[Recent developments in internal medicine]

Giole Ongaro1, Anne Rossel1, Aline Toinet1

  • 1Service de médecine interne générale, HUG, 1211 Genève 14.

Revue Medicale Suisse
|July 14, 2017
PubMed

Insights

This article emphasizes objective evaluation of interventional procedures in internal medicine, particularly in cardiovascular medicine and nephrology. It reviews recent studies that may impact guidelines for managing arterial hypertension and hypercholesterolemia.

Area of Science:

  • Internal Medicine
  • Cardiovascular Medicine
  • Nephrology

Background:

  • Hospital-based internal medicine collaborates closely with clinical specialties for procedures.
  • Objectivity in assessing the indications and benefits of diagnostic and interventional procedures is crucial.
  • Areas like cardiovascular medicine and nephrology require careful consideration of procedural indications.

Purpose of the Study:

  • To highlight the importance of objective evaluation in internal medicine procedures.
  • To discuss recent studies impacting cardiovascular medicine and nephrology.
  • To review potential modifications to guidelines for arterial hypertension and hypercholesterolemia management.

Main Methods:

  • Review of recent studies.
  • Analysis of current guidelines.
  • Discussion of selected subjects in internal medicine.

Main Results:

  • Recent studies may necessitate guideline revisions for hypertension and hypercholesterolemia.
  • Objective assessment of procedures is vital for patient benefit.
  • Collaboration with specialties requires maintaining independent clinical judgment.

Conclusions:

  • Internal medicine physicians must critically evaluate procedural indications.
  • Updated evidence may alter management strategies for hypertension and hypercholesterolemia.
  • Maintaining objectivity ensures optimal patient care in collaborative settings.

Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.3K
Current Trends in Nursing II01:30

Current Trends in Nursing II

Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.6K
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
420
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
266
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
291
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
432