By Kristopher J. Swiger, Joshua R. Thomas, Michael E. Hochman, Steven D. Hochman
50 reports each Internist should still Know provides key experiences that experience formed the perform of inner drugs. chosen utilizing a rigorous method, the experiences hide issues together with: preventative medication, endocrinology, hematology and oncology, musculoskeletal ailments, nephrology, gastroenterology, infectious illnesses, cardiology, pulmonology, geriatrics and palliative care, and psychological future health. for every examine, a concise precis is gifted with an emphasis at the effects and barriers of the learn, and its implications for perform. An illustrative scientific case concludes each one evaluate, via short details on different proper experiences. This e-book is a must-read for overall healthiness care execs and a person who desires to study extra concerning the info in the back of medical perform.
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Extra info for 50 Studies Every Internist Should Know
In fact, since PSA levels tend to be higher among African American men than among white men, it is possible that the man in this vignette would be at particularly high risk for being inappropriately diagnosed with a slow-growing prostate cancer that would never impact his life. ) Thus, there is no correct answer to the question of whether or not this patient should be screened. You might inform this man that prostate cancer screening is no longer recommended for most men. However, it would be reasonable to consider screening in his case because he is at increased risk.
2003;289:2083. 3 Aspirin for the Primary Prevention of Cardiovascular Disease The Physicians’ Health Study and the Women’s Health Study M IC H A EL E. HOC H M A N [The Physicians’ Health Study] demonstrates a conclusive reduction in the risk of myocardial infarction [in men], but the evidence concerning stroke and total cardiovascular deaths remains inconclusive . . as expected, [aspirin led to] increased risks of upper gastrointestinal ulcers and bleeding problems. . as expected, the frequency of side effects related to bleeding and ulcers was increased.
001 Includes myocardial infarction, stroke, and death from cardiovascular causes. Criticisms and Limitations: In the Physicians’ Health Study, aspirin 325 mg was given on alternate days while in the Women’s Health Study aspirin 100 mg was given on alternate days. In clinical practice, however, most patients receive aspirin 81 mg daily (data concerning the optimal ASA dose are sparse). Both of these trials are limited in generalizability. Both included patients of high socioeconomic status. In addition, patients found to be noncompliant during a run-in period were excluded.
50 Studies Every Internist Should Know by Kristopher J. Swiger, Joshua R. Thomas, Michael E. Hochman, Steven D. Hochman