Internal Medicine Alert
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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.
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Is There AV Block?
The long lead II rhythm strip in the figure was recorded at the standard 25 mm/second speed. This tracing was obtained from a middle-aged woman who presented to an outpatient clinic with noncardiac chest pain. How would one interpret this rhythm? Are there signs of AV block? Is it apparent if there is a cardiac problem?
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Esketamine Nasal Spray (Spravato) CIII
Esketamine, in conjunction with an oral antidepressant, is indicated for the amelioration of treatment-resistant depression in adults.
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Witness Observations in Diagnosing Transient Loss of Consciousness
Investigators found that adding witness-reported observations to patient demographics and patient-reported symptoms improved the diagnostic accuracy between epilepsy, syncope, and psychogenic nonepileptic seizures.
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Medication First? Ablation First? Either Way, Make Weight Loss a Priority
Weight loss management and aggressive risk factor modification associated with slowing or even reversal of atrial fibrillation progression.