Internal Medicine Alert
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Finding the Most Effective Treatment for Hair Loss in Men
Among three common treatments for male androgenic alopecia, the authors of a meta-analysis found 0.5 mg/day of dutasteride to be the most effective.
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VIRSTA vs. PREDICT: Which Is Best for Anticipating Endocarditis?
Researchers in Columbia put predictive scoring methods through their paces.
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Adverse Effects of Electronic Cigarettes on the Disease-Naïve Oral Microbiome
A robust metagenomic comparison study of the effects of electronic cigarettes on oral microbiomes suggested that the unique aerosol component of electronic cigarettes poses increased risk to development of oral cavity disease.
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Post-Exercise Premature Ventricular Contraction, or Aberrancy?
The ECG in the figure is a post-exercise tracing. There are four wider and slightly early occurring beats in the long lead rhythm strips. Are these beats premature ventricular contractions or premature atrial contractions conducted with aberration?
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Incidence, Prevalence, and Long-Term Consequences of Small Fiber Neuropathy
Small fiber neuropathy (SFN) associated with diabetes and other causes is more likely to progress to large-fiber polyneuropathy, deteriorate faster, and cause worse disability vs. slow progression with idiopathic SFN.
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Coronary CT Angiography in the General Population
Coronary artery CT angiography in asymptomatic, middle-aged subjects without known coronary artery disease showed coronary atherosclerosis is common but mostly mild and appears in women after a 10-year delay.
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Pilocarpine Hydrochloride Ophthalmic Solution 1.25% (Vuity)
Pilocarpine ophthalmic solution (OS) can be prescribed to treat presbyopia.
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Varenicline Nasal Spray (Tyrvaya)
Varenicline nasal spray is indicated to treat the signs and symptoms of dry eye disease.
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Celecoxib and Tramadol Hydrochloride Tablets (Seglentis) C-IV
Seglentis can be prescribed to adults to help them manage acute pain that is severe enough to require an opioid analgesic.
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What Is the ‘Bix Rule?’
The ECG in the figure was obtained from a middle-aged man with a history of exertional chest pain and dyspnea. How would one interpret this tracing? Does the red arrow in lead II show a sinus P wave?