Internal Medicine

On Tuesday, the American Medical Association's House of Delegates debated the wisdom of forming a so-called Super PAC to help influence elections. However, the idea raised a number of concerns.

A 25-year-old man with no prior cardiac history presents for evaluation of presyncope. He reports he was shaving when he felt chest pain, shortness of breath and palpitations. He felt dizzy and diaphoretic. Symptoms resolved after 15 minutes.

Obesity contributes to significant morbidity and mortality among primary care patients. This paper summarizes options for pharmacological management of obesity. Medications approved for obesity are Phenteremine/Topiramate, Orlistat, Lorcaserin, Naltrexone/Bupropion, Liraglutide.

The IBIS-I randomized control trial included women of ages 35-70 from 37 health centers in eight countries from April, 1992, until March, 2001 that were deemed to be at increased risk of developing breast cancer (by virtue of family history of breast cancer or abnormal benign breast disease), and randomized to treatment with oral tamoxifen or placebo for 5 years.

This 25-year-old African-American man has had this papular rash for the last 2 years following a short haircut. Initially he had pustules, itching and inflammation but currently only has itching papules that are slowly enlarging. Triamcinolone 0.1% ointment has helped the itching. Past history and remainder of physical examination is noncontributory.

The American Medical Association on Monday called the military's policy of excluding transgender service members "out of date."

As the diabetes epidemic continues to grow doctors are being faced with the task of stopping or reversing the trend.

An Ontario historian and hematologist has become perhaps the world's leading expert on the role medicine has historically played in how miracles are assessed by the Catholic Church as part of its process to grant sainthood.

Study results show that the combination of metformin and glibenclamide is as effective as insulin in achieving glycemic control in women with gestational diabetes and may be a more acceptable and cost effective therapy.

Patients' choices for end of life care can be measured and observed, according to a pneumonia study published in JAMA Internal Medicine.

Hepatitis C virus screening is a challenge, and strategies must be implemented to make diagnoses and treatment therapies easier, according to a JAMA study.

Empagliflozin, a diabetes drug that controls glucose levels, may also help ameliorate erectile dysfunction in patients with type 2 diabetes mellitus.

Overt hyperthyroidism is a known risk factor for osteoporosis and fractures. More subtle alterations in thyroid function, such as those that occur in subclinical thyroid dysfunction, may also be associated with increased fracture risk and bone loss, but until recently no clinical trials have adequately explored that issue.

Multiple sclerosis progression can be halted using a newly developed drug-like molecule, according to a study from Australia.

A growing trend in the medical community is the use of a technique known as mindfulness based stress reduction. While the results have shown to be inconclusive in the treatment of multiple sclerosis there is work being done to show its efficacy in helping patients.

Bruce Jenner's transformation into Caitlyn Jenner is global news. It's a good time to discuss gender issues--but how?

Non evidence-based proton pump inhibitor use should be discontinued in the case of Clostridium difficile infection, according to findings published in JAMA Internal Medicine.

With certain strains already proving to be resistant to treatment with antibiotics, Staphylococcus aureus is posing another major health threat.

The American Medical Association's 538 delegates will convene in Chicago, Il June 6-10. Vaccination policy, the ethics of doctors promoting unproven remedies, transgender military medical care, and are sunglasses sufficiently regulated are just of few of the 250 topics due to come up for discussion.

Treating multiple sclerosis requires the work of a number of people. One of the key members of that team is the nurse. Specially trained nurses can help ease the burden of doctors while also providing needed help to patients.

People who have type 2 diabetes —but not type 1— are statistically less likely to get amyotrophic lateral sclerosis (ALS), a new study found.

When many people think of ballroom dancing they likely think of Fred Astaire and Ginger Rogers. The same steps that made them famous on the big screen could help people stay on their feet despite the challenges of multiple sclerosis.

One of the biggest concerns about patients with multiple sclerosis is their potential to have movement limited by the condition. Researchers are looking for ways to stop that from happening.