Systems

Fast Hearts and Funny Currents, Part 2: Is Tachycardia Part of the Problem in Heart Failure?

May 25, 2011
Fast Hearts and Funny Currents, Part 2: Is Tachycardia Part of the Problem in Heart Failure?

By Santosh Vardhana

 Faculty Peer Reviewed

Please review Part 1 of this article here.

Mr. M is a 63-year old man with a history of coronary artery disease and systolic congestive heart failure (ejection fraction 32%) on lisinopril, metoprolol, and spironolactone who presents to the Adult Primary Care Center complaining of persistent dyspnea with exertion, two-pillow orthopnea, and severely limited exercise tolerance.  His vital signs on presentation are T 98.0˚F, P 84, BP 122/76.  What are his therapeutic options?

 A randomized, placebo controlled study of …

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Fast Hearts and Funny Currents: Is Tachycardia Part of the Problem in Heart Failure? Part 1

May 18, 2011
Fast Hearts and Funny Currents: Is Tachycardia Part of the Problem in Heart Failure? Part 1

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 Time: Tachycardia in the Failing Heart

Congestive heart failure (CHF) is a clinical syndrome …

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Vegetative State 2.0

May 13, 2011
Vegetative State 2.0

By Ivan Saraiva, MD

Faculty Peer Reviewed

 “Mr. Dockery was a police officer in the town of Walden, northwest of Chattanooga, when he was shot in the forehead as he responded to a call on Sept. 17, 1988. He has been motionless and speechless in a nursing home most of the time since then but was recently moved to Columbia Parkridge Medical Center here because of a lung infection. Suddenly, on Monday, he spoke, amazing his family and physicians.” (NY Times, February 17, 1996)

 What …

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Warning: Drinking Cola May Be Dangerous To Your Health

May 11, 2011
Warning: Drinking Cola May Be Dangerous To Your Health

By Jessica Leifer

Faculty Peer Reviewed

As a new third year medical student excited to finally be seeing my own patients and still looking for my style as an interviewer, I approach the social history in the systematic way we have learned in the first 2 years of medical school. God forbid I leave something out. Over the past month of my first clerkship, I’ve grown comfortable with asking the uncomfortable questions: Are you currently sexually active? With men, women, or both? Do you use …

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How Safe Is That Tattoo?

April 27, 2011
How Safe Is That Tattoo?

By Farzon A. Nahvi

Faculty Peer Reviewed

 Once thought to be exclusively the domain of gang members, prisoners, and those in the military, tattoos are now increasingly popular with the general population. The increasing visibility of tattoos on high-profile individuals such as athletes, musicians, and actors, combined with the increasing acceptability of tattoos among professionals, have made tattoos a common part of modern culture. Nevertheless, tattoo artists are subject to little regulation, and tattoo art comes with some real health risks. With an estimated 15% …

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From The Archives: Myths and Realities: Do Power Lines Cause Cancer?

April 14, 2011
From The Archives: Myths and Realities: Do Power Lines Cause Cancer?

Please enjoy this post from the Clinical Correlations archives first posted May 20, 2009

By Aditya Mattoo, MD

Faculty Peer Reviewed

Prompted by personal experience, I thought I would explore the alleged causative role of power lines in hematologic malignancies for the next installment of Myths and Realities. In recent years, two close family friends living at separate locations but in homes adjacent to lots with electrical transformers were diagnosed with Multiple Myeloma and Non-Hodgkin’s Lymphoma. Naturally, the coincidence was not unnoticed, so I decided …

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The Porcelain Terror: Can a Toilet Give You Gonorrhea?

April 13, 2011
The Porcelain Terror: Can a Toilet Give You Gonorrhea?

By Bradley Ching, Class of 2011

Faculty Peer Reviewed

 What do every road trip, football game halftime, and trans-continental plane flight have in common? Usually a disgusting toilet paired with the urgent need of people to use them. While no one takes pleasure from these encounters, could they in fact be a risk for acquiring a sexually transmitted disease?

Gonorrhea or “the clap,” as it is lovingly nicknamed, is caused by the bacteria Neisseria gonorrhoeae and is most commonly transmitted via sexual intercourse.  It is …

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Case of the Month: Vertebral Osteomyelitis and Psoas Abscess with Acinetobacter Baumanii: Report of an Unusual Case

April 6, 2011
Case of the Month: Vertebral Osteomyelitis and Psoas Abscess with Acinetobacter Baumanii: Report of an Unusual Case

By Michael C. Brabeck, MD,  Adam Davis, MD, and Shaun Rodgers, MD

Faculty Peer Reviewed

 Case:

A 56-year-old male was admitted to Bellevue Hospital Center with chronic back pain and a three month history of subjective fevers, decreased appetite, and a thirty pound weight loss. His past medical history was remarkable only for chronic alcohol abuse. He denied other substance abuse. There were no previous health care facility exposures, and the patient had no history of military service. The physical examination upon admission was notable …

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