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The Medicine Portal

The color fresco Care of The Sick by Domenico di Bartolo, 1441–1442, depicting the Santa Maria della Scala hospital in Siena, Italy

Medicine is the science and practice of caring for patients, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.

Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of creativity and skill), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism. In recent centuries, since the advent of modern science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science). For example, while stitching technique for sutures is an art learned through practice, knowledge of what happens at the cellular and molecular level in the tissues being stitched arises through science.

Prescientific forms of medicine, now known as traditional medicine or folk medicine, remain commonly used in the absence of scientific medicine and are thus called alternative medicine. Alternative treatments outside of scientific medicine with ethical, safety and efficacy concerns are termed quackery. (Full article...)

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Featured articles are displayed here, which represent some of the best content on English Wikipedia.
  • Image 1 A CT scan showing a pulmonary contusion (red arrow) accompanied by a rib fracture (purple arrow) A pulmonary contusion, also known as lung contusion, is a bruise of the lung, caused by chest trauma. As a result of damage to capillaries, blood and other fluids accumulate in the lung tissue. The excess fluid interferes with gas exchange, potentially leading to inadequate oxygen levels (hypoxia). Unlike pulmonary laceration, another type of lung injury, pulmonary contusion does not involve a cut or tear of the lung tissue. A pulmonary contusion is usually caused directly by blunt trauma but can also result from explosion injuries or a shock wave associated with penetrating trauma. With the use of explosives during World Wars I and II, pulmonary contusion resulting from blasts gained recognition. In the 1960s its occurrence in civilians began to receive wider recognition, in which cases it is usually caused by traffic accidents. The use of seat belts and airbags reduces the risk to vehicle occupants. (Full article...)

    A CT scan showing a pulmonary contusion (red arrow) accompanied by a rib fracture (purple arrow)

    A pulmonary contusion, also known as lung contusion, is a bruise of the lung, caused by chest trauma. As a result of damage to capillaries, blood and other fluids accumulate in the lung tissue. The excess fluid interferes with gas exchange, potentially leading to inadequate oxygen levels (hypoxia). Unlike pulmonary laceration, another type of lung injury, pulmonary contusion does not involve a cut or tear of the lung tissue.


    A pulmonary contusion is usually caused directly by blunt trauma but can also result from explosion injuries or a shock wave associated with penetrating trauma. With the use of explosives during World Wars I and II, pulmonary contusion resulting from blasts gained recognition. In the 1960s its occurrence in civilians began to receive wider recognition, in which cases it is usually caused by traffic accidents. The use of seat belts and airbags reduces the risk to vehicle occupants. (Full article...)
  • Image 2 Illustration of a SARS-CoV-2 virion A virus is a tiny infectious agent that reproduces inside the cells of living hosts. When infected, the host cell is forced to rapidly produce thousands of identical copies of the original virus. Unlike most living things, viruses do not have cells that divide; new viruses assemble in the infected host cell. But unlike simpler infectious agents like prions, they contain genes, which allow them to mutate and evolve. Over 4,800 species of viruses have been described in detail out of the millions in the environment. Their origin is unclear: some may have evolved from plasmids—pieces of DNA that can move between cells—while others may have evolved from bacteria. Viruses are made of either two or three parts. All include genes. These genes contain the encoded biological information of the virus and are built from either DNA or RNA. All viruses are also covered with a protein coat to protect the genes. Some viruses may also have an envelope of fat-like substance that covers the protein coat, and makes them vulnerable to soap. A virus with this "viral envelope" uses it—along with specific receptors—to enter a new host cell. Viruses vary in shape from the simple helical and icosahedral to more complex structures. Viruses range in size from 20 to 300 nanometres; it would take 33,000 to 500,000 of them, side by side, to stretch to 1 centimetre (0.4 in). (Full article...)
    Illustration of a SARS-CoV-2 virion


    A virus is a tiny infectious agent that reproduces inside the cells of living hosts. When infected, the host cell is forced to rapidly produce thousands of identical copies of the original virus. Unlike most living things, viruses do not have cells that divide; new viruses assemble in the infected host cell. But unlike simpler infectious agents like prions, they contain genes, which allow them to mutate and evolve. Over 4,800 species of viruses have been described in detail out of the millions in the environment. Their origin is unclear: some may have evolved from plasmids—pieces of DNA that can move between cells—while others may have evolved from bacteria.

    Viruses are made of either two or three parts. All include genes. These genes contain the encoded biological information of the virus and are built from either DNA or RNA. All viruses are also covered with a protein coat to protect the genes. Some viruses may also have an envelope of fat-like substance that covers the protein coat, and makes them vulnerable to soap. A virus with this "viral envelope" uses it—along with specific receptors—to enter a new host cell. Viruses vary in shape from the simple helical and icosahedral to more complex structures. Viruses range in size from 20 to 300 nanometres; it would take 33,000 to 500,000 of them, side by side, to stretch to 1 centimetre (0.4 in). (Full article...)
  • Image 3 Taare Zameen Par (lit. 'Stars on Earth'), also known as Like Stars on Earth in English, is a 2007 Indian Hindi-language psychological drama film produced and directed by Aamir Khan. It stars Khan himself, with Darsheel Safary, Tanay Chheda, Vipin Sharma and Tisca Chopra. It explores the life and imagination of Ishaan (Safary), an artistically gifted 8-year-old boy whose poor academic performance leads his parents to send him to a boarding school, where a new art teacher Nikumbh (Khan) suspects that he is dyslexic and helps him to overcome his reading disorder. Creative director and writer Amole Gupte developed the idea with his wife Deepa Bhatia, who was the film's editor. Shankar–Ehsaan–Loy composed the score, and Prasoon Joshi wrote the lyrics for many of the songs. Principal photography took place in Mumbai, and in Panchgani's New Era High School, where some of the school's students participated in the filming. (Full article...)
    Taare Zameen Par (lit. 'Stars on Earth'), also known as Like Stars on Earth in English, is a 2007 Indian Hindi-language psychological drama film produced and directed by Aamir Khan. It stars Khan himself, with Darsheel Safary, Tanay Chheda, Vipin Sharma and Tisca Chopra. It explores the life and imagination of Ishaan (Safary), an artistically gifted 8-year-old boy whose poor academic performance leads his parents to send him to a boarding school, where a new art teacher Nikumbh (Khan) suspects that he is dyslexic and helps him to overcome his reading disorder.

    Creative director and writer Amole Gupte developed the idea with his wife Deepa Bhatia, who was the film's editor. Shankar–Ehsaan–Loy composed the score, and Prasoon Joshi wrote the lyrics for many of the songs. Principal photography took place in Mumbai, and in Panchgani's New Era High School, where some of the school's students participated in the filming. (Full article...)
  • Image 4 The four primary symptoms of ME/CFS according to the National Institute for Health and Care Excellence Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a disabling chronic illness. People with ME/CFS experience profound fatigue that does not go away with rest, sleep issues, and problems with memory or concentration. Further common symptoms include dizziness, nausea and pain. The hallmark symptom is a worsening of the illness which starts hours to days after minor physical or mental activity. This "crash" can last from hours or days to several months. The cause of the disease is unknown. ME/CFS often starts after an infection, such as mononucleosis. It can run in families, but no genes that contribute to ME/CFS have been confirmed. ME/CFS is associated with changes in the nervous and immune systems, as well as in energy production. Diagnosis is based on symptoms and a differential diagnosis because no diagnostic test is available. (Full article...)

    The four primary symptoms of ME/CFS according to the National Institute for Health and Care Excellence

    Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a disabling chronic illness. People with ME/CFS experience profound fatigue that does not go away with rest, sleep issues, and problems with memory or concentration. Further common symptoms include dizziness, nausea and pain. The hallmark symptom is a worsening of the illness which starts hours to days after minor physical or mental activity. This "crash" can last from hours or days to several months.

