Published: 8 July 2017
Author(s): Robert Horn, Abhishek Maiti, Sujith V. Cherian
Issue: July 2017

A 64-year-old man with history of chronic anemia and dyspepsia presented with fatigue, exertional chest pain, pedal edema and dyspnea for 2weeks. His temperature was 37o C, heart rate 74/min, blood pressure was 133/66mmHg, respiratory rate 18/min, and SpO2 of 96% on ambient air. Laboratory studies showed hemoglobin of 2.73mmol/L (Normal: 8.56–10.67mmol/L), mean corpuscular volume (MCV) of 123fL, platelet count on 32×109/L and white blood cell count of 2.8×109/L. His indirect bilirubin was 47.9μmol/L (normal 9.1nmol/L), vitamin B12 was 89.9pmol/L (normal, >221pmol/L).

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What is EFIM?

The principal objectives of EFIM is to promote internal medicine on a scientific educational, ethical and professional level and to support internists in providing better care for patients throughout Europe.

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What is internal medicine?

The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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