Internal Medicine Alert
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Urine Cultures: A Gateway to Antibiotic Overuse
Inappropriate antibiotics use in nursing homes across North America continues driving antibacterial resistance and the risk of Clostridioides difficile infection in the elderly.
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Consensus Position Statement on the Use of Testosterone in Women
A task force of representatives from leading international societies issued guidance for appropriate prescribing of testosterone in women.
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Sexually Transmitted Diseases in the United States — Not a Happy Picture
Since reaching historically low rates, many sexually transmitted infections have re-emerged in the United States. Of particular concern is the continued emergence of antibiotic resistance in Neisseria gonorrhoeae.
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Lasmiditan Tablets (Reyvow)
Lasmiditan is indicated for the acute treatment of migraine with or without aura in adults.
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One-Fifth of Adults Have a Food Allergy
Do all these people have true food allergies, or just think they do?
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Think You Don’t Smell?
Although showering with hot water and harsh soap daily may not be optimal, studies have shown that regular bathing with good soap and water reduces the risk of infection in individuals colonized with Staphylococcus aureus.
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2019 Community-Acquired Pneumonia in Adults Guideline: Not Much New Under the Sun
One can quibble over a number of the guideline recommendations, but they provide a valuable touchstone for clinical management of patients with community-acquired pneumonia, despite the fact that so many of the recommendations are based on low- or very low-quality evidence.
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Mortality and Vitamin D Supplementation: A Meta-Analysis
Researchers determined that when compared with placebo or no treatment, vitamin D supplementation alone was not associated with an increase in overall all-cause mortality, although there were some nuances based on vitamin D form and type of mortality.
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Iron Absorption in Iron Deficiency Anemia With Alternate-Day Dosing
In a cohort of 19 women with iron deficiency anemia, alternate-day doses of iron led to 40-50% more iron absorption compared to consecutive-day doses.
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Is This Acute?
There is a stack of ECGs in need of interpretation. The tracing in the figure is among those tracings. No clinical information is available. How would one interpret this ECG? Are the changes acute?