Internal Medicine

Hyponatremia must be managed with care, especially in patients with chronic severe illness, due to the unpredictable nature of tolvaptan to raise serum sodium levels.

A 2,000 mg dose of high-quality American ginseng is effective as a treatment for cancer-related fatigue, though it may be better at preventing the condition.

Once an investment in liposuction has been made, it must be protected in order to reap its benefits for as long as possible.

A review of the cardiovascular safety and potential benefits of incretin-based therapies for patients with type 2 diabetes mellitus.

Patients would never go to a plastic surgeon for an ear infection or a Pap smear, so why are they turning to an ophthalmologist or gynecologist for cosmetic enhancements?

There has been much speculation about whether the implementation of complex mental health parity rules will actually yield equal coverage of care.

In 10 randomized controlled studies, patients who chewed gum after elective colorectal surgery had shorter lengths of hospital stay and were less likely to experience complications.

A meta-analysis examines the association between the degree of egg consumption and the risk of coronary heart disease (CHD) and stroke.

Several factors should be considered when choosing a medication and dosing schedule for this depressed adult male who reports being "very sensitive" to medication and expresses particular concern about being either sedated or "revved up" from an antidepressant.

Calcium supplementation with or without a high-calcium diet increases the risk of heart disease, and thus should be discouraged.

Many years in the making, but not without controversy, the JNC 8 is a welcomed evidence-based guideline for the management of hypertension.

Researchers at Tufts University have published a timely review of the cranberry's phytochemical composition with emphasis on urinary and cardiovascular heath.

In addition to treating episodes of major depression, Brintellix (vortioxentine) has demonstrated superiority to placebo on measures of cognitive function in adult patients with major depressive disorder (MDD).

Results from animal models of depression and a human clinical trial show that enhancing, instead of blocking, the NMDA glutamate receptor can cause antidepressant-like effects.

A researcher from the University of Central Florida Medical School addresses many concerns and misperceptions of fructose-containing sugars.

Although there appears to be no difference in blood pressure reduction in patients who take aspirin at bedtime compared to those who take it when they awake in the morning, bedtime aspirin may be associated with reduced morning platelet reactivity.

Patients with heart failure who received left ventricle augmentation with Algisyl-LVR hydrogel implant experienced improved quality of life and functional capacity compared to similar patients treated with optimal medical therapy.

Treating Hispanic patients with stable CAD with daily low-dose aspirin plus ticagrelor provided lower levels of on-treatment platelet reactivity with a faster onset and greater extent of platelet inhibition, compared to treatment with aspirin plus clopidogrel.

Creating a safer environment for clinicians and patients starts with better formalized reporting of aggressive and violent behavior, and should also include more rigorous screening and assessment for risk markers of violent behavior.

One treatment-resistant depression patient's response to over-the-counter cough medicine led Steven P. Levine, MD, to study the mechanism and effects of dextromethorphan in depression.

A recent anonymous survey among nephrologists suggests that patients' social support, ability to understand the transplant process, and age are the most important factors influencing nephrologists' decisions to exclude them from kidney transplant referral.

Patients who have chronic kidney disease (CKD) and end-stage renal disease (ESRD) require 20% less warfarin and more monitoring for bleeding than patients who have normal kidney function.

Primary prevention measures for upper GI bleeding should include NSAIDs, antiplatelet therapy, and anticoagulants appropriately, while secondary preventive measures should include testing and treating H. pylori and using long-term PPIs when appropriate.

A 2-month-old baby is healthy and growing well, but when you begin to discuss immunizations, the parents stop you and state that they've decided not to immunize the child. How should you respond?

Will the approval of Zohydro benefit patients and physicians by providing another option for pain relief for patients with legitimate chronic pain needs, or will it spark a new wave of abuse, misuse, and diversion?