Internal Medicine Alert – December 15, 2009
December 15, 2009
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Perhaps You Already Suspected This...
A significant proportion of patients with difficult- to-control asthma are non-adherent to both inhaled and oral corticosteroid therapy. -
Dying from Dementia
Advanced dementia mortality rates rise after episodes of fever, pneumonia, and eating problems. Treatment decisions often lead to burdensome interventions and distressing symptoms that might be avoided if caregivers were better informed about the expected complications and prognosis of this condition. -
Brief Report: Bacterial Co-infection in H1N1 Influenza
Data early on in the pandemic influenza outbreak suggested that most severely ill patients with influenza A were not suffering from bacterial co-infection. -
Pharmacology Update: Ustekinumab Injection (Stelara™)
A monoclonal antibody against interleukin-12 and interleukin-23 has been approved by the FDA for the treatment of plaque psoriasis. Ustekinumab is marketed as a subcutaneous injection by Centocor Ortho Biotech as Stelara™. -
Clinical Briefs By Louis Kuritzky, MD
The emerging risk factors colla-boration collected data from prospective observational studies of persons without CV disease at baseline (n = 69 studies, with 302,430 participants). Lipid fractions measured in these studies included LDL, HDL, apo B, and apo A1. Risk for incurring CV endpoints was stratified for each lipid fraction. -
ECG Review: The Likely Diagnosis?
The ECG shown above was obtained from a 60-year-old man with a history of a dilated cardiomyopathy. Given this information, what clinical concerns might you have if this patient presented to the emergency department in heart failure with the tracing above?