From the Archives

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 …

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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 …

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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 …

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

July 1, 2015
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 …

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FROM THE ARCHIVES – Cardiac Murmur Websites: An Internet Review of Common Cardiac Auscultation Websites

June 11, 2015
FROM THE ARCHIVES – Cardiac Murmur Websites: An Internet Review of Common Cardiac Auscultation Websites

Please enjoy this Post from the archives dated February 29, 2012

By Rachel Bond, MD

Faculty Peer Reviewed

In the field of medicine including the art of physical diagnosis, there is nothing more nerve provoking then having to master the art of cardiac auscultation. Imagine the concern of medical students, residents, internists and freshly starting cardiologists all alike who are asked by patients time and time again, “does my heart sound okay?!” With the advancement in technology and the rapid surge of echocardiogram usage, the …

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From The Archives – EKG Websites: A Review of the Most Viewed Websites

March 25, 2015
From The Archives – EKG Websites: A Review of the Most Viewed Websites

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

By Melissa Mroz, MD and Rachel Bond, MD

Faculty Peer Reviewed

The electrocardiogram (EKG) is a test not only interpreted by cardiologists.

In fact, it is usually early in the year that the new medical student is handed an EKG; top flipped down as not to “cheat” and asked to interpret the rhythmic black squiggles on red graph paper. I still remember the anxiety provoking questions asked on my Medicine Clerkship. As with many …

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

January 14, 2015
From The Archives: To Premed or Not to Premed: Are Tylenol and Benadryl Really Necessary Prior to All Transfusions?

Please enjoy this post from the archives dated January 19, 2012

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, …

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From The Archives: Why Are Asthma Patients Noncompliant With Their Inhalers?

January 8, 2015
From The Archives: Why Are Asthma Patients Noncompliant With Their Inhalers?

Please enjoy this post from the archives, dated January 11, 2012

By Kristen Mattei

Faculty Peer Reviewed

I distinctly remember being 9 years old, sitting in my doctor’s office after a cold left me struggling for breath, doubled over and wheezing, when he told me that I had asthma. At first I didn’t believe the diagnosis, despite the fact that the albuterol inhaler he had given me was like a breath of life after running suicides on the soccer field. I wasn’t sick or weak! …

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From The Archives: Does Perioperative Smoking Cessation Improve outcomes?

December 4, 2014
From The Archives: Does Perioperative Smoking Cessation Improve outcomes?

Please enjoy this Post from the archives dated January 6, 2012

By Benjamin Wu, MD

Faculty Peer Reviewed

Mr. T is a 53-year-old man, with history significant for cholelithiasis. He decides to have an elective cholecystectomy after years of biliary colic. Mr. T is an active smoker and wanted to know if he should stop smoking prior to surgery?

Smoking is associated with adverse outcomes in surgery, however debate continues regarding the safety of perioperative smoking cessation. The current understanding of perioperative smoking cessation follows …

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FROM THE ARCHIVES: Myths and Realities: The Fishy Truth about Mercury Toxicity

November 13, 2014
FROM THE ARCHIVES: Myths and Realities: The Fishy Truth about Mercury Toxicity

Please enjoy this post from the Archives dated December 17, 2011

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 …

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FROM THE ARCHIVES: Does Culturing the Catheter Tip Change Patient Outcomes?

September 26, 2014
FROM THE ARCHIVES: Does Culturing the Catheter Tip Change Patient Outcomes?

Please enjoy this post from the archives, dated November 17, 2011

By Todd Cutler, MD

Faculty Peer Reviewed

An 82-year-old man is admitted to the intensive care unit with fevers, hypoxic respiratory failure and hypotension. He is intubated and resuscitated with intravenous fluids. A central venous catheter is placed via the internal jugular vein. A chest x-ray showed a right lower lobe infiltrate and he is treated empirically with antibiotics for pneumonia. Blood cultures grow out S. pneumoniae. After four days he is successfully extubated. …

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Does Cranberry Juice Prevent Urinary Tract Infections?

September 11, 2014
Does Cranberry Juice Prevent Urinary Tract Infections?

Please enjoy this post from the archives dated November 9, 2011

By Jessie Yu

Faculty Peer Reviewed

A healthy 21-year-old female college student presents to clinic after one day of dysuria and increased frequency. You diagnose her with a recurrent urinary tract infection (UTI), and as you hand her a prescription for empiric antibiotic treatment, she asks you if drinking cranberry juice will prevent these in the future…

Drinking cranberry juice to prevent urinary tract infections (UTIs) has been a traditional folk remedy for hundreds …

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