Fwd: CME: Atypical Manifestations of Upper GI Diseases

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FROM THE EDITOR

This week in MedPulse, we're pleased to offer:

- a CME program on optimizing care for atypical manifestations of upper GI diseases

- guidance on treatment of an elevated homocysteine level that is unresponsive to folic acid, vitamin B6, and vitamin B12 in an Ask the Experts Q A

- a column From the Editor that discusses efforts toward the creation of an electronic medical record and asks for your thoughts

and much more.

We also encourage you to visit the Medscape Internal Medicine home page for continually updated content and features.

Please continue to help shape MedPulse and the Internal Medicine home page by sending suggestions or concerns to me at IMEditor@.... If you have technical questions, please write to MPMailings@....

Danar, MD

Editor, Medscape Internal Medicine

ALSO IN THIS ISSUE:NEWSMEMBER NEWSUSER SUPPORT

NEW FEATURES THIS WEEK

Optimizing Care for Atypical Manifestations of Upper GI Diseases

Gain CME credit while you review how experts diagnose and manage patients presenting with atypical symptoms of GI-related cough, noncardiac chest pain, and sleep disturbances.

Amiodarone-Induced Thyrotoxicosis Presenting as Hypokalemic Periodic Paralysis

The side effects of amiodarone therapy include corneal deposits, photosensitivity, cutaneous hyperpigmentation, pulmonary toxicity, hepatotoxicity, peripheral neuropathy, drug interactions, thyrotoxicosis, and hypothyroidism.South Med J 95(11) 2003

MEDLINE Abstracts: Diagnosis of IBS

What's new concerning the diagnosis of irritable bowel syndrome?Medscape Gastroenterology 5(1) 2003

Elevated Homocysteine Unresponsive to Vitamins

What approach should be used to treat an elevated homocysteine level that is unresponsive to folic acid, vitamin B6, and vitamin B12?Medscape Primary Care 5(1) 2003

February 2003: ation Towards an Electronic Medical Record

The February 2003 From the Editor column discusses efforts toward the creation of an electronic medical record and asks for your thoughts.Medscape Internal Medicine 5(1) 2003

Cancer Susceptibility: Role of Genes, Environment, and Diet

Prevention of hepatocellular carcinoma: a daily dose of broccoli sprouts?Medscape General Medicine 5(1) 2003

Is Screening for Abdominal Aortic Aneurysms Worthwhile?

Ultrasound can detect abdominal aortic aneurysms (AAAs) before they are likely to rupture.Journal Watch 2(1) 2003

Exercise in Men: Intensity vs. Amount

Many studies have linked exercise with reduced rates of coronary heart disease, but few have assessed the effect of exercise intensity on CHD risk.Journal Watch 2(1) 2003

February 2003

Novel product approvals slow down, and the FDA responds with a new course for change. Medscape Pharmacists 4(1) 2003

Violent Victimization of Women and Men: Physical and Psychiatric Symptoms

Violent victimization of women is a serious public health problem that is frequently encountered in family practice.J Am Board Fam Pract 16(1) 2003

How Common Is Diastolic Dysfunction?

Diastolic dysfunction increasingly is recognized as an important cause of congestive heart failure (CHF). Journal Watch 2(1) 2003

RESOURCE CENTER

Rheumatoid Arthritis Resource Center Redesigned

We encourage you to peruse the newly redesigned Rheumatoid Arthritis Resource Center on Medscape, which contains information important to specialists and primary care physicians alike.

INSTANT POLL

Member of a Professional Association?

In a Medscape Instant Poll that launched Feb. 15, 34% of respondents said they are not a member of a general national medical association or a specialty medical association. But another 29% said they are a member of both. As of Feb. 20, a total of 807 respondents had taken part in this poll. To view the final results of the poll, which ended on Feb. 21, click on the title above.

