Internal Medicine

This systematic review and meta-analysis hope to determine the influence of non-steroidal anti-inflammatory agent use on depressive symptoms and in those with depression.

Study Shows Feeding Tubes in Advanced Dementia Leads to Worse Outcomes

A 28 year-old commercial realtor comes to your office on Monday morning after spraining his right ankle in a basketball game with friends the preceding Saturday afternoon. He has a swollen right ankle with tenderness inferior and anterior to the lateral malleolus. He is limping but able to apply weight to the injured extremity.

This newborn was found to have these fragile white lesions on the scrotum and extremities along with dark macules on the face. The child was otherwise asymptomatic and the pregnancy was uncomplicated, with no significant medication exposures and no family history of similar lesions.

A 35 year-old man with a history of hypertension, obstructive sleep apnea and obesity presents to clinic with complaints of non-cardiac chest discomfort. He is requesting refills of his blood pressure medications. His insurance changed 6 months ago and he has not had them since. The nurse performs the intake vital signs and reports that the patient has a blood pressure of 280/150 mmHg.

This is 52-year-old woman presented to the emergency with department with a 4-day history of upper abdominal cramping pain, nausea, vomiting, and distended abdomen.

Beth Israel Deaconess Medical Center (BIDMC) investigators had identified Carbon Monoxide (CO) as a viable agent in fighting off bacterial infections.

The ESC Congress 2014 was one of the largest meetings in the history of the society, with more than 30,300 delegates in attendance at 27 clinical Hot Line presentations; 15 clinical trial updates; 19 registry studies; 4 new guidelines; and 4597 abstracts presented. Cardiology Review profiles 7 presentations.

Does this study raise more questions than it answers?

Although the introduction of peroral endoscopic myotomy (POEM) for the treatment of achalasia, a condition that affects the ability of the esophagus to move food into the stomach, has caused quite a stir, clinicians are reminded to consider additional factors when discussing therapeutic options.

Analyzing the brain patterns of social anxiety disorder (SAD) patients, Massachusetts Institute of Technology (MIT), Boston University (BU), and Massachusetts General Hospital (MGH), neuroscientists uncovered a method to pinpoint which candidates will benefit from cognitive behavioral therapy (CBT).

Patients with irritable bowel syndrome with diarrhea (IBS-D) suffer not only the pain and discomfort of frequent loose stools, but fear of incontinence. For many patients, that results in panic and anxiety.

The health care policy, written by Gary Rivard, DO, and Anthony Viera, MD, was published in The Journal of Family Practice. The authors noted that while more people are receiving vaccinations for pertussis, the US Centers for Disease Control reported 48,277 confirmed cases – the highest number since 1955, including 20 deaths related to the disease.

Benign paroxysmal positional vertigo (BPPV), an idiopathic condition for patients, occurs when otoconia of the utricular macula become dislodged and floating debris moves into semicircular canals. Recently, researchers have noted patients with BPPV tend to have low serum vitamin D levels compared with controls.

Research teams examining the safety and efficacy of zanamivir and oseltamivir for influenza treatment concluded they are not as effective as popularly believed.

Study results published in the European Respiratory Journal show that rates of inflammatory bowel disease (IBD) incidence have significantly increased in individuals with asthma or chronic obstructive pulmonary disease (COPD).

When cocaine users seek medical attention at a hospital regularly used scans may miss some hidden damage done to the patient's heart. A new study looked at other areas that could help maintain their longterm health.

Many people could be more active in their daily lives. The question for physicians is: How do you make that happen, especially for children and adolescents? A recent study provides clues about how to help patients maintain a healthy lifestyle.

For patients suffering a first-time cardiac event there could be warning signs in the form of a condition called vital exhaustion. A recent study looked at the causes and signs of vital exhaustion and potential preventive measures and treatments for these patients.

Kirk Garratt, MD, presenting at the 2014 American Heart Association Scientific Sessions, said "The TAXUS Liberte Post-approval Study (TL-PAS) was designed to provide long-term safety and efficacy information about the clinical outcomes for the TL stent combined with the use of prasugrel and aspirin."

Affecting just one in every 100,000 people, ANCA-associated vasculitis is not one of the more common conditions nephrologists will encounter. However, without proper treatment it can have serious adverse effects on a patient's life.

Alternate day fasting can be an effective weight loss strategy, but optimal meal timing on fast days has not been thoroughly examined.

Patients with Lyme disease know that their symptoms and the effects of the disease can be debilitating and last for a long time, often persisting even after treatment.

Twenty-five years ago I was told by my partner who had considerably more experience than I that the best way to build a medical practice was to follow the 3 "A's of medicine". In order of relevance they are availability, affability, and ability. Ability comes third because unless a doctor is available to patients so they come enough to like him, they would never know if he has any ability.

Low total serum testosterone was independently associated with greater carotid intima media thickening and endothelial dysfunction but not with atherosclerotic plaques.