Published: 30 July 2019
Author(s): Stefan Matei Constantinescu, Johann Morelle
Issue: July 2019
Section: Internal Medicine Flashcard

A 26-year-old Caucasian man with previous history of medullary sponge kidney (also known as Cacchi-Ricci disease) presented to the outpatient clinic for routine follow-up. While his kidney disease remained uncomplicated, the patient reported the recent orange discoloration of palms and soles. Clinical examination confirmed an orange aspect of palmar skin (Fig. 1), but no change in the color of his sclera. Blood tests including bilirubin, thyroid hormones, glucose, creatinine, and liver enzymes were all normal, and total cholesterol was mildly increased (206 mg/dl, normal

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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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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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