HotSpots: Promed

March 7, 2008
HotSpots: Promed

Welcome to HotSpots, a new feature of Clinical Correlations. In this series, we intend to highlight unique websites of interest to the medical profession. Feel free to make suggestions for sites that should be featured in this series by clicking the comment field or sending us an email.

Commentary by Shrujal Baxi MD, NYU Chief Resident

http://www.healthmap.org/promed 

If you don’t know what the Chikungunya virus is or you want to know where the Plague is killing people in the world today, then this…

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Ethical Dilemmas: Medical Futility-The Texas Approach

March 6, 2008
Ethical Dilemmas: Medical Futility-The Texas Approach

Commentary by Vlad Fridman MD, PGY-3

Futility is a topic which has been debated since the beginning of modern medicine. In Hippocratic times, medical practitioners were called upon to serve three purposes: cure, comfort, and refuse to treat those who were overmastered by illness. (1) The distinction was much clearer when things like CPR, ventilators, and dialysis machines were not yet available. These and other life-sustaining/saving medical techniques have blurred the line of when a person is “overmastered by illness” making it…

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Bell’s Palsy 2.0—Crocodile Dundee Tears

March 5, 2008
Bell’s Palsy 2.0—Crocodile Dundee Tears

Diseases 2.0 – Bringing you the latest updates on disease pathophysiology and treatment

Commentary by Aaron Lord MD, PGY-1

A 39 year-old woman awakes one morning and notices that the left side of her face is droopy. While at work, she has trouble controlling her saliva and it dribbles down the left side of her chin. At dinner, she has trouble eating and notices food stuck between her lips and teeth on the left side. The next morning she sees her primary…

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ShortCuts-This Week in the Journals

March 4, 2008
ShortCuts-This Week in the Journals

Commentary by Judith Brenner MD, Associate Program Director, NYU Internal Medicine Residency Program

There were many medical stories in the news last week that seemed relevant and worthy of a spot in this week’s ShortCuts. First, the CDC released a statement regarding the flu in its February 9th issue of MMWR. The CDC conducts surveillance in several ways and this year appears to have more states reporting flu activity and more specimens positive for influenza than in the last 3 years. The question has arisen…

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How do you approach male patients with osteoporosis?

February 28, 2008
How do you approach male patients with osteoporosis?

Commentary by Carrie Mahowald MD

Case: GS, a 65 year old man with only a history of severe OA, is seen in pre-op clinic for medical clearance before his hip replacement. On his pre-op x-ray, an incidental finding of a lumbar vertebral compression fracture is noted. After his hip replacement, how would you work him up for osteoporosis?

Osteoporosis, defined as low bone mass and the deterioration of bone micro-architecture which leads to the compromise of bone strength and the increased risk of fracture,…

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Meeting Perspectives: American Association for the Study of Liver Diseases

February 27, 2008
Meeting Perspectives: American Association for the Study of Liver Diseases

Last November, thousands of eager hepatologists descended on Boston to attend the AASLD Liver Meeting. While there was an enormous amount of hepatology information presented, one intrepid GI fellow, Ponni Perumalswami MD, has compiled a few of the most interesting presentations.

In a late-breaking abstract, major results were presented by Dr. Di Bisceglie from the HALT-C trial. This study is designed to examine the effect of prolonged antiviral therapy with peginterferon in prevention of the complications of advanced liver disease associated with hepatitis C. This has…

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Grand Rounds: “Insulin Resistance: Implications for Obesity, Type 2 Diabetes”

February 26, 2008
Grand Rounds: “Insulin Resistance: Implications for Obesity, Type 2 Diabetes”

Commentary by Melissa Freeman MD, PGY2

This week’s Grand Rounds was delivered by Dr. Gerald Shulman, M.D., Ph.D., F.A.C.P. Professor of Internal Medicine and Cellular & Molecular Physiology and Investigator at the Howard Hughes Medical Institute of Yale University School of Medicine. Dr. Shulman has been a pioneer in unraveling the molecular mechanisms of insulin resistance.

For many years, Dr. Shulman and his colleagues have employed nuclear magnetic resonance spectroscopy (MRS) on muscle and liver cells to make noninvasive cellular discoveries. C13…

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ShortCuts-This Week in the Journals

February 25, 2008
ShortCuts-This Week in the Journals

Commentary by Danise Schiliro-Chuang MD, NYU Chief Resident 

Hello and welcome to this week’s shortcuts. Let’s jump right to what’s new in the journals.

Two large, multicenter, randomized controlled studies published in the February 13 issue of JAMA show that patients with acute lung injury may benefit from higher positive end-expiratory pressures (PEEP). In the first study by Meade et al. the control arm received low target tidal volumes of 6ml/kg, plateau airway pressures not exceeding 30cm H20 and conventional levels of PEEP.…

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