Grand Rounds

Grand Rounds: Thyroid Disease and the Heart

September 24, 2008
Grand Rounds: Thyroid Disease and the Heart

 Commentary by Sarika Modi MD, PGY-2  

Dr. Irwin Klein MD, Professor of Medicine and Cell Biology, of North Shore University Hospital, gave grand rounds on “Thyroid Disease and the Heart” on September 17, 2008.  He began his talk by giving an overview of the broad spectrum of cardiac manifestations seen in hyperthyroidism.  Palpitations are seen in 90% of patients with hyperthyroidism.  Atrial fibrillation is seen in 5-15%, especially in the elderly.  In fact, as Dr Klein pointed out, former president George Bush Senior was…

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Grand Rounds: “Acute Respiratory Distress Syndrome and Acute Lung Injury”

September 17, 2008
Grand Rounds: “Acute Respiratory Distress Syndrome and Acute Lung Injury”

Commentary by Matthias Kugler MD, PGY-3

Please also see the Grand Rounds Clinical Vignette

Leonhard D Hudson, M.D., Professor of Medicine, Pulmonary and Critical Division, University of Washington, Seattle, spoke at Medical Grand Rounds about the Acute Respiratory Distress Syndrome (ARDS) and Acute Lung Injury (ALI). He started his lecture with a history of the disease, starting with the first published description of ARDS in The Lancet 1967, where it was defined by the presence of diffuse alveolar damage, increasing pulmonary…

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Grand Rounds: “Bacterial Meningitis”

September 11, 2008
Grand Rounds: “Bacterial Meningitis”

Commentary by  Stephen Carpenter MD, PGY-2

Dr. Vincent Quagliarello, Professor of Medicine at Yale University, delivered his Medicine Grand Rounds lecture entitled “Bacterial Meningitis in Adults: Principles and Practice in 2008” on Wednesday, September 3rd, 2008. He began with some of the history of the disease and noted that despite all the medical advances, bacterial meningitis still has a mortality rate of 27% and an even higher rate of 54% in poorer nations where high rates of HIV infection confound the problem.…

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Grand Rounds: “Nephrogenic systemic fibrosis”

June 5, 2008
Grand Rounds: “Nephrogenic systemic fibrosis”

Commentary by Jatin Roper MD, PGY-3

Medical Grand Rounds today was presented last week by Dr. Shawn Cowper, Assistant Professor of Dermatology and Pathology at Yale University School of Medicine. Grand Rounds began with the presentation of a case from Tisch Hospital:

A 46 year old female with a history of end-stage renal disease secondary to diffuse-proliferative glomerulonephritis on hemodialysis, systemic lupus erythematosis, antiphospholipid antibody syndrome, and IVC thrombosis presents to a dermatology consultant for progressive hardness, tightness, and tenderness…

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Grand Rounds: “ANCA-Associated Vasculitis: Update for Internists”

April 9, 2008
Grand Rounds: “ANCA-Associated Vasculitis: Update for Internists”

Commentary by Aditya Matoo MD, PGY-2

This week’s medicine grand rounds was given by Dr. Peter Merkel, M.D., M.P.H., Associate Professor of Medicine, Section of Rheumatology and Clinical Epidemiology Unit, Boston University School of Medicine and Director, Vasculitis Center, Boston University School of Medicine.

Dr. Merkel prefaced his discussion by highlighting the evolving movement among academics to change the name of Wegener’s Granulomatosis to an alternative given recent discoveries that Friedrich Wegener had willingly volunteered and actively participated in the Nazi movement…

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Grand Rounds: “Insulin Resistance: Implications for Obesity, Type 2 Diabetes”

February 26, 2008
Grand Rounds: “Insulin Resistance: Implications for Obesity, Type 2 Diabetes”

Commentary by Melissa Freeman MD, PGY2

This week’s Grand Rounds was delivered by Dr. Gerald Shulman, M.D., Ph.D., F.A.C.P. Professor of Internal Medicine and Cellular & Molecular Physiology and Investigator at the Howard Hughes Medical Institute of Yale University School of Medicine. Dr. Shulman has been a pioneer in unraveling the molecular mechanisms of insulin resistance.

