Up to 20% of the UK population are clinically obese (i.e. BMI>30). This has serious consequences both on mortality and morbidity. Management is based around a negative energy balance as a consequence of long-term low-intensity exercise and diet (500–600 kcal/day defecit).
Crash and fad diets are unlikely to be sustained. All alcohol should be minimised as it contains a significant number of calories though is devoid of nutrition. Drug treatments should only be considered where behaviour modification has failed, and are only likely to work alongside exercise and diet.
Showing posts with label herpetology. Show all posts
Showing posts with label herpetology. Show all posts
Mesenteric Infarction
Mesenteric infarction manifests as an acute abdomen in the later stages, but earlier on there is often severe abdominal pain with little in the way of abdominal signs.
In a patient with abdominal pain but few signs, an elevated WBC count and the presence of acidosis should always raise the possibility of mesenteric ischaemia / bowel infarction, especially if the patient is an arteriopath.
In a patient with abdominal pain but few signs, an elevated WBC count and the presence of acidosis should always raise the possibility of mesenteric ischaemia / bowel infarction, especially if the patient is an arteriopath.
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