Internal Medicine Alert
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Can You Predict the Anatomy?
The ECG in the figure was recorded from an elderly woman with new-onset chest pain. How would one assess this ECG? Is there a “culprit” artery?
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Romosozumab-aqqg Injection (Evenity)
Romosozumab is prescribed to treat osteoporosis in postmenopausal women at high risk for fracture.
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REM Behavior Disorder, Dementia, and Parkinson’s Disease
In this well-designed prospective cohort study of patients with REM behavior disorder, the investigators reported that 73.5% of patients developed a neurodegenerative disorder after a 12-year follow-up.
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When to Screen for and Treat Asymptomatic Bacteriuria
New guideline recommendations indicate that the only unequivocal indications for screening and treatment of asymptomatic bacteriuria are pregnancy and undergoing endoscopic urologic procedures associated with mucosal injury.
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Not Just Bulk: Dietary Fiber Crucial to Good Health
Dietary fiber is crucial to maintaining a healthy gut microbiome. The microbiome helps determine our mental and physical health in ways that continue to be discovered.
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Brexanolone Injection (Zulresso)
Brexanolone is indicated for the treatment of postpartum depression.
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Update on Treatments for Vulvovaginal Atrophy
As with many clinical conditions, the spectrum of genitourinary syndrome of menopause requires the clinician to consider the effect on the patient’s quality of life. Although situational lubricants and regular moisturizers effectively pacify many symptoms, local estrogen is a safe, effective, and affordable way to treat the vulvovaginal changes of menopause.
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Imagine: Multidrug-Resistant Acute Gonococcal Infection
What would happen if clinicians lost ceftriaxone as an effective therapy for gonococcal infection?
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Probiotics Do Not Prevent C. difficile Infection in Hospitalized Patients
A retrospective cohort study from a single California hospital revealed the administration of probiotics to patients receiving antibiotics did not reduce the incidence of healthcare facility-onset Clostridioides difficile infection.
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Does Physical Activity Lower the Risk of Parkinson’s Disease?
A systematic review and meta-analysis incorporating more than 500,000 subjects revealed that moderate to vigorous physical activity is associated with a significant reduction in development of Parkinson’s disease; this relationship is most pronounced in men.