Systems

How Does Alcohol Affect Hypertension?

June 24, 2011
How Does Alcohol Affect Hypertension?

By Benjamin Kenigsberg

Faculty Peer Reviewed

Alcoholic beverages have been part of human culture for thousands of years and cross nearly every political and demographic boundary. Despite this long history, the interaction between alcohol and human health is still poorly understood. This confusion is particularly true with regard to blood pressure, as multiple studies have debated the association between alcohol intake and the development or management of hypertension.  For this discussion, in America a standard drink is defined as 12 ounces of regular beer, 5 …

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Hepatocellular Carcinoma Screening Guidelines and Bellevue’s High-Risk Population

June 22, 2011
Hepatocellular Carcinoma Screening Guidelines and Bellevue’s High-Risk Population

By Ramoncito David

Faculty Peer Reviewed

Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related death in the world.  The prevalence of this fatal disease greatly varies among different nations, due to the fact that almost 80% of cases are secondary to hepatitis B or C.

The implementation of an effective vaccine against the hepatitis B virus (HBV) has reduced the prevalence of HBV carriers in North America to 0.1-2%; however, hepatitis B remains a global public health problem due its high prevalence in …

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Mystery Quiz- The Answer

June 17, 2011
Mystery Quiz- The Answer

Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors

The answer to the mystery quiz is lymphangitic carcinomatosis (LC). The diffuse interstitial and infiltrative pattern seen on CXR is best appreciated on the CT of the chest. On Images 4, 5 and 6, interlobular septal thickening is apparent (arrow) and is due to tumor infiltration of interstitial lymphatics. Also evident on these images (arrowhead) is diffuse peribronchial thickening due to tumor infiltration of the airways. Image 6 (open arrowhead) additionally shows pleural nodules, …

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Mystery Quiz

June 16, 2011
Mystery Quiz

Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors

The patient is a 62 year old man presenting with increasing breathlessness for the past six weeks. The patient first noted symptoms of mild shortness of breath and cough productive of yellow sputum that he attributed to his yearly winter cold. The sputum cleared and at presentation the patient had largely unproductive cough. A construction worker until six months earlier, the patient’s unlimited exercise tolerance was now limited to minimal exertion. He denied …

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Forgoing the Fear: Contrast Nephropathy

June 15, 2011
Forgoing the Fear: Contrast Nephropathy

By Mario V Fusaro, MD

Faculty Peer Reviewed

There are certain laws in the universe that are just not meant to be broken.  One is gravity.  Another one is relativity.  The third, don’t give contrast to people with bad kidneys.   Perhaps the last one is not so much a law as something we seem to be terrified of doing.  While recently on service, I had a patient with unexplained right lower quadrant pain.  The obvious first or second or fifth step would be a contrast …

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If I Eat Candy and Fatty Foods, Will I Get Acne?

June 3, 2011
If I Eat Candy and Fatty Foods, Will I Get Acne?

By Timothy Wu, MD

Faculty Peer Reviewed

A 17-year-old female comes into the clinic for an annual health checkup.  During the visit she reveals that she has been dealing with acne so severe that she is often embarrassed to go to school.  She states that her diet often consists of lots of candy, fast food, and soft drinks.  She asks, “Am I getting acne because of what I eat?”

Introduction

Acne is a common skin disorder that affects more than 17 million people in the …

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The Hangover: Pathophysiology and Treatment of an Alcohol-Induced Hangover

May 27, 2011
The Hangover: Pathophysiology and Treatment of an Alcohol-Induced Hangover

By Anthony Tolisano

Faculty Peer Reviewed

The sunlight forces its way into your eyes, stabbing at your cortex.  Suddenly, a wave of nausea and diarrhea grips your stomach, threatening to evacuate its contents.  You rush to the bathroom, tripping over the clothes that speckle your apartment.  Your heart pounds inside your chest and your hands shake ever so subtly.  Your mind is in a fog and the details of last night’s party are a blur.  Sound familiar?

If you’re anything like the millions of people …

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From the Archives: Myths and Realities: Is Breakfast the Most Important Meal of the Day?

May 26, 2011
From the Archives: Myths and Realities: Is Breakfast the Most Important Meal of the Day?

Please enjoy this post from the Clinical Correlations archives first posted June 18, 2009

By Chau Che MD

Faculty Peer Reviewed

In an age when two thirds of adults are either overweight or obese and obesity rates in children continue to rise, would an intervention such as consuming breakfast daily help combat this problem? Skipping breakfast has become increasingly common in adults and adolescents in the United States, with the proportion of adults and children skipping breakfast increasing from fourteen to twenty-five percent between 1965 …

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