Philip Altus, MD



What Cause of Persistent Diarrhea and Weight Loss?

March 21, 2012

A 28-year-old woman presents with a 4-month history of diarrhea and a 15-lb weight loss. She reports starting “another new diet” a few months ago but was in good health until these symptoms began. There is no family history of GI disease and no sick contacts. She denies recent travel.

A Middle-Aged Man With Painful Dysesthesias in the Lower Limbs

March 10, 2012

Diabetic peripheral neuropathy may develop in patients who have normal or impaired fasting blood glucose or impaired glucose tolerance, precursors to frank diabetes.

Myalgias in a 55-Year-Old Man, After a Camping Trip

March 09, 2012

A 58-year-old man presents with myalgias of approximately 1 week’s duration. He had been recently treated for sinusitis and symptoms resolved. His only medications were hydrochlorothiazide for hypertension and simvastatin for hyperlipidemia. He and his wife had gone camping 1 month before this visit.