Internal Medicine Alert – November 30, 2008

November 30, 2008

• It's Time to Have the Talk

  Terminally ill cancer patients who had end-of life discussions with their physician had better quality of life during their last week and their caregivers had an easier bereavement.

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• Venous Thromboembolism and Cancer

  Previously undiagnosed cancer is frequent in patients with an unprovoked VTE and is more often detected with an extensive cancer screening strategy than with a limited screening strategy.

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• Can Lubiprostone Improve PEG-based Colonoscopy Prep?

  Lubiprostone, the new drug for idiopathic constipation, improved PEG-based colonoscopy preparation.

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• Pharmacology Update: Romiplostim Injection (Nplate™)

  A new agent has been approved by the fda for the treatment of thrombocytopenia associated with chronic immune thrombocytopenia purpura (ITP).

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• Clinical Briefs by Louis Kuritzky, MD

  Approximately 50% of b-cell function has been lost at the time of initial diagnosis of type 2 diabetes.

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