    The cause of the disease is unknown. ME/CFS often starts after an infection, such as mononucleosis. It can run in families, but no genes that contribute to ME/CFS have been confirmed. ME/CFS is associated with changes in the nervous and immune systems, as well as in energy production. Diagnosis is based on symptoms and a differential diagnosis because no diagnostic test is available. (Full article...)
  • Image 5 Diagram of prostate tumor pressing on urethra Prostate cancer is the uncontrolled growth of cells in the prostate, a gland in the male reproductive system below the bladder. Abnormal growth of prostate tissue is usually detected through screening tests, typically blood tests that check for prostate-specific antigen (PSA) levels. Those with high levels of PSA in their blood are at increased risk for developing prostate cancer. Diagnosis requires a biopsy of the prostate. If cancer is present, the pathologist assigns a Gleason score, and a higher score represents a more dangerous tumor. Medical imaging is performed to look for cancer that has spread outside the prostate. Based on the Gleason score, PSA levels, and imaging results, a cancer case is assigned a stage 1 to 4. A higher stage signifies a more advanced, more dangerous disease. Most prostate tumors remain small and cause no health problems. These are managed with active surveillance, monitoring the tumor with regular tests to ensure it has not grown. Tumors more likely to be dangerous can be destroyed with radiation therapy or surgically removed by radical prostatectomy. Those whose cancer spreads beyond the prostate are treated with hormone therapy which reduces levels of the androgens (male sex hormones) that prostate cells need to survive. Eventually cancer cells can grow resistant to this treatment. This most-advanced stage of the disease, called castration-resistant prostate cancer, is treated with continued hormone therapy alongside the chemotherapy drug docetaxel. Some tumors metastasize (spread) to other areas of the body, particularly the bones and lymph nodes. There, tumors cause severe bone pain, leg weakness or paralysis, and eventually death. Prostate cancer prognosis depends on how far the cancer has spread at diagnosis. Most men diagnosed have tumors confined to the prostate; 99% of them survive more than 10 years from their diagnoses. Tumors that have metastasized to distant body sites are most dangerous, with five-year survival rates of 30–40%. (Full article...)

    Diagram of prostate tumor pressing on urethra

    Prostate cancer is the uncontrolled growth of cells in the prostate, a gland in the male reproductive system below the bladder. Abnormal growth of prostate tissue is usually detected through screening tests, typically blood tests that check for prostate-specific antigen (PSA) levels. Those with high levels of PSA in their blood are at increased risk for developing prostate cancer. Diagnosis requires a biopsy of the prostate. If cancer is present, the pathologist assigns a Gleason score, and a higher score represents a more dangerous tumor. Medical imaging is performed to look for cancer that has spread outside the prostate. Based on the Gleason score, PSA levels, and imaging results, a cancer case is assigned a stage 1 to 4. A higher stage signifies a more advanced, more dangerous disease.

    Most prostate tumors remain small and cause no health problems. These are managed with active surveillance, monitoring the tumor with regular tests to ensure it has not grown. Tumors more likely to be dangerous can be destroyed with radiation therapy or surgically removed by radical prostatectomy. Those whose cancer spreads beyond the prostate are treated with hormone therapy which reduces levels of the androgens (male sex hormones) that prostate cells need to survive. Eventually cancer cells can grow resistant to this treatment. This most-advanced stage of the disease, called castration-resistant prostate cancer, is treated with continued hormone therapy alongside the chemotherapy drug docetaxel. Some tumors metastasize (spread) to other areas of the body, particularly the bones and lymph nodes. There, tumors cause severe bone pain, leg weakness or paralysis, and eventually death. Prostate cancer prognosis depends on how far the cancer has spread at diagnosis. Most men diagnosed have tumors confined to the prostate; 99% of them survive more than 10 years from their diagnoses. Tumors that have metastasized to distant body sites are most dangerous, with five-year survival rates of 30–40%. (Full article...)
  • Image 6 Cartoon in Punch, November 1858 In 1858 a batch of sweets in Bradford, England, was accidentally adulterated with poisonous arsenic trioxide. About five pounds (two kilograms) of sweets were sold to the public, leading to around 20 deaths and over 200 people suffering the effects of arsenic poisoning. The adulteration of food had been practised in Britain since before the Middle Ages, but from 1800, with increasing urbanisation and the rise in shop-purchased food, adulterants became a growing problem. With the cost of sugar high, replacing it with substitutes was common. For the sweets produced in Bradford, the confectioner was supposed to purchase powdered gypsum, but a mistake at the wholesale chemist meant arsenic was purchased instead. (Full article...)

    Cartoon in Punch, November 1858

    In 1858 a batch of sweets in Bradford, England, was accidentally adulterated with poisonous arsenic trioxide. About five pounds (two kilograms) of sweets were sold to the public, leading to around 20 deaths and over 200 people suffering the effects of arsenic poisoning.

    The adulteration of food had been practised in Britain since before the Middle Ages, but from 1800, with increasing urbanisation and the rise in shop-purchased food, adulterants became a growing problem. With the cost of sugar high, replacing it with substitutes was common. For the sweets produced in Bradford, the confectioner was supposed to purchase powdered gypsum, but a mistake at the wholesale chemist meant arsenic was purchased instead. (Full article...)
  • Image 7 Tatsuguchi soon after his induction into the Imperial Japanese Army in 1941 and his initial assignment to the First Imperial Guard Regiment in Tokyo Paul Nobuo Tatsuguchi (辰口 信夫, Tatsuguchi Nobuo), sometimes mistakenly referred to as Nebu Tatsuguchi (August 31, 1911 – May 30, 1943), was a Japanese soldier and surgeon who served in the Imperial Japanese Army (IJA) during World War II. He was killed during the Battle of Attu on Attu Island, Alaska, United States, on May 30, 1943. A devout Seventh-day Adventist, Tatsuguchi studied medicine and was licensed as a physician in the United States (US). He returned to his native Japan to practice medicine at the Tokyo Adventist Sanitarium, where he received further medical training. In 1941, he was ordered to cease his medical practice and conscripted into the IJA as an acting medical officer, although he was given an enlisted rather than officer rank because of his American connections. In late 1942, Tatsuguchi was sent to Attu, which had been occupied by Japanese forces in June 1942. On May 11, 1943, The United States Army landed on the island, intending to retake American soil from the Japanese. (Full article...)

    Tatsuguchi soon after his induction into the Imperial Japanese Army in 1941 and his initial assignment to the First Imperial Guard Regiment in Tokyo
    Paul Nobuo Tatsuguchi (辰口 信夫, Tatsuguchi Nobuo), sometimes mistakenly referred to as Nebu Tatsuguchi (August 31, 1911 – May 30, 1943), was a Japanese soldier and surgeon who served in the Imperial Japanese Army (IJA) during World War II. He was killed during the Battle of Attu on Attu Island, Alaska, United States, on May 30, 1943.

    A devout Seventh-day Adventist, Tatsuguchi studied medicine and was licensed as a physician in the United States (US). He returned to his native Japan to practice medicine at the Tokyo Adventist Sanitarium, where he received further medical training. In 1941, he was ordered to cease his medical practice and conscripted into the IJA as an acting medical officer, although he was given an enlisted rather than officer rank because of his American connections. In late 1942, Tatsuguchi was sent to Attu, which had been occupied by Japanese forces in June 1942. On May 11, 1943, The United States Army landed on the island, intending to retake American soil from the Japanese. (Full article...)
  • Image 8 Testing for ketone bodies in urine The ketogenic diet is a high-fat, adequate-protein, low-carbohydrate dietary therapy that in conventional medicine is used mainly to treat hard-to-control (refractory) epilepsy in children. The diet forces the body to burn fats rather than carbohydrates. Normally, carbohydrates in food are converted into glucose, which is then transported around the body and is important in fueling brain function. However, if only a little carbohydrate remains in the diet, the liver converts fat into fatty acids and ketone bodies, the latter passing into the brain and replacing glucose as an energy source. An elevated level of ketone bodies in the blood (a state called ketosis) eventually lowers the frequency of epileptic seizures. Around half of children and young people with epilepsy who have tried some form of this diet saw the number of seizures drop by at least half, and the effect persists after discontinuing the diet. Some evidence shows that adults with epilepsy may benefit from the diet and that a less strict regimen, such as a modified Atkins diet, is similarly effective. Side effects may include constipation, high cholesterol, growth slowing, acidosis, and kidney stones. (Full article...)
    A test strip is compared with a colour chart that indicates the degree of ketonuria.
    Testing for ketone bodies in urine


    The ketogenic diet is a high-fat, adequate-protein, low-carbohydrate dietary therapy that in conventional medicine is used mainly to treat hard-to-control (refractory) epilepsy in children. The diet forces the body to burn fats rather than carbohydrates.

