

Random Pearls #IM2019 Day 3
Apr 22, 2019
Dr. Alan Dow from VCU sheds light on key takeaways from the ACP's Internal Medicine Meeting, diving into topics like sleep deprivation's critical impact on health and the glymphatic system's role. Emi Okamoto shares vital insights on dermatology and immigrant health, emphasizing the need for trauma-informed care. They discuss innovative treatment options for chronic back pain, heart failure management, and the shifting landscape of medical marijuana in tackling pain and sleep issues. Humor and camaraderie shine through their lively conversation.
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Celiac in Iron Deficiency
- About 9% of patients with iron deficiency anemia have celiac disease, which is often underdiagnosed.
- Testing for celiac disease should be part of the iron deficiency anemia workup, mainly through serologies.
Inflammatory Back Pain Prevalence
- About 10% of patients with chronic back pain have inflammatory back pain, not mechanical causes.
- Inflammatory back pain improves with exercise and morning movement, unlike mechanical back pain.
D-Mannose for Cystitis Prevention
- Use D-Mannose as an over-the-counter option for recurrent cystitis prevention instead of antibiotics.
- D-Mannose is effective and safer, lacking antibiotic resistance risks and pulmonary fibrosis concerns.