By Kristopher J. Swiger, Joshua R. Thomas, Michael E. Hochman, Steven D. Hochman
50 experiences each Internist should still Know provides key reviews that experience formed the perform of inner drugs. chosen utilizing a rigorous technique, the reports hide themes together with: preventative drugs, endocrinology, hematology and oncology, musculoskeletal ailments, nephrology, gastroenterology, infectious illnesses, cardiology, pulmonology, geriatrics and palliative care, and psychological overall healthiness. for every research, a concise precis is gifted with an emphasis at the effects and obstacles of the learn, and its implications for perform. An illustrative scientific case concludes every one evaluate, through short info on different suitable reviews. This e-book is a must-read for healthiness care execs and someone who desires to study extra in regards to the info in the back of scientific perform.
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Additional resources for 50 Studies Every Internist Should Know
He was last seen 2 years ago, at which time his blood pressure was 132/86. He is in good health and reports that he jogs for 30 minutes three to four times per week. He lives alone and reports that he eats fast food multiple times per week and prefers meat and potatoes when he cooks for himself. He does not add salt to his food, but he reports eating prepackaged soups and potato chips that he knows are high in sodium. His vital signs in the clinic today are notable for a blood pressure of 144/94 and a heart rate of 72.
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.
Again, there was no all-cause mortality benefit. 5 • Fourteen-year follow-up data were reported from one of the sites where this trial took place. Data from this site, where patients were screened every 2 years, showed a more substantial reduction in prostate cancer deaths (just 293 men needed to be screened and 12 diagnosed with prostate cancer to prevent one prostate cancer death). 6 • Another large randomized trial in the United States did not show a benefit of prostate cancer screening with annual PSA measurements and digital rectal examination.
50 Studies Every Internist Should Know by Kristopher J. Swiger, Joshua R. Thomas, Michael E. Hochman, Steven D. Hochman