Healthcare Providers are highly trained to be skilled at making a quick diagnosis and determining a course of treatment for a patient, all within a medical visit that is usually a half hour or less. Sometimes, they are even seeing the patient for the first time. Do you think you would be able to make the diagnosis? We will let you play the role of the doctor and see if you can make the correct diagnosis.
Patient X is a 28 year old Caucasian female. She is 5'3" tall and weighs 168 lbs. She lives in a suburban apartment in the Capital Region. She is recently married and lives with her husband with no pets and no children. She consumes alcohol only occasionally and estimates she consumes less than five alcoholic beverages per month on
What if drinking red wine could help keep your heart healthy? Did you know red wine contains antioxidants that may help prevent heart disease? These antioxidants are called polyphenols that can actually increase levels of high-density lipoprotein (HDL), the good cholesterol, according to the Mayo Clinic. A polyphenol called resveratrol is one substance in red wine that may help prevent damage to blood vessels, reducing low-density lipoprotein (LDL) cholesterol, the bad cholesterol, and preventing blood clots. While studies suggest that red wine is heart healthy, our physicians strongly discourage anyone to start drinking red wine for the health benefits, as too much alcohol can have harmful effects on the body.
Although red wine seems to have more heart-healthy benefits than other types of alcohol, there is still no clear evidence that red wine is better than other forms of alcohol since most research has been done on animals, not people. Research in mice given resveratrol suggests that the antioxidant might also help protect them from obesity and diabetes. In addition, to get the same dose of resveratrol used in the mice studies, a person would have to drink more than 1,000 liters of red wine every day!
Where Does Resveratrol in Red Wine Come From?
The resveratrol in red wine comes from the skin of the grapes. Since red wine is fermented longer than white wine, red wine will contain more resveratrol. Eating grapes and drinking grape juice can give you similar benefits that red wine does.
How Much Red Wine Should I Drink to Reap the Benefits?
While it seems like drinking red wine is promising for your heart health, drinking alcohol in excess can actually increase your risk of high blood pressure, high triglycerides, liver damage, obesity, certain types of cancer, accidents and other problems. It's important to monitor your drinking habits and always consume alcohol in moderation. Drinking red wine can also cause weakened heart muscles if consumed in large quantities, leading to symptoms of heart failure in some people. So what does moderation mean? For women, moderate drinking means up to one drink a day for women of all ages and men older than 65, and up to two drinks a day for men age 65 and younger. One drink is equivalent to 12 ounces.
Talk to your Community Care physician about specific recommendations for you or if you should avoid alcohol all together.
Red Wine and Resveratrol: Good for Your Heart?
average. The patient does not use any illicit or recreational drugs. She has had one sexual partner, her husband, in the last 12 months. The patient consumes a diet that is high in fruits and vegetables and low in red and processed meats. The patient exercises regularly, walking or going to the gym 4-5 days a week.
The patient is not currently taking any prescription medications and is not on any form of birth control. She usually takes over the counter medications for pain or for cold symptoms. The patient is up to date on all of their immunizations. BMI, blood pressure, and cholesterol levels are all within normal ranges for the patient's age and weight. She has no personal or family history of chronic illness and has had no major surgeries aside from having her wisdom teeth removed. The patient was occasionally seen for severe discomfort related to her menstrual period cycle in her late teens and early 20's. The patient has mainly been seen for bacterial and viral infections as well as soft tissue injuries related to sports and exercise.
The patient is complaining of constant fatigue and recurring nausea. The patient states that she started feeling extremely fatigued almost two weeks ago. The patient is also battling daily bouts of nausea, which are worse when she first wakes up, and seem to subside throughout the day, although the patient did note that certain smells can cause her to feel nauseous no matter what time of day. The patient is exhibiting no sign of fever. The patient also notes that several days after the nausea and fatigue started, she noticed her breasts were tender to the touch and she had begun spotting as if she were getting her period, but it has been several days and she has still not gotten her period yet this month.
Do you think you can diagnose the patient? Check back next week to see if you made the correct diagnosis!