Tag Archives: weight loss

Case one Professor Peter Sever A squamous cell carcinoma of the right tonsil was confirmed by biopsy in a 70-year-old man in July 2014. It was well encapsulated and subsequent cervical lymph node biopsies showed no tumour spread. In August and September 2014, the patient had intense radiotherapy to the tonsil and surrounding areas. Following radiotherapy, the patient experienced profound lethargy and soreness of the mouth to such an extent that despite attempts at high-calorie supplement feeding he continued to lose weight. By the end of October, he had lost 10 kg, began to develop dizziness on standing and marked orthostatic hypotension was

Four different heart-healthy diets showed similar degrees of weight loss in a new study, leading to the conclusion that the type of foods eaten is not as important as generally just reducing calorie intake. The study, published in the February 26 issue of the New England Journal of Medicine, included 811 overweight adults who were randomised to one of four different diets each emphasising different levels of fat, protein, and carbohydrates. On average, patients lost 6 kg in the first six months, but gradually began to regain weight after 12 months, regardless of which type of diet they were following. The diets tested in the study included t

1. Check that the measurement is correct Ensure that they really are poorly controlled by resting the patient for 10 minutes, with the cuff in place to discourage them from standing, before taking at least two measurements, one to two minutes apart. Feel the radial pulse because in arrhythmias such as atrial fibrillation automatic sphygmomanometers are inaccurate and therefore traditional devices such as mercury sphygmomanometers must be used. People aged over 80 years and some diabetics may have postural hypotension. This is where the systolic blood pressure drops 20 mmHg on standing or they may have postural symptoms.2 Having made that diag

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