STATE-OF-THE-HEART REVIEW

Read about the epidemiology, etiology, pathophysiology, natural history, clinical assessment and treatment of HF in "State-of-the- Heart Review" from Medscape Cardiology. NEW on the front page of the Heart Failure: Cardiac Resynchronization Therapy Resource Center.

NEWS

New Web Site Highlights Medical Errors, Patient Safety Lessons: A Newsmaker Interview With Carolyn M. Clancy, MD

Near-miss cases provide a forum in which healthcare professionals can learn about error prevention without blame, sponsors hope.Medscape Medical News 2003

Acarbose Effective for Type 2 Diabetes Inadequately Controlled by Metformin

Acarbose treatment significantly improves glycemic control in overweight patients with type 2 diabetes whose blood glucose is inadequately controlled by metformin, according to a report in the February issue of Diabetes Care.Reuters Health Information 2003

Mediterranean Diet Suppresses Disease Activity in Rheumatoid Arthritis

Switching from a typical western diet to a traditional Mediterranean (MD) diet reduces pain and inflammation associated with rheumatoid arthritis within 12 weeks, Swedish researchers report in the March issue of the ls of Rheumatic Diseases.Reuters Health Information 2003

Ibuprofen Boosts Blood Pressure in Patients on ACE Inhibitors

Ibuprofen can cause a significant elevation of systolic blood pressure in certain hypertensive patients taking angiotensin-converting enzyme (ACE) inhibitors, researchers report in the February issue of the American Journal of Hypertension.Reuters Health Information 2003

High Intake of Unsaturated Fats May Protect Against Alzheimer's Disease

New research released Monday suggests that consumption of unsaturated, unhydrogenated fats may reduce the risk of Alzheimer's disease (AD). By contrast, intake of saturated fats appears to increase the risk.Reuters Health Information 2003

FDA Clears Albumin Test as a Diagnostic Aid in MI

The US Food and Drug Administration (FDA) has cleared for marketing a laboratory blood test designed to help rule out MI when patients present with chest pain, the agency said on Friday.Reuters Health Information 2003

Beware High Serum Digoxin Concentrations

Because higher levels are linked to increased mortality in men with heart failure, the therapeutic window should be 0.5 to 0.8 ng/mL.Medscape Medical News 2003

Work Hours More Important Than Money in Specialty Selection

When choosing a specialty, new physicians are more likely to base their decision on the amount of vacation time and schedule regularity than on income, new study findings show.Reuters Health Information 2003

Baby Aspirin, Coated Aspirin May Not Prevent Stroke

People who take baby aspirin or coated aspirin to prevent heart attacks or strokes may not be getting the benefits they expect, US researchers said on Friday.Reuters Health Information 2003

Efficacy of Clopidogrel Maintained Over Long Term

In patients with acute coronary syndromes, clopidogrel reduces the risk of ischemic vascular events that occur within 1 day, with efficacy continuing throughout the following year, the Clopidogrel in Unstable angina to prevent Recurrent Events (CURE) Trial investigators report.Reuters Health Information 2003

Combination Hormone Therapy Increases Women's Stroke Risk, Even in First Year

New data from the Women's Health Initiative cast more bad light on combination hormone replacement therapy for postmenopausal women. Reuters Health Information 2003

Cardiovascular Mortality Rises When Ibuprofen Added to Aspirin Therapy

There is more evidence that ibuprofen may interact with the cardioprotective effects of aspirin, British investigators report in the February 15th issue of The Lancet.Reuters Health Information 2003

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Vaccine Against HPV-16 and, Possibly, Cervical Cancer

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Family Medicine MedPulse®

www.medscape.com/familymedicinehome

MedPulse is a weekly index of key news and features on Medscape's specialty sites compiled by Medscape's Editors.

ADVERTISEMENT

HeartStart Home Defibrillator InfoSite The same "life-saving" technology

used on airplanes and in airports

is now available for your patients' Homes.

Click here to learn more about the

HeartStart Home Defibrillator by Philips.

