Internal Medicine Alert – January 30, 2010
January 30, 2010
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An Addition to the Neurological Examination?
When an older patient lies obliquely (at an angle) when asked to lie on a bed, he or she may be developing dementia. -
Continuing Low-dose Aspirin with Peptic Ulcer Bleeding
Recurrent peptic ulcer bleeding was increased in patients with known cardiovascular or cerebrovascular disease when daily low-dose aspirin was continued along with proton-pump inhibitors, but overall mortality was significantly less during the 8-week follow-up. -
Get the Lead Out!
Low-level lead intoxication, known to adversely affect young children's cognitive development and behavior, may also harm young adults. -
Effects of High- vs Low- dose ARBs on Outcomes in Patients with CHF
Losartan 150 mg/day reduced left ventricular ejection fraction, intolerance to ACE inhibitors, and the rate of death and/or hospital admission for heart failure in patients with CHF more than did losartan 50 mg/day, thereby demonstrating the potential value of uptitrating ARB doses to confer clinical benefit. -
Tranexamic Acid Tablets (Lysteda™)
The FDA has approved tranexamic acid, an antifibrinolytic drug, for the treatment of cyclic heavy menstrual bleeding. -
Clinical Briefs by Louis Kuritzky, MD