    Normally, carbohydrates in food are converted into glucose, which is then transported around the body and is important in fueling brain function. However, if only a little carbohydrate remains in the diet, the liver converts fat into fatty acids and ketone bodies, the latter passing into the brain and replacing glucose as an energy source. An elevated level of ketone bodies in the blood (a state called ketosis) eventually lowers the frequency of epileptic seizures. Around half of children and young people with epilepsy who have tried some form of this diet saw the number of seizures drop by at least half, and the effect persists after discontinuing the diet. Some evidence shows that adults with epilepsy may benefit from the diet and that a less strict regimen, such as a modified Atkins diet, is similarly effective. Side effects may include constipation, high cholesterol, growth slowing, acidosis, and kidney stones. (Full article...)
  • Image 9 Electron micrograph of H. pylori possessing multiple flagella (negative staining) Helicobacter pylori, previously known as Campylobacter pylori, is a gram-negative, flagellated, helical bacterium. Mutants can have a rod or curved rod shape that exhibits less virulence. Its helical body (from which the genus name Helicobacter derives) is thought to have evolved to penetrate the mucous lining of the stomach, helped by its flagella, and thereby establish infection. The bacterium was first identified as the causal agent of gastric ulcers in 1983 by Australian physician-scientists Barry Marshall and Robin Warren. In 2005, they were awarded the Nobel Prize in Physiology or Medicine for their discovery. Infection of the stomach with H. pylori is not the cause of illness itself: over half of the global population is infected, but most individuals are asymptomatic. Persistent colonization with more virulent strains can induce a number of gastric and non-gastric disorders. Gastric disorders due to infection begin with gastritis, or inflammation of the stomach lining. When infection is persistent, the prolonged inflammation will become chronic gastritis. Initially, this will be non-atrophic gastritis, but the damage caused to the stomach lining can bring about the development of atrophic gastritis and ulcers within the stomach itself or the duodenum (the nearest part of the intestine). At this stage, the risk of developing gastric cancer is high. However, the development of a duodenal ulcer confers a comparatively lower risk of cancer. Helicobacter pylori is a class 1 carcinogenic bacteria, and potential cancers include gastric MALT lymphoma and gastric cancer. Infection with H. pylori is responsible for an estimated 89% of all gastric cancers and is linked to the development of 5.5% of all cases cancers worldwide. H. pylori is the only bacterium known to cause cancer. (Full article...)

    Electron micrograph of H. pylori possessing multiple flagella (negative staining)

    Helicobacter pylori, previously known as Campylobacter pylori, is a gram-negative, flagellated, helical bacterium. Mutants can have a rod or curved rod shape that exhibits less virulence. Its helical body (from which the genus name Helicobacter derives) is thought to have evolved to penetrate the mucous lining of the stomach, helped by its flagella, and thereby establish infection. The bacterium was first identified as the causal agent of gastric ulcers in 1983 by Australian physician-scientists Barry Marshall and Robin Warren. In 2005, they were awarded the Nobel Prize in Physiology or Medicine for their discovery.

    Infection of the stomach with H. pylori is not the cause of illness itself: over half of the global population is infected, but most individuals are asymptomatic. Persistent colonization with more virulent strains can induce a number of gastric and non-gastric disorders. Gastric disorders due to infection begin with gastritis, or inflammation of the stomach lining. When infection is persistent, the prolonged inflammation will become chronic gastritis. Initially, this will be non-atrophic gastritis, but the damage caused to the stomach lining can bring about the development of atrophic gastritis and ulcers within the stomach itself or the duodenum (the nearest part of the intestine). At this stage, the risk of developing gastric cancer is high. However, the development of a duodenal ulcer confers a comparatively lower risk of cancer. Helicobacter pylori is a class 1 carcinogenic bacteria, and potential cancers include gastric MALT lymphoma and gastric cancer. Infection with H. pylori is responsible for an estimated 89% of all gastric cancers and is linked to the development of 5.5% of all cases cancers worldwide. H. pylori is the only bacterium known to cause cancer. (Full article...)
  • Image 10 Fluoridation does not affect the appearance, taste or smell of drinking water. Water fluoridation is the addition of fluoride to a public water supply to reduce tooth decay. Fluoridated water contains fluoride at a level that is effective for preventing cavities; this can occur naturally or by adding fluoride. Fluoridated water operates on tooth surfaces: in the mouth, it creates low levels of fluoride in saliva, which reduces the rate at which tooth enamel demineralizes and increases the rate at which it remineralizes in the early stages of cavities. Typically a fluoridated compound is added to drinking water, a process that in the U.S. costs an average of about $1.32 per person-year. Defluoridation is needed when the naturally occurring fluoride level exceeds recommended limits. In 2011, the World Health Organization suggested a level of fluoride from 0.5 to 1.5 mg/L (milligrams per litre), depending on climate, local environment, and other sources of fluoride. In 2024, the Department of Health and Human Services' National Toxicology Program found that water fluoridation levels above 1.5 mg/L are associated with lower IQ in children. In 2024, U.S. court rulings have raised concerns about the potential health risks of water fluoridation, including findings by the EPA and new risk assessments that suggest the benefits may be waning. Bottled water typically has unknown fluoride levels. Tooth decay remains a major public health concern in most industrialized countries, affecting 60–90% of schoolchildren and the vast majority of adults. Water fluoridation reduces cavities in children, while efficacy in adults is less clear.[needs update] A Cochrane review estimates a reduction in cavities when water fluoridation was used by children who had no access to other sources of fluoride to be 35% in baby teeth and 26% in permanent teeth. Most European countries have experienced substantial declines in tooth decay, though milk and salt fluoridation is widespread in lieu of water fluoridation. Some studies suggest that water fluoridation, particularly in industrialized nations, may be unnecessary because topical fluorides (such as in toothpaste) are widely used, and caries rates have become low. (Full article...)
    Clear water pours from a spout into a drinking glass.
    Fluoridation does not affect the appearance, taste or smell of drinking water.


    Water fluoridation is the addition of fluoride to a public water supply to reduce tooth decay. Fluoridated water contains fluoride at a level that is effective for preventing cavities; this can occur naturally or by adding fluoride. Fluoridated water operates on tooth surfaces: in the mouth, it creates low levels of fluoride in saliva, which reduces the rate at which tooth enamel demineralizes and increases the rate at which it remineralizes in the early stages of cavities. Typically a fluoridated compound is added to drinking water, a process that in the U.S. costs an average of about $1.32 per person-year. Defluoridation is needed when the naturally occurring fluoride level exceeds recommended limits. In 2011, the World Health Organization suggested a level of fluoride from 0.5 to 1.5 mg/L (milligrams per litre), depending on climate, local environment, and other sources of fluoride. In 2024, the Department of Health and Human Services' National Toxicology Program found that water fluoridation levels above 1.5 mg/L are associated with lower IQ in children. In 2024, U.S. court rulings have raised concerns about the potential health risks of water fluoridation, including findings by the EPA and new risk assessments that suggest the benefits may be waning. Bottled water typically has unknown fluoride levels.


    Tooth decay remains a major public health concern in most industrialized countries, affecting 60–90% of schoolchildren and the vast majority of adults. Water fluoridation reduces cavities in children, while efficacy in adults is less clear.[needs update] A Cochrane review estimates a reduction in cavities when water fluoridation was used by children who had no access to other sources of fluoride to be 35% in baby teeth and 26% in permanent teeth. Most European countries have experienced substantial declines in tooth decay, though milk and salt fluoridation is widespread in lieu of water fluoridation. Some studies suggest that water fluoridation, particularly in industrialized nations, may be unnecessary because topical fluorides (such as in toothpaste) are widely used, and caries rates have become low. (Full article...)
  • Image 11 Microscopic image of a Lewy body (arrowhead) in a neuron of the substantia nigra; scale bar=20 microns (0.02 mm) Dementia with Lewy bodies (DLB) is a type of dementia characterized by changes in sleep, behavior, cognition, movement, and regulation of automatic bodily functions. Memory loss is not always an early symptom. The disease worsens over time and is usually diagnosed when cognitive impairment interferes with normal daily functioning. Together with Parkinson's disease dementia, DLB is one of the two Lewy body dementias. It is a common form of dementia, but the prevalence is not known accurately and many diagnoses are missed. The disease was first described on autopsy by Kenji Kosaka in 1976, and he named the condition several years later. REM sleep behavior disorder (RBD)—in which people lose the muscle paralysis (atonia) that normally occurs during REM sleep and act out their dreams—is a core feature. RBD may appear years or decades before other symptoms. Other core features are visual hallucinations, marked fluctuations in attention or alertness, and parkinsonism (slowness of movement, trouble walking, or rigidity). A presumptive diagnosis can be made if several disease features or biomarkers are present; the diagnostic workup may include blood tests, neuropsychological tests, imaging, and sleep studies. A definitive diagnosis usually requires an autopsy. (Full article...)

