American Journal of Medicine, internal medicine, medicine, health, healthy lifestyles, cancer, heart disease, drugs
elder woman in eye exam

Prescription of Statins to Women Poses New Clinical Challenges

In women and men, cardiovascular disease is and will remain the leading avoidable cause of premature death in the United States and is rapidly becoming so worldwide.1 Although many women fear breast cancer more than cardiovascular disease, 1 in 8 will develop and 1 in 25 will die of this disease, whereas more than 1 in […]

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dairy products and eggs

Association of Dairy Consumption and 24-Hour Blood Pressure in Older Adults with Hypertension

The aim was to examine the association between habitual consumption of dairy products and 24-hour ambulatory blood pressure monitoring among older adults with hypertension. Methods We conducted an analysis of 715 community-living hypertensive adults age ≥60. Habitual dairy consumption was assessed with a validated diet history. Blood pressure was recorded by 24-hour ambulatory blood pressure […]

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A Reappraisal of the Lipid Hypothesis

The lipid hypothesis, which postulates that lowering serum cholesterol saves lives and prevents cardiovascular disease, has been supported by a prodigious volume of evidence over the past 30 years.1 Lowering low-density lipoprotein cholesterol (LDL-C) has become the foundation of cardiovascular disease prevention guidelines, yet not all of the evidence supports this recommendation.2 A reappraisal of the lipid […]

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Hypokalemia in an End-Stage Renal Disease Patient

Kidneys play an essential role in K+ homeostasis, but the role of the colon in K+ homeostasis is not well recognized. Increased colonic K+ excretion plays a vital role in regulating plasma K+ level in patients with end-stage renal disease.1 We present a case of hypokalemia in a patient with end-stage renal disease with colonic pseudo-obstruction. […]

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Psoas Abscess Associated with Pubic Symphysis Osteomyelitis

Infectious osteitis pubis is often diagnosed as sterile osteitis pubis, so this diagnosis requires a high level of suspicion. The following case is about a 56-year-old woman with a personal history of diabetes mellitus and secondary complications related to her illness, due to poor glycemic control. The patient went to the Emergency Department as a […]

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A Surprising Diagnosis: Syphilitic Gastritis and Hepatitis

When patients present with gastrointestinal symptoms, sexually transmitted infection is unlikely to be at the top of the differential diagnosis. A 47-year-old homosexual man underwent evaluation for persistent fatigue, abdominal pain, and anemia with a positive fecal occult stool test, all of which raised concern for an acute gastrointestinal bleed. Approximately 6 months earlier, the […]

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senior woman about to get a diagnostic test

Is Frailty a Predictor of Outcomes in Elderly Inpatients with Acute Kidney Injury? A Prospective Cohort Study

Frailty and acute kidney injury are independently associated with an increased risk of morbidity and mortality. The degree of frailty can be assessed by the Clinical Frailty Score (CFS). This study assessed whether an individual’s CFS was associated with acute kidney injury in acute elderly medical admissions and recorded the short-term outcomes. Methods This was […]

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Short-Term Prognosis of Myocardial Injury, Type 1, and Type 2 Myocardial Infarction in the Emergency Unit

Type 2 myocardial infarction and nonischemic myocardial injury, corresponding to troponin elevation without atherothrombosis, are emerging concepts suspected of being common in emergency departments (ED). However, their respective frequencies, risk profiles, and short-term prognoses remain to be investigated. METHODS Among all the patients admitted from January 2014 to December 2016 in a university hospital ED […]

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The Role of the Environment in Health Outcomes

Disparities in health outcomes in the United States and other high-income countries have been widely discussed in recent years.1, 2, 3, 4 Many reasons have been suggested for these disparities, including the income levels of individuals, their educational attainment and employment status, as well as a variety of neighborhood socioeconomic and environmental factors. During my many years of inpatient […]

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National and Regional Trends in Deep Vein Thrombosis Hospitalization Rates, Discharge Disposition, and Outcomes for Medicare Beneficiaries

Older adults are at increased risk of developing deep vein thrombosis. Little is known about national trends of deep vein thrombosis hospitalizations in the context of primary and secondary prevention efforts. Methods Medicare standard analytic files were analyzed from 2015-2017 to identify Fee-For-Service patients aged ≥65 years who had a principal discharge diagnosis for deep […]

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