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Ep 148: A 55-Year-Old Man with Obesity
2025/5/29
Harrison's PodClass: Internal Medicine Cases and Board Prep
C
Charlie Wiener
K
Kathy Handy
Charlie Wiener: 作为医生，我接诊了一位55岁的男性患者，他因为看到了很多关于肥胖症治疗的商业广告，所以前来咨询药物治疗方案。在了解病史后，我得知他有10年的高胆固醇血症和高血压病史，并且一直在接受药物治疗。尽管他尝试通过控制饮食和增加运动来减肥，但在过去的五年里，他的体重还是增加了25磅。体检显示，他的BMI为32，腰围为40英寸，这些都表明他患有肥胖症，需要进行干预。
Kathy Handy: 肥胖症确实是一个日益严重的公共健康问题，尤其是在美国。超过70%的成年人超重或肥胖，并且儿童和青少年肥胖的比例也在不断上升。肥胖与多种健康问题相关，包括高血压、2型糖尿病、心血管疾病和某些癌症。因此，我们需要重视肥胖症的治疗，并采取综合性的干预措施，包括生活方式的改变和药物治疗。
Deep Dive
This section details the case of a 55-year-old man seeking pharmacotherapy for obesity. The discussion includes his medical history, physical examination findings (BMI, waist circumference, S4 heart sound), and the significance of these factors in diagnosing and assessing obesity.
- Patient presents with a 10-year history of hypercholesterolemia and hypertension.
- BMI of 32 kg/m² and 40-inch waist circumference indicate class 1 obesity.
- Waist circumference is a key indicator of abdominal fat and associated risks.
Shownotes Transcript