Primary Care/Hospitalist
RSSArticles
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Emergency Medicine Reports - Full November 16, 2014 Issue in PDF
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Rheumatoid Arthritis: An Emergency Physician’s Perspective
Rheumatoid arthritis (RA) is a systemic polyarticular form of inflammatory arthritis of unclear etiology. It primarily involves the synovial joints and is commonly symmetric. Joint pain and swelling are most commonly seen in patients with this condition. The presence of autoantibodies such as rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPAs), which the anti-cyclic citrullinated peptide (CCP) falls under, are found in the majority of patients. Left untreated, there is a high risk of significant deformity and disability.
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Medical Treatment Is Effective, But Only if It is Used
In this randomized controlled trial, those sleep apnea patients who received a brief (< 1 hour, total) motivational education program had substantially better continuous positive airway pressure adherence in a short-term follow-up. -
Who Is Shopping for You?
In a study of young adults, attempted physician deception to obtain a pharmaceutical drug was found to exist in a limited manner along with general characteristics of those patients who may divert medications. -
Ledipasvir and Sofosbuvir Tablets (Harvoni ® )
The first fixed-dose combination drug product has been approved for the treatment of chronic hepatitis C virus (HCV) genotype 1 infection. The combination contains a previously approved HCV nucleotide analog NS5B polymerase inhibitor, sofosbuvir (SOF), and a NS5A inhibitor, ledipasvir (LDV). This represents the first treatment option for HCV genotype 1 that does not require ribavirin or interferon. -
Chest Pain and an Anterior ‘Culprit’
The ECG in the Figure was obtained from a patient with new-onset chest pain. What is the likely culprit artery? Is this patient a good candidate for acute reperfusion? -
Insulin Pump Outperforms Multiple Injections in Type 2 Diabetes
Sometimes despite best efforts on the part of the clinician and the type 2 diabetes patient, A1c goals are not met. Although in some circumstances the underlying limitation to goal attainment is readily discernible (hypoglycemic episodes, non-compliance, medication misadministration, excessive weight gain, other adverse effects), it is not always so clear. -
Internal Medicine Alert - Full September 29, 2014 Issue in PDF
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Hospital Medicine Alert - Full October 2014 Issue in PDF
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Hemoptysis
Hemoptysis is defined as expectoration of blood from the lower respiratory tract. There are numerous conditions that cause hemoptysis, ranging from mild conditions such as bronchitis to life-threatening conditions such as pulmonary embolism or lung cancer. Hemoptysis is a serious symptom and may be evidence of an underlying disease process.