Articles related to Family Medicine/General Practice

Long-term continuous monitoring for atrial fibrillation in older patients yielded an incidental diagnosis of sinus node dysfunction or atrioventricular block with bradycardia in 21% of patients over the age of 70. But the finding was not associated with any increased risk of syncope or sudden death.

In the study, 1,400 individuals were assessed multiple times between ages of 36 and 69 for level of physical activity. They were quantified as not active, moderately active, and most active. Cognition measurements in later life showed a dose-response relationship between sustained levels of physical activity and later-life cognition status.

The patient’s blood pressure is 110/70 and his pulse is 52. Cardiac auscultation is normal. BMI is 22. The ECG shows sinus bradycardia and voltage criteria for LVH. The QT interval is 400 ms, and there is early repolarization. Review the details of the ECG and echo and determine your diagnosis.

Only 5 to 10 percent of Alzheimer’s cases are diagnosed in people under the age of 65. However, a BCBS report shows that from 2013 to 2017, there was a 200 percent increase in Alzheimer’s diagnoses in people ages 30 to 64. This case reports the youngest patient yet diagnosed with Alzheimer’s disease.

The patient’s ankylosing spondylitis is poorly controlled. He has avoided biologics and is on naproxen only. Now his course is complicated by persistent lower extremity edema. Other than hypertension, his vitals are normal. His spine is kyphotic with reduced mobility. He has 2+ swelling in both legs. After reviewing the labs, suggest your diagnosis.

Maternal immunization with 2 doses of vaccine was 97% and 53% effective against infant hospitalization from delta and omicron variants, respectively. The effectiveness of the vaccine in preventing infant hospitalization declined by nearly 20% after 16 weeks. Receiving the second dose in the third trimester yielded the greatest benefit.