For many years, Dr. Shulman and his colleagues have employed nuclear magnetic resonance spectroscopy (MRS) on muscle and liver cells to make noninvasive cellular discoveries. C13…

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Grand Rounds: “Fibromyalgia and Homeopathy: Holmes, Hogwarts and the Prince of Wales”

February 14, 2008
Grand Rounds: “Fibromyalgia and Homeopathy: Holmes, Hogwarts and the Prince of Wales”

Commentary by Nitasha Sarswat MD, PGY-3 

This week’s Medicine Grand Rounds speaker was Gerald Weissmann, MD, a familiar face at Bellevue/NYU. He is a professor of rheumatology, the former chairman of the Department of Rheumatology and current director of the Biotechnology Study Center.

Dr. Weissmann began by discussing homeopathic medicine and its roots in the Romantiic reaction against the Enlightenment and how homeopathic treatments today are not rooted in science. He discussed the use of plants such as briony and rhus toxicodendron…

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Grand Rounds: “Hyponatremia: Something Old, Something New”

January 30, 2008
Grand Rounds: “Hyponatremia: Something Old, Something New”

Commentary by Elizabeth Haskins MD, PGY-3

This week’s Grand Rounds was delivered by Dr. Tomas Berl, Chief of the Nephrology Division at the University of Colorado Health Sciences Center in Denver. Dr. Berl’s current research focuses on osmoregulated proteins of the inner medulla.

Hyponatremia, defined as a serum sodium concentration less than 136 mEq/L, is one of the most common electrolyte abnormalities in the hospitalized patient. In one Colorado hospital, the daily incidence of hyponatremia was 1% and the prevalence was 2.5%. The rate…

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Grand Rounds: “Two patients with splenomegaly: what is the diagnosis?”

January 17, 2008
Grand Rounds: “Two patients with splenomegaly: what is the diagnosis?”

Commentary by Noga Chlamtac MD, PGY 3

This weeks grand rounds was delivered by Dr. Pramod Mistry, Professor of Pediatrics and Medicine, and Chief of the Section of Pediatric Gastroenterology, Hepatology and Nutrition at Yale School of Medicine. Dr. Mistry received his Ph.D degree from the St. Thomas Hospital Medical School at the University of London in 1979 and his clinical training at the Royal Free Hospital and the Royal College of Physicians. Starting in 1998, he served as the Director of the Comprehensive…

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Grand Rounds: “When Things go Wrong”

December 26, 2007
Grand Rounds: “When Things go Wrong”

Commentary by Rosemary Adamson MD, PGY-2

Medical error, the most formidable of topics, was under discussion at ground rounds this past week. Dr. Tom Delbanco visited us from Boston to show his movie about patients’ and their families’ experiences of medical errors. Dr. Delbanco graduated from Columbia Medical School and did his residency at the Columbia Medical Division at Bellevue Hospital. He then moved to Harvard where he created one of the first primary care practice and teaching programs at an academic medical center; he…

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Grand Rounds: “Communicating the Benefits and Harms of Prescriptions Drugs”

December 19, 2007
Grand Rounds: “Communicating the Benefits and Harms of Prescriptions Drugs”

Commentary by Puja Korabathina PGY-3

This week’s medicine Grand Rounds was presented by Drs. Steven Woloshin and Lisa Schwartz , both alumni of NYU’s residency program who are currently performing research and practicing medicine at the Department of Medicine at Dartmouth Medical School. During their years of residency at Bellevue, they became interested in understanding the elements of and barriers to patient-doctor communication. Their current area of research — communicating the risks of prescription drug benefits in an accurate and thoughtful manner — is an extension…

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Grand Rounds-”The Joys of Translational Research”

December 11, 2007
Grand Rounds-”The Joys of Translational Research”

Commentary By: Benjamin Bergman PGY-2

This week’s Grand Rounds lecture was delivered by Dr. Barry Coller, a graduate of our own internal medicine program in 1972. He completed advanced training in hematology and clinical pathology at the National Institutes of Health and is currently the David Rockefeller Professor of Medicine, Head of the Laboratory of Blood and Vascular Biology, and Physician-in-Chief of The Rockefeller University Hospital. Dr. Coller’s research interests have focused on hemostasis and thrombosis, in particular platelet physiology.  He developed a…

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