Internal Medicine

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"All kinds of obesity cause asthma," declared Akshay Sood, MBBS, FCCP during his presentation at CHEST 2014. In the scope of synergistic epidemics, the question of what kind of obesity causes asthma is a rather relevant one.

Stress cardiomyopathy is a unique cardiac syndrome in which transient left ventricular (LV) systolic dysfunction mimics acute myocardial infarction (AMI). It is usually brought on by acute emotional or physical stress (or both) and has 3 distinctive features: acute LV wall dysfunction, absence of significant obstructive coronary artery disease, and rapid improvement of LV systolic function within days or weeks.

Calculation and interpretation of the anion gap is extremely useful in the evaluation and treatment of the patient with metabolic acidosis. In this installment, we look at case examples involving patients with multiple sclerosis and urosepsis; COPD, diabetes, and renal failure; and type 1 diabetes.

Atopic dermatitis is the most common inflammatory pediatric skin disorder, with reported incidences ranging from 10% to 20%. The principles of effect care include fixing the skin barrier, short-circuiting inflammation, decreasing itching, treating infections, and striving for prevention by addressing the triggers.

The US Food and Drug Administration (FDA) on Oct. 10 approved a new drug combining ledipasvir and sofosbuvir (Harvoni/Gilead) as a treatment for chronic hepatitis C virus (HCV) infection. The approval is the third drug approved for chronic HCV in the past year. The others are simeprevir (Olysio/Janssen) and sofosbuvir (Sovaldi/Gilead).