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Internal Medicine Alert

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Articles

  • Clinical Briefs

    In an attempt to clarify the role of early intensive glycemic control, newly diagnosed type 2 diabetes patients were treated with insulin by means of an insulin pump on an inpatient basis for two weeks, after which they were discharged.
  • ECG Review: What Would You Ask the Patient?

    The consecutive rhythm strips seen in the Figure were obtained from a 73-year-old man with a history of ischemic cardiomyopathy. QRS widening is the result of underlying bundle branch block. In view of the atrial activity seen in these rhythm strips, what would you want to ask the patient?
  • Pharmacology Watch - ACE Inhibitors and Receptor Blockers: Which is Inferior?

    The first head-to-head comparison study of an ACE inhibitor and an angiotensin receptor blocker, to assess renoprotective effects in type 2 diabetes, has shown that the drugs are comparable in their benefit.
  • What Do We Really Know About Adiponectin?

    Measures that increase adiponectin levels might be valuable targets for decreasing the risk of atherosclerosis present in patients with diabetes.
  • Much More About CRP!

    CRP values as a continuous variable have independent predictive value for subsequent coronary events in apparently healthy women.
  • ECG Review: "Torsades Fabriquées"?

    The 12-lead ECG and accompanying rhythm strip shown in the Figure were obtained from an older man who presented with acute dyspnea from pneumonia. He was on multiple medications, and was in moderate-to-severe respiratory distress at the time this ECG was recorded. Is the rhythm Torsades de Pointes?
  • Human Bites: Facts and Fiction

    Infection rates in low-risk human bites are exceedingly low. Antibiotic treatment may not be necessary for these patients.
  • Laparoscopy for Primary Colorectal Cancer Resection

    In a prospective, randomized trial, primary excision of colorectal carcinomas by laparoscopic surgery was compared with laparotomy. Disease recurrence and 5-year survival were not significantly different in the 2 groups. Operative time was greater for those receiving laparoscopic approach but post-operative recovery and hospital stays were shorter.
  • Pharmacology Update: Rifaximin Tablets (XifaxanTM)

    The first nonabsorbable, gastrointestinal-selective antibiotic has been approved for the treatment of travelers diarrhea caused by noninvasive strains of Escherichia coli.
  • Clinical Briefs

    Prevention of Disabling and Fatal Strokes by Successful Carotid Endarterectomy in Patients without Recent Neurological Symptoms; Cox-2 Inhibitors vs Nonselective NSAIDs and CHF Outcomes in Elderly Patients; Interventions for the Prevention of Falls in Older Adults