FROM THE EDITOR

This week in MedPulse, we're pleased to offer you:

- a CME program on optimizing care for atypical manifestations of upper GI diseases

- a column From the Editor that discusses efforts toward the creation of an electronic medical record and asks for your thoughts

- guidance on treatment of an elevated homocysteine level that is unresponsive to folic acid, vitamin B6, and vitamin B12 in an Ask the Experts Q A

and much more.

Please continue to help shape MedPulse and the Family Medicine home page by sending suggestions or concerns to me at FamilyEditor@.... If you have technical questions, please write to MPMailings@....

Danar, MD

Editor, Medscape Family Medicine

ALSO IN THIS ISSUE:NEWSMEMBER NEWSUSER SUPPORT

NEW FEATURES THIS WEEK

Optimizing Care for Atypical Manifestations of Upper GI Diseases

Gain CME credit while you review how experts diagnose and manage patients presenting with atypical symptoms of GI-related cough, noncardiac chest pain, and sleep disturbances.

The Emerging Role of Intravenous Bisphosphonates in the Management of Patients With Bone Metastases

This CME program discusses clinical trial results and the rationale for using intravenous bisphosphonates in the treatment of bone metastases in prostate cancer.

Nocturnal Paralysis and Tingling

A 33-year-old woman 3 months pregnant presented for evaluation of sleep-related complaints.Medscape General Medicine 5(1) 2003

Bone Resorption Rate After Bisphosphonate Treatment

Are after-treatment rates of bone resorption comparable to the rates of bone resorption in premenopausal women? Medscape Ob/Gyn & Women's Health 8(1) 2003

February 2003: ation Towards an Electronic Medical Record

The February 2003 From the Editor column discusses efforts towards the creation of an electronic medical record and asks for your thoughts.Medscape Family Medicine 3(1) 2003

Troponins and Hemodialysis

Are cardiac troponins I and T removed from plasma (and if so, to what extent) through hemodialysis?Medscape Primary Care 5(1) 2003

Lessons Learned From the Women's Health Initiative Study

The shock caused by the release of the principal results of the Women's Health Initiative is now fading, and we must come to grips with how to integrate this new information into our practices. South Med J 95(9) 2002

Pediatric Orthopedic Physical Examination of the Infant: A 5-Minute Assessment

A review of recent literature in pediatrics, pediatric orthopedics, and general orthopedics revealed a lack of information on pediatric orthopedic assessment of the newborn and infant.J Pediatr Health Care 17(1) 2003

CRP and Inflammatory Diseases

Is there a correlation between the level of rise of CRP and inflammatory diseases such as temporal arteritis/polymyalgia rheumatica?Medscape Rheumatology 5(1) 2003

February 2003

Novel product approvals slow down and the FDA responds with a new course for change. Medscape Pharmacists 4(1) 2003

Violent Victimization of Women and Men: Physical and Psychiatric Symptoms

Violent victimization of women is a serious public health problem that is frequently encountered in family practice.J Am Board Fam Pract 16(1) 2003

Elevated Homocysteine Unresponsive to Vitamins

What approach should be used to treat an elevated homocysteine level that is unresponsive to folic acid, vitamin B6, and vitamin B12?Medscape Primary Care 5(1) 2003

RESOURCE CENTER

Rheumatoid Arthritis Resource Center Redesigned

We encourage you to peruse the newly redesigned Rheumatoid Arthritis Resource Center on Medscape, which contains information important to specialists and primary care physicians alike.

INSTANT POLL

Member of a Professional Association?

In a Medscape Instant Poll that launched Feb. 15, 34% of respondents said they are not a member of a general national medical association or a specialty medical association. But another 29% said they are a member of both. As of Feb. 20, a total of 807 respondents had taken part in this poll. To view the final results of the poll, which ended on Feb. 21, click on the title above

MULTIPLE SCLEROSIS AND MOOD DISORDERS

The treatment of comorbid, symptomatic conditions such as depression

constitutes a significant aspect of care for patients with MS. Read

"Neuroimmunology of Mood Disorders and Multiple Sclerosis," a

conference summary from Medscape Pharmacists. NEW on the front page

of the Multiple Sclerosis Resource Center.

