Internal Medicine

20 Jul 2023 18:15

💢 Dupilumab for COPD

https://www.youtube.com/watch?v=Wb3qo0NQaKI


🆔 t.me/internalmed
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Internal Medicine

18 Jul 2023 10:57

https://castbox.fm/episode/اپیزود-1-مجموعه-Clinics---قلب-پیر-id5305605-id617665251?utm_source=website&utm_medium=dlink&utm_campaign=web_share&utm_content=%D8%A7%D9%BE%DB%8C%D8%B2%D9%88%D8%AF%201%20%D9%85%D8%AC%D9%85%D9%88%D8%B9%D9%87%20Clinics%20-%20%D9%82%D9%84%D8%A8%20%D9%BE%DB%8C%D8%B1-CastBox_FM

Internal Medicine

17 Jul 2023 19:51

💢 AGA Clinical Practice Update on Evaluation and Management of Belching, Abdominal Bloating, and Distention: Expert Review

https://www.gastrojournal.org/article/S0016-5085(23)00823-5/fulltext?rss=yes


🆔 t.me/GIJournalClub
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Internal Medicine

16 Jul 2023 00:00

💢 Few Patients With BMI of 30-35 Get Bariatric Surgery

https://www.medscape.com/viewarticle/994382?src=rss


🆔 t.me/internalmed
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Internal Medicine

14 Jul 2023 21:53

💢 Diagnosis and Management of Prediabetes


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Internal Medicine

13 Jul 2023 15:10

💢 Internal medicine residents ‘lack confidence’ in rheumatology topics, want to learn more

https://www.healio.com/news/rheumatology/20230712/internal-medicine-residents-lack-confidence-in-rheumatology-topics-want-to-learn-more


🆔 t.me/internalmed
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Internal Medicine

12 Jul 2023 19:13

https://www.healio.com/news/gastroenterology/20230711/timerestricted-eating-may-be-promising-management-option-in-patients-with-nafld-nash


🆔 t.me/GIJournalClub
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Internal Medicine

12 Jul 2023 06:21

💢 Diagnosis and Treatment of Cushing Syndrome

The incidence of Cushing syndrome due to endogenous overproduction of cortisol is 2 to 8 people per million annually. JAMA Deputy Editor Mary M. McDermott, MD, discusses diagnosis, management, and treatment of this condition with authors Martin Reincke, MD, from University of Munich, and Maria Fleseriu, MD, from Oregon Health and Science University.

👇
https://edhub.ama-assn.org/jn-learning/audio-player/18798172


🆔 t.me/internalmed
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Internal Medicine

12 Jul 2023 00:08

💢 Hemophilia

http://www.emdocs.net/emdocs-podcast-episode-81-hemophilia/


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Internal Medicine

06 Jul 2023 17:09

👇👇

The correct answer is B. Anticoagulation for 6 weeks.

The most appropriate management is anticoagulation for 6 weeks to treat a superficial vein thrombosis (SVT) (Option B). SVT often affects the lower extremities and is thought to account for 10% of lower extremity thromboses. The lesser saphenous vein is a distal superficial vein. Treatment is indicated for SVT when the thrombus is 5 cm or greater in length or is close to the deep venous system or if other thrombophilic risk factors are present. This patient's thrombus length is 7 cm, so anticoagulation for 6 weeks is indicated.

An anticoagulant therapy duration of 3 to 6 months is appropriate management of an acute proximal deep venous thrombosis (DVT) that is provoked by reversible risk factors (Option A). SVT, provoked or unprovoked, can be treated with only 6 weeks of anticoagulation.

Vein ligation might be considered for patients at higher risk who have an absolute contraindication to anticoagulation to prevent propagation of the thrombus into the deep venous system (Option C). Vein ligation is not part of routine care. In this patient, anticoagulation is the preferred therapy.

Observation would be an appropriate management option for a superficial vein thrombosis without high-risk features (Option D). Patients with low-risk lower extremity SVT can be managed conservatively with warm compresses, analgesics, and NSAIDs. Compression stockings may hasten the resolution of the thrombus. Follow-up should be scheduled in 1 week to ensure symptom resolution. If symptoms persist or worsen, repeat duplex ultrasonography should be performed to evaluate for extension of the thrombus. If repeat ultrasound shows thrombus extension, anticoagulation would then be indicated.

Key Points

Six weeks of anticoagulation is indicated for superficial vein thrombosis when the thrombus is 5 cm or greater in length or is close to the deep venous system or when other thrombophilic risk factors present.
For patients with low-risk superficial vein thrombosis, observation with follow-up in 1 week to ensure symptom resolution is reasonable; if symptoms persist or worsen, repeat duplex ultrasonography should be performed.


