Browse Internal Medicine Articles by Topic

Pharmacotherapy Considerations for COVID-19

This article provides a brief summary of selected pharmacotherapy options proposed for COVID-19.

A ‘Normal’ Initial ECG?

The ECG in the figure was obtained from a 30-year-old man who was admitted to the hospital to “rule out myocardial infarction.” His symptoms of chest discomfort were thought to be atypical and unlikely to be due to a cardiac etiology. His initial ECG (not shown) was interpreted as normal. Evaluation, including serial troponins and stress testing, were deemed normal. Before sending the patient home, the ECG in the figure was obtained.

Peanut (Arachis hypogaea) Allergen Powder-dnfp (Palforzia)

This is the first FDA-approved oral immunotherapy for desensitizing peanut allergy in children to help reduce the risk of allergic reactions.

The Safety and Effectiveness of Pyrethroid Insecticides as the Battle Against Mosquitoes Continues

There is a statistical association between a urine test suggestive of exposure to pyrethroid insecticides and increased mortality over the subsequent 14 years.

Optimal Antithrombic Therapy After PCI for Atrial Fibrillation Patients

In three subgroups of coronary artery disease patients with atrial fibrillation, apixaban plus a P2Y₁₂ inhibitor provided superior safety and similar efficacy outcomes as treatment with warfarin, aspirin, or both for six months.

Heart Failure-Exacerbating Medications

In a large, diverse cohort of Medicare patients hospitalized for heart failure exacerbations, almost half were on medications known to exacerbate heart failure; more than one-third were on these agents at discharge.

Using Apple Cider Vinegar for Weight Management on a Restricted Diet

Supplementation with 30 mL of apple cider vinegar combined with a restricted calorie diet may decrease body weight, body mass index, and serum triglyceride levels in people with obesity.

Are Epidural Steroid Injections Cost-Effective?

In a retrospective review of patients treated for low back pain and lumbar radiculopathy at the Cleveland Clinic, at three- and six-month follow-up, epidural steroid injections were no better than conservative therapies in quality of life measures or overall cost of medical care.

Mindfulness Interventions for ADHD: Neurobiologic Antidote?

The current standard of care consists of behavioral interventions and stimulant medication; however, symptoms often are recalcitrant to these therapies and medication treatment has significant potential for undesirable effects. Functional neuroimaging studies support the premise that functional connectivity abnormalities in attention deficit hyperactivity disorder brains may be targeted directly and improved by mindfulness and meditation interventions.

Cavum Septum Pellucidum and Cavum Vergae: Markers of Chronic Brain Injury?

A cohort study assessing participants from the Professional Fighters Brain Health Study found that the presence of cavum septum pellucidum and cavum vergae is associated with lower regional brain volumes and lower cognitive performance.