Obesity Medicine

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A 44-year-old African American woman presented to the emergency department with constipation of 4 days' duration. She also complained of a sticking sensation in her throat over the past year and dysphagia to solids but not liquids. Over the past 2 years, she had an unintentional 40-lb weight loss, which she attributed to decreased appetite.

WASHINGTON -- Plates groaning with food, a society that discourages walking, and long hours of working and commuting are all conspiring to make Americans obese, according to a report released by a non-profit group.

LEIDEN, The Netherlands -- Whether by road, rail, or air, travel for more than four hours caused a two-fold increase in the risk of deep-vein thrombosis, researchers here reported.

CHAPEL HILL, N.C. -- Patients can lose weight over the short term by following the dictates of their terminals, with automatically generated computer feedback reinforcing adherence to a healthy diet and activity regimen.

MINNEAPOLIS -- Teens with a poor body image tend to behave in ways that are self-perpetuating, researchers here said, and may react better to positive encouragement rather than to criticism.

BOSTON -- There are a lot more chubby babies than there used to be, reported investigators here. That goes for chubby preschoolers, too.

WASHINGTON -- The Physicians Committee for Responsible Medicine, a crusading group that has long ranked vegetarianism high on its agenda, has made a compelling case for a low-fat vegan diet to improve glycemic control.

ROYAL OAK, Mich. -- Morbidly obese patients with poor cardiorespiratory fitness are more likely to suffer major complications after bariatric surgery, according to researchers here.

WINSTON-SALEM, N.C. -- The waistline may succumb to a diet, but it takes exercise as well to shrink the size of subcutaneous abdominal fat cells that affect type 2 diabetes, according to researchers here.

LONDON -- For some patients with cardiovascular disease risk factors, the root cause may be the loneliness of childhood, according to a study that followed more than 1,000 adults from birth.

NEW YORK -- The summer is barely half over, and much of the country has had enough-enough of heat-related illness, enough heat-related power outages, and enough heat-related misery from a sweltering wave of extraordinary heat that broke records from coast to coast.

We describe a case in which a patient received thrombolytic therapy after he presented with a clinical picture consistent with submassive pulmonary embolism (PE). Two months later, a malignant peripheral nerve sheath tumor was diagnosed, and the patient died with metastatic disease. The filling defect in the left main pulmonary artery originally interpreted as PE was in fact a tumor. This case describes an unusual presentation of a rare disease (malignant peripheral nerve sheath tumor) mimicking a submassive PE.