NEJM Journal Watch - General Medicine

Observations from ID and Beyond: On-Service ID Link-o-Rama — Osmosis Edition

Dr. Paul Sax presents his latest Link-o-Rama in HIV and ID Observations.

Quantifying Benefits and Risks of GLP-1–Receptor Agonists for Patients with Diabetes

In a large data analysis, GLP-1 agonists lowered risk for many diseases that are not related to diabetes.

Does Metformin Provide Renal Protective Effects in Type 2 Diabetes?

In an observational study, patients taking metformin were less likely to progress to chronic kidney disease.

Noninvasive Ventilation for Patients with Acute Asthma Exacerbations

A new systematic review suggests that NIV might benefit some patients.

Can Repeated Lumbar Punctures Produce Pleocytosis?

Yes, and the finding suggests caution before ordering costly follow-up tests.

Falls in Older Adults with Dizziness Who Use Vestibular Suppressants

Anxiolytics and antiemetics were associated with heightened risk for falls that required medical attention.

Pharmacologic Management of Neuropathic Pain

Updated recommendations based on a meta-analysis from an international group of pain specialists.

Risk for Stroke in Patients with Newly Diagnosed Atrial Fibrillation Who Are Hospitalized for Something Else

In patients with low-to-moderate thromboembolic risk, 1-year stroke incidence was lower than the 2% threshold for guideline-recommended anticoagulation.

Initial Management of Carpal Tunnel Syndrome

Initial surgical decompression was superior to steroid injection at 18 months.

Observations from ID and Beyond: The Mystery of the Isolated Hepatitis B Core Antibody, Solved

In HIV and ID Observations, Dr. Paul Sax delves into a medical mystery involving hepatitis B serologies.