Anion gap metabolic acidosis is a laboratory finding commonly encountered in patients with sepsis, diabetic ketoacidosis, acute kidney injury and toxic alcohol ingestion. Serum blood chemistry assessment detects this abnormality. However, this can be falsely low in situations of high triglyceride levels due to lipid interference with measurement of the bicarbonate levels and through volume displacement by these large molecules. Arterial blood gas analysis and a lipid panel are required to...

Family and domestic violence (including child abuse, intimate partner abuse, and elder abuse) is a common problem in the United States and Kentucky. Family and domestic health violence are estimated to affect 10 million people in the United States every year. It is a national public health problem, and virtually all healthcare professionals will, at some point, evaluate or treat a patient who is a victim of some form of domestic or family violence.

Family and domestic violence (including child abuse, intimate partner abuse, and elder abuse) is a common problem in the United States and Florida. Family and domestic health violence are estimated to affect 10 million people in the United States every year. It is a national public health problem, and virtually all healthcare professionals will at some point evaluate or treat a patient who is a victim of some form of domestic or family violence.

Factitious disorder imposed on self - Munchausen syndrome - is a syndrome in which patients consciously induce, feign, or exaggerate physical or psychiatric symptoms for primary gain. These patients are motivated purely by internal gains, such as a desire for attention, coping with stress, or enjoyment in stumping healthcare workers. Patients with factitious disorder can pose a significant danger to themselves by undergoing a plethora of unnecessary procedures or in the induction of symptoms....