Published: 8 July 2017
Author(s): Tetsuji Sawada, Haeru Hayashi
Issue: July 2017
Section: Internal Medicine Flashcard

A 27-year-old Japanese woman presented with a three-week history of swelling of her hands and lower extremities. She had no history of allergic diseases and had taken no medication prior to the development of her symptoms. There were no remarkable physical findings except for edema of her left hand and bilateral lower extremities (Fig. 1A, B). A white blood cell count was elevated (12,600/mm3) with eosinophilia (absolute eosinophil count, 8800). Liver and renal function tests and creatine phosphokinase (CK) level were normal, except for a slightly increased level of lactate dehydrogenase (287U/ml; normal value, 106–211).

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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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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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