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	<title>Internal Medicine</title>
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	<description>THE PRACTICE OF MEDICINE</description>
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		<title>Internal Medicine</title>
		<link>http://internalmed.wordpress.com</link>
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		<item>
		<title>NEOPLASTIC DISEASES</title>
		<link>http://internalmed.wordpress.com/2009/04/05/neoplastic-diseases/</link>
		<comments>http://internalmed.wordpress.com/2009/04/05/neoplastic-diseases/#comments</comments>
		<pubDate>Sun, 05 Apr 2009 05:04:01 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[PREGNANCY]]></category>
		<category><![CDATA[cervical cancer]]></category>
		<category><![CDATA[neoplasms]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=45</guid>
		<description><![CDATA[Maternal neoplasms are rarely, if ever, transmitted to the fetus. The three most common cancers in pregnant women are cervical cancer (~1 case per 1000 pregnancies, depending on the country), breast cancer (~2 cases per 10,000 pregnancies), and lymphomas (Hodgkin&#8217;s disease or non-Hodgkin&#8217;s lymphomas). Cervical cancer may be missed when its early sign, vaginal bleeding, [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=45&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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		<title>HEMATOLOGIC DISORDERS</title>
		<link>http://internalmed.wordpress.com/2009/03/11/hematologic-disorders/</link>
		<comments>http://internalmed.wordpress.com/2009/03/11/hematologic-disorders/#comments</comments>
		<pubDate>Wed, 11 Mar 2009 16:34:40 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[PREGNANCY]]></category>
		<category><![CDATA[anemia]]></category>
		<category><![CDATA[electrophoresis]]></category>
		<category><![CDATA[hemoglobinopathies]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=42</guid>
		<description><![CDATA[Pregnancy has been described as a state of physiologic anemia. Part of the reduction in hemoglobin concentration is dilutional, but iron and folate deficiencies are the major causes of correctable anemia during pregnancy. Folic acid food supplementation implemented in 1998 has reduced the risk of fetal neural tube defects. In populations at high risk for [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=42&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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		<title>DISORDERS OF CALCIUM METABOLISM</title>
		<link>http://internalmed.wordpress.com/2009/03/11/disorders-of-calcium-metabolism/</link>
		<comments>http://internalmed.wordpress.com/2009/03/11/disorders-of-calcium-metabolism/#comments</comments>
		<pubDate>Wed, 11 Mar 2009 16:31:39 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[PREGNANCY]]></category>
		<category><![CDATA[calcium]]></category>
		<category><![CDATA[hypercalciuria]]></category>
		<category><![CDATA[metabolism]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=39</guid>
		<description><![CDATA[Serum total calcium concentration decreases throughout gestation due to a reduction in serum albumin concentration, while serum ionized calcium remains unchanged during pregnancy. Circulating parathyroid hormone concentration is slightly reduced throughout the course of pregnancy. Pregnancy has been described as a state of physiologic absorptive hypercalciuria. Estrogen and increased production of 1,25-dihydroxyvitamin D by both [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=39&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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			<media:title type="html">internalmed</media:title>
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		<title>THYROID DISEASE</title>
		<link>http://internalmed.wordpress.com/2009/03/07/thyroid-disease/</link>
		<comments>http://internalmed.wordpress.com/2009/03/07/thyroid-disease/#comments</comments>
		<pubDate>Sat, 07 Mar 2009 14:54:30 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[PREGNANCY]]></category>
		<category><![CDATA[hyperthyroidism]]></category>
		<category><![CDATA[thyroid stimulating hormone]]></category>
		<category><![CDATA[thyroxine]]></category>
		<category><![CDATA[TSH]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=36</guid>
		<description><![CDATA[In pregnancy, the estrogen-induced increase in thyroxine-binding globulin causes an increase in circulating levels of total T3 and total T4. The normal range of circulating levels of free T4, free T3, and thyroid stimulating hormone (TSH) remain unaltered by pregnancy. The thyroid gland normally enlarges during pregnancy. Maternal hyperthyroidism occurs at a rate of approximately [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=36&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>0</slash:comments>
	
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		<title>ENDOCRINE DISORDERS</title>
		<link>http://internalmed.wordpress.com/2009/03/05/endocrine-disorders/</link>
		<comments>http://internalmed.wordpress.com/2009/03/05/endocrine-disorders/#comments</comments>
		<pubDate>Thu, 05 Mar 2009 09:19:54 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[PREGNANCY]]></category>
		<category><![CDATA[diabetes mellitus]]></category>
		<category><![CDATA[endocrine]]></category>
		<category><![CDATA[gestational diabetes]]></category>
		<category><![CDATA[maternal insulin]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=33</guid>
		<description><![CDATA[DIABETES MELLITUS In pregnancy, the fetoplacental unit induces major metabolic changes, the purpose of which is to shunt glucose and amino acids to the fetus while the mother uses ketones and triglycerides to fuel her metabolic needs. These metabolic changes are accompanied by maternal insulin resistance, caused in part by placental production of steroids, a [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=33&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
		<wfw:commentRss>http://internalmed.wordpress.com/2009/03/05/endocrine-disorders/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
	
