Browse Internal Medicine Articles by Topic

A Brief Report of Clinical Trials Results from the 2016 International Stroke Conference

This article provides an overview of the research presented at the 2016 International Stroke Conference.

Hypoxia-induced Migraine

Hypoxia-induced migraine attacks with and without aura, in an experimental paradigm, were accompanied by dilation of cranial arteries in individuals who have migraine with aura, as well as in healthy control subjects.

Predicting Seizure Recurrence with Routine EEG after First Unprovoked Seizure

The authors systematically reviewed prospective and retrospective studies of adults and children undergoing routine electroencephalography (EEG) after a first unprovoked seizure who were followed for at least 1 year. Using positive likelihood ratios, an adult and child with epileptiform discharges on EEG were estimated to have a 77% and 66% probability, respectively, of recurrent seizures.

Pick Disease: Picking Away at the Pathology

The neuropathologic changes of Pick disease may sequentially progress through the brain in specified phases over time and may correlate with the progression of clinical symptoms.

Thalamic Pain: Who Is Likely to Develop This Disorder?

In a careful anatomic and physiologic study of patients with thalamic stroke, the authors demonstrated that the combination of anterior pulvinar nucleus involvement with spinothalamic dysfunction predicts a “thalamic pain syndrome” with > 90% sensitivity.

Peripheral Nerve Disorders After Cardiac Surgery

Following cardiac surgery, about 6% of patients will suffer a peripheral nerve injury, mostly due to compression, traction, or nerve ischemia. Proper patient positioning can prevent most of these injuries.

Treatment of Acute Ischemic Stroke

MONOGRAPH: The faster definitive stroke treatment is administered, the better the outcomes. Unfortunately, most patients arrive too late.

Apneic Oxygenation During Intubation for Respiratory Failure

Use of apneic oxygenation with a high-flow nasal cannula during endotracheal intubation for acute respiratory failure is no better at preventing arterial oxygen desaturation than usual care using pre-oxygenation.

Does Acetaminophen Help Febrile Patients with Infection?

Scheduled intravenous acetaminophen lowers temperature but does not affect ICU-free days, mortality, length of stay, or adverse events in patients with sepsis.

What is the Best Rate Control Agent for Patients with Sepsis and Atrial Fibrillation?

Beta-blockers may be associated with better outcomes in patients with sepsis and atrial fibrillation.