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Internal Medicine
More on Internal Medicine
Spotlight

How to recognize and treat IBD

Recognizing, diagnosing, and managing inflammatory bowel disease can all be problematic. Understanding the hallmarks of the disease and keeping up-to-date on the key medical therapies will help you deliver better care. Inflammatory bowel disease (IBD) remains an underdiagnosed condition in the primary care setting.
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Featured Wire Releases What's this?
11-6-07 17:32 ET
New Physician Resource for Practice Management, Clinical Decision Support and Patient Care

5-24-07 16:46 ET
FREE LIVE CME WEBINAR ANNOUNCEMENT: Osteonecrosis of the Jaws - Bisphosphonates, Diagnosis, Management and Future Research

3-23-07 8:15 ET
CME ACTIVITY ANNOUNCEMENT The Vitamin D and Calcium Crisis: Strategies to Improve Bone Health. AMA PRA Category 1™, AOA, AAFP, ACPE, ANCC, CMCC Credit

2-9-07 11:26 ET
CME Activity Announcement: A Boost Up — Optimizing Childhood Immunizations: A Series of Case Studies from the University of Pennsylvania School of Medicine
Features

Hypopituitarism in older adults

Patients with hypopituitarism may present with many different signs and symptoms which result from reduced secretion of one or more of pituitary hormones. Severe hyponatremia and hypoglycemia are rare but potentially life threatening presenting clinical features of hypopituitarism. As these abnormalities are completely restored with replacement therapy and patients are often undiagnosed until admission, a high clinical suspicion is necessary to diagnose a patient with hypopituitarism. We present five cases exhibiting rare symptoms of hypopituitarism?severe hyponatremia, hypoglycemia and osteoporosis? as the only presenting feature; these cases illustrate that hypopituitarism must be considered in the differential diagnosis of these abnormalities, especially in older patients.
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ACC/AHA guideline update

Treatment of heart failure with reduced left ventricular ejection fraction

Heart failure (HF) affects approximately 5 million persons in the United States each year. HF is predominantly a disease of the elderly: Approximately 80% of patients hospitalized with HF are older than age 65. Approximately one-half of older adult patients with CHF have a decreased ejection fraction. Elderly patients with HF and a reduced LVEF have a higher mortality than elderly patients with HF with a normal LVEF.
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Delirium: Concisely Condition is associated with increased morbidity, mortality, and length of hospitalization

Delirium is a common neuropsychiatric condition that affects 15% to 70% of elderly medical and surgical patients. It tends to be a transient disorder, although long-term complications are not uncommon. Medical comorbidity is the rule, and predisposing, as well as precipitating, factors are important to consider in its management. Major risk factors for delirium include advanced age, cognitive impairment, and chronic medical illness. Delirium is associated with several adverse outcomes including mortality, increased length of hospital stay, increased risk of dementia, and high rates of institutional placement.
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Derm DDx

Erythema, edema, and fissuring around mouth

A 61-year-old man has a 3-month history of a persistent irritation at the corners of his mouth. He has type 2 diabetes mellitus and is being treated with insulin. Otherwise, he is in good health.
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Industry Roundup

Diabetes still growing, but new treatments on the way

 


Low-fat diet probably does help prevent breast cancer

 


Improving physician performance to boost patient safety

 


When it comes to diabetes, women are at a distinct disadvantage

 
Wire Releases What's this?
September 2008
 
9-17-08 13:53 ET

Southern Medical Association Presents Fifth Annual Medical Dilemmas in Primary Care Conference in New York, NY

May 2008
 
5-14-08 17:38 ET

Southern Medical Association Presents Advances in Medicine 2008 in Nashville, Tennessee

April 2008
 
4-18-08 15:21 ET

Southern Medical Association Presents 12th Annual Conference on Hypertension in Savannah, Georgia

March 2008
 
3-28-08 13:24 ET

Southern Medical Association Announces Focus of Advocacy, Leadership, Quality, & Professional Identity

February 2008
 
2-21-08 11:34 ET

Southern Medical Association Presents 16th Conference on Sleep Disorders and Pulmonary Medicine in Hilton Head Island, South Carolina

January 2008
 
1-23-08 16:20 ET

Southern Medical Association’s Call for Nominees of The Holt Young Physician Leadership Award
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