    Microscopic image of a Lewy body (arrowhead) in a neuron of the substantia nigra; scale bar=20 microns (0.02 mm)

    Dementia with Lewy bodies (DLB) is a type of dementia characterized by changes in sleep, behavior, cognition, movement, and regulation of automatic bodily functions. Memory loss is not always an early symptom. The disease worsens over time and is usually diagnosed when cognitive impairment interferes with normal daily functioning. Together with Parkinson's disease dementia, DLB is one of the two Lewy body dementias. It is a common form of dementia, but the prevalence is not known accurately and many diagnoses are missed. The disease was first described on autopsy by Kenji Kosaka in 1976, and he named the condition several years later.

    REM sleep behavior disorder (RBD)—in which people lose the muscle paralysis (atonia) that normally occurs during REM sleep and act out their dreams—is a core feature. RBD may appear years or decades before other symptoms. Other core features are visual hallucinations, marked fluctuations in attention or alertness, and parkinsonism (slowness of movement, trouble walking, or rigidity). A presumptive diagnosis can be made if several disease features or biomarkers are present; the diagnostic workup may include blood tests, neuropsychological tests, imaging, and sleep studies. A definitive diagnosis usually requires an autopsy. (Full article...)
  • Image 12 Cloth embroidered by a person diagnosed with schizophrenia Schizophrenia is a mental disorder characterized variously by hallucinations (typically, hearing voices), delusions, disorganized thinking and behavior, and flat or inappropriate affect. Symptoms develop gradually and typically begin during young adulthood and are never resolved. There is no objective diagnostic test; diagnosis is based on observed behavior, a psychiatric history that includes the person's reported experiences, and reports of others familiar with the person. For a diagnosis of schizophrenia, the described symptoms need to have been present for at least six months (according to the DSM-5) or one month (according to the ICD-11). Many people with schizophrenia have other mental disorders, especially mood disorders, anxiety disorders, and obsessive–compulsive disorder. About 0.3% to 0.7% of people are diagnosed with schizophrenia during their lifetime. In 2017, there were an estimated 1.1 million new cases and in 2022 a total of 24 million cases globally. Males are more often affected and on average have an earlier onset than females. The causes of schizophrenia may include genetic and environmental factors. Genetic factors include a variety of common and rare genetic variants. Possible environmental factors include being raised in a city, childhood adversity, cannabis use during adolescence, infections, the age of a person's mother or father, and poor nutrition during pregnancy. (Full article...)

    Cloth embroidered by a person diagnosed with schizophrenia

    Schizophrenia is a mental disorder characterized variously by hallucinations (typically, hearing voices), delusions, disorganized thinking and behavior, and flat or inappropriate affect. Symptoms develop gradually and typically begin during young adulthood and are never resolved. There is no objective diagnostic test; diagnosis is based on observed behavior, a psychiatric history that includes the person's reported experiences, and reports of others familiar with the person. For a diagnosis of schizophrenia, the described symptoms need to have been present for at least six months (according to the DSM-5) or one month (according to the ICD-11). Many people with schizophrenia have other mental disorders, especially mood disorders, anxiety disorders, and obsessive–compulsive disorder.


    About 0.3% to 0.7% of people are diagnosed with schizophrenia during their lifetime. In 2017, there were an estimated 1.1 million new cases and in 2022 a total of 24 million cases globally. Males are more often affected and on average have an earlier onset than females. The causes of schizophrenia may include genetic and environmental factors. Genetic factors include a variety of common and rare genetic variants. Possible environmental factors include being raised in a city, childhood adversity, cannabis use during adolescence, infections, the age of a person's mother or father, and poor nutrition during pregnancy. (Full article...)
  • Image 13 The location and development of endometrial cancer Endometrial cancer is a cancer that arises from the endometrium (the lining of the uterus or womb). It is the result of the abnormal growth of cells that have the ability to invade or spread to other parts of the body. The first sign is most often vaginal bleeding not associated with a menstrual period. Other symptoms include pain with urination, pain during sexual intercourse, or pelvic pain. Endometrial cancer occurs most commonly after menopause. Approximately 40% of cases are related to obesity. Endometrial cancer is also associated with excessive estrogen exposure, high blood pressure and diabetes. Whereas taking estrogen alone increases the risk of endometrial cancer, taking both estrogen and a progestogen in combination, as in most birth control pills, decreases the risk. Between two and five percent of cases are related to genes inherited from the parents. Endometrial cancer is sometimes called "uterine cancer", although it is distinct from other forms of cancer of the uterus such as cervical cancer, uterine sarcoma, and trophoblastic disease. The most frequent type of endometrial cancer is endometrioid carcinoma, which accounts for more than 80% of cases. Endometrial cancer is commonly diagnosed by endometrial biopsy or by taking samples during a procedure known as dilation and curettage. A pap smear is not typically sufficient to show endometrial cancer. Regular screening in those at normal risk is not called for. (Full article...)

    The location and development of endometrial cancer

    Endometrial cancer is a cancer that arises from the endometrium (the lining of the uterus or womb). It is the result of the abnormal growth of cells that have the ability to invade or spread to other parts of the body. The first sign is most often vaginal bleeding not associated with a menstrual period. Other symptoms include pain with urination, pain during sexual intercourse, or pelvic pain. Endometrial cancer occurs most commonly after menopause.


    Approximately 40% of cases are related to obesity. Endometrial cancer is also associated with excessive estrogen exposure, high blood pressure and diabetes. Whereas taking estrogen alone increases the risk of endometrial cancer, taking both estrogen and a progestogen in combination, as in most birth control pills, decreases the risk. Between two and five percent of cases are related to genes inherited from the parents. Endometrial cancer is sometimes called "uterine cancer", although it is distinct from other forms of cancer of the uterus such as cervical cancer, uterine sarcoma, and trophoblastic disease. The most frequent type of endometrial cancer is endometrioid carcinoma, which accounts for more than 80% of cases. Endometrial cancer is commonly diagnosed by endometrial biopsy or by taking samples during a procedure known as dilation and curettage. A pap smear is not typically sufficient to show endometrial cancer. Regular screening in those at normal risk is not called for. (Full article...)
  • Image 14 Anti-FGM road sign near Kapchorwa, Uganda, 2004 Female genital mutilation (FGM) (also known as female genital cutting, female genital mutilation/cutting (FGM/C) and female circumcision) is the cutting or removal of some or all of the vulva for non-medical reasons. FGM prevalence varies worldwide, but is majorly present in some countries of Africa, Asia and Middle East, and within their diasporas. As of 2024[update], UNICEF estimates that worldwide 230 million girls and women (144 million in Africa, 80 million in Asia, 6 million in Middle East, and 1-2 million in other parts of the world) had been subjected to one or more types of FGM. Typically carried out by a traditional cutter using a blade, FGM is conducted from days after birth to puberty and beyond. In half of the countries for which national statistics are available, most girls are cut before the age of five. Procedures differ according to the country or ethnic group. They include removal of the clitoral hood (type 1-a) and clitoral glans (1-b); removal of the inner labia (2-a); and removal of the inner and outer labia and closure of the vulva (type 3). In this last procedure, known as infibulation, a small hole is left for the passage of urine and menstrual fluid, the vagina is opened for intercourse and opened further for childbirth. (Full article...)

