Zachary Elkin
Faculty Peer Reviewed
There are more than a million cases of herpes zoster (HZ) in the US annually . The incidence of HZ, or shingles, has been rising in the US since the 1990s . One third of all people in the US will get HZ, with the highest incidence in people aged 50 to 79 . As a result of the Shingles Prevention Study (SPS), the U.S. Food and Drug Administration (FDA) and Advisory Committee on Immunization Practices (ACIP) approved the Zostavax…
Please enjoy this post from the archives dated May 18, 2011
By Santosh Vardhana
Faculty Peer Reviewed
Mr. M is a 63-year-old man with a history of coronary artery disease and systolic CHF (ejection fraction 32%) on lisinopril, metoprolol, and spironolactone who presents to Primary Care Clinic complaining of persistent dyspnea with exertion, two-pillow orthopnea, and severely limited exercise tolerance. His vital signs on presentation are T 98.0º F, BP 122/76, HR 84 bpm. What are his therapeutic options?
A Race Against…
By Iulia Giuroiu, MD
Peer reviewed
As we mourn the death of Nelson Mandela and reflect upon his legacy, let us remember to embrace our differences as we strive toward well being for all. This week, the journals highlight the importance of paying attention to genetic risk factors unique to gender and ethnic backgrounds as we seek to provide optimal therapy for a variety of conditions.
This week’s first article challenges the assumption of gender equality in the use of drug-eluting stents (DES) (1). With…
By Benjamin G. Wu
Peer Reviewed
The news of a large $675 million dollar settlement on concussions has headlined on both the sports news channels and in popular media during this 2013 National Football League (N.F.L.) season . Heralded as a victory mainly for the N.F.L., the settlement not only allows the league to avoid larger amounts in potential liability payments but also the public scrutiny of a discovery phase if a case were to move forward . In the wake of this settlement…
Vivian Hayashi MD, Robert Smith MD
The patient is a 78 year old man who presented to the emergency room with fever, pain, swelling, and erythema of the right leg over a two day period. The patient denied abdominal symptoms, cough or breathlessness over his baseline. His past medical history included Waldenstrom’s macroglobulinemia ten years earlier that responded to treatment with chlorambucil. Other morbidities included severe chronic obstructive pulmonary disease, myocardial infarction 20 years previously, and chronic venous insufficiency resulting in lower extremity edema. The…
By Matthew Lee, MD
Peer Reviewed
Thanksgiving has traditionally been characterized by turkey-centric meals and Black Friday madness, but these phenomena were joined this year by both NCAA football’s rivalry week and Thanksgivukkah (the alignment of Thanksgiving and first day of Hanukkah). While people took time off to celebrate the holiday festivities, the medical journal world continued to turn, bringing us to this week’s articles.
Our first article by Mulder et al. looks at glucose management in patients admitted for acute coronary syndrome (ACS).…
Clinical Correlations will be closed for the holiday and will resume posting on Monday 12/2/13. Have a wonderful Thanksgiving and remember, please be careful with that turkey…
By Ali Mendelson, MD
Faculty Peer Reviewed
With Thanksgiving quickly approaching, the holidays are on everybody’s mind. There are parades to watch, food to cook, thanks to give, and inevitably, diets to break. That doesn’t mean you can’t find time to exercise, and for those who are pregnant, fitting in a few trips to the gym might aid in the development of your unborn child’s brain.
Two studies presented at this month’s Society for Neuroscience’s annual meeting looked at the association between exercise and infant…
