Internal Medicine - Critical Care/Hospitalist News & Articles

What makes MDLinx Internal Medicine different from all the other primary care literature reviews? Our team of medical editors read over 2,000 medical journals every day so you can stay current in less than 5 minutes! They sort, rank and summarize every article that will impact your daily practice. They even mark which articles are available in free full text, which are clinical or evidence-based, and which have MDLinx Exclusive Author Commentary from the people who actually performed the research.

Also on this page you’ll see bonus content from our physician editor, D. Scott Cunningham, MD, PhD, in the form of his top highlights you can’t miss, along with clinical pearls from The Smartest Internist, a quiz competition from the editors of MDLinx Internal Medicine in collaboration with the Cleveland Clinic Center for Continuing Education.

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Articles

Latest Full Text Articles (159) Focus on Angina

Ranked, sorted, and summarized by MDLinx editors from the latest literature

Topics:

921 Ictal Epileptic Headache Mimicking Status Migrainosus: EEG and DWI-MRI Findings Headache: The Journal of Head and Face Pain, June 14, 2010

922 Angioedema due to C1 inhibitor deficiency in 2010 Internal and Emergency Medicine, June 11, 2010

923 The impact of a PCR assay for candidemia on antifungal drug prescribing in critical care: An interrupted time series pilot study Journal of Infection, June 10, 2010

924 Randomized, controlled, trial of telcagepant over four migraine attacks Cephalalgia, June 9, 2010

925 Hypothermia during migraine attacks Cephalalgia, June 9, 2010

926 Using extracorporeal life support to resuscitate adult postcardiotomy cardiogenic shock: Treatment strategies and predictors of short-term and midterm survival Resuscitation, June 8, 2010

927 Withholding, Discontinuing and Withdrawing Medications in Dementia Patients at the End of Life: A Neglected Problem in the Disadvantaged Dying? Drugs & Aging, June 8, 2010

928 Low plasma adiponectin concentration is associated with myocardial infarction in young individuals Journal of Internal Medicine, June 7, 2010

929 Management of intracranial pressure Current Neurology and Neuroscience Reports, June 4, 2010

930 Recurrent spontaneous pneumothorax Full Text Cleveland Clinic Journal of Medicine, June 3, 2010

931 Neurogenic stunned myocardium Current Neurology and Neuroscience Reports, June 2, 2010

932 Stress Cardiac Magnetic Resonance Imaging With Observation Unit Care Reduces Cost for Patients With Emergent Chest Pain: A Randomized Trial Annals of Emergency Medicine, June 1, 2010

933 Antibiotic Therapy and Treatment Failure in Patients Hospitalized for Acute Exacerbations of Chronic Obstructive Pulmonary Disease Full Text JAMA, May 28, 2010

934 Headaches Attributable to Infectious Diseases Current Pain and Headache Reports, May 28, 2010

935 What proportion of patients with chest pain are potentially suitable for computed tomography coronary angiography? The American Journal of Emergency Medicine, May 28, 2010

936 Trends in Fall-Related Hospital Admissions in Older Persons in the Netherlands JAMA Internal Medicine, May 27, 2010

937 Predictors of mortality in hospitalized patients with acute exacerbation of bronchiectasis Respiratory Medicine, May 27, 2010

938 The role of emergency ultrasound in the diagnosis of acute non-traumatic epigastric pain Internal and Emergency Medicine, May 26, 2010

939 Twenty-year trends in incidence and 1-year mortality in Swedish patients hospitalised with non-AMI chest pain. Data from 1987-2006 from the Swedish hospital and death registries Full Text Heart, May 26, 2010

940 Intravenous ibuprofen: the first injectable product for the treatment of pain and fever Full Text Journal of Pain Research, May 26, 2010
Exclusive Author Commentary

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Clinical Pearls in Internal Medicine

Vitamin D deficiency is more common with non-Caucasian patients, and those with lower social support, no insurance, diabetes, lower activity levels, higher parathyroid hormone levels, and higher body mass indexes
Eating an early breakfast and dinner when taking PPIs can lower FSSG scores and improve GERD symptoms. (Factors leading to increased FSSG scores were female gender, inadequate sleep, lack of breakfast, antihypertensive agent non-users and dinner just before bedtime.)
No single method of contraception is contraindicated by age alone, but caution should be exercised with estrogen-containing preparations in obese women over 40

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Highlights in Internal Medicine

Vitamin D deficiency is associated with increased mortality in ICU patients

Among 130 patients requiring mechanical ventilation, 107 were vitamin D-deficient (< 20 ng/ml). Of the patients who did not survive, the length of survival was shorter in the vitamin D-deficient patients (15.3 vs. 24.2 days, respectively).

