Myths and Realities

From The Archives – The Hangover: Pathophysiology and Treatment of an Alcohol-Induced Hangover

January 16, 2014
From The Archives – The Hangover: Pathophysiology and Treatment of an Alcohol-Induced Hangover

Please enjoy this post from the archives, dated May 27, 2011

By Anthony Tolisano

Faculty Peer Reviewed

The sunlight forces its way into your eyes, stabbing at your cortex. Suddenly, a wave of nausea and diarrhea grips your stomach, threatening to evacuate its contents. You rush to the bathroom, tripping over the clothes that speckle your apartment. Your heart pounds inside your chest and your hands shake ever so subtly. Your mind is in a fog and the details of last night’s party are…

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The DLO: Does FFP Correct INR?

September 20, 2013
The DLO: Does FFP Correct INR?

By Nicole A Lamparello, MD

Faculty Peer Reviewed

Page from the hematology laboratory: critical lab value; INR 1.9. Liver biopsy scheduled for tomorrow. What is a knowledgeable physician practicing evidence-based medicine to do?

Fresh frozen plasma (FFP) is the liquid, acellular component of blood. FFP contains water, electrolytes, and the majority of the coagulation proteins . It is frequently transfused to patients with an elevated prothrombin time (PT), a measure of the activity of the common coagulation pathway (involving factors X, V, prothrombin and fibrinogen)…

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Clinical Misinformation: The Case of Benadryl Causing Dementia

May 22, 2013
Clinical Misinformation: The Case of Benadryl Causing Dementia

By Natalie Smith, MD

Faculty Peer Reviewed

A few weeks ago I received an email from a friend I grew up with containing a link to an article she had seen online and a question as to its implications. The email was directed to me, the medical student, but was also sent to eight of our other closest friends. I clicked on the link and found a short article titled, “What drugs are known to cause memory loss?” My friend’s particular concern was based on…

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From The Archives – Myths and Realities: Heart and Wine

September 27, 2012
From The Archives – Myths and Realities: Heart and Wine

Please enjoy this post from the archives dated August 26, 2010

By Aditya Mattoo, MD

Faculty Peer Reviewed

Not too long ago, a patient came to my clinic and said (I’m paraphrasing of course), “I never cared for alcohol, doctor, so I haven’t had much to drink since my college days. Maybe champagne or wine on the rare special occasion, but I keep hearing about how wine is good for your heart, so I am thinking I should start drinking regularly.” For years I have…

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Does Stress Cause Stress Ulcers? The Etiology and Pathophysiology of Stress Ulcers

August 22, 2012
Does Stress Cause Stress Ulcers? The Etiology and Pathophysiology of Stress Ulcers

Sara-Megumi Naylor, MD

Faculty Peer Reviewed

When Warren and Marshall were awarded the Nobel Prize in Physiology or Medicine in 2005 for their work on Helicobacter pylori and peptic ulcer disease , a long-standing controversy concerning the major cause of peptic ulcers was settled. They are not due to the reasons—spicy food, excessive coffee consumption, poor sleep, a stressful lifestyle—that we have heard from relatives and perhaps believed over the years. It is now well accepted that the leading causes of peptic ulcers are infection…

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Myth VS. Reality: The July Effect

August 8, 2012
Myth VS. Reality: The July Effect

By Mark Adelman, MD

Faculty Peer Reviewed

Another July 1st has come and gone, marking the yearly transition in US graduate medical education of interns to junior residents, junior residents to senior residents, and senior residents to fellows. With this annual mid-summer mass influx of nearly 37,000 interns and other trainees taking on new clinical responsibilities, learning to use different electronic medical record systems and navigating the other idiosyncrasies of unfamiliar institutions, one cannot help but wonder what implications this may have on patient…

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From The Archives: Myths and Realities: Colon Cleansing: Healthful or just a load of @$%!

January 26, 2012
From The Archives: Myths and Realities: Colon Cleansing: Healthful or just a load of @$%!

Please enjoy this post from the archives on July 16, 2009

By Chau Che MD

Faculty Peer Reviewed

You’ll have increased energy, radiant skin, reduced joint pain, improved asthma symptoms, and best of all…you will lose weight. These are some of the purported benefits of removing “toxins” (otherwise known as undigested material) from the colon through cleansing. As with fashion, music, and art, what’s old has a way of becoming trendy again…especially when celebrities such as Beyonce talk about it on the Oprah Winfrey show.…

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To Premed or Not to Premed: Are Tylenol and Benadryl Really Necessary Prior to All Transfusions?

January 19, 2012
To Premed or Not to Premed: Are Tylenol and Benadryl Really Necessary Prior to All Transfusions?

By Robert Gianotti, MD

Faculty Peer Reviewed

Case: Mr. T is a 32-year-old male being treated by the oncology service for Acute Myelogenous Leukemia. You are the night float intern covering overnight when you are called by the nurse to inform you that his CMV negative platelets have finally arrived from the blood bank. The nurse notices that the day team has not ordered Benadryl or Tylenol to be given prior to the transfusion, and asks if you could place the order. As you start…

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Myths and Realities: The Fishy Truth about Mercury Toxicity

December 17, 2011
Myths and Realities: The Fishy Truth about Mercury Toxicity

By Nicole Learned

Faculty Peer Reviewed

In an age when patients obtain medical news from the media, and celebrities initiate powerful health trends, clinicians have to be prepared to answer even the most obscure questions about health and nutrition. When Entourage star Jeremy Piven took a leave of absence in 2008 from the Broadway play Speed the Plow due to alleged mercury poisoning from eating sushi twice a day for years, it raised the question: How much fish is too much?

Where Does Mercury Come…

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Metabolic Syndrome: Fact or Myth?

September 30, 2011
Metabolic Syndrome: Fact or Myth?

By Vicky Jones, MD

A 40-year-old female presented to her primary care provider with a chief complaint of weight gain over the past year.  She wants to be fully evaluated for any kind of medical disorder that could have caused it.  She has been seen by multiple specialists but no one can give her a “straight diagnosis”.  Their advice is for her to lose weight.  She insists she never had problems with her weight in the past and has no known medical disorders. Her physical…

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The Hangover: Pathophysiology and Treatment of an Alcohol-Induced Hangover

May 27, 2011
The Hangover: Pathophysiology and Treatment of an Alcohol-Induced Hangover

By Anthony Tolisano

Faculty Peer Reviewed

The sunlight forces its way into your eyes, stabbing at your cortex.  Suddenly, a wave of nausea and diarrhea grips your stomach, threatening to evacuate its contents.  You rush to the bathroom, tripping over the clothes that speckle your apartment.  Your heart pounds inside your chest and your hands shake ever so subtly.  Your mind is in a fog and the details of last night’s party are a blur.  Sound familiar?

From the Archives: Myths and Realities: Is Breakfast the Most Important Meal of the Day?

May 26, 2011
From the Archives: Myths and Realities: Is Breakfast the Most Important Meal of the Day?

Please enjoy this post from the Clinical Correlations archives first posted June 18, 2009

By Chau Che MD

Faculty Peer Reviewed

In an age when two thirds of adults are either overweight or obese and obesity rates in children continue to rise, would an intervention such as consuming breakfast daily help combat this problem? Skipping breakfast has become increasingly common in adults and adolescents in the United States, with the proportion of adults and children skipping breakfast…

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