Internal Medicine
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Pediatric Coccidioidomycosis in California, 2000-2012
The incidence of pediatric coccidioidomycosis in California has increased significantly from 2000 until 2012, along with hospitalization for complicated disease. Latino children were most commonly infected, but African-American children were significantly more likely to be hospitalized.
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Trimethoprim-sulfamethoxazole versus Placebo for Skin Abscesses After Incision and Drainage
A multicenter, double-blind, randomized clinical trial found that a 7-day course of trimethoprim-sulfamethoxazole following incision and drainage (I&D) resulted in a higher rate of cure for skin abscesses compared to I&D and placebo (80.5% vs 73.6%, respectively; P = 0.005).
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The Current Outlook for Cardiac Tamponade
In the modern era, cardiac tamponade is most commonly caused by malignancies with poor prognosis. As compared to older literature, iatrogenic causes have increased, most resulting from complications of percutaneous coronary intervention.
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Ventricular Tachycardia Ablation for Recurrent Arrhythmia and Coronary Artery Disease
Acute and long-term success rates with ventricular tachycardia ablation in patients with coronary artery disease are relatively high with an acceptably low complication rate.
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Cardiopulmonary Exercise Testing and Survival in Systolic Heart Failure
A large study of patients with chronic systolic heart failure undergoing cardiopulmonary exercise testing found peak oxygen uptake, exercise duration, and percent predicted peak oxygen uptake were the strongest predictors of survival.
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Prognostic Value of Coronary Calcium on Standard Chest CT Scans
Coronary calcium scan on standard CT scans performed for other indications is of equivalent prognostic value to that seen on ECG-gated coronary studies and should be included in radiology test reports.
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TAVR Still a Viable Option for Many Left Main Disease Patients
Performing planned left main percutaneous intervention before or during transcatheter aortic valve replacement does not confer increased risk of short- or intermediate-term adverse outcomes.
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Outcome of PCSK9 Inhibitor-treated Patients
In a recent study, proprotein convertase subtilisin-kexin type 9 serine protease inhibitors significantly improve lipid profiles and reduce all-cause mortality, but were associated with more neurocognitive adverse events than placebo.
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Potatoes Increase Risk of Type 2 Diabetes Mellitus
Few would question the recommendation to increase daily vegetable intake. Yet, an important question arises — are all vegetables created equal?
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Why We Can’t Allow Physical Exam Skills to Languish
With more highly evolved and readily available technology at our fingertips, it is sometimes tempting to let the echocardiogram sort out the abnormal heart sounds we detected, or allow the pelvic ultrasound to inform whether the uterus is enlarged, or short-cut parts of the physical exam we anticipate to be unlikely sources of pertinent information.