🆔 t.me/internalmed
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Internal Medicine

06 Jul 2023 15:47

💢 Noninvasive blood glucose monitor compares favorably to fingersticks in diabetes

https://www.healio.com/news/endocrinology/20230706/noninvasive-blood-glucose-monitor-compares-favorably-to-fingersticks-in-diabetes


🆔 t.me/internalmed
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Internal Medicine

05 Jul 2023 13:36

Intensive Care Medicine. 2023 Jun 16;

ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies

Internal Medicine

05 Jul 2023 13:04

Pharmaceutics. 2023 May 24; 15 (6).

Medical Management of Pulmonary Arterial Hypertension: Current Approaches and Investigational Drugs

Internal Medicine

30 Jun 2023 22:26

💢بررسی اجتماعی مهاجرت

✍محمد فاضلی

نتوانستم از مسأله مهاجرت بگذرم. با کارشناسان #رصدخانه_مهاجرت_ایران دانشگاه شریف، یک پرسشنامه ساختیم. از کسی که به مهاجرت فکر نمی‌کند تا مهاجرت‌کرده به خارج می‌توانند پاسخ دهند. ممنون می‌شوم پاسخ دهید. برای باز شدن لینک، لطفا فیلترشکن را خاموش کنید. ممنون که با دیگران به اشتراک می‌گذارید.

https://b2n.ir/g61611

👈لطفا فیلترشکن را خاموش کنید تا بتوانید وارد لینک شوید.

#مهاجرت
#رصدخانه_مهاجرت_ایران
@fazeli_mohammad
@imobs_ir

Internal Medicine

29 Jun 2023 22:04

💢 Trial of vitamin D supplementation raises questions about CV effects on older adults

https://www.healio.com/news/cardiology/20230629/trial-of-vitamin-d-supplementation-raises-questions-about-cv-effects-on-older-adults


🆔 t.me/internalmed
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Internal Medicine

18 Jul 2023 17:33

💢 Certain cancer survivors far more likely to die of noncancer-related causes

The cancer survivor population is growing, with two-thirds of cancer survivors are now living more than 5 years.

Taking care of the general health of cancer survivors and other modifiable risk factors may ultimately be of equal or greater importance for their longevity and quality of life.

👇
https://www.healio.com/news/hematology-oncology/20230717/certain-cancer-survivors-far-more-likely-to-die-of-noncancerrelated-causes


🆔 t.me/internalmed
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Internal Medicine

18 Jul 2023 00:42

💢 مدیریت کژآگاهی (misinformation) در پزشکی

✍️ دکتر امیرعلی سهراب پور
فوق تخصص بیماریهای گوارش و کبد
سه شنبه بیست و هفتم تیرماه 1402

👈 لینک در تلگراف
👈 فایل پی دی اف

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Internal Medicine

17 Jul 2023 19:33

💢 A look at intermittent fasting: A potential strategy for patients with obesity

https://www.healio.com/news/primary-care/20230713/a-look-at-intermittent-fasting-a-potential-strategy-for-patients-with-obesity


🆔 t.me/internalmed
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Internal Medicine

15 Jul 2023 17:31

👇👇
https://castbox.fm/vd/587148377

Harrison's PodClass provides engaging, high-yield discussions of key topics commonly found on rotational and board exams in internal and family medicine. 


🆔 t.me/internalmed
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Internal Medicine

13 Jul 2023 19:06

💢 Cardiovascular Safety of Testosterone Therapy

The cardiovascular effects of testosterone-replacement therapy in middle-aged and older men with hypogonadism have not been determined.

https://youtu.be/7ngx04Uf7cE

To see the full article, follow this link: https://nej.md/3Ja6c4N


🆔 t.me/internalmed
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Internal Medicine

13 Jul 2023 12:17

👇👇
castbox.fm/vd/616278671

Data on a new crop of hormone analogues for weight loss—including an oral version of semaglutide and the triple agent retatrutide—were recently presented at the American Diabetes Association’s annual Scientific Sessions. Robert Gabbay, MD, PhD, the ADA’s chief scientific and medical officer, speaks with JAMA’s Jennifer Abbasi about this and other clinical data presented at the meeting.

