Internal Medicine Alert – March 15, 2013

March 15, 2013

• Tennis Elbow, Anyone?

  Neither physical therapy nor steroid injection improved primary outcomes of tennis elbow at 1 year; in fact, steroid injection was associated with worse outcome. Physical therapy was associated with some improvement in short-term outcomes and secondary measures.

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• Does Intensive Lifestyle Intervention Reverse Type 2 Diabetes?

  After 4 years, the intensive lifestyle intervention resulted in a greater likelihood of partial remission of type 2 diabetes.

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• Lowering Blood Pressure but Raising the Risk of Hip Fracture

  The risk of hip fracture goes up for about 6 weeks immediately after older people start taking antihypertensives.

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• Pharmacology Update: Bedaquiline Tablets (Sirturo™)

  The FDA has approved bedaquiline, a first in class drug for the treatment of multidrug-resistant tuberculosis.

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• Clinical Briefs By Louis Kuritzky, MD

  Peripheral Artery Disease: Helping Patients to Walk the Walk; Long-Term Functional Outcomes After Localized Prostate Cancer Treatment; A Relationship Between Nocturia and Hypertension

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• Pharmacology Watch: Aspirin Use and Age-Related Macular Degeneration

  Aspirin use and AMD risk; using NSAIDs and antihypertensive agents; and FDA actions.

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• ECG Review: What Rhythm? What Artery?

  The 12-lead ECG and lead II rhythm strip shown above were obtained from a 55-year-old man with chest pressure.

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