    Billboard with surgical tools covered by a red X. Sign reads: STOP FEMALE CIRCUMCISION. IT IS DANGEROUS TO WOMEN'S HEALTH. FAMILY PLANNING ASSOCIATION OF UGANDA
    Anti-FGM road sign near Kapchorwa, Uganda, 2004

    Female genital mutilation (FGM) (also known as female genital cutting, female genital mutilation/cutting (FGM/C) and female circumcision) is the cutting or removal of some or all of the vulva for non-medical reasons. FGM prevalence varies worldwide, but is majorly present in some countries of Africa, Asia and Middle East, and within their diasporas. As of 2024, UNICEF estimates that worldwide 230 million girls and women (144 million in Africa, 80 million in Asia, 6 million in Middle East, and 1-2 million in other parts of the world) had been subjected to one or more types of FGM.

    Typically carried out by a traditional cutter using a blade, FGM is conducted from days after birth to puberty and beyond. In half of the countries for which national statistics are available, most girls are cut before the age of five. Procedures differ according to the country or ethnic group. They include removal of the clitoral hood (type 1-a) and clitoral glans (1-b); removal of the inner labia (2-a); and removal of the inner and outer labia and closure of the vulva (type 3). In this last procedure, known as infibulation, a small hole is left for the passage of urine and menstrual fluid, the vagina is opened for intercourse and opened further for childbirth. (Full article...)
  • Image 15 Rolph, c. 1870 John Rolph (4 March 1793 – 19 October 1870) was a Canadian physician, lawyer, and political figure. As a politician, he was considered the leader of the Reform faction in the 1820s and helped plan the Upper Canada Rebellion. As a doctor, he founded several medical schools and incorporated new teaching techniques and medical procedures into his lectures. However, his actions against rival medical schools decreased public confidence in the ability of medical professionals to regulate themselves. Rolph grew up in England and was educated in medicine and law. He immigrated to Upper Canada in 1813 and lived on his father's farm in Port Talbot, where he practiced law and medicine concurrently and opened a medical school called the Talbot Dispensary. In 1824, Rolph was elected to the Parliament of Upper Canada and returned to England to petition the Colonial Office to allow the naturalization of American citizens in Canada. He was elected as an alderman to Toronto's first city council, though he resigned after his council colleagues did not select him to be the city's mayor. (Full article...)

    Rolph, c. 1870

    John Rolph (4 March 1793 – 19 October 1870) was a Canadian physician, lawyer, and political figure. As a politician, he was considered the leader of the Reform faction in the 1820s and helped plan the Upper Canada Rebellion. As a doctor, he founded several medical schools and incorporated new teaching techniques and medical procedures into his lectures. However, his actions against rival medical schools decreased public confidence in the ability of medical professionals to regulate themselves.

    Rolph grew up in England and was educated in medicine and law. He immigrated to Upper Canada in 1813 and lived on his father's farm in Port Talbot, where he practiced law and medicine concurrently and opened a medical school called the Talbot Dispensary. In 1824, Rolph was elected to the Parliament of Upper Canada and returned to England to petition the Colonial Office to allow the naturalization of American citizens in Canada. He was elected as an alderman to Toronto's first city council, though he resigned after his council colleagues did not select him to be the city's mayor. (Full article...)
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Vesalius' De humani corporis fabrica, plate 164. Original scanned page from 1543 edition. Plate 164 is described as "Drawing of the Bones of the Human Body, Seen from the Side".

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  • Image 1 CT scan showing cerebral contusions, hemorrhage within the hemispheres, and subdural hematoma. There is also displaced skull fracture of left transverse parietal and temporal bones. A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity ranging from mild traumatic brain injury (mTBI/concussion) to severe traumatic brain injury. TBI can also be characterized based on mechanism (closed or penetrating head injury) or other features (e.g., occurring in a specific location or over a widespread area). Head injury is a broader category that may involve damage to other structures such as the scalp and skull. TBI can result in physical, cognitive, social, emotional and behavioral symptoms, and outcomes can range from complete recovery to permanent disability or death. Causes include falls, vehicle collisions and violence. Brain trauma occurs as a consequence of a sudden acceleration or deceleration within the cranium or by a complex combination of both movement and sudden impact. In addition to the damage caused at the moment of injury, a variety of events following the injury may result in further injury. These processes may include alterations in cerebral blood flow and pressure within the skull. Some of the imaging techniques used for diagnosis of moderate to severe TBI include computed tomography (CT) and magnetic resonance imaging (MRIs). (Full article...)

    CT scan showing cerebral contusions, hemorrhage within the hemispheres, and subdural hematoma. There is also displaced skull fracture of left transverse parietal and temporal bones.

    A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity ranging from mild traumatic brain injury (mTBI/concussion) to severe traumatic brain injury. TBI can also be characterized based on mechanism (closed or penetrating head injury) or other features (e.g., occurring in a specific location or over a widespread area). Head injury is a broader category that may involve damage to other structures such as the scalp and skull. TBI can result in physical, cognitive, social, emotional and behavioral symptoms, and outcomes can range from complete recovery to permanent disability or death.


    Causes include falls, vehicle collisions and violence. Brain trauma occurs as a consequence of a sudden acceleration or deceleration within the cranium or by a complex combination of both movement and sudden impact. In addition to the damage caused at the moment of injury, a variety of events following the injury may result in further injury. These processes may include alterations in cerebral blood flow and pressure within the skull. Some of the imaging techniques used for diagnosis of moderate to severe TBI include computed tomography (CT) and magnetic resonance imaging (MRIs). (Full article...)
  • Image 2 Kassabian in 1909 Mihran Krikor Kassabian (August 25, 1870 – July 14, 1910) was an Armenian-American physician, one of the early investigators into the medical uses of X-rays, and a faculty member at the Medico-Chirurgical College of Philadelphia. He became director of the Roentgen Ray Laboratory at Philadelphia General Hospital and vice president of both the American Roentgen Ray Society (ARRS) and the American Electro-Therapeutic Association. Born in Kayseri, Kassabian studied in London and Philadelphia before serving in the United States Army Hospital Corps during the Spanish–American War. After the war, he finished medical school at the Medico-Chirurgical College and became an instructor there. He invented a positioning device that displayed the ribs as round rather than flat on X-ray images. Kassabian had a special interest in the use of X-ray findings in court proceedings. He represented the American Medical Association at international conventions, and in 1907 he wrote an influential textbook on electrotherapeutics and radiology. (Full article...)

    Kassabian in 1909

    Mihran Krikor Kassabian (August 25, 1870 – July 14, 1910) was an Armenian-American physician, one of the early investigators into the medical uses of X-rays, and a faculty member at the Medico-Chirurgical College of Philadelphia. He became director of the Roentgen Ray Laboratory at Philadelphia General Hospital and vice president of both the American Roentgen Ray Society (ARRS) and the American Electro-Therapeutic Association.

    Born in Kayseri, Kassabian studied in London and Philadelphia before serving in the United States Army Hospital Corps during the Spanish–American War. After the war, he finished medical school at the Medico-Chirurgical College and became an instructor there. He invented a positioning device that displayed the ribs as round rather than flat on X-ray images. Kassabian had a special interest in the use of X-ray findings in court proceedings. He represented the American Medical Association at international conventions, and in 1907 he wrote an influential textbook on electrotherapeutics and radiology. (Full article...)
  • Image 3 One of the large, detailed illustrations in Andreas Vesalius's De humani corporis fabrica 16th century, marking the rebirth of anatomy Anatomy (from Ancient Greek ἀνατομή (anatomḗ) 'dissection') is the branch of morphology concerned with the study of the internal structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having its beginnings in prehistoric times. Anatomy is inherently tied to developmental biology, embryology, comparative anatomy, evolutionary biology, and phylogeny, as these are the processes by which anatomy is generated, both over immediate and long-term timescales. Anatomy and physiology, which study the structure and function of organisms and their parts respectively, make a natural pair of related disciplines, and are often studied together. Human anatomy is one of the essential basic sciences that are applied in medicine, and is often studied alongside physiology. Anatomy is a complex and dynamic field that is constantly evolving as discoveries are made. In recent years, there has been a significant increase in the use of advanced imaging techniques, such as MRI and CT scans, which allow for more detailed and accurate visualizations of the body's structures. (Full article...)
    One of the large, detailed illustrations in Andreas Vesalius's De humani corporis fabrica 16th century, marking the rebirth of anatomy

    Anatomy (from Ancient Greek ἀνατομή (anatomḗ) 'dissection') is the branch of morphology concerned with the study of the internal structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having its beginnings in prehistoric times. Anatomy is inherently tied to developmental biology, embryology, comparative anatomy, evolutionary biology, and phylogeny, as these are the processes by which anatomy is generated, both over immediate and long-term timescales. Anatomy and physiology, which study the structure and function of organisms and their parts respectively, make a natural pair of related disciplines, and are often studied together. Human anatomy is one of the essential basic sciences that are applied in medicine, and is often studied alongside physiology.

