From the Archives

From the Archives: Morgellons-Real Disease or Delusion Turned Internet Meme?

August 12, 2016
From the Archives: Morgellons-Real Disease or Delusion Turned Internet Meme?

Please enjoy this post from the archives dated October 3, 2012

By Robert Mazgaj

Faculty Peer Reviewed

Morgellons disease is an “unexplained dermopathy” characterized by fibers emerging from skin lesions, and associated with various cutaneous sensations. Inspired by a curious medical condition reported by a 17th century English physician, Morgellons was actually named in 2002 by Mary Leitao, a layperson, to describe the mysterious set of symptoms reportedly suffered by her then 2-year-old son. Leitao then launched the not-for-profit Morgellons Research Foundation (MRF) along with …

Read more »

From The Archives – Fractional Excretion of Sodium (FENa): Diagnostic Godsend or Gimmick?

July 22, 2016
From The Archives – Fractional Excretion of Sodium (FENa): Diagnostic Godsend or Gimmick?

Please enjoy this post from the archives dated September 5, 2012

By Jon-Emile S Kenny, MD

Faculty Peer Reviewed

A 62- year-old man with a history of hypertension, diastolic dysfunction and chronic kidney disease is admitted 4 days after beginning outpatient treatment of community acquired pneumonia with cefpodoxime and azithromycin; he had been intermittently vomiting for two days, but proudly states that he has been keeping all of his home medications down, including hydrochlorothiazide. The morning after his admission, he was noted to have a …

Read more »

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

July 14, 2016
Does Stress Cause Stress Ulcers? The Etiology and Pathophysiology of Stress Ulcers

Please enjoy this post from the archives dated August 22, 2012

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 …

Read more »

Primecuts – This Week In The Journals

July 11, 2016
Primecuts – This Week In The Journals

By Amar Parikh, MD

Peer Reviewed

Just days after the United States celebrated its 240th birthday, the nation was devastated by the tragic deaths of two young black men and five Dallas police officers amidst the country’s ongoing struggle over race relations. Alton Sterling was shot to death in Baton Rouge, Louisiana during an encounter with two police officers, while Philando Castile was killed in Falcon Heights, Minnesota during a routine stop for a broken taillight. The grisly footage of both their deaths was widely …

Read more »

From the Archives: Myth vs. Reality: The July Effect

July 7, 2016
From the Archives: Myth vs. Reality: The July Effect

Please enjoy this post from the archives dated August 12, 2012

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 …

Read more »

From The Archives – Medicine’s Favorite Default Diagnosis: Non-compliance

June 23, 2016
From The Archives – Medicine’s Favorite Default Diagnosis: Non-compliance

Please enjoy this post from the archives, dated August 2, 2012

By Robert Keller

Faculty Peer Reviewed

In a small examination room on the Ambulatory Care floor of a large hospital in Brooklyn, I greet Ms. S, a 53-year-old Jamaican woman, as she walks through the door and plops herself down in the chair across from me. Having spent 20 minutes perusing her chart, I know that she suffers from morbid obesity, uncontrolled hypertension (blood pressure 165/95), and terrible diabetes (A1c 13.8%). I have already …

Read more »

From The Archives: Is a VBG just as good as an ABG?

May 6, 2016
From The Archives: Is a VBG just as good as an ABG?

Please enjoy this post from the archives, dated July 13, 2012

By Sunnie Kim, MD

Faculty Peer Reviewed

A rapid response is called overhead. As white-coated residents rush to the patient’s bedside, the medical consult starts to shout out orders to organize the chaos. “What’s the one-liner?” “Whose patient is this?” And of course, “Who’s drawing the labs?” Usually, at this point, the intern proceeds to collect the butterfly needle, assorted colored tubes, and the arterial blood gas (ABG) syringe. If lucky, there’s a strong …

Read more »

From The Archives: Should Patients With Nephrotic Syndrome Receive Anticoagulation?

March 31, 2016
From The Archives: Should Patients With Nephrotic Syndrome Receive Anticoagulation?

Please enjoy this post from the Archives dated May 9, 2012 By Jennifer Mulliken

Faculty Peer Reviewed

Case 1:

A 30-year-old African-American male with a history of bilateral pulmonary emboli presents with a 1-week history of bilateral lower extremity edema. Blood pressure is 138/83, cholesterol 385, LDL 250, albumin 2.9. Urinalysis shows 3+ protein. Twenty-four hour urinary protein is 7.2 grams.

Case 2:

A 47-year-old Hispanic male with a history of mild hypertension and venous insufficiency presents with a 3-month history of bilateral lower extremity …

Read more »

The Placebo Effect: Can Understanding Its Role Improve Patient Care?

February 25, 2016
The Placebo Effect: Can Understanding Its Role Improve Patient Care?

Please enjoy this post from the archives dated March 4, 2012

By Brian D. Clark

Faculty Peer Reviewed

The ability to critically assess the validity of a clinical trial is one of many important skills that a physician strives to develop. This skill helps guide clinical decision-making, and there are a number of things that we are trained to look for to help determine the validity of any given study. Right at the top of the list of factors that go into this appraisal is …

Read more »

From The Archives: Nothing QT (Cute) about it: rethinking the use of the QT interval to evaluate risk of drug induced arrhythmias

February 4, 2016
From The Archives: Nothing QT (Cute) about it: rethinking the use of the QT interval to evaluate risk of drug induced arrhythmias

Please enjoy this post from the archives dated April 27, 2012

By Aneesh Bapat, MD

Faculty Peer Reviewed

Perhaps it’s the French name, the curvaceous appearance on electrocardiogram (EKG), or its elusive and mysterious nature, but Torsades des pointes, a polymorphic ventricular arrhythmia, is certainly the sexiest of all ventricular arrhythmias. Very few physicians and scientists can explain its origin in an early afterdepolarization (EAD), and fewer still can explain its “twisting of the points” morphology on EKG. Despite its rare occurrence (only 761 cases …

Read more »

From The Archives: Medical Etymology: The Origins of Our Language

January 21, 2016
From The Archives: Medical Etymology: The Origins of Our Language

Please enjoy this post from the archives dated March 28, 2012

By Robert Gianotti , MD, Todd Cutler, MD and Patrick Cocks, MD

Welcome. We are proud to present the first installment of a new section dedicated to exploring the roots of common medical terminology. We hope this will give you a chance to incorporate a historical perspective into your daily practice and to reflect on the rich and often unexpected stories lying at the heart of our profession. This is our ode to the …

Read more »

From The Archives: Does the BCG Vaccine Really Work?

October 1, 2015
From The Archives: Does the BCG Vaccine Really Work?

Please enjoy this post from the archives dated March 14, 2012

By Mitchell Kim

Faculty Peer Reviewed

Mycobacterium tuberculosis, an acid-fast bacillus, is the causative agent of tuberculosis (TB), an infection that causes significant morbidity and mortality worldwide. A highly contagious infection, TB is spread by aerosolized pulmonary droplet nuclei containing the infective organism. Most infections manifest as pulmonary disease, but TB is also known to cause meningitis, vertebral osteomyelitis, and other systemic diseases through hematogenous dissemination. In 2009, there were an estimated 9.4 million …

Read more »