Browse Internal Medicine Articles by Topic

Why Dentists Are Suddenly Smiling

In this meta-analysis of 51 randomized, controlled studies that included nearly 5000 patients, continuous positive airway pressure and oral appliances resulted in comparable and statistically significant reductions in blood pressure.

Diabetes, Dementia, and Hormones

Higher levels of estrogen may exacerbate risks that type 2 diabetes pose for cognitive function decline in older women.

Infectious Disease Alert Updates

Diagnostic Puzzle? Solved by The New York Times; Glucometers as Culprit; Shorter Isolation Times for TB

Clinicians Are Skeptical of Early Warning Systems for Sepsis

While early warning systems for sepsis lead to clinical action, clinicians are skeptical and do not perceive them to be beneficial.

Posaconazole Dosing — Beware!

The availability of two different oral formulations of posacozaole (oral suspension, delayed release tablets) with differing bioavailability and dosing requires great care by both prescribers and dispensing pharmacists in their use.

Bronchiolitis

Bronchiolitis is a common infection caused by several different viruses; 20% of children in the United States seek medical care for respiratory syncytial virus , a common cause of bronchiolitis, during the first year of life. Supportive care is effective, but many children still receive pharmacologic treatments that have been proven to be ineffective.

Outbreaks of Salmonellosis Associated with Turtles

Eight outbreaks with 473 cases of salmonellosis associated with small turtles occurred in the United States from 2011-2013, despite the 1975 ban of the sale and distribution of small pet turtles. The outbreaks disproportionately affected children younger than 5 years of age (55% of case-patients) and Hispanics (45% of case-patients).

Both Azithromycin and Doxycycline Achieve a High Rate of Cure for Chlamydia

Although a well-conducted randomized clinical trial did not show that azithromycin was non-inferior to doxycycline for the treatment of chlamydia, both treatments resulted in a high rate of cure (97% and 100%, respectively).

Next-generation Sequencing to Diagnose Cryptic Hep B and E

ABSTRACT & COMMENTARY: Sera from patients with hepatitis of unknown etiology were studied using next-generation sequencing.

Delay in Performing Endovascular Reperfusion Results in Worse Disability Outcomes

In the past year, multiple clinical trials have reported that intra-arterial endovascular reperfusion with mechanical clot extraction, using the SOLITAIRE stent retriever device and others, results in better neurological outcomes than treating patients with intravenous thrombolysis alone with TPA. There is still uncertainty regarding the maximum time window, and how important early intervention is as related to neurological recovery and long-term outcomes.