Internal Medicine Alert – October 30, 2016

October 30, 2016

• Effects of Aspirin on Risk of Early Recurrent Stroke After Transient Ischemic Attack and Ischemic Stroke

  Aspirin administered early after the onset of transient ischemic attack symptoms substantially reduces the risk of developing a stroke.

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• The Growing Threat of Pyelonephritis Caused by Antibiotic-resistant Escherichia coli

  In patients with acute pyelonephritis due to Escherichia coli presenting to one of 10 EDs, the prevalence of fluoroquinolone resistance ranged from 6.3% to 19.9%, and the prevalence of extended-spectrum beta-lactamase production was 2.6% to 12.2%.

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• Headaches in the Elderly: A Non-specific Marker for Stroke Risk

  Non-migrainous headaches, for which there are many causes, appear to be a risk factor for stroke in an elderly population, but the mechanism is uncertain.

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• Aspirin and Omeprazole Delayed-release Tablets (Yosprala)

  The combination is indicated for patients who require aspirin for secondary prevention of cardiovascular and cerebrovascular events and who are at risk of aspirin-associated gastric ulcers.

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• Clinical Briefs

  In this section: improving CPAP adherence; drug therapy for type 2 diabetes; and correcting inhaler techniques.

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