DR AUDET: Ms C is a 33-year-old African American
woman whose weight problems started in adolescence. Over the years, her weight
has increased, despite attempts to lose or stabilize it. She currently works
full-time and studies business administration. She previously studied culinary
arts. Ms C has commercial health insurance.
Ms C is a well-educated woman who talks about her weight without difficulty.
On initial assessment, her weight was 289.4 lb. Her height was 5'7'' and her
body mass index (BMI), 45.4 kg/m2. Her highest weight as an adult
was 296 lb and her lowest weight, 175 lb. Her obesity has contributed to additional
health problems, including irregular menses in the past. Ms C has been diagnosed
as having hypertension, which requires treatment with hydrochlorothiazide.
On 1 occasion, her random glucose was elevated. Her exercise capacity is diminished,
and she finds herself short of breath when walking and climbing stairs. In
addition, Ms C has a history of deep vein thrombosis following prolonged immobilization
during traveling. Ms C has a strong family history of obesity (her mother
and siblings), hypertension, type 2 diabetes mellitus, and coronary artery
disease. She does not smoke or abuse alcohol.
Thank you for submitting a comment on this article. It will be reviewed by JAMA editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 8
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
The Rational Clinical Examination EDUCATION GUIDES
Abdominal Aortic Aneurysm
All results at
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.