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Coronary artery calcium increases cardiovascular risk in patients with T2DM and HTN

Researchers at Tel-Aviv University have conducted a study to determine the value of coronary artery calcium (CAC) measurements in cardiovascular risk stratification in patients with T2DM and HTN. The study involved 423 patients enrolled in the International Nifedipine Study: Intervention as Goal for Hypertension Therapy. The patients had baseline CT scans for CAC measurement at baseline and were shown to be free of disease. Follow-up CT scans were performed at 3 and 15 years. Cardiovascular events (CVEs) occurred in 41 of 423 patients at 3 years and 111 of 268 patients at 15 years of follow-up. CVEs occurred in 15% and 52% (CAC+) and 7% and 32% (CAC-) of patients with T2DM at 3 and 15 years of follow-up, respectively. Compared to patients without T2DM and no CAC, the HRs for a CVE were 6.6 and 3.9 in T2DM patients with and without CAC, respectively.

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CAC scores add predictability to Framingham

Researchers at Erasmus University Medical Center in Rotterdam have evaluated 12 measures (N-terminal fragment of prohormone B-type natriuretic peptide levels, von Willebrand factor antigen levels, fibrinogen levels, chronic kidney disease, leukocyte count, C-reactive protein levels, homocysteine levels, uric acid levels, coronary artery calcium [CAC] scores, carotid intima–media thickness, peripheral arterial disease, and pulse wave velocity), in addition to Framingham risk scores for predicting coronary heart disease. Only the CAC was shown to add significantly to the Framingham risk score in predicting coronary heart disease.

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Most Popular Internal Medicine Articles

Last month's top read Top Articles of 2012

1 Head impact biomechanics in ski related accident British Journal of Sports Medicine, April 9, 2013

2 Should all acutely ill medical patients be treated with antithrombotic drugs? Thrombosis and Haemostasis, April 23, 2013 Free full text Review Article

3 Invasive mechanical ventilation in acute coronary syndromes in the era of percutaneous coronary intervention European Heart Journal: Acute Cardiovascular Care, April 16, 2013

4 De-escalation of antimicrobial treatment for adults with sepsis, severe sepsis or septic shock Cochrane Reviews, April 11, 2013 Review Article

5 Development of a checklist of safe discharge practices for hospital patients Journal of Hospital Medicine, April 18, 2013

6 Calcium antagonists as an add-on therapy for drug-resistant epilepsy Cochrane Reviews, April 2, 2013 Review Article

7 Continuous versus intermittent infusions of antibiotics for the treatment of severe acute infections Cochrane Reviews, March 29, 2013 Review Article

8 Single dose oral ibuprofen plus codeine for acute postoperative pain in adults Cochrane Reviews, April 1, 2013 Review Article

9 A Physical Therapist-Established Intensive Care Unit Early Mobilization Program: A Quality Improvement Project for Critical Care at the University of California San Francisco Medical Center Physical Therapy, April 24, 2013 Review Article

10 Proton Pump Inhibitors and Risk of 1-Year Mortality and Rehospitalization in Older Patients Discharged From Acute Care Hospitals Proton Pump Inhibitors in Older Patients JAMA Internal Medicine, April 10, 2013

11 State of the evidence: mechanical ventilation with PEEP in patients with cardiogenic shock Heart, April 15, 2013

12 Pulmonary-renal syndrome: a life threatening but treatable condition Postgraduate Medical Journal, February 26, 2013 Evidence Based Medicine

13 Ultrasound imaging for lumbar punctures and epidural catheterisations: systematic review and meta-analysis British Medical Journal, April 10, 2013 Free full text Evidence Based Medicine Review Article

14 Application of appropriateness criteria for hospitalization in COPD exacerbation Internal and Emergency Medicine, April 5, 2013

15 Septic shock: The initial moments and beyond Cleveland Clinic Journal of Medicine, March 5, 2013 Free full text Review Article

16 Fluoxetine for motor recovery after acute intracerebral hemorrhage (FMRICH): study protocol for a randomized, double-blind, placebo-controlled, multicenter trial Trials, April 5, 2013 Free full text

17 Biolimus-eluting biodegradable polymer-coated stent versus durable polymer-coated sirolimus-eluting stent in unselected patients receiving percutaneous coronary intervention (SORT OUT V): a randomised non-inferiority trial The Lancet, March 26, 2013

18 Rivaroxaban for Thromboprophylaxis in Acutely Ill Medical Patients New England Journal of Medicine, March 15, 2013

19 Identification of patients with low-risk pulmonary embolism suitable for outpatient treatment using the pulmonary embolism severity index (PESI) Irish Journal of Medical Science, March 26, 2013

20 Diagnosing tuberculous meningitis ? have we made any progress? Tropical Medicine & International Health, March 27, 2013 Review Article

Indexed Journals in Internal Medicine: New England Journal of Medicine, The Lancet, Archives of Internal Medicine more

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Internal Medicine - Critical Care/Hospitalist News & Articles

Articles

Clinical Pearls in Internal Medicine

Highlights in Internal Medicine

Vitamin D deficiency is associated with increased mortality in ICU patients

Coronary artery calcium increases cardiovascular risk in patients with T2DM and HTN

CAC scores add predictability to Framingham

Most Popular Internal Medicine Articles

Other Topics in Internal Medicine