of the fingers and thumb together. Place a rubber band around them the mid-points of the fingers and thumb; the band should be snug but not uncomfortable. Gently pull the fingers apart against the resistance of the rubber band. Then relax and repeat 5 times.

Content restricted. Requires subscription

What is the difference between hyperemia vs. erythema?

Hyperemia refers to more than the usual amount of blood perfusing tissues in a part of the body. Erythema is most commonly recognized form of hyperemia. Erythema is used to describe tissue, most often the skin, that has become red and swollen due to injury, inflammation or infection.

Content restricted. Requires subscription

What is the treatment for coccygodynia?

Coccydynia (or coccygodynia) is pain in the coccyx (or tailbone). It usually develops after an injury, such as falling backwards onto a hard surface though it can also develop due to prolonged sitting on a hard surface, childbirth, or bone spurs. Rarely, coccydynia is caused by infection or cancer.

Initial treatment typically includes avoiding pressure on the coccyx with “donut” or wedge pillows, pain relievers, and the application of heat or cold to the painful area. Injection of an anesthetic (with or without steroids) may be recommended for persistent symptoms. Surgery to remove part or all of the coccyx is occasionally offered as a last resort.

For coccydynia caused by infection or cancer, more specific and aggressive treatment of the underlying condition is appropriate. 

Content restricted. Requires subscription

What does confabulation mean in medical terms and how is it different from lying?

Confabulation, which has also been referred to as “honest lying”, is the creation of false memories without the intention to deceive others.  People who confabulate believe they are conveying true memories when, in fact, they are not.  People with dementia or brain injuries may confabulate.  Lying, on the other hand, is the deliberate misrepresentation of the truth.

Content restricted. Requires subscription

Can deep vein thrombosis (DVT) be cured?

A deep venous thrombosis (DVT) is a blood clot (thrombus) that forms inside a deep vein, most often in a leg. DVTs are treated with medications that stop additional clot formation and allow the clot to naturally dissolve. They are commonly called "blood thinners." The blood clot may or may not fully dissolve. With treatment blood flow from the leg will improve, but there may be residual swelling in the lower leg.

Content restricted. Requires subscription

What types of skin issues are caused by Crohn’s disease?

Approximately 10% of people with Crohn’s disease have related skin disorders. These include:

• erythema nodosum – This is a particular type of skin inflammation in the fatty layer of the skin that causes red, painful lumps. It most commonly occurs on the front of the lower legs.

• pyoderma gangrenosum – This is a serious condition marked by large, painful ulcers in the skin, most commonly occurring on the legs.

• skin tags around the anus – These are harmless, noncancerous skin growths often attached to the skin by a thin stalk.

• enterocutaneous fistula – This is an abnormal connection between a part of the intestinal tract and the skin. It develops because of chronic intestinal inflammation.

• Canker sores – While these painful sores are common in the general population, they are even more common and more severe in people with Crohn’s disease. These ulcers tend to appear when the bowel disease is flaring.

Content restricted. Requires subscription