Bedside Rounds

Bedside Rounds: How Useful are the Kernig and Brudzinski signs for Predicting Meningitis?

April 27, 2016
Bedside Rounds: How Useful are the Kernig and Brudzinski signs for Predicting Meningitis?

By Chio Yokose, MD

Peer Reviewed

Even in this era of modern medicine, bacterial meningitis remains a widely feared diagnosis in both resource-rich and -poor settings worldwide. Bacterial meningitis is among the ten most common infectious causes of death and kills approximately 135,000 people around the world each year .

It is a medical, neurologic, and sometimes neurosurgical emergency that affects 4 to 6 per 100,000 adults annually .  Many healthcare providers may consider the diagnosis when evaluating a patient, but it can nonetheless be …

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Lies My Patients Told Me: “I Take My Medications Every Day.”

January 15, 2016
Lies My Patients Told Me: “I Take My Medications Every Day.”

By Rebecca Sussman

Peer Reviewed

Reviewing medical evidence has become such a habit that sometimes it feels almost impossible to think independently. I’ve always been a top-down thinker; I go with my gut instinct, and then look for the evidence to support my assessment.

The problem is that very often it feels like what patients need most is not the precision of a particular etiology or the selection of a medication that is perfectly and precisely tailored to their condition and comorbidities; what they need …

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The Blue Phone and the Bow-Tie

March 14, 2014
The Blue Phone and the Bow-Tie

By Joseph Zakhar

Peer Reviewed

The Patient:

Fate is the sound of a ringing phone.

I, however, am growing to hate the sound.

I’m strangled by the words, by the rough sheets, the silence as a stranger far away connects us, sitting in some room. There’s a tension, an unsettling sense of doom as I count the doctors’ blinks and wait for the “bonjourno.” I hope the translator – the one who lets me and my doctors talk – is somewhere warm, like Texas.

The …

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Happy New Year!!

December 31, 2013
Happy New Year!!

As we reach the end of another year, we want to wish all our readers a very happy and healthy New Year. And not to be outdone by every other journal, website, magazine, tv show etc, here is our list of the top 10 articles published on Clinical Correlations in 2013, . … Drumroll please…. In no particular order:

1. Reflections on Hurricane Sandy Jessica Taff, MD

2. In Search of a Competitive Advantage: A Primer for the Clinician Treating the Anabolic Steroid User David …

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The Diagonal Earlobe Crease: Historical Trivia or a Useful Sign of Coronary Artery Disease?

November 2, 2011
The Diagonal Earlobe Crease: Historical Trivia or a Useful Sign of Coronary Artery Disease?

Nicholas Mark, MD & Sarah Buckley, MD

Faculty Peer Reviewed

Background

Publius Aelius Hadrianus, better known as Hadrian, emperor of Rome (117-138 CE), traveler, warrior, and lover of all things Greek, fell ill at the age of 60. He developed progressive edema and episodic epistaxis, fell into a depression soothed by rich food and drink, and succumbed to death within 2 years. The exact cause of Hadrian’s death–whether by heart failure, glomerulonephritis, or even hereditary hemorrhagic telangiectasia–has been a topic of debate among paleopathologists. It …

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The Stories My Senses Tell Me

May 20, 2011
The Stories My Senses Tell Me

By David Ellenberg

Faculty Peer Reviewed

Mr. A is a 91 year old male with a history of hypertension and two myocardial infarctions. He presented with shortness of breath and worsening lower extremity swelling and was subsequently admitted to the medicine floor for a CHF exacerbation. While on the floor, he also complained of painful pressure ulcers on his lower buttocks. He was diuresed and given oxygen by nasal cannula during his 48-hour hospital stay, and his ulcers were cleaned and monitored for infection. He …

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Tsunamigenesis and Korotkoff’s Sounds

January 26, 2011
Tsunamigenesis and Korotkoff’s Sounds


By Irene Isabel Payad Lim, MD and Michael Ford, MD

Faculty Peer Reviewed

The February 27, 2010 earthquake in Chile measured 8.8 on the Richter scale and displaced nearly 2 million people.  It also threatened to generate tsunamis that were predicted to hit the coasts of Japan, the Philippines, and Hawaii some 7000 miles away.  In this instance, the waves set off by the Chilean earthquake dissipated relatively harmlessly.  On the day after Christmas 2004, however, 14 countries bordering the Indian Ocean were not as …

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Bedside to Bench: Clubbing Revisited

April 3, 2009
Bedside to Bench: Clubbing Revisited

Commentary by Judith Brenner MD, Associate Editor, Clinical Correlations 

Faculty Peer Reviewed 

For an internist, discovering a patient with clubbing is so rewarding since it appeals to the core of our profession, a profession which can often be very similar to that of a detective. The physical finding of clubbing was first described by the ancient Greeks, who recognized it to be a clue to much more.

When a clinician discovers clubbing of the fingers, he must consider that hypoxemia may be present, whether secondary …

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