Mystery Quiz

July 23, 2008
Mystery Quiz

Posted by Nishay Chitkara MD, Instructor of Clinical Medicine, Division of Pulmonary and Critical Care Medicine, Vivian Hayashi MD, Instructor of Clinical Medicine, Division of General Internal Medicine and Robert Smith MD, Associate Professor of Medicine, Division Pulmonary and Critical Care Medicine 

A 49 year old undomiciled male with a history of hepatitis C, mycobacterium avium complex colonization of the lungs, and active alcohol abuse presented with fevers, cough productive of green sputum, and an elevated white blood cell count. His symptoms were persistent despite broad…

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ShortCuts-This Week in the Journals

July 21, 2008
ShortCuts-This Week in the Journals

Commentary by Cara Litvin MD, Executive Editor, Clinical Correlations

First let’s start off with some rare  good news in the political arena. Last week, the Senate overwhelmingly voted to override President Bush’s veto on a controversial Medicare bill that reverses a scheduled 10.6% cut in Medicare payments to doctors.  Senator Edward Kennedy even made a dramatic appearance to cast his vote. The bill also reduces federal payments to private Medicare Advantage plans. The government currently subsidizes Medicare Advantage plans, paying on average 13% more…

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Dietary Issues after Bariatric Surgery

July 18, 2008
Dietary Issues after Bariatric Surgery

Commentary by Melissa Freeman MD, Endocrinology Section Editor

A new outpatient Bariatric Surgery Clinic recently opened at Bellevue Hospital Center. This clinic offers laparoscopic adjustable gastric banding to patients 18 years of age or older who meet specific BMI and medical criteria. This life-altering surgery is now covered by Medicaid and those who are uninsured can work with financial counselors to obtain funding through special HHC programs. While the surgeons diligently educate their patients on their dietary transitions and requirements after surgery, primary care physicians,…

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Clinical Pathology Conference 7/08

July 17, 2008
Clinical Pathology Conference 7/08

Case presentation by James Tsay, Chief Resident

Welcome to the monthly posting of our NYU Department of Medicine’s Clinical Pathology Conference. Use the link below to review the case, followed by a slide presentation of the radiological findings. Feel free to make your diagnosis by clicking the comment field. We will reveal the answer next week.

Clinical Pathology Conference Case Presentation

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More Health Care Is Not Better

July 16, 2008
More Health Care Is Not Better

Surprising results from the Datmouth Atlas of Health Care

Commentary by Zackary Berger MD PhD, PGY-3, Health Care Policy Section Editor

What explains the large variation in health care costs across the country? You would expect that the regions with the highest health care expenditures have the sickest patients, or have the highest prevalence of chronic health conditions.

But you would be wrong. Health care expenditures are highest where health care supply is the highest. As the number of hospital beds,…

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ShortCuts-This Week in the Journals

July 14, 2008
ShortCuts-This Week in the Journals

Commentary by Bani Chander MD, PGY-3 

Childhood obesity, foodborne illness and the evil pharmaceutical industy…sorry to start your day off with some gloomy topics, but the news is full of it these days. Let’s get started.

Childhood obesity, as we know, has been on the rise, and children are starting not only to eat, but to walk, talk, and act like adults. Now should we also start treating them like adults? This week, the American Academy of Pediatrics (AAP) issued a new

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Class Act: What is the risk of microbial keratitis in overnight wear of soft contact lenses?

July 11, 2008
Class Act: What is the risk of microbial keratitis in overnight wear of soft contact lenses?

Class act is a feature of Clinical Correlations written by NYU 3rd and 4th year medical students. These posts focus on evidenced based answers to clinical questions related to patients seen by our students in the clinics or on the wards. Prior to publication, each commentary is thoroughly reviewed for content by a faculty member.

Commentary by Frank Siringo, NYU Medical Student

Soft contact lens wear is the primary risk factor for microbial keratitis, a potentially vision-threatening infection of the cornea, with a…

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Breaking news: FDA issues new Boxed Warning for Fluoroquinolones

July 10, 2008
Breaking news: FDA issues new Boxed Warning for Fluoroquinolones

Commentary by Marilena S. Antonopoulos, PharmD, Pharmacology Editor

On July 8th, the FDA notified the manufacturers of fluoroquinolone antimicrobial drugs that a Boxed Warning in the product labeling and a Medication Guide for patients concerning the increased risk of tendinitis and tendon rupture is necessary. The FDA conducted a new analysis of the available literature and post-marketing adverse event reports which reconfirms that the use of fluoroquinolones is associated with an increased risk of tendon rupture.

The risk of developing fluoroquinolone-associated tendinitis and tendon rupture…

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