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Hepatic Encephalopathy and TIPS: A Clinical Vignette

April 26, 2017
Hepatic Encephalopathy and TIPS: A Clinical Vignette

By Samantha Kass Newman, MD

Peer Reviewed

Today marks the first publication of the new Spotlight series in Clinical Correlations. This series uses case vignettes to explore diagnosis, pathophysiology, and management of a wide variety of diseases seen in the outpatient and inpatient settings.  Articles in the Spotlight section contain clinical pearls that will be highlighted in the case discussion.  While the occasional zebra may appear, the goal of the series is to provide clinically relevant information, and each case has been selected specifically for …

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Primecuts – This Week in the Journals

April 20, 2017
Primecuts – This Week in the Journals

By Sakinah Sabadia, MD

Peer Reviewed

Since we’re late to press this week, let’s turn straight to news on the medical front.

Revascularization Targets in Chronic Total Occlusions:

This review article summarizes the data regarding percutaneous coronary intervention (PCI) in chronic total occlusions (CTO). CTOs exist in up to 20% of patients with CAD (1), however the outcomes of PCI on these lesions have not been extensively studied, and thus limited data is available regarding the utility of such interventions.

The majority of patients who …

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From the Archives: Did Abraham Lincoln Have Marfan Syndrome?

April 13, 2017
From the Archives: Did Abraham Lincoln Have Marfan Syndrome?

Please enjoy this post from the archives dated April 19, 2013

By Anna Krigel Faculty Peer Reviewed The iconic image of Abraham Lincoln is ubiquitous in our lives, from his small face on the penny to his large figure looming over the National Mall in Washington, D.C. Lincoln fascinates historians because of his significant role in American history when our nation was bitterly divided, but he intrigues physicians because of his remarkable stature. A reporter once described the 16th president as a “tall, lank, lean…

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Oxygen Saturation Target of 88-92% in COPD: Evidence-based Medicine?

April 12, 2017
Oxygen Saturation Target of 88-92% in COPD: Evidence-based Medicine?

By Christopher V. Cosgriff

Peer Reviewed

The American College of Physicians (ACP) recommends supplemental long-term oxygen therapy (LTOT) in all patients who have severe resting hypoxemia, defined as a PaO2 ≤55 mmHg or an SpO2 ≤88%. In patients with cor pulmonale or polycythemia they recommend initiation of oxygen therapy at a PaO2 ≤59 mmHg.1 Absent from the ACP recommendation is a target range to which saturation should be restored. The accepted standard of practice is restoration to a range of 88%-92%, and there are British …

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Primecuts – This Week in the Journals

April 11, 2017
Primecuts – This Week in the Journals

Susan Creighton, MD

Peer Reviewed

Judge Neil M. Gorsuch was confirmed to the Supreme Court after Senate Republicans voted to lower the threshold required for Supreme Court nominations. Last week Senate Democrats used a filibuster to block the nomination, which would have required 60 votes before the rule change. At 49 years old, Justice Gorsuch could have a long tenure on the Supreme Court and shape the legal landscape for decades. Reproductive rights groups oppose Justice Gorsuch’s nomination because as part of the 10th Circuit …

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How Reliable Is Hemoglobin A1c?

April 6, 2017
How Reliable Is Hemoglobin A1c?

By Alexa Yuen

Peer Reviewed 

According to the CDC, there are 22 million people with an established diagnosis of diabetes mellitus in the United States, but more frightening is that the rate of diabetes continues to rise both nationally and globally, with predictions that 7.7% of the world’s adult population will be afflicted with the disease in 2030., Preventing, monitoring, and managing this disease is of utmost importance in responding to the growing epidemic. The hemoglobin A1c (HbA1c) blood test has become a powerful tool …

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Primecuts – This Week in the Journals

April 4, 2017
Primecuts – This Week in the Journals

By Jillian Diuguid, MD

Peer Reviewed

On Friday, March 31, New York City Mayor Bill de Blasio announced his support for a plan to shutter Rikers Island, the controversial East River island jail known for its history of violence by both inmates and corrections officers.  Per the Mayor, the closure plan will be complicated and difficult, taking 10 years, with significant reductions necessary in the number of jailed city inmates in order to make it possible.  The Mayor hopes this will be the end of …

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Book Review: in-Training: Stories from Tomorrow’s Physicians

March 31, 2017
Book Review: in-Training: Stories from Tomorrow’s Physicians

By Amar Parikh, MD

Peer Reviewed

“Wounded healers. It’s a concept…inspired by the story of Chiron, a centaur in Greek mythology who was renowned for his skills as a healer. Chiron was wounded by a poisoned arrow but his immortal status sustained him…He was thus condemned to spend eternity roaming the earth in agonizing pain, healing everybody but himself….the phenomena of depression and suicide among medical students and doctors suggest that we…fit into this archetype. “

The above selection is an excerpt from a moving …

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