Internal Medicine Alert – July 15, 2020

July 15, 2020

• Two Possible Mechanisms of Disease in COVID-19

  COVID-19 infection may be associated with an increased risk of blood clotting and related thrombotic events, but there are insufficient data to support indiscriminately discontinuing medications that play a critical role in the management of chronic cardiovascular disease.

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• Early Data on Remdesivir for Severe COVID-19: A Promising Start?

  In this group of patients hospitalized with severe COVID-19, most of whom required invasive ventilation, 68% showed clinical improvement after treatment with remdesivir on a compassionate-use basis.

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• MUCH Ado About WUCH

  In a long-term, fixed-drug therapy of hypertension study, masked uncontrolled and white coat uncontrolled hypertension exhibited poor reproducibility over four years.

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• Cloth Masks — Just for Looks?

  How effective are homemade fabric masks many are using to protect others from COVID-19 transmission?

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• Elagolix, Estradiol, and Norethindrone Acetate Capsules (Oriahnn)

  Elagolix-EN should be prescribed to manage heavy menstrual bleeding associated with uterine leiomyomas (fibroids) in premenopausal women.

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• Group Beating from Wenckebach?

  The two rhythm strips in the figure were recorded just a few minutes apart. There is group beating. Is the rhythm the result of atrioventricular (AV) Wenckebach (second degree AV block, Mobitz Type I)?

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