June 23, 2010
Faculty Peer Reviewed
Over the last several decades, Westernized countries have become 24-hour societies. Approximately 21 million workers in the US are on non-standard work shifts, including almost 4 million on regular overnight shifts.[1] In 1972, Taylor and Pocock…
Read the rest of this entry >>
Posted in Clinical Questions, Heme/Onc, Myths and Realities
June 18, 2010
Faculty Peer Reviewed
The patient is a 29 year old overweight male presenting to clinic with complaints of reflux symptoms. He says that spicy foods aggravate these symptoms. In addition to weight loss counseling, he is given a…
Read the rest of this entry >>
Posted in Clinical Questions, GI
June 11, 2010
By Kanika Ballani, PharmD and Michelle DallaPiazza, MD
Faculty Peer Reviewed
Clostridium difficile—an anaerobic, gram-positive, spore-forming bacillus—is an important nosocomial pathogen. This organism is the cause of Clostridium difficile-associated disease (CDAD) in hospitalized patients. The clinical presentation of CDAD ranges from mild…
May 21, 2010
By Rachel Edlin, MD
Faculty peer reviewed
A 29-year-old female patient with a history of iron deficiency anemia and heavy menstrual periods comes into the clinic for a regular visit. She is tired of iron supplementation and its associated constipation. As she…
Read the rest of this entry >>
Posted in Class Act, Clinical Questions
April 27, 2010
Emily Stamell
Faculty peer reviewed
As a well-trained fourth year medical student, I inquire about smoking habits as part of almost all my patient encounters. Yet, I do not recall properly counseling a patient on smoking cessation aside from the one liner…
Read the rest of this entry >>
Posted in Class Act, Clinical Questions, Psychiatry
November 19, 2009
Arlene Chung
Faculty Peer Reviewed
Despite the high prevalence of obesity1 and its associated morbidity2 and mortality 3,4, it represents one of the most difficult chronic conditions to treat. Barriers include a metabolically toxic environment, a history of ill-fated weight-loss regimens, and a general…
Read the rest of this entry >>
Posted in Class Act, Clinical Questions, Endocrine
April 30, 2009
Bani Chander MD
Faculty Peer Reviewed
Autoimmune hepatitis (AIH) is a progressive, inflammatory disease of the liver of unknown etiology and may progress to cirrhosis. While it is does have a predilection for women, this disease entity crosses genders and ethnic groups,…
Read the rest of this entry >>
Posted in Clinical Questions, GI
April 22, 2009
Michael T. Tees, MD, MPH
On the wards and in the clinic, the physician is frequently presented with a patient with a decreased appetite and alarming weight loss. The patient is likely frustrated with their own fraility, the family is upset…
Read the rest of this entry >>
Posted in Clinical Questions, Heme/Onc, Nutrition
April 16, 2009
Frederick Gandolfo, MD
Case: An 85 year-old woman admitted to the hospital with pneumonia and after a prolonged hospital course developed heparin-induced thrombocytopenia (HIT). She is currently being treated with argatroban and her platelet counts are recovering. You are the covering…
Read the rest of this entry >>
Posted in Clinical Questions, Heme/Onc
February 13, 2009
Commentary by Jon-Emile Kenny MD, PGY- 2
Faculty Peer Reviewed
At morning report, the case of a 55 F with known dermatomyositis (DM), and interstitial lung involvement who had presented to the hospital with increasing dyspnea was presented. The discussion of the case…
Read the rest of this entry >>
Posted in Clinical Questions, Rheumatology
November 20, 2008
Commentary by Albert B. Knapp MD, NYU Clinical Professor of Medicine (Gastroenterology)
THE CASE:
WS, a 49 yo year old Caucasian male with a known 35 year history of alcohol abuse, now presents with jaundice, tense ascites and a left shoulder…
Read the rest of this entry >>
Posted in Clinical Questions, GI
July 9, 2008
Commentary by Howard Leaf, M.D. Assistant Professor, Division of Infectious Diseases and Immunology
Pressure continues to build for healthcare facilities to act to decrease hospital-acquired infections, particularly those associated with MRSA. This is partly data-driven, with one study reporting that 25%…
Read the rest of this entry >>
Posted in Clinical Questions, ID
