Systems

Should You Eradicate Helicobacter Pylori Prior to Chronic NSAID Treatment?

January 19, 2011
Should You Eradicate Helicobacter Pylori Prior to Chronic NSAID Treatment?

By Joshua Smith, MD

Faculty Peer Reviewed

CASE:  A 54-year-old Asian female with no significant past medical history presents to her primary care physician with the complaint of several weeks of pain in her fingers bilaterally along with pronounced, worsening morning stiffness.  She is subsequently diagnosed with rheumatoid arthritis (RA), and the decision is made to start her on long-term, high-dose non-steroidal anti-inflammatory drugs (NSAIDs).  Given the link between NSAIDs and peptic ulcer disease (PUD), should this patient first be tested, and if positive, treated …

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Anthracycline Induced Cardiotoxicity

January 14, 2011
Anthracycline Induced Cardiotoxicity

By Ami Jhaveri, PGY-3

Faculty Peer Reviewed

Clinical Case:

K.M. is a 61-year-old woman with hypertension diagnosed with non-Hodgkin’s lymphoma 1 month ago.  Her only medication is hydrochlorothiazide.  She is about to undergo treatment with R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone).  Her oncologist explains that doxorubicin may affect the heart and that she needs to obtain a Multi Gated Acquisition scan (MUGA)before proceeding with her treatment.  Her oncologist recently read a study describing benefits of beta-blockers and ACE inhibitor therapy in patients receiving treatment …

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Meeting Perspectives: American Heart Association Scientific Sessions 2010

January 12, 2011
Meeting Perspectives: American Heart Association Scientific Sessions 2010

By Steven Sedlis, MD

The 2010 Scientific Sessions of the American Heart Association were held on November 13-17 in Chicago, IL. Details of all the late breaking trials including presentation slides and commentary are available on the newly redesigned and user friendly meeting web site: http://scientificsessions.americanheart.org/portal/scientificsessions/ss/. The cardiology fellows stayed at the W in the Loop and had a raucous party Monday night hosted by Barry Rosenzweig and Glenn Fishman to which the faculty was invited. There was plenty to celebrate. Two of the fellows …

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Myths and Realities: Does Vitamin C Work for the Common Cold?

January 7, 2011
Myths and Realities: Does Vitamin C Work for the Common Cold?

By Carolyn Bevan,  MD

Faculty Peer Reviewed

It starts with a tickle in your throat.  You feel a bit more tired after a day’s work, maybe your forehead feels a little warm.  You try to will it away, but over the next few days, it hits you: the congestion, runny nose and annoying cough.  Much to your dismay, you have a cold.  Determined not to give in without a fight, you drag yourself to the nearest drug store and buy the first mega-dose vitamin C …

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From The Archives – Deciphering Fact from Fiction in Hypoglycemia

January 6, 2011
From The Archives – Deciphering Fact from Fiction in Hypoglycemia

Please enjoy this post from the Clinical Correlations archives first posted March 26, 2009

By: Melissa Price, MD

Faculty Peer Reviewed

A 42 year-old male phlebotomist with a history of anxiety presented to the emergency room complaining of four hours of dizziness and diaphoresis. He denied taking any medications. His vitals were stable, his physical exam was significant for a lethargic, diaphoretic young man without focal findings, and his fingerstick value was 43mg/dL. His chest X-ray, EKG, and laboratory results, with the exception of plasma …

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Early Repolarization: Not as Innocent as Once Thought!

January 5, 2011
Early Repolarization: Not as Innocent as Once Thought!

By Rachel Bond, MD PGY-2

Faculty Peer Reviewed

For many years, the electrocardiogram, a seemingly simple transthoracic interpretation of the electrical activity of the heart captured and externally recorded, has fascinated healthcare professionals.  An aspect of the electrocardiogram which has piqued curiosity consist of an interesting pattern referred to as “early repolarization.”  Early repolarization is a slurring or notching producing a hump-like feature called a J wave, typically found at the junction at the end of the QRS complex and the beginning of the ST …

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Meeting Perspectives: The 2010 Infectious Disease Society of America (IDSA) Meeting

December 22, 2010
Meeting Perspectives: The 2010 Infectious Disease Society of America (IDSA) Meeting

Neal H. Steigbigel, M.D.

The recent IDSA meeting reviewed many important and interesting findings.  Topics spanned a wide array of subjects, many of which are of importance and interest to all physicians.  These subjects included:

Treating severe Clostridial Difficile infection with fecal transplantation Isolation for extended spectrum beta lactamase (ESBL’s) bacteremia Update in multi-resistant gram negative infections Update on Pneumococccal infections Treatment dilemmas in immunocompromised hosts Update on invasive fungal infections

This high quality meeting has many simultaneous sessions and therefore one individual cannot cover …

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Is a Low Vitamin D Level a Risk Factor for Colon Cancer?

December 16, 2010
Is a Low Vitamin D Level a Risk Factor for Colon Cancer?

By Nelson Sanchez, MD and Fritz Francois, MD, MS

Faculty Peer Reviewed

Case: A 45-year-old woman presents to your office for an annual check-up.  She states that her grandmother was recently diagnosed with colon cancer at the age of 90, and she wants to know what she can do to reduce her own risk for the disease.  She recently read an article about the benefits of vitamin D and wants to know if they extend to protecting against colon cancer. In particular, she is concerned

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