    Anatomy is a complex and dynamic field that is constantly evolving as discoveries are made. In recent years, there has been a significant increase in the use of advanced imaging techniques, such as MRI and CT scans, which allow for more detailed and accurate visualizations of the body's structures. (Full article...)
  • Image 4 An abdominal CT scan of a patient with subcutaneous emphysema (arrows) Subcutaneous emphysema (SCE, SE) occurs when gas or air accumulates and seeps under the skin, where normally no gas should be present. Subcutaneous refers to the subcutaneous tissue, and emphysema refers to trapped air pockets. Since the air generally comes from the chest cavity, subcutaneous emphysema usually occurs around the upper torso, such as on the chest, neck, face, axillae and arms, where it is able to travel with little resistance along the loose connective tissue within the superficial fascia. Subcutaneous emphysema has a characteristic crackling-feel to the touch, a sensation that has been described as similar to touching warm Rice Krispies. This sensation of air under the skin is known as subcutaneous crepitation, a form of crepitus. Numerous etiologies of subcutaneous emphysema have been described. Pneumomediastinum was first recognized as a medical entity by Laennec, who reported it as a consequence of trauma in 1819. Later, in 1939, at Johns Hopkins Hospital, Dr. Louis Hamman described it in postpartum woman; indeed, subcutaneous emphysema is sometimes known as Hamman's syndrome. However, in some medical circles, it can instead be more commonly known as Macklin's Syndrome after L. Macklin, in 1939, and C.C. and M.T. Macklin, in 1944, who cumulatively went on to describe the pathophysiology in more detail. (Full article...)

    An abdominal CT scan of a patient with subcutaneous emphysema (arrows)

    Subcutaneous emphysema (SCE, SE) occurs when gas or air accumulates and seeps under the skin, where normally no gas should be present. Subcutaneous refers to the subcutaneous tissue, and emphysema refers to trapped air pockets. Since the air generally comes from the chest cavity, subcutaneous emphysema usually occurs around the upper torso, such as on the chest, neck, face, axillae and arms, where it is able to travel with little resistance along the loose connective tissue within the superficial fascia. Subcutaneous emphysema has a characteristic crackling-feel to the touch, a sensation that has been described as similar to touching warm Rice Krispies. This sensation of air under the skin is known as subcutaneous crepitation, a form of crepitus.

    Numerous etiologies of subcutaneous emphysema have been described. Pneumomediastinum was first recognized as a medical entity by Laennec, who reported it as a consequence of trauma in 1819. Later, in 1939, at Johns Hopkins Hospital, Dr. Louis Hamman described it in postpartum woman; indeed, subcutaneous emphysema is sometimes known as Hamman's syndrome. However, in some medical circles, it can instead be more commonly known as Macklin's Syndrome after L. Macklin, in 1939, and C.C. and M.T. Macklin, in 1944, who cumulatively went on to describe the pathophysiology in more detail. (Full article...)
  • Image 5 John M. Wieting (1903) John Manchester Wieting (February 8, 1817 – February 13, 1888) was an American lecturer and philanthropist. He spent his early years as a teacher and then as an engineer and grader. After moving to Syracuse, New York, he read medicine to become a physician. After purchasing anatomical models he began giving lectures across upstate New York, gradually expanding the reach and the size of his lectures. They were extravagant affairs, and Wieting became known as one of the era's most prominent anatomical lecturers. He retired from lecturing at the age of 45 in 1862, and spent his remaining years traveling the world and engaging in philanthropic efforts, mainly aimed at the development of Syracuse. Wieting funded construction of the Wieting Opera House in the city, which was open until 1930 and became a place for Broadway plays to be tried out. He has been cited by several scholars as one of the most famous anatomical lecturers of his era. (Full article...)
    Wieting pictured in a 1903 book. He is wearing a collared shirt.
    John M. Wieting (1903)

    John Manchester Wieting (February 8, 1817 – February 13, 1888) was an American lecturer and philanthropist. He spent his early years as a teacher and then as an engineer and grader. After moving to Syracuse, New York, he read medicine to become a physician. After purchasing anatomical models he began giving lectures across upstate New York, gradually expanding the reach and the size of his lectures. They were extravagant affairs, and Wieting became known as one of the era's most prominent anatomical lecturers.

    He retired from lecturing at the age of 45 in 1862, and spent his remaining years traveling the world and engaging in philanthropic efforts, mainly aimed at the development of Syracuse. Wieting funded construction of the Wieting Opera House in the city, which was open until 1930 and became a place for Broadway plays to be tried out. He has been cited by several scholars as one of the most famous anatomical lecturers of his era. (Full article...)
  • Image 6 49-year-old male with an adrenal crisis. Appearance, showing lack of facial hair, dehydration, Queen Anne's sign (panel A), pale skin, muscular and weight loss, and loss of body hair (panel B). Adrenal crisis, also known as Addisonian crisis or acute adrenal insufficiency, is a life-threatening complication of adrenal insufficiency. Hypotension, and hypovolemic shock, are the main symptoms of an adrenal crisis. Other symptoms include weakness, anorexia, nausea, vomiting, fever, fatigue, abnormal electrolytes, confusion, and coma. Laboratory testing may detect low sodium, high potassium, high lymphocyte count, high eosinophils, low blood sugar, and rarely high calcium. The biggest trigger for adrenal crisis is gastrointestinal illness. Those with primary adrenal insufficiency are at a higher risk for an adrenal crisis. The physiological mechanisms underlying an adrenal crisis involve the loss of endogenous glucocorticoids' typical inhibitory effect on inflammatory cytokines. (Full article...)

    49-year-old male with an adrenal crisis. Appearance, showing lack of facial hair, dehydration, Queen Anne's sign (panel A), pale skin, muscular and weight loss, and loss of body hair (panel B).

    Adrenal crisis, also known as Addisonian crisis or acute adrenal insufficiency, is a life-threatening complication of adrenal insufficiency. Hypotension, and hypovolemic shock, are the main symptoms of an adrenal crisis. Other symptoms include weakness, anorexia, nausea, vomiting, fever, fatigue, abnormal electrolytes, confusion, and coma. Laboratory testing may detect low sodium, high potassium, high lymphocyte count, high eosinophils, low blood sugar, and rarely high calcium.

    The biggest trigger for adrenal crisis is gastrointestinal illness. Those with primary adrenal insufficiency are at a higher risk for an adrenal crisis. The physiological mechanisms underlying an adrenal crisis involve the loss of endogenous glucocorticoids' typical inhibitory effect on inflammatory cytokines. (Full article...)
  • Image 7 The pituitary gland on a plate from Gray's Anatomy (1918). The anterior lobe is on the left, and the posterior lobe on the right, both in red. Hypopituitarism is the decreased (hypo) secretion of one or more of the eight hormones normally produced by the pituitary gland at the base of the brain. If there is decreased secretion of one specific pituitary hormone, the condition is known as selective hypopituitarism. If there is decreased secretion of most or all pituitary hormones, the term panhypopituitarism (pan meaning "all") is used. The signs and symptoms of hypopituitarism vary, depending on which hormones are undersecreted and on the underlying cause of the abnormality. The diagnosis of hypopituitarism is made by blood tests, but often specific scans and other investigations are needed to find the underlying cause, such as tumors of the pituitary, and the ideal treatment. Most hormones controlled by the secretions of the pituitary can be replaced by tablets or injections. Hypopituitarism is a rare disease, but may be significantly underdiagnosed in people with previous traumatic brain injury. The first description of the condition was made in 1914 by the German physician Dr Morris Simmonds. (Full article...)

    The pituitary gland on a plate from Gray's Anatomy (1918). The anterior lobe is on the left, and the posterior lobe on the right, both in red.