NEWS

Parents Often Fail to Recognize Teenage Depression

Nearly all US parents believe they can spot depression in their teenagers, but in fact two thirds of adolescents are never diagnosed and are at increased risk for suicide, according to survey results released Thursday.Reuters Health Information 2003

New Web Site Highlights Medical Errors, Patient Safety Lessons: A Newsmaker Interview With Carolyn M. Clancy, MD

Near-miss cases provide a forum in which healthcare professionals can learn about error prevention without blame, sponsors hope.Medscape Medical News 2003

MI Risk Increased Among Women With Rheumatoid Arthritis

Women with rheumatoid arthritis (RA) have a significantly higher risk of myocardial infarction (MI) than those without RA, according to a report in the current rapid access issue of Circulation, due for print publication on March 11.Reuters Health Information 2003

Acarbose Effective for Type 2 Diabetes Inadequately Controlled by Metformin

Acarbose treatment significantly improves glycemic control in overweight patients with type 2 diabetes whose blood glucose is inadequately controlled by metformin, according to a report in the February issue of Diabetes Care.Reuters Health Information 2003

Mediterranean Diet Suppresses Disease Activity in Rheumatoid Arthritis

Switching from a typical western diet to a traditional Mediterranean (MD) diet reduces pain and inflammation associated with rheumatoid arthritis within 12 weeks, Swedish researchers report in the March issue of the ls of Rheumatic Diseases.Reuters Health Information 2003

Ibuprofen Boosts Blood Pressure in Patients on ACE Inhibitors

Ibuprofen can cause a significant elevation of systolic blood pressure in certain hypertensive patients taking angiotensin converting enzyme (ACE) inhibitors, researchers report in the February issue of the American Journal of Hypertension.Reuters Health Information 2003

Increasing Resistance to Ciprofloxacin Deemed "Alarming"

Susceptibility to ciprofloxacin is decreasing rapidly among Gram-negative bacilli, more so than to any other antibiotic, investigators report in the Journal of the American Medical Society for February 19.Reuters Health Information 2003

High Intake of Unsaturated Fats May Protect Against Alzheimer's Disease

New research released Monday suggests that consumption of unsaturated, unhydrogenated fats may reduce the risk of Alzheimer's disease (AD). In contrast, intake of saturated fats appears to increase the risk.Reuters Health Information 2003

Tamoxifen Reduces Risk of Benign Breast Disease

In the NSABP Breast Cancer Prevention Trial, this drug also reduced breast cancer risk and the number of biopsies performed for benign conditions. Medscape Medical News 2003

Beware High Serum Digoxin Concentrations

Because higher levels are linked to increased mortality in men with heart failure, the therapeutic window should be 0.5 to 0.8 ng/mL.Medscape Medical News 2003

Baby Aspirin, Coated Aspirin May Not Prevent Stroke

People who take baby aspirin or coated aspirin to prevent heart attacks or strokes may not be getting the benefits they expect, US researchers said on Friday.Reuters Health Information 2003

Combination Hormone Therapy Increases Women's Stroke Risk, Even in First Year

New data from the Women's Health Initiative cast more bad light on combination hormone replacement therapy for postmenopausal women. Reuters Health Information 2003

MEMBER NEWS

DON'T MISS MEETING COVERAGE - VISIT THE CONFERENCE CENTER

Read the latest Medscape Conference Coverage in your specialty, including free CME activities.

Have you read the latest summary from JOURNAL WATCH on Medscape?

Vaccine Against HPV-16 and, Possibly, Cervical Cancer

USER SUPPORT

Unsubscribe from this newsletter.

Subscribe to this newsletter.

Forgot your login info?

Cannot read this newsletter? Prefer the TEXT version?

www.medscape.com/px/registration/updateemail

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