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Romanian Journal of Internal Medicine =... Sep 2020Sepsis is an overwhelming reaction to infection that comes with high morbidity and mortality, which requires urgent interventions in order to improve outcomes. Surviving... (Review)
Review
Sepsis is an overwhelming reaction to infection that comes with high morbidity and mortality, which requires urgent interventions in order to improve outcomes. Surviving Sepsis is an international campaign that aims to improve sepsis outcomes. The 2016 guideline modifies the previous definition of sepsis and proposes some specific diagnostic and therapeutic measures, such as the protocolized use of fluid resuscitation and antibiotics. We aim to summarize the main recommendations of the 2016 guideline that are relevant to the internist and evidence-base update them to the year 2020. In the current context, this review doesn't address patients affected by SARS-COV2 induced disease.
Topics: Anti-Bacterial Agents; Biomarkers; Fluid Therapy; Humans; Practice Guidelines as Topic; Sepsis; Vasoconstrictor Agents
PubMed: 32396142
DOI: 10.2478/rjim-2020-0012 -
Journal of Primary Care & Community... 2021Hemophagocytic lymphohistiocytosis (HLH) syndrome is a hyperinflammatory state that leads to life-threatening, disproportionate activation of the immune system and may... (Review)
Review
Hemophagocytic lymphohistiocytosis (HLH) syndrome is a hyperinflammatory state that leads to life-threatening, disproportionate activation of the immune system and may be confused for and concomitantly exist with sepsis. However, its treatment differs from sepsis, requiring early initiation of immunosuppressive treatment. While HLH syndrome is more commonly diagnosed in children, internists and other primary care providers must be familiar with the diagnosis and treatment of adult patients with HLH in the hospital and outpatient setting. In this article, we review the essentials that an internist and other primary care providers managing adult HLH patients should know.
Topics: Adult; Child; Health Personnel; Humans; Lymphohistiocytosis, Hemophagocytic; Physicians; Primary Health Care; Sepsis
PubMed: 34704505
DOI: 10.1177/21501327211053756 -
Maedica Dec 2023
PubMed: 38348078
DOI: 10.26574/maedica.2023.18.4.545 -
Journal of Ultrasound Dec 2020
Topics: Humans; Medicine in the Arts; Ultrasonography
PubMed: 32968963
DOI: 10.1007/s40477-020-00518-y -
Obstetric Medicine Sep 2021Obstetric medicine is an emerging area of interest within Internal Medicine in Europe. Despite that, "OM" is still an unpopular concept and an unrecognised subspecialty... (Review)
Review
Obstetric medicine is an emerging area of interest within Internal Medicine in Europe. Despite that, "OM" is still an unpopular concept and an unrecognised subspecialty in South Europe. A considerable number of internists and medical specialists deal with maternal medical problems in association with obstetricians and other specialists on a daily basis. Due to their interest and mostly part-time dedication to maternal care, a growing mass of physicians are getting specific training in the field either locally or, less frequently, abroad, and are also building specific clinics, inpatient care services and other new bonds with obstetricians in numerous tertiary care centres. In this article, we aim to describe the state of the growing field of obstetric medicine in Portugal, Italy, France and Spain, the particular clinical, educational and academic efforts and steps that have recently been developed by internists in each country, as well as planned initiatives for the future.
PubMed: 34646342
DOI: 10.1177/1753495X20945569 -
The American Journal of Medicine Nov 2020It is clear that existing cardiovascular disease is a major risk factor for COVID-19 and related adverse outcomes. In addition to acute respiratory syndrome, a large... (Review)
Review
It is clear that existing cardiovascular disease is a major risk factor for COVID-19 and related adverse outcomes. In addition to acute respiratory syndrome, a large cohort also develop myocardial or vascular dysfunction, in part from inflammation and renin angiotensin system activation with increased sympathetic outflow, cardiac arrhythmias, ischemia, heart failure, and thromboembolic complications that portend poor outcomes related to COVID-19. We summarize recent information for hospitalists and internists on the front line of this pandemic regarding its cardiovascular impacts and management and the need for cardiovascular consultation.
Topics: Betacoronavirus; COVID-19; Cardiovascular Diseases; Coronavirus Infections; Hospitalists; Humans; Internal Medicine; Pandemics; Pneumonia, Viral; Risk Factors; SARS-CoV-2
PubMed: 32653420
DOI: 10.1016/j.amjmed.2020.06.005 -
Cleveland Clinic Journal of Medicine Feb 2023
Topics: Humans; Myasthenia Gravis; Physicians
PubMed: 36724915
DOI: 10.3949/ccjm.90b.02023 -
Revista Clinica Espanola 2020
PubMed: 32382164
DOI: 10.1016/j.rce.2020.04.003 -
Cleveland Clinic Journal of Medicine May 2022All clinicians should maintain basic skills in general palliative care to help address the needs of patients and families. Because keeping up with the information... (Review)
Review
All clinicians should maintain basic skills in general palliative care to help address the needs of patients and families. Because keeping up with the information provided by the growing palliative care literature can be challenging, we conducted a detailed search via Medline for palliative care articles published in 2020 in top peer-reviewed medical journals. Using a consensus-driven process of selection, we reviewed and summarized 11 articles to enhance knowledge of the practice-changing palliative care literature for general internists.
Topics: Humans; Palliative Care; Physicians
PubMed: 35500931
DOI: 10.3949/ccjm.89a.21075 -
The American Journal of Medicine Jan 2012The internist's goal is to determine a patient's disease risk and to implement preventative interventions. Genetic evaluation is a powerful risk assessment tool, and new... (Review)
Review
The internist's goal is to determine a patient's disease risk and to implement preventative interventions. Genetic evaluation is a powerful risk assessment tool, and new interventions target previously untreatable genetic disorders. The purpose of this review is to educate the general internist about common genetic conditions affecting adult patients, with special emphasis on diagnoses with an effective intervention, including hereditary cancer syndromes and cardiovascular disorders. Basic tenets of genetic counseling, complex genetic disease, and management of adults with genetic diagnoses also are discussed.
Topics: Down Syndrome; Genetic Counseling; Genetic Testing; Humans; Internal Medicine; Neoplastic Syndromes, Hereditary
PubMed: 22079017
DOI: 10.1016/j.amjmed.2011.07.034