Internal Medicine
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Acute on Chronic Liver Failure: New Definition and Implications
Ascites, gastrointestinal hemorrhage, hepatic encephalopathy and bacterial infections are common complications experienced by patients with cirrhosis. Traditionally, when a cirrhotic patient experiences one of these complications and develops worsening liver function, he or she is diagnosed with acute on chronic liver failure. -
Hospital Medicine Alert - Full June 2014 Issue in PDF
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To D or Not to D?
The American Geriatrics Society has published guidelines on the use of vitamin D supplementation for the prevention of falls in the elderly, but some researchers are not on board with this. -
Internal Medicine Alert - Full May 29, 2014 Issue in PDF
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Pharmacology Update: Mixed Pollen Extract Sublingual Tablets (Oralair)
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Changes in Diabetes-Related Complications in the United States
In diabetes-related complications in the United States from 1990-2010, the incidence of myocardial infarctions and death has decreased by 68%, stroke and amputation has declined by 50%, while end-stage renal disease has declined by 28%. -
Value of the Physical Examination in Heart Failure
The authors concluded that physical examination signs of congestion are important prognostic indicators in the modern therapeutic milieu of congestive heart failure. -
Clinical Briefs
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Updates
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Neurological Manifestations of Influenza in the Era of the new Pandemic (H1N1) Strain
25 cases of neurologic complications of influenza were reported from Great Britain beginning in 2011. 84% of cases were seen in children. A variety of distinct neurological manifestations were seen. 80% of patients required intensive care, 68% had poor outcomes, and 4 patients (16%) died.