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The 12-lead ECG in the Figure was obtained from a 69-year-old woman with a history of a previous large myocardial infarction. She was aware of an extra beating of her heart, but was otherwise asymptomatic at the time this tracing was recorded. How would you interpret this tracing in view of this presentation, her prior history, and the knowledge that the patient was known to have complete right bundle branch block on prior ECG?
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The management of neuropathic pain (NPP) presents a challenge to clinicians of all specialties, since disorders associated with NPP span the gamut of medical disciplines.
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Insomnia is associated with an increased risk of falls in nursing home residents. The use of hypnotics is not.
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Entecavir is a nucleoside analog approved for the treatment of chronic hepatitis B viremia. It has demonstrated antiviral activity against both wild-type and lamivudine-resistant virus.
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Celiac disease was found in 3.4% of patients with osteoporosis, compared to 0.2% without. Treatment with a gluten-free diet improved bone density scores. This study postulates that this prevalence justifies serologic screening for celiac disease in all patients with osteoporosis.
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Hip fractures occur 2-4 times more commonly in persons who have sustained a stroke than in an age-matched population.
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Physicians who have been practicing longer may be at risk for providing less quality care.
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Pramlintide reduces postprandial glucose excursions and oxidative stress in type 1 diabetes when given with short acting insulin at mealtime.