Internal Medicine Alert
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What Observations Can One Make?
The rhythm in the figure is challenging to interpret. More than one answer is possible. Unfortunately, no clinical information was available on the patient. What observations can one make about the cardiac rhythm?
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Galcanezumab-gnlm Injection (Emgality)
Galcanezumab is indicated for the preventive treatment of migraine and treatment of episodic cluster headache.
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Statin Use Moderately Reduces Dementia Risk After Concussions in Older Individuals
In a large population study, concussion in older adults resulted in significantly higher risk for dementia that was modestly lower among those taking a statin.
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The Return of Measles
The number of measles cases in the United States has exceeded 1,000 so far in 2019, the largest number in 25 years.
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Workplace Violence, Bullying Associated With Cardiovascular Disease Risk
In a 12-year follow-up of surveyed Scandinavian employees, reported workplace violence and bullying increased the risk of future cardiovascular disease of a magnitude similar to other recognized cardiovascular disease risk factors.
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Poor Diet May Cause More Than 80,000 Cancers Each Year in the United States
In a recent analysis, investigators noted a correlation between a diet loaded with processed red meat and various types of cancers.
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Midazolam Nasal Spray (Nayzilam) CIV
Midazolam nasal spray should be prescribed to treat acute intermittent, stereotypic episodes of frequent seizure activity (acute repetitive seizures, seizure clusters) that are distinct from the patient’s usual seizure patterns.
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Physicians Cannot Agree on Who Benefits From ICU Care
The authors of a study randomizing U.S. critical care physicians to analyze hypothetical patient vignettes found that estimates of whether a patient would benefit from ICU care were widely dissimilar among those surveyed and influenced by factors unrelated to severity of illness.