    Hypopituitarism is the decreased (hypo) secretion of one or more of the eight hormones normally produced by the pituitary gland at the base of the brain. If there is decreased secretion of one specific pituitary hormone, the condition is known as selective hypopituitarism. If there is decreased secretion of most or all pituitary hormones, the term panhypopituitarism (pan meaning "all") is used.

    The signs and symptoms of hypopituitarism vary, depending on which hormones are undersecreted and on the underlying cause of the abnormality. The diagnosis of hypopituitarism is made by blood tests, but often specific scans and other investigations are needed to find the underlying cause, such as tumors of the pituitary, and the ideal treatment. Most hormones controlled by the secretions of the pituitary can be replaced by tablets or injections. Hypopituitarism is a rare disease, but may be significantly underdiagnosed in people with previous traumatic brain injury. The first description of the condition was made in 1914 by the German physician Dr Morris Simmonds. (Full article...)
  • Image 8 A Wistar laboratory rat Animal testing, also known as animal experimentation, animal research, and in vivo testing, is the use of non-human animals, such as model organisms, in experiments that seek to control the variables that affect the behavior or biological system under study. This approach can be contrasted with field studies in which animals are observed in their natural environments or habitats. Experimental research with animals is usually conducted in universities, medical schools, pharmaceutical companies, defense establishments, and commercial facilities that provide animal-testing services to the industry. The focus of animal testing varies on a continuum from pure research, focusing on developing fundamental knowledge of an organism, to applied research, which may focus on answering some questions of great practical importance, such as finding a cure for a disease. Examples of applied research include testing disease treatments, breeding, defense research, and toxicology, including cosmetics testing. In education, animal testing is sometimes a component of biology or psychology courses. Research using animal models has been central to most of the achievements of modern medicine. It has contributed to most of the basic knowledge in fields such as human physiology and biochemistry, and has played significant roles in fields such as neuroscience and infectious disease. The results have included the near-eradication of polio and the development of organ transplantation, and have benefited both humans and animals. From 1910 to 1927, Thomas Hunt Morgan's work with the fruit fly Drosophila melanogaster identified chromosomes as the vector of inheritance for genes, and Eric Kandel wrote that Morgan's discoveries "helped transform biology into an experimental science". Research in model organisms led to further medical advances, such as the production of the diphtheria antitoxin and the 1922 discovery of insulin and its use in treating diabetes, which had previously meant death. Modern general anaesthetics such as halothane were also developed through studies on model organisms, and are necessary for modern, complex surgical operations. Other 20th-century medical advances and treatments that relied on research performed in animals include organ transplant techniques, the heart-lung machine, antibiotics, and the whooping cough vaccine. (Full article...)

    A Wistar laboratory rat

    Animal testing, also known as animal experimentation, animal research, and in vivo testing, is the use of non-human animals, such as model organisms, in experiments that seek to control the variables that affect the behavior or biological system under study. This approach can be contrasted with field studies in which animals are observed in their natural environments or habitats. Experimental research with animals is usually conducted in universities, medical schools, pharmaceutical companies, defense establishments, and commercial facilities that provide animal-testing services to the industry. The focus of animal testing varies on a continuum from pure research, focusing on developing fundamental knowledge of an organism, to applied research, which may focus on answering some questions of great practical importance, such as finding a cure for a disease. Examples of applied research include testing disease treatments, breeding, defense research, and toxicology, including cosmetics testing. In education, animal testing is sometimes a component of biology or psychology courses.

    Research using animal models has been central to most of the achievements of modern medicine. It has contributed to most of the basic knowledge in fields such as human physiology and biochemistry, and has played significant roles in fields such as neuroscience and infectious disease. The results have included the near-eradication of polio and the development of organ transplantation, and have benefited both humans and animals. From 1910 to 1927, Thomas Hunt Morgan's work with the fruit fly Drosophila melanogaster identified chromosomes as the vector of inheritance for genes, and Eric Kandel wrote that Morgan's discoveries "helped transform biology into an experimental science". Research in model organisms led to further medical advances, such as the production of the diphtheria antitoxin and the 1922 discovery of insulin and its use in treating diabetes, which had previously meant death. Modern general anaesthetics such as halothane were also developed through studies on model organisms, and are necessary for modern, complex surgical operations. Other 20th-century medical advances and treatments that relied on research performed in animals include organ transplant techniques, the heart-lung machine, antibiotics, and the whooping cough vaccine. (Full article...)
  • Image 9 Linderfelt in 1892 Klas August Linderfelt (1847 – March 18, 1900) was an American librarian. A native of Sweden, he emigrated to Milwaukee, Wisconsin and became a teacher and a librarian. As the first librarian of the Milwaukee Public Library, he became a significant figure in the city and in the library profession, becoming the seventh President of the American Library Association. He left both the city and the profession permanently following his arrest for embezzlement. (Full article...)

    Linderfelt in 1892

    Klas August Linderfelt (1847 – March 18, 1900) was an American librarian. A native of Sweden, he emigrated to Milwaukee, Wisconsin and became a teacher and a librarian. As the first librarian of the Milwaukee Public Library, he became a significant figure in the city and in the library profession, becoming the seventh President of the American Library Association. He left both the city and the profession permanently following his arrest for embezzlement. (Full article...)
  • Image 10 Kusumoto Ine (楠本 イネ, 31 May 1827 – 27 August 1903; born Shiimoto Ine 失本 稲) was a Japanese physician. She was the first female doctor of Western medicine in Japan. She was the daughter of Kusumoto Taki, who was a courtesan from Nagasaki; and the German physician Philipp Franz von Siebold, who worked on Dejima, an island foreigners were restricted to during Japan's long period of seclusion from the world. Ine was also known as O-Ine and later in life took the name Itoku (伊篤). In Japanese she is often called Oranda O-Ine ("Dutch O-Ine") for her association with Dejima and its Dutch-language Western learning. (Full article...)

    Kusumoto Ine (楠本 イネ, 31 May 1827 – 27 August 1903; born Shiimoto Ine 失本 稲) was a Japanese physician. She was the first female doctor of Western medicine in Japan.

    She was the daughter of Kusumoto Taki, who was a courtesan from Nagasaki; and the German physician Philipp Franz von Siebold, who worked on Dejima, an island foreigners were restricted to during Japan's long period of seclusion from the world. Ine was also known as O-Ine and later in life took the name Itoku (伊篤). In Japanese she is often called Oranda O-Ine ("Dutch O-Ine") for her association with Dejima and its Dutch-language Western learning. (Full article...)
  • Image 11 Elizabeth Casson OBE (14 April 1881 – 17 December 1954) was a British medical doctor and an occupational therapy pioneer. Initially training as a secretary, Casson began studying medicine at the University of Bristol when she was 32. She received her medical degree in 1926, becoming the first woman to receive one from the University of Bristol. She also attained the Gaskell prize from the Royal Medico-Psychological Association and a diploma in psychological medicine from the University of London. Casson set up a residential clinic for women with mental disorders at Dorset House in Bristol in 1929 with enough residential space for 800 patients, and she opened the first school of occupational therapy in the UK in the same building the following year. She took an active role in the therapeutic activities at Dorset House, even playing a part in the patients' production of Pride and Prejudice. (Full article...)
    Elizabeth Casson OBE (14 April 1881 – 17 December 1954) was a British medical doctor and an occupational therapy pioneer. Initially training as a secretary, Casson began studying medicine at the University of Bristol when she was 32. She received her medical degree in 1926, becoming the first woman to receive one from the University of Bristol. She also attained the Gaskell prize from the Royal Medico-Psychological Association and a diploma in psychological medicine from the University of London.

