Internal Medicine Alert – January 15, 2012

January 15, 2012

• When in Doubt, Pressurize the Snout

  CPAP treatment lowered blood pressure and improved metabolic abnormalities in patients with obstructive sleep apnea.

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• A Delicious Stretch

  Yoga and stretching are effective in treating chronic low back pain.

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• Oxymorphone HCl Extended-Release Tablets (Opana® ER) CII

  The FDA has approved a new formulation of oxymorphone extended-release tablets that is designed to be crush-resistant in order to reduce the potential for diversion and abuse.

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• Clinical Briefs By Louis Kuritzky, MD

  Several treatments have been shown to be highly effective in management of premature ejaculation (pEJ), including behavioral therapy, systemic modulation of serotonin, and topical agents.

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• Why So Much ST Depression?

  Scenario: Interpret the ECG shown above, obtained from an older woman on multiple drugs who presented to the emergency department with chest pain and an exacerbation of her chronic heart failure. What is the rhythm? Why so much ST depression? Clinically, what would you do?

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