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Medicine News

Podcast 71: Diabetic Kidney Disease

Dear Listeners, It is estimated that about 40% of patients with type 1 or type 2 diabetes will have diabetic kidney disease. The suggested progression of this disorder is glomerular hyperfiltration due to a high-pressure state caused by elevated blood sugar, proteinuria due to glomerular damage, and chronic renal failure to renal hypoperfusion. Recent studies…

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Podcast 70: Proteinuria in Children

Dear Listeners, An estimated 10% of school-aged children will have proteinuria. About 0.1% of them will have persistent hematuria requiring further investigation. Transient proteinuria can be caused by stress, exercise, cold exposure, dehydration, and orthostasis. Persistent proteinuria can be caused by Glomerular or Tubular Disease. Glomerular disease is most common with differential including infections (Strep…

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Podcast 69: C-Reactive Protein and Erythrocyte Sedimentation Rate

Dear Listeners, The C-Reactive Protein and the Erythrocyte Sedimentation Rate are both lab tests used to measure inflammation in the body. They are usually elevated during infectious, inflammatory, and malignant diseases.  The CRP is produced by the liver shortly after the offending process so it is a direct measure of inflammation. The ESR is based…

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Podcast 68: Treatment of Male Hypogonadism

Dear Listeners, As a follow up to podcast 67, Eric Harvey, a 3rd year Mcgill medical student, is joining the Primary Medicine Podcast to go over the treatment approach for male hypogonadism.  It is important to consider both benefits and risks of testosterone therapy, before initiating treatment. The clearest benefit is to men with abnormally…

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Episode 67: Late-onset hypogonadism

In podcast 67, Dr. Dimitre will cover the diagnostic approach to late-onset hypogonadism also known as andropause. Late-onset hypogonadism (LOH),  causes a gradual yearly decrease in testosterone levels of 1 to 2% in men over the age of 40. While this condition is commonly known as Andropause there is no cessation of hormone production. However,…

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