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Internal Medicine Alert

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Articles

  • Type 2 Diabetes Is Reversible

    Type 2 diabetes is reversible (or can be put in remission) in a primary care practice through an intense low-carbohydrate weight management program.

  • Clinical Briefs

    In this section: tackling insomnia with cognitive behavioral therapy; navigating the spurious claims of internet-advertised products; and updated guidelines regarding hypertension treatment.

  • Ozenoxacin Cream 1% (Xepi)

    Ozenoxacin is indicated for the topical treatment of impetigo due to S. aureus and S. pyogenes in adult patients and pediatric patients ≥ 2 months of age.

  • Updated Recommendations for Prevention of Hepatitis B Virus Infection

    Fresh recommendations for prevention of hepatitis B virus infection focus on testing and management of newborns.

  • Functional Imaging Studies in Parkinson’s Disease

    A meta-analysis of 142 studies demonstrated that functional imaging studies in Parkinson’s disease using tracers for aromatic acid decarboxylase showed smaller defects compared to those using tracers targeting dopamine transport and VMAT2. Symptom severity correlated linearly with dopamine neuron loss as determined by these imaging studies.

  • A Closer Look at the Effects of NSAIDs on Blood Pressure

    An ambulatory blood pressure monitoring substudy of the PRECISION trial showed that ibuprofen use significantly increased mean 24-hour systolic blood pressure compared to celecoxib. Further, naproxen produced intermediate results despite equivalent pain relief in patients with arthritis.

  • Kratom Alert: FDA Concerns

    Kratom, a plant that is banned in some countries, is available in the United States and has some safety concerns, mostly related to its opioid-like effects.

  • Anything Other Than RBBB?

    The ECG in the figure was obtained from a 60-year-old woman who presented to the ED with new-onset chest pain. The initial emergency care provider interpreted this tracing as showing complete right bundle branch block. Do you agree?

  • Clinical Briefs

    In this section: treating COPD with statins, tackling hearing loss with greater urgency, and educating patients about malignant melanomas.
  • Insulin Lispro Injection (Admelog)

    Admelog is indicated to improve glycemic control in adults and pediatric patients ≥ 3 years of age with type 1 diabetes mellitus and adults with type 2 diabetes mellitus.