Related Content:
New Weight Loss Drugs Make Headlines at Diabetes Meeting


🆔 t.me/internalmed
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Internal Medicine

12 Jul 2023 12:14

💢 Social isolation, loneliness increase risk for mortality

https://www.healio.com/news/primary-care/20230707/social-isolation-loneliness-increase-risk-for-mortality


🆔 t.me/internalmed
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Internal Medicine

12 Jul 2023 05:23

💢 پنج نکته دانستنی درباره کبدچرب غیرالکلی


🆔 t.me/GIJournalClub
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Internal Medicine

07 Jul 2023 23:34

💢 Diabetic Foot Ulcers

Approximately 50% to 60% of diabetic foot ulcers become infected, and about 20% of moderate to severe infections lead to lower extremity amputations.

Several interventions reduce risk of ulcers compared with usual care, such as pressure-relieving footwear (13.3% vs 25.4%; relative risk, 0.49; 95% CI, 0.28-0.84), foot skin measurements with off-loading when hot spots (ie, greater than 2 °C difference between the affected foot and the unaffected foot) are found (18.7% vs 30.8%; relative risk, 0.51; 95% CI, 0.31-0.84), and treatment of pre-ulcer signs.

Surgical debridement, reducing pressure from weight bearing on the ulcer, and treating lower extremity ischemia and foot infection are first-line therapies for diabetic foot ulcers.

Approximately 30% to 40% of diabetic foot ulcers heal at 12 weeks, and recurrence after healing is estimated to be 42% at 1 year and 65% at 5 years.


🆔 t.me/internalmed
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Internal Medicine

06 Jul 2023 17:06

A 24-year-old woman is evaluated for pain in the right calf since yesterday. She reports no shortness of breath, cough, or chest pain. Her medical history is unremarkable, and she takes no medications.

On physical examination, vital signs are normal. A tender venous cord is palpable in the right calf. No asymmetry in calf diameter is noted.

Duplex ultrasound of the right leg shows an acute thrombosis of the right lesser saphenous vein that is 7 cm in length.

Which of the following is the most appropriate management?

A. Anticoagulation for 3 months
B. Anticoagulation for 6 weeks
C. Vein ligation
D. Observation with ultrasound surveillance


🆔 t.me/internalmed

👇👇

Internal Medicine

05 Jul 2023 15:56

💢 اصول رژیم غذایی در کبدچرب غیرالکلی

✍️ دکتر امیرعلی سهراب‌پور
فوق‌تخصص بیماری‌های گوارش و کبد
چهارشنبه ١۴ تیر ١۴٠٢


▫️مداخلات سبک زندگی، از جمله رژیم غذایی و فعالیت بدنی، درمان اصلی بیماری کبد چرب غیرالکلی است.

▫️رژیم مدیترانه ای یا رژیم غذایی مشابه آن، موثرترین رژیم غذایی برای کاهش وزن است.

▫️کاهش 5 تا 7 درصد وزن بدن می تواند استئاتوز را کاهش دهد، در حالی که کاهش 10 درصد وزن می تواند به رفع فیبروز کمک کند.

▫️در سیروز، اصول رژیم غذایی سالم مانند رژیم مدیترانه ای توصیه می شود، با تاکید بر مصرف پروتئین بالا، از جمله افزودن یک میان وعده آخر شب با هدف پر کردن فاصله طولانی شام تا صبحانه.

▫️فعالیت بدنی با شدت هوازی بالا یا متوسط ​​همراه با تمرینات مقاومتی ممکن است وضعیت آنزیم های کبدی بالا، چربی داخل کبدی، کلسترول تام و سطوح تری گلیسیرید را بهبود بخشد.

▫️استفاده از برنامه‌های مبتنی بر وب برای دنبال کردن مداخلات سبک زندگی سالم برای بیماری کبد چرب غیرالکلی نتایجی مشابه نتایج برنامه‌های حضوری ایجاد می‌کند.


🆔 t.me/GIJournalClub
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Internal Medicine

05 Jul 2023 13:05

World Journal of Cardiology. 2023 Apr 26; 15 (4) : 119-141.

Arrhythmic syncope: From diagnosis to management

Internal Medicine

01 Jul 2023 07:56

https://www.medscape.com/s/viewarticle/993217?src=rss
🆔 /channel/internalmed

Internal Medicine

30 Jun 2023 11:06

🟣 NAFLD Increases Risk for Severe Infections

A large cohort study using biopsy-proven cases confirms a link outside of known metabolic risk factors.  


🆔 t.me/internalmed
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Internal Medicine

28 Jun 2023 13:21

💢 Bariatric surgery linked to long-term HbA1c reduction, weight loss in type 2 diabetes

https://www.healio.com/news/endocrinology/20230627/bariatric-surgery-linked-to-longterm-hba1c-reduction-weight-loss-in-type-2-diabetes


🆔 t.me/internalmed
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