Browse Internal Medicine Articles by Topic

Pre-existing Health Determines Quality of Life, Physical Symptoms After ICU Discharge

The authors of this nested cohort study within a randomized, controlled trial of ICU survivors requiring > 48 hours of mechanical ventilation found that pre-existing comorbidity was the main determinant of long-term health-related quality of life.

Massive Transfusion Protocols: Recommendations Regarding Initiation and Termination

This was a narrative review of societal recommendations for initiation of massive transfusion protocols based on objective scoring systems and clinical assessment and criteria for termination of protocols.

Implementing Restrictive Transfusion Strategies to Improve Patient Outcomes

There is extensive evidence supporting a restrictive transfusion approach in critically ill patients and cardiac surgery patients. The data favor restrictive strategies in hip and knee surgery, except in geriatric patients for whom evidence favors a more liberal transfusion strategy. Evidence is sparse in sepsis, oncology, and acute coronary syndrome patients, warranting further study.

Anything Other Than RBBB?

The ECG in the figure was obtained from a 60-year-old woman who presented to the ED with new-onset chest pain. The initial emergency care provider interpreted this tracing as showing complete right bundle branch block. Do you agree?

Clinical Briefs

In this section: treating COPD with statins, tackling hearing loss with greater urgency, and educating patients about malignant melanomas.

Insulin Lispro Injection (Admelog)

Admelog is indicated to improve glycemic control in adults and pediatric patients ≥ 3 years of age with type 1 diabetes mellitus and adults with type 2 diabetes mellitus.

Clostridium difficile Recurrence by Orally Administered Fecal Microbiota Transplantation

Fecal microbiota transplantation orally administered in capsules was non-inferior to administration by colonoscopy.

Blockade of CGRP for Migraine Prevention: Promising, but Not a Cure

Blockade of calcitonin gene-related peptide in patients with chronic or episodic migraine results in the prevention of about two headache days a month compared to placebo.

Obesity Is a Hormonal Illness

Once obese, a patient’s metabolism adapts with insulin resistance to maintain body fat. High insulin levels promote fat storage and block fat burning.

NOTICE: February 2018 was the final issue of this publication.

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