Internal Medicine Alert – May 15, 2021

May 15, 2021

• Ketogenic Diet Improves Cognition, Daily Function in Alzheimer’s Disease Patients

  In a randomized, crossover trial, patients with Alzheimer’s disease on a ketogenic diet for 12 weeks demonstrated improved cognition, daily function, and quality of life.

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• Intracranial Plaque Rupture and Stroke

  An MRI study of cerebral circulation in patients with embolic stroke of undetermined etiology showed evidence of atherosclerotic plaque in most patients.

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• Exercise Intervention for Improving Metabolic-Associated Fatty Liver Disease

  Researchers assessed the histological appearance of liver biopsies from patients with metabolic-associated fatty liver disease (MAFLD) who completed 12 weeks of structured and supported aerobic exercise. Compared to biopsies from a nonexercising control group, the intervention arm demonstrated some reversal of histopathologic changes caused by MAFLD.

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• Viloxazine Extended-Release Capsules (Qelbree)

  Viloxazine should be prescribed to treat ADHD in patients age 6 to 17 years.

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• What Is the Rhythm? What Is the Culprit Artery?

  The ECG in the figure was obtained from a middle-aged man with chest pain. What can one say about the cardiac rhythm? How can one determine the “culprit” artery?

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