Internal Medicine Alert – July 30, 2007
July 30, 2007
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The Latest Word on Screening Mammography for Younger Women
New guidelines from the ACP suggest that rather than universal screening, women aged 40-49 should be assessed for individual risk of breast cancer, and should be informed of the potential benefits and harms of screening mammography, then selectively screened based on the findings. -
Death by Chocolate…NOT!
In a small sample of adults who were healthy except for elevated blood pressure, addition of small amounts of dark chocolate to their usual diet resulted in lowered blood pressure and improved formation of vasodilative nitric oxide. -
Symptom-driven Steroid Combination Inhalers for Mild Persistent Asthma
Use of a symptom-driven dose of a combined steroid and albuterol inhaler was equally effective for mild persistent asthma compared to a twice daily steroid inhaler, and resulted in a smaller cumulative dose of inhaled steroids in the six month study period. -
The Efficient Diagnosis of Tuberculosis
In patients with suspected pulmonary tuberculosis who are unable to expectorate sputum, culture of 3 induced sputum samples, all collected on the same day, is an effective and efficient means of diagnosis. -
Lisdexamfetamine Dimesylate Capsule (Vyvanse™) CII
A prodrug of dextroamphetamine has been approved by the FDA for the treatment of attention-deficit/hyperactivity disorder (ADHD). Lisdexamfetamine is the d-amphetamine covalently bound to l-lysine. It is marketed by Shire US Inc as Vyvanse. -
Clinical Briefs By Louis Kuritzky, MD
For persistent asthma, clinical guidelines recommend low-dose inhaled corticosteroids (LDIC) as initial maintenance therapy.