Breaking News: Revenge of the Gila Monster?

August 20, 2008
Breaking News: Revenge of the Gila Monster?

Commentary by Rachana Jani MD, PGY-2

As recently reported in ShortCuts, Byetta recently made headlines after the suggestion of a mortality benefit for patients taking the drug in a small subset of the Accord study.  So is this the new golden drug for diabetics? Perhaps not. This week, the FDA updated a previous alert warning providers about the risks of pancreatitis in patients taking Byetta. Last October, the FDA first issued an alert after there had been 30 postmarketing reports of acute pancreatitis in patients who had recently been started on Byetta. Though…

Read more »

ShortCuts- This Week in the Journals

August 18, 2008
ShortCuts- This Week in the Journals

Commentary by Danise Schiliro- Chuang MD

Welcome to this week’s edition of ShortCuts. Hoping as always that this post finds you all doing well. For those of you who have taken or who are about to take the boards, congratulations on the end of a most memorable chapter in your life; you are hereby rewarded with some light reading that you will not be tested on. Enjoy. The studies and events that made headlines this week attempt to answer some of our most common…

Read more »

Class Act: Pathogenesis of Rheumatic Heart Disease

August 14, 2008
Class Act: Pathogenesis of Rheumatic Heart Disease

Class act is a feature of Clinical Correlations written by NYU 3rd and 4th year medical students. Prior to publication, each commentary is thoroughly reviewed for content by a faculty member.

Commentary by Matt Stein MS-4; Reviewed by Harold Horowitz MD, Professor, NYU Division of Infectious Diseases and Immunology

In general, acute rheumatic fever (ARF) is a delayed sequela of a group A streptococcus (GAS) pharyngeal infection. Following an initial throat infection, which is often either untreated or incompletely treated, there exists a latent period of two…

Read more »

FRAX: A Brand New Tool For the Management of Osteoporosis

August 13, 2008
FRAX: A Brand New Tool For the Management of Osteoporosis

Commentary by Judith Brenner MD, Associate Editor, Clinical Correlations. Reviewed by Valerie Peck MD, NYU Division of Endocrinology.

An 81 year old Caucasian woman with a history of diabetes and hypertension who was admitted to the orthopedic service with a hip fracture after falling in her home.

This is a typical story and represents the end stages of osteoporosis. It is the myocardial infarction of the bone world. Like cardiovascular disease, prevention and identification of at-risk individuals is the most powerful tool clinicians have…

Read more »

ShortCuts- This Week in the Journals

August 11, 2008
ShortCuts- This Week in the Journals

Commentary by Michael Poles MD, Associate Editor, Clinical Correlations  

Well, it is early Saturday morning and I am sitting at my keyboard with coffee in hand. Gotta figure out what interesting tidbits from the world of medicine to discuss with you. Certainly, there are plenty of timely issues; the Olympics just began. Should I discuss something related to exercise or to the smog that is enveloping the athletes? This is good coffee. It is mid-summer. Should I discuss the effect of…

Read more »

How Do You Approach a Patient with Arthritis and Hepatitis C?

August 7, 2008
How Do You Approach a Patient with Arthritis and Hepatitis C?

Commentary by Peter Izmirly MD, NYU Division of Rheumatology

A 54 year old male with a past medical history significant for hepatitis C genotype 1a s/p ifn/ribavarin 2003-2004 with HCV Qual negative in 2005 presents with 3 weeks of bilateral wrist pain. The pain is worst with extension. His exam is notable for diffuse tenderness when pressure is applied to his wrists. He has no obvious swelling, erythema, deformity or subcutaneous nodules. The remainder of his musculoskeletal exam in unremarkable. In addition, he has no stigmata of cirrhosis. Labs…

Read more »

Clinical Pathology Conference 8/08

August 6, 2008
Clinical Pathology Conference 8/08

Case presentation by Kristin Remus DO, NYU 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

Clinical Pathology Conference Images

Read more »

Breaking News: USPSTF Issues New Prostate Cancer Screening Guidelines

August 5, 2008

Commentary by Cara Litvin MD, Executive Editor, Clinical Correlations

The US Preventive Services Task Force issued new guidelines for prostate cancer screening on Monday.  For the first time, the task force recommends AGAINST routine screening in patients over 75 years of age, citing the “moderate to substantial” harms over small to no benefits from screening. The task force reports that there continues to be inadequate evidence that the PSA improves healthcare outcomes at any age.  However, even if there is eventual evidence that screening is beneficial in younger patients, because men over…

Read more »