Internal Medicine Alert
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Worse Than Snake Oil
Rattlesnake “pills” are basically dehydrated, ground up rattlesnake meat stuffed into gel caps. These may be sold locally in health food stores and are available online. The FDA has not reviewed nor approved this item.
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Invasive Procedures and the Risk of Infective Endocarditis
This large study suggests that several invasive, nondental medical procedures may be triggers for subsequent infective endocarditis, reopening the debate regarding prevention and management.
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Does Triple Inhaled Therapy for COPD Decrease Exacerbations Compared to Dual Therapy?
A single dose of inhaled triple therapy improved exacerbations compared to dual therapy in COPD patients.
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Avatrombopag Tablets (Doptelet)
Doptelet is prescribed for adults with thrombocytopenia and chronic liver disease who are scheduled to undergo a medical procedure.
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‘The World Is Covered by a Thin Layer of Feces’
This study mirrors earlier work in New York City, which found that sand boxes and dog play areas often are contaminated with C. difficile.
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Oral Antibiotics May Increase the Risk for Nephrolithiasis
A case-control study found that receipt of an oral antibiotic in the preceding three to 12 months was associated with nephrolithiasis. The risk persisted up to five years, and younger patients were at increased risk.
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Does Childhood Adversity Affect the Menopausal Transition?
The number and timing of adverse childhood experiences in relation to puberty affect the risk of incident major depressive disorder in menopausal transition.
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Simple Prediction Tool Facilitates Diagnosis of Heart Failure With Preserved Ejection Fraction
In patients with unexplained dyspnea, a score based on six noninvasive criteria can predict the likelihood of heart failure with preserved ejection fraction.
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An Uncommon Cause of ST Elevation?
Are the ST-T wave abnormalities seen in the tracing with this article the result of early repolarization? Or is this likely to represent acute pericarditis?
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Amlodipine and Celecoxib Tablets (Consensi)
Consensi is indicated for patients for whom the treatment with amlodipine for hypertension and celecoxib for osteoarthritis is appropriate.