    Casson set up a residential clinic for women with mental disorders at Dorset House in Bristol in 1929 with enough residential space for 800 patients, and she opened the first school of occupational therapy in the UK in the same building the following year. She took an active role in the therapeutic activities at Dorset House, even playing a part in the patients' production of Pride and Prejudice. (Full article...)
  • Image 12 Biological determinism, also known as genetic determinism, is the belief that human behaviour is directly controlled by an individual's genes or some component of their physiology, generally at the expense of the role of the environment, whether in embryonic development or in learning. Genetic reductionism is a similar concept, but it is distinct from genetic determinism in that the former refers to the level of understanding, while the latter refers to the supposed causal role of genes. Biological determinism has been associated with movements in science and society including eugenics, scientific racism, and the debates around the heritability of IQ, the basis of sexual orientation, and evolutionary foundations of cooperation in sociobiology. In 1892, the German evolutionary biologist August Weismann proposed in his germ plasm theory that heritable information is transmitted only via germ cells, which he thought contained determinants (genes). The English polymath Francis Galton, supposing that undesirable traits such as club foot and criminality were inherited, advocated eugenics, aiming to prevent supposedly defective people from breeding. The American physician Samuel George Morton and the French physician Paul Broca attempted to relate the cranial capacity (internal skull volume) to skin colour, intending to show that white people were superior. Other workers such as the American psychologists H. H. Goddard and Robert Yerkes attempted to measure people's intelligence and to show that the resulting scores were heritable, again to demonstrate the supposed superiority of people with white skin. (Full article...)
    Biological determinism, also known as genetic determinism, is the belief that human behaviour is directly controlled by an individual's genes or some component of their physiology, generally at the expense of the role of the environment, whether in embryonic development or in learning. Genetic reductionism is a similar concept, but it is distinct from genetic determinism in that the former refers to the level of understanding, while the latter refers to the supposed causal role of genes. Biological determinism has been associated with movements in science and society including eugenics, scientific racism, and the debates around the heritability of IQ, the basis of sexual orientation, and evolutionary foundations of cooperation in sociobiology.

    In 1892, the German evolutionary biologist August Weismann proposed in his germ plasm theory that heritable information is transmitted only via germ cells, which he thought contained determinants (genes). The English polymath Francis Galton, supposing that undesirable traits such as club foot and criminality were inherited, advocated eugenics, aiming to prevent supposedly defective people from breeding. The American physician Samuel George Morton and the French physician Paul Broca attempted to relate the cranial capacity (internal skull volume) to skin colour, intending to show that white people were superior. Other workers such as the American psychologists H. H. Goddard and Robert Yerkes attempted to measure people's intelligence and to show that the resulting scores were heritable, again to demonstrate the supposed superiority of people with white skin. (Full article...)
  • Image 13 An eight-year-old boy displaying characteristic facial features of Down syndrome Down syndrome (United States) or Down's syndrome (United Kingdom and other English-speaking nations), also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is usually associated with developmental delays, mild to moderate intellectual disability, and characteristic physical features. The parents of the affected individual are usually genetically normal. The incidence of the syndrome increases with the age of the mother, from less than 0.1% for 20-year-old mothers to 3% for those of age 45. It is believed to occur by chance, with no known behavioral activity or environmental factor that changes the probability. Usually, babies get 23 chromosomes from each parent for a total of 46, whereas in Down syndrome, a third 21st chromosome is attached. The extra chromosome is provided at conception as the egg and sperm combine. In 1–2% of cases, the additional chromosome is added in the embryo stage and only impacts some of the cells in the body; this is known as Mosaic Down syndrome. Translocation Down syndrome is another rare type. Down syndrome can be identified during pregnancy by prenatal screening, followed by diagnostic testing, or after birth by direct observation and genetic testing. Since the introduction of screening, Down syndrome pregnancies are often aborted (rates varying from 50 to 85% depending on maternal age, gestational age, and maternal race/ethnicity). (Full article...)

    An eight-year-old boy displaying characteristic facial features of Down syndrome

    Down syndrome (United States) or Down's syndrome (United Kingdom and other English-speaking nations), also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is usually associated with developmental delays, mild to moderate intellectual disability, and characteristic physical features.


    The parents of the affected individual are usually genetically normal. The incidence of the syndrome increases with the age of the mother, from less than 0.1% for 20-year-old mothers to 3% for those of age 45. It is believed to occur by chance, with no known behavioral activity or environmental factor that changes the probability. Usually, babies get 23 chromosomes from each parent for a total of 46, whereas in Down syndrome, a third 21st chromosome is attached. The extra chromosome is provided at conception as the egg and sperm combine. In 1–2% of cases, the additional chromosome is added in the embryo stage and only impacts some of the cells in the body; this is known as Mosaic Down syndrome. Translocation Down syndrome is another rare type. Down syndrome can be identified during pregnancy by prenatal screening, followed by diagnostic testing, or after birth by direct observation and genetic testing. Since the introduction of screening, Down syndrome pregnancies are often aborted (rates varying from 50 to 85% depending on maternal age, gestational age, and maternal race/ethnicity). (Full article...)
  • Image 14 Chest computerized tomography scan showing diffuse ground-glass opacities with air-bronchograms in the upper lobes and the left lower lobe. Desquamative interstitial pneumonia (DIP) is a type of idiopathic interstitial pneumonia featuring elevated numbers of macrophages within the alveoli of the lung. DIP is a chronic disorder with an insidious onset. Its common symptoms include shortness of breath, coughing, fever, weakness, weight loss, and fatigue. In more severe cases, it may lead to respiratory failure, chest pain, digital clubbing, cyanosis, and hemoptysis. Asymptomatic cases are rare. DIP is often linked to cigarette smoking, environmental or occupational exposure, systemic disorders, and infections. Environmental risk factors include diesel or fire smoke, asbestos, and other chemicals. DIP has also been associated with certain drugs like marijuana, sirolimus, macrolides, nitrofurantoin, tocainide, and sulfasalazine. Disorders, such as hepatitis C, cytomegalovirus, systemic lupus erythematosus, connective tissue disease, and rheumatoid arthritis, have also been tied to DIP. (Full article...)

    Chest computerized tomography scan showing diffuse ground-glass opacities with air-bronchograms in the upper lobes and the left lower lobe.

    Desquamative interstitial pneumonia (DIP) is a type of idiopathic interstitial pneumonia featuring elevated numbers of macrophages within the alveoli of the lung. DIP is a chronic disorder with an insidious onset. Its common symptoms include shortness of breath, coughing, fever, weakness, weight loss, and fatigue. In more severe cases, it may lead to respiratory failure, chest pain, digital clubbing, cyanosis, and hemoptysis. Asymptomatic cases are rare.

    DIP is often linked to cigarette smoking, environmental or occupational exposure, systemic disorders, and infections. Environmental risk factors include diesel or fire smoke, asbestos, and other chemicals. DIP has also been associated with certain drugs like marijuana, sirolimus, macrolides, nitrofurantoin, tocainide, and sulfasalazine. Disorders, such as hepatitis C, cytomegalovirus, systemic lupus erythematosus, connective tissue disease, and rheumatoid arthritis, have also been tied to DIP. (Full article...)
  • Image 15 MRI of a fractured and dislocated cervical vertebra (C4) in the neck that is compressing the spinal cord A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. It is a destructive neurological and pathological state that causes major motor, sensory and autonomic dysfunctions. Symptoms of spinal cord injury may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cord below the level of the injury. Injury can occur at any level of the spinal cord and can be complete, with a total loss of sensation and muscle function at lower sacral segments, or incomplete, meaning some nervous signals are able to travel past the injured area of the cord up to the Sacral S4-5 spinal cord segments. Depending on the location and severity of damage, the symptoms vary, from numbness to paralysis, including bowel or bladder incontinence. Long term outcomes also range widely, from full recovery to permanent tetraplegia (also called quadriplegia) or paraplegia. Complications can include muscle atrophy, loss of voluntary motor control, spasticity, pressure sores, infections, and breathing problems. (Full article...)

    MRI of a fractured and dislocated cervical vertebra (C4) in the neck that is compressing the spinal cord

    A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. It is a destructive neurological and pathological state that causes major motor, sensory and autonomic dysfunctions.

    Symptoms of spinal cord injury may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cord below the level of the injury. Injury can occur at any level of the spinal cord and can be complete, with a total loss of sensation and muscle function at lower sacral segments, or incomplete, meaning some nervous signals are able to travel past the injured area of the cord up to the Sacral S4-5 spinal cord segments. Depending on the location and severity of damage, the symptoms vary, from numbness to paralysis, including bowel or bladder incontinence. Long term outcomes also range widely, from full recovery to permanent tetraplegia (also called quadriplegia) or paraplegia. Complications can include muscle atrophy, loss of voluntary motor control, spasticity, pressure sores, infections, and breathing problems. (Full article...)
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