Internal Medicine Alert – July 15, 2011
July 15, 2011
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Treatment of Chronic Fatigue Syndrome
Chronic fatigue syndrome, as defined by clinical symptoms, may improve with a combination of behavior therapy and graded exercise. -
Diagnosis of Thoracic Aorta Dissection
Using an algorithm based on score and chest x-ray when appropriate, the overall sensitivity for the detection of aortic dissection was 96%. -
Pets in the Bedroom â" Move Over Rover!
The increasingly close and almost intimate relationships with our pets can lead to increased numbers of cases and the emergence of zoonotic diseases, including human plague (Yersinia pestis). -
Brief Report: Are You "Coated" with Bacteria?
The National Health Service in Britain in 2007 elected to ban traditional white coats and other long-sleeved garments for physicians in the workplace (including long-sleeved blouses and shirts). Subsequently, Scotland adopted similar policies. This decision was based on limited data suggesting that the cuffs and lower pockets of long-sleeved garments are more heavily colonized with bacteria than shorter garments. -
Fidaxomicin Tablets (Dificid™)
A new orally administered macrocylic antibiotic has been approved by the FDA for the treatment of Clostridium difficile infection. Fidaxomicin is a fermentation product of Dactylosporangium aurantiacum and is marketed by Optimer Pharmaceuticals, Inc., as Dificid. -
Clinical Briefs By Louis Kuritzky, MD
It has recently been recognized that type 2 diabetes (DM2) increases risk for osteoporotic fracture, even though it has been demonstrated that DM2 is associated with a paradoxical increase in bone mineral density (BMD) compared to age-matched control populations. With a burgeoning prevalence of DM2 in the United States, almost 20% of the at-risk population for osteoporotic fracture has DM2, hence, clarification of risk stratification for this group is highly relevant. -
ECG Review: 2nd Degree AV Block, Mobitz Type II?
Scenario: Interpret the rhythm strip shown above. Does it represent 2nd degree AV Block, Mobitz Type II? Clinically â why is it important to distinguish between Mobitz I and Mobitz II 2nd degree AV block?