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The ECG shown above was obtained from a patient with acute shortness of breath. The QRS complex was recognized to be wide, and the clinical question raised was whether the patient should be immediately shocked. How would you respond?
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Erythromycin, 250 mg bid, reduced the number of exacerbations in patients with moderate COPD over a 1-year period.
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In a multicenter, prospective, randomized study of Japanese Type 2 diabetic patients, low-dose aspirin as primary prevention did not reduce the risk of cardiovascular events.
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Lack of sleep impairs the immune system and lowers resistance to viral illness. The quality of sleep is important. Those volunteers who spent less than 92% of their time in bed asleep were five-and-a-half times more likely to become ill than those who were asleep for at least 98% of their time in bed.
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Most clinicians maintain a fairly glucose-centric view of diabetes. That is, we have made the assumption that the most visible derangement in diabetes, hyperglycemia, is the culprit producing vascular disease.
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Hypothermia has been recorded throughout history. Galen, personal physician to Marcus Aurelius, wrote in his treatise "Hygiene" that newborns should be wrapped in swaddling clothes because, "it is necessarily going to come in contact with cold and heat."
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There is a 40% chance that your patients are using complementary and alternative remedies according to new report from the Centers for Disease Control & Prevention.