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			<media:title type="html">internalmed</media:title>
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		<title>DEEP VENOUS THROMBOSIS AND PULMONARY EMBOLISM</title>
		<link>http://internalmed.wordpress.com/2009/02/22/deep-venous-thrombosis-and-pulmonary-embolism/</link>
		<comments>http://internalmed.wordpress.com/2009/02/22/deep-venous-thrombosis-and-pulmonary-embolism/#comments</comments>
		<pubDate>Sun, 22 Feb 2009 14:12:29 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[PREGNANCY]]></category>
		<category><![CDATA[deep venous thrombosis]]></category>
		<category><![CDATA[DVT]]></category>
		<category><![CDATA[hypercoagulable]]></category>
		<category><![CDATA[pulmonary embolism]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=30</guid>
		<description><![CDATA[A hypercoagulable state is characteristic of pregnancy, and deep venous thrombosis (DVT) is a common complication. Indeed, pulmonary embolism is the most common cause of maternal death in the United States. Activated protein C resistance caused by the factor V Leiden mutation increases the risk for DVT and pulmonary embolism during pregnancy. Approximately 25% of [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=30&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
		<wfw:commentRss>http://internalmed.wordpress.com/2009/02/22/deep-venous-thrombosis-and-pulmonary-embolism/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
	
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		<title>CARDIAC DISEASE</title>
		<link>http://internalmed.wordpress.com/2009/02/22/cardiac-disease/</link>
		<comments>http://internalmed.wordpress.com/2009/02/22/cardiac-disease/#comments</comments>
		<pubDate>Sun, 22 Feb 2009 14:04:32 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[PREGNANCY]]></category>
		<category><![CDATA[Mitral Stenosis]]></category>
		<category><![CDATA[pulmonary edema]]></category>
		<category><![CDATA[valvular disease]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=27</guid>
		<description><![CDATA[VALVULAR HEART DISEASE This is the most common cardiac problem complicating pregnancy. Mitral Stenosis This is the valvular disease most likely to cause death during pregnancy. The pregnancy-induced increase in blood volume and cardiac output can cause pulmonary edema in women with mitral stenosis. Pregnancy associated with long-standing mitral stenosis may result in pulmonary hypertension. [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=27&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>0</slash:comments>
	
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		<title>RENAL DISEASE</title>
		<link>http://internalmed.wordpress.com/2009/02/22/renal-disease/</link>
		<comments>http://internalmed.wordpress.com/2009/02/22/renal-disease/#comments</comments>
		<pubDate>Sun, 22 Feb 2009 13:54:33 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[PREGNANCY]]></category>
		<category><![CDATA[creatinine clearance]]></category>
		<category><![CDATA[renal]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=23</guid>
		<description><![CDATA[Normal pregnancy is characterized by an increase in glomerular filtration rate and creatinine clearance. This occurs secondary to a rise in renal plasma flow and increase glomerular filtration pressures. Patients with underlying renal disease and hypertension may expect a worsening of hypertension during pregnancy. If superimposed preeclampsia develops, the additional endothelial injury results in a [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=23&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>0</slash:comments>
	
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		<title>HYPERTENSION</title>
		<link>http://internalmed.wordpress.com/2009/02/22/hypertension/</link>
		<comments>http://internalmed.wordpress.com/2009/02/22/hypertension/#comments</comments>
		<pubDate>Sun, 22 Feb 2009 13:51:59 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[PREGNANCY]]></category>
		<category><![CDATA[gestational]]></category>
		<category><![CDATA[Hypertension]]></category>
		<category><![CDATA[preeclampsia]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=20</guid>
		<description><![CDATA[In pregnancy, cardiac output increases by 40%, most of which is due to an increase in stroke volume. Heart rate increases by approximately 10 beats per minute during the third trimester. In the second trimester of pregnancy, systemic vascular resistance decreases and this is associated with a fall in blood pressure. During pregnancy, a blood [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=20&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>0</slash:comments>
	
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		<title>GENDER DIFFERENCES IN DISEASE</title>
		<link>http://internalmed.wordpress.com/2009/01/03/gender-differences-in-disease/</link>
		<comments>http://internalmed.wordpress.com/2009/01/03/gender-differences-in-disease/#comments</comments>
		<pubDate>Sat, 03 Jan 2009 21:39:46 +0000</pubDate>
		<dc:creator>internalmed</dc:creator>
				<category><![CDATA[WOMEN'S HEALTH]]></category>
		<category><![CDATA[Alzheimer's Disease]]></category>
		<category><![CDATA[Hypertension]]></category>
		<category><![CDATA[Ischemic Heart Disease]]></category>
		<category><![CDATA[Osteoporosis]]></category>

		<guid isPermaLink="false">http://internalmed.wordpress.com/?p=17</guid>
		<description><![CDATA[Obviously, some diseases and conditions occur exclusively (or nearly exclusively) in women &#8212; e.g., menopause and various breast and gynecological disorders. Ischemic Heart Disease Many persons think ofIHD as a primary problem for men rather than women, perhaps because men have more than twice the total incidence of cardiovascular morbidity and mortality between the ages [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=internalmed.wordpress.com&amp;blog=6040135&amp;post=17&amp;subd=internalmed&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>0</slash:comments>
	
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