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Mystery Quiz-The Answer

November 21, 2017
Mystery Quiz-The Answer

Before you read the answer, please review the original Mystery Quiz posted 11/9/17

Hayashi MD, Robert Smith MD

The answer to the Mystery Quiz is lung carcinoma. The location of the lesion is the superior segment of the right lower lobe which is dependent when the patient is supine.  This location often suggests an aspiration event, especially in patients with impaired consciousness.  Image 3 shows an increased density that overlies rib crossings, but extends beyond the rib markings indicating a likely parenchymal abnormality. Also evident, …

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Core IM podcast: 5 Pearls on Iron Deficiency Anemia

November 15, 2017

Listen to 5 Pearls segment of Iron Deficiency Anemia! By Dr. Cary Blum MD, Marty Fried MD and Shreya P. Trivedi MD; Illustration by Mike Natter MD

Time Stamps:

  1.  Should patients be screened for iron deficiency? If so, who and how often? (1:40)
  2.  What are the indications for diagnostic endoscopy in iron deficient patients? (3:23)
  3. How should you advice patients to take oral iron? What is optimal dosing? (5:53)
  4.  In which patients would you consider IV iron? What are the risks? (11:41)
  5.  Throwback Question: What is a medication overuse HA? (14:44)

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Tales of the Bellevue Hospital Internal Medicine House Staff from the ‘60s to Now-Part 2 The 1970’s

November 3, 2017
Tales of the Bellevue Hospital Internal Medicine House Staff from the ‘60s to Now-Part 2 The 1970’s

In honor of the 10th Anniversary of Clinical Correlations we are presenting a wonderful 4 part series of life as a house officer at Bellevue Hospital in the 60’s, 70’s, 80’s and 90’s.   Former resident Olivia Begasse de Dhaem conducted extensive interviews with our faculty who worked at Bellevue in each of these decades.   With guidance from David Oshinksy, Olivia has written a story of what binds our students, residents and faculty and patients together through Bellevue’s rich history.  While much has changed in our …

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PrimeCuts – This Week in the Journals

October 30, 2017
PrimeCuts – This Week in the Journals

By Ian Yarrett, MD

Peer Reviewed

As uncertainty continues to swirl around the future of Obamacare and the stability of the nation’s health insurance markets , President Trump took a promising step last week in officially declaring the opioid crisis a public health emergency .  Whether new federal funding to combat the problem will follow remains an open question.  In the meanwhile, let’s review the latest updates from the medical literature in this week’s edition of PrimeCuts.

Active referral to smoking cessation services more effective

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Core IM Podcast: 5 pearls on Headaches

October 18, 2017

Listen to CORE IM’s first 5 Pearls segment on Headaches!

Time Stamps

  1.   What are the indications for imaging for HA? (1:36)
  2.   What is your approach to abortive therapy for migraines? (4:45)
  3.   How do you diagnose medication overuse HA? (6:41)
  4.  What is your approach to migraine prophylaxis? (8:29)
  5. What are some evidence based nonpharmacological therapies for migraines?  (10:42)

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Introducing the CORE IM Podcasts: 5 Pearls & Mind the Gap

October 13, 2017

By Shreya P. Trivedi, MD, Martin Fried, MD and Neil Shapiro, MD

Stay tuned as Clinical Correlations will be partnering with CORE IM to bring our audience podcasts!  CORE IM is a consortium of educators aligned to create internal medicine-specific portable learning tools in the form of podcasts, corresponding show notes and illustrations.  Our goal is to help today’s busy clinician synthesize and consolidate important teaching points. The podcast will deliver high-yield digestible content on various clinically relevant internal medicine topics that can be easily incorporated into demanding schedules.

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Can I Safely Use Anticoagulants in my Patient with a Brain Tumor?

August 3, 2017
Can I Safely Use Anticoagulants in my Patient with a Brain Tumor?

By Christopher Sonne, MD

Peer Reviewed

It is the last admission of your admitting night shift. You are called to assess a pleasant, oriented 65-year-old man with lung cancer and metastases to the bone, liver, and brain. You review his history along with his admission labs and imaging, and you quickly feel confident in your diagnosis of a lobar pneumonia. Relieved, tired, the sun peaking through the call window, you begin to put in his orders. Finally, your last task is to choose adequate venous …

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Does Loneliness Contribute to Morbidity and Mortality?

March 24, 2017
Does Loneliness Contribute to Morbidity and Mortality?

By Katherine Otto

Peer Reviewed

What medications do you currently take? Do you have any allergies? What medical conditions did your parents live with, or die from?

As physicians in training, we are conditioned to drill every patient with a standard list of questions whose answers could literally save a life. We investigate for drug toxicities, medication interactions, daily exposures, and family histories that shed light onto present illness.

Within our standard interview we also check off mandatory boxes to describe a patient